Evidence map›Paper›PMID 28108189›Full record

Trial reportAmerican journal of preventive medicine2017

The Longitudinal Impact of an Internet Safety Decision Aid for Abused Women.

Nancy E Glass, Nancy A Perrin, Ginger C Hanson, Tina L Bloom, Jill T Messing, Amber S Clough, Jacquelyn C Campbell, Andrea C Gielen, James Case, Karen B Eden

Abstract readComparative StudyMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in American journal of preventive medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 4 pooled it
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

54 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Nancy E GlassJohns Hopkins University School of Nursing, Johns Hopkins Center for Global Health, Baltimore, Maryland. Electronic address: nglass1@jhu.edu.
Nancy A PerrinJohns Hopkins University School of Nursing, Johns Hopkins Center for Global Health, Baltimore, Maryland.
Ginger C HansonCenter for Health Research, Kaiser Permanente Northwest, Portland, Oregon.
Tina L BloomSinclair School of Nursing at the University of Missouri-Columbia, Columbia, Missouri.
Jill T MessingSchool of Social Work, Arizona State University, Phoenix, Arizona.
Amber S CloughJohns Hopkins University School of Nursing, Johns Hopkins Center for Global Health, Baltimore, Maryland.
Jacquelyn C CampbellJohns Hopkins University School of Nursing, Johns Hopkins Center for Global Health, Baltimore, Maryland.
Andrea C GielenJohns Hopkins Center for Injury Research and Policy, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
James CaseJohns Hopkins University School of Nursing, Johns Hopkins Center for Global Health, Baltimore, Maryland.
Karen B EdenPacific Northwest Evidence-based Practice Center, Oregon Health & Science University, Department of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland, Oregon.

Funding

Reducing disparities in health and safety for young sexual minority women in abusive relationshipsR01HD076881 · NICHD · JOHNS HOPKINS UNIVERSITY · PI GLASS, NANCY E · 2014 to 2018
$3.1M
Internet-Based Intervention to Improve Mental Health Outcomes for Abused WomenR01MH085641 · NIMH · JOHNS HOPKINS UNIVERSITY · PI EDEN, KAREN BEEKMAN, GLASS, NANCY E · 2010 to 2014
$3.1M
NIMH NIH HHS R01 MH085641
6 · The paper itself

Abstract

introductionWomen experiencing intimate partner violence (IPV) navigate complex, dangerous decisions. Tailored safety information and safety planning, typically provided by domestic violence service providers, can prevent repeat IPV exposure and associated adverse health outcomes; however, few abused women access these services. The Internet represents a potentially innovative way to connect abused women with tailored safety planning resources and information. The purpose of this study was to compare safety and mental health outcomes at baseline, 6 months, and 12 months among abused women randomized to: (1) a tailored, Internet-based safety decision aid; or (2) control website (typical safety information available online).

designMultistate, community-based longitudinal RCT with one-to-one allocation ratio and blocked randomization. Data were collected March 2011-May 2013 and analyzed June-July 2015. SETTING/

participantsCurrently abused Spanish- or English-speaking women (N=720).

interventionA tailored Internet-based safety decision aid included priority-setting activities, risk assessment, and tailored feedback and safety plans. A control website offered typical safety information available online.

main outcome measuresPrimary outcomes were decisional conflict, safety behaviors, and repeat IPV; secondary outcomes included depression and post-traumatic stress disorder.

resultsAt 12 months, there were no significant group differences in IPV, depression, or post-traumatic stress disorder. Intervention women experienced significantly less decisional conflict after one use (β= -2.68, p=0.042) and greater increase in safety behaviors they rated as helpful from baseline to 12 months (12% vs 9%, p=0.033) and were more likely to have left the abuser (63% vs 53%, p=0.008). Women who left had higher baseline risk (14.9 vs 13.1, p=0.003) found more of the safety behaviors they tried helpful (61.1% vs 47.5%, p<0.001), and had greater reductions in psychological IPV ((11.69 vs 7.5, p=0.001) and sexual IPV (2.41 vs 1.25, p=0.001) than women who stayed.

conclusionsInternet-based safety planning represents a promising tool to reduce the public health impact of IPV.

Indexed as

Decision Making, Computer-AssistedDecision Support TechniquesSafetyAcademic Medical CentersAdultBattered WomenDepressionDomestic ViolenceFemaleHumansInternetLongitudinal StudiesMiddle AgedRisk AssessmentSpouse AbuseUnited States

Identifiers

PMID28108189
PMCPMC9703467

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.