Evidence map›Paper›PMID 34013470›Full record

Trial reportJournal of general internal medicine2022

Computerized Intervention in Primary Care for Women Veterans with Sexual Assault Histories and Psychosocial Health Risks: a Randomized Clinical Trial.

Suzannah K Creech, Carey S Pulverman, Christopher W Kahler, Lindsay M Orchowski, M Tracie Shea, Golfo Tzilos Wernette, Caron Zlotnick

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of general internal medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02957747 (Addressing the Health Concerns of VA Women With Sexual Trauma), which is not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 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.

NCT02957747 nacompletednot on this map

Addressing the Health Concerns of VA Women With Sexual Trauma

TypeinterventionalSponsorVISN 17 Center of ExcellenceRan2017 to 2020Enrolled153ConditionsStress Disorders, Post-Traumatic, Intimate Partner Violence, Alcohol-Related DisordersArmsSHE
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. PTSD and Depression Symptoms Increase Women's Risk for Experiencing Future Intimate Partner Violence.International journal of environmental research and public health · 2022
    Article
  9. Review
  10. Review
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

7 authors.

Suzannah K CreechVA VISN 17 Center of Excellence for Research on Returning War Veterans and the Central Texas Veterans Health Care System, Waco, TX, USA. Suzannah.Creech@va.gov.ORCID 0000-0002-6582-1673
Carey S PulvermanVA VISN 17 Center of Excellence for Research on Returning War Veterans and the Central Texas Veterans Health Care System, Waco, TX, USA.
Christopher W KahlerDepartment of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI, USA.
Lindsay M OrchowskiAlpert Medical School of Brown University, Providence, RI, USA.
M Tracie SheaAlpert Medical School of Brown University, Providence, RI, USA.
Golfo Tzilos WernetteUniversity of Michigan Medical School, Ann Arbor, MI, USA.
Caron ZlotnickBrown University, Providence, RI, USA.

Funding

U.S. Department of Defense W81XWH-14-1-0368
6 · The paper itself

Abstract

importanceSexual assault is a public health concern for women and is associated with subsequent psychosocial health risks of posttraumatic stress disorder (PTSD), hazardous drinking, and intimate partner violence (IPV). Sexual assault is associated with social stigma and other barriers shown to inhibit one from seeking mental health care. Digital health technologies may overcome these barriers.

objectiveTo test the impact of a brief computerized intervention delivered in primary care to reduce health risks and increase mental health treatment utilization among women with histories of sexual assault and current health risks. DESIGN, SETTING, AND

participantsThe Safe and Healthy Experiences (SHE) program was tested in a randomized controlled trial with N = 153 women veterans at a Veterans Health Administration (VHA) medical center, and they completed assessments at baseline, 2 months, and 4 months.

interventionSHE is a brief motivational interviewing and psychoeducation-based computerized intervention. SHE was compared to a screen and referral-only control condition. MAIN MEASURES: Health risks were measured via validated self-report instruments. Treatment initiation and utilization were measured via self-report and chart review.

resultsSHE did not impact women's number of health risks (all p's > .05). However, women randomized to SHE showed significantly greater increases in treatment use compared to women in the control group, as measured by chart review (χ

conclusionsSHE was effective in improving mental health treatment initiation and utilization compared to a control group. Computer-based interventions to address sexual trauma and its consequences are acceptable, are highly scalable, and can add value to primary care with little cost or increase in provider time.

trial registrationClinicaltrials.gov identifier NCT02957747.

Indexed as

Intimate Partner ViolenceSex OffensesStress Disorders, Post-TraumaticVeteransFemaleHumansPrimary Health Carehazardous drinkingintimate partner violenceposttraumatic stress disordersexual assaultwomen

Identifiers

PMID34013470
PMCPMC8971224

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.