Sabri Bushra, Mata Theresa, Li Jian, Butter Sara, Campbell Jacquelyn C, Budhathoki Chakra
Johns Hopkins University School of Nursing, 525 N Wolfe Street, Baltimore, MD-21205, USA.
Contemp Clin Trials Commun. 2024 Aug 24;41:101357. doi: 10.1016/j.conctc.2024.101357. eCollection 2024 Oct.
Firearms are the leading cause of victimization of abused women by intimate partner homicide and intimate partner homicide-suicides in the US. This calls for evidence-based intervention strategies to prevent firearm-related injuries or mortality and address the firearms-related safety needs of women in abusive relationships. My Safety Steps (MySteps) was designed to comprehensively assess women's firearm-related risks, and current safety needs and to prevent women's harm from their abuser's access or ownership of a firearm through a digitally delivered firearm-focused safety planning intervention. This paper describes the development, feasibility, acceptability, and preliminary evaluation of the digital BSHAPE intervention among women survivors of intimate partner violence (IPV).
Using a pretest post-test control group design, the study was conducted with 103 participants with 55 women randomly assigned to the MySteps arm and 48 women to the standard of care control arm. The feasibility and acceptability outcomes assessed were enrollment, adherence, and perceptions of the intervention. Preliminary evaluation outcomes included the partner's access to a firearm, women's self-efficacy beliefs, and empowerment. Further, qualitative follow-up interviews were conducted with 30 survivors of IPV in the MySteps arm to follow up on the use and helpfulness of safety strategies provided in MySteps.
The intervention was found to be feasible, and acceptable and demonstrated improved outcomes for survivors of IPV at risk from their partner's firearm. Women provided feedback for further refinement. The findings of this study will be useful in further refining MySteps and testing it in a full-scale randomized controlled trial.
在美国，枪支是亲密伴侣杀害受虐妇女以及亲密伴侣杀害他人后自杀的主要致害因素。这就需要有基于证据的干预策略，以预防与枪支相关的伤害或死亡，并满足处于虐待关系中的妇女与枪支相关的安全需求。“我的安全步骤”（MySteps）旨在全面评估妇女与枪支相关的风险以及当前的安全需求，并通过以数字方式提供的以枪支为重点的安全规划干预措施，防止妇女因施虐者获取或拥有枪支而受到伤害。本文描述了针对亲密伴侣暴力（IPV）女性幸存者的数字BSHAPE干预措施的开发、可行性、可接受性及初步评估。
采用前后测对照组设计，对103名参与者进行了研究，其中55名女性被随机分配到MySteps组，48名女性被分配到标准护理对照组。评估的可行性和可接受性结果包括入组情况、依从性和对干预措施的看法。初步评估结果包括伴侣获取枪支的情况、女性的自我效能信念和赋权情况。此外，还对MySteps组的30名IPV幸存者进行了定性随访访谈，以跟进MySteps中提供的安全策略的使用情况和帮助程度。
该干预措施被认为是可行且可接受的，对于有因伴侣持有枪支而面临风险的IPV幸存者而言，干预措施显示出了更好的效果。女性提供了进一步完善的反馈。本研究结果将有助于进一步完善MySteps，并在全面随机对照试验中对其进行测试。
