Evidence map›Paper›PMID 32098633›Full record

Trial reportBMC public health2020

Longitudinal impacts of an online safety and health intervention for women experiencing intimate partner violence: randomized controlled trial.

Marilyn Ford-Gilboe, Colleen Varcoe, Kelly Scott-Storey, Nancy Perrin, Judith Wuest, C Nadine Wathen, James Case, Nancy Glass

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02258841 (Testing an Internet-based Safety Decision Aid for Women Experiencing Intimate Partner Violence), which is not on this map. Cited by 41 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 6 pooled it
–field-weighted citation impact
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.

NCT02258841 nacompletednot on this map

Testing an Internet-based Safety Decision Aid for Women Experiencing Intimate Partner Violence

TypeinterventionalSponsorWestern University, CanadaRan2014 to 2017Enrolled462ConditionsDomestic ViolenceArmsSetting Priorities for Safety, Danger Assessment, Personalized Action Plan, General risk and safety information, Basic Emergency Safety Plan
3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 6 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

8 authors.

Marilyn Ford-GilboeArthur Labatt Family School of Nursing, University of Western Ontario, FNB 2302, 1151 Richmond St, London, ON, N6A 5C1, Canada. mfordg@uwo.ca.ORCID http://orcid.org/0000-0003-4328-8748
Colleen VarcoeSchool of Nursing, University of British Columbia, Vancouver, BC, Canada.
Kelly Scott-StoreyFaculty of Nursing, University of New Brunswick, Fredericton, NB, Canada.
Nancy PerrinSchool of Nursing, Johns Hopkins University, Baltimore, MD, USA.
Judith WuestFaculty of Nursing, University of New Brunswick, Fredericton, NB, Canada.
C Nadine WathenFaculty of Information and Media Studies, University of Western Ontario, London, ON, Canada.
James CaseSchool of Nursing, Johns Hopkins University, Baltimore, MD, USA.
Nancy GlassSchool of Nursing, Johns Hopkins University, Baltimore, MD, USA.

Funding

CIHR 123323
6 · The paper itself

Abstract

backgroundResponding to intimate partner violence (IPV) and its consequences is made complex by women's diverse needs, priorities and contexts. Tailored online IPV interventions that account for differences among women have potential to reduce barriers to support and improve key outcomes.

methodsDouble blind randomized controlled trial of 462 Canadian adult women who experienced recent IPV randomly were assigned to receive either a tailored, interactive online safety and health intervention (iCAN Plan 4 Safety) or a static, non-tailored version of this tool. Primary (depressive symptoms, PTSD symptoms) and secondary (helpfulness of safety actions, confidence in safety planning, mastery, social support, experiences of coercive control, and decisional conflict) outcomes were measured at baseline and 3, 6, and 12 months later via online surveys. Generalized Estimating Equations were used to test for differences in outcomes by study arm. Differential effects of the tailored intervention for 4 strata of women were examined using effect sizes. Exit survey process evaluation data were analyzed using descriptive statistics, t-tests and conventional content analysis.

resultsWomen in both tailored and non-tailored groups improved over time on primary outcomes of depression (p < .001) and PTSD (p < .001) and on all secondary outcomes. Changes over time did not differ by study arm. Women in both groups reported high levels of benefit, safety and accessibility of the online interventions, with low risk of harm, although those completing the tailored intervention were more positive about fit and helpfulness. Importantly, the tailored intervention had greater positive effects for 4 groups of women, those: with children under 18 living at home; reporting more severe violence; living in medium-sized and large urban centers; and not living with a partner.

conclusionThis trial extends evidence about the effectiveness of online safety and health interventions for women experiencing IPV to Canadian women and provides a contextualized understanding about intervention processes and effects useful for future refinement and scale up. The differential effects of the tailored intervention found for specific subgroups support the importance of attending to diverse contexts and needs. iCAN is a promising intervention that can complement resources available to Canadian women experiencing IPV.

trial registrationClinicaltrials.gov ID NCT02258841 (Prospectively Registered on Oct 2, 2014).

Indexed as

InternetSafetyAdultCanadaDouble-Blind MethodFemaleHealth PromotionHumansIntimate Partner ViolenceLongitudinal StudiesProgram EvaluationSurveys and QuestionnairesCoercive controlComplex interventionsE-healthIntimate partner violence against womenMasteryMental healthRandomized controlled trialSafety planningSelf-efficacyTechnology

Identifiers

PMID32098633
PMCPMC7043036

What OpenQuestion holds

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Registered trials

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.