倡导干预在经历亲密伴侣暴力的中年和老年女性中的实施：一项随机对照试验的方案。

The Implementation of the Advocacy Intervention for Midlife and Older Women Who Have Experienced Intimate Partner Violence: Protocol for a Randomized Controlled Trial.

机构信息

School of Health Administration, Dalhousie University, Halifax, NS, Canada.

Muriel McQueen Fergusson Centre for Family Violence Research, University of New Brunswick, Fredericton, NB, Canada.

出版信息

JMIR Res Protoc. 2024 Oct 30;13:e57886. doi: 10.2196/57886.

DOI:10.2196/57886

Abstract

BACKGROUND

Midlife and older women who experience intimate partner violence (IPV) often have less access to supports and services than younger women. There is far less focus on research and supports for midlife and older women compared to younger women experiencing IPV, and often, neither elder abuse nor IPV services meet their needs. Few interventions are available to meet the needs of midlife and older women.

OBJECTIVE

The goal of this randomized controlled trial is to test the effectiveness of an advocacy intervention for midlife and older women who experience IPV and to learn from the experiences of those who implement and participate in the program.

METHODS

This trial is a 2-arm, unblinded, parallel, pragmatic randomized controlled trial with a qualitative component. Eligible participants will be women who live in the Maritime provinces of Canada (New Brunswick, Nova Scotia, and Prince Edward Island), who are in midlife and older (aged approximately ≥50 years), and who are currently in a relationship with an abusive partner or have recently left an abusive partner. Facilitators will be trained to deliver the intervention. The intervention will be entirely virtual and will consist of 2 components: (1) an empowerment component, which will involve sharing resources and information with the women; and (2) a social support component, which will include providing support and encouragement to women for 12 weeks. Quantitative effectiveness data will be collected from all trial participants at baseline, 3 months after the intervention, and 9 months after the intervention about the incidence and severity of IPV, physical and mental health, and safety behaviors and strategies. Qualitative interviews will be conducted with the facilitators and intervention group participants. Control group participants will receive a static, nontailored version of the advocacy intervention for midlife and older women (AIM) intervention materials after baseline data collection.

RESULTS

A total of 12 facilitators have been trained to deliver the AIM intervention to trial participants. Participant recruitment and data collection will be completed in January 2025. Data analysis will continue throughout the data collection period, and the results will be disseminated by December 2025.

CONCLUSIONS

This research will result in the adaptation and testing of a program to support and empower midlife and older women in the Maritime provinces of Canada who experience IPV.

TRIAL REGISTRATION

International Standard Randomized Controlled Trial Registry ISRCTN30646991; https://doi.org/10.1186/ISRCTN30646991.

INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/57886.

摘要

背景

经历亲密伴侣暴力（IPV）的中年和老年女性往往比年轻女性获得的支持和服务更少。与经历 IPV 的年轻女性相比，针对中年和老年女性的研究和支持要少得多，而且通常，虐待老人问题和 IPV 服务都无法满足她们的需求。几乎没有干预措施可以满足中年和老年女性的需求。

目的

本随机对照试验的目的是测试针对经历 IPV 的中年和老年女性的倡导干预措施的有效性，并从实施和参与该计划的人员的经验中学习。

方法

本试验是一项 2 臂、非盲、平行、实用随机对照试验，具有定性部分。合格的参与者将是居住在加拿大海洋省份（新不伦瑞克省、新斯科舍省和爱德华王子岛）、处于中年和老年（约≥50 岁）且目前与虐待伴侣保持关系或最近离开虐待伴侣的女性。将培训协调员来提供干预措施。干预措施将完全是虚拟的，包括两个部分：（1）赋权部分，将与妇女分享资源和信息；（2）社会支持部分，将包括为妇女提供 12 周的支持和鼓励。在干预后 3 个月和 9 个月，将从所有试验参与者收集关于 IPV 的发生和严重程度、身心健康以及安全行为和策略的定量有效性数据。将对协调员和干预组参与者进行定性访谈。在基线数据收集后，对照组参与者将收到为中年和老年女性（AIM）设计的倡导干预措施的静态、非定制版本的干预材料。