PROTOCOL: Technology-based and digital interventions for intimate partner violence: A meta-analysis and systematic review.

PROTOCOL: Technology-based and digital interventions for intimate partner violence: A meta-analysis and systematic review.
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DOI:
10.1002/cl2.1132
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发表时间:
2021-03
影响因子:
3.2
通讯作者:
Bloom TL
Bloom TL
中科院分区:
其他
文献类型:
--
作者:
Emezue C;Bloom TL

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研究表明,移动和无线平台(如智能手机应用程序、短信)和基于网络的平台(在线支持小组和远程医疗服务)等数字干预措施可以改善伴侣虐待受害者/幸存者的心理健康结果。受害者的抑郁、创伤后应激障碍(PTSD)和焦虑是非受害者的三到五倍,因此是数字干预的热门目标。即使到那时,证据也很少。目前的综述使用叙事和定量(荟萃分析)技术,就亲密伴侣暴力(IPV)数字干预对所有性别和年龄的伴侣暴力幸存者的心理健康结果的影响提出了广泛的证据,特别是抑郁、焦虑和创伤后应激障碍。这是第一次对数字干预措施所针对的与IPV相关的心理健康结果进行荟萃分析。综合关于数字化和基于技术的干预措施(mHealth和eHealth)对IPV幸存者的心理健康结果(抑郁、焦虑和创伤后应激障碍)的干预和治疗效果的现有证据。本研究的研究问题如下:(A)IPV数字干预对IPV幸存者的心理健康结果的总体平均治疗效果是什么?(B)基于方法学研究设计、样本特征和干预特征,这些心理健康结果是否有所不同?将利用广泛的搜索策略来寻找合格的研究。自2009年(恰逢流动卫生干预措施开始)以来,将搜索各种电子书目数据库进行研究。其他数据库,如政府数据库、灰色文献数据库、试验登记、专业期刊和其他研究的引文将被搜索。此外,我们还将搜索“灰色数据库”,如谷歌学者。伦理和安全方面的考虑排除了将IPV幸存者随机分配到特定干预条件的可能性。因此,我们不会排除基于缺乏随机分配的研究。研究报告将以任何语言出版(可翻译成英语),全文可访问。我们还将联系报告中缺少所需数据的研究人员。语言、学习地点或学习环境都不会成为搜索的限制因素。将使用关键字和网格标题。效果大小(模糊限制器的g)将在α设置为0.05的I型错误率下进行估计。所有研究都将衡量与IPV相关的心理健康作为结果,并提供结果数据,以计算创伤后应激障碍、焦虑、抑郁和受害(身体、心理和性暴力)的影响大小。数字干预可能会在临床上减少抑郁、焦虑、创伤后应激障碍和IPV受害者。总结效应的大小从小到大将表明数字干预对IPV幸存者与常见心理健康问题作斗争的有用性。这项研究之外的未来研究可能会确定数字干预的其他积极干预成分、最佳提供方式以及提高其可行性和可接受性的指导方针。
Studies show digital interventions such as mobile and wireless platforms (e.g., smartphone apps, text messaging) and web‐based platforms (online support groups and telehealth services) can improve the mental health outcomes for victims/survivors of partner abuse. Depression, posttraumatic stress disorder (PTSD), and anxiety are three to five times higher among victims than nonvictims and are thus popular targets of digital interventions. Even then, the evidence is scant. The current review uses both narrative and quantitative (meta‐analysis) techniques to present extensive evidence on the effects of intimate partner violence (IPV) digital interventions on the mental health outcomes among survivors of partner violence across all genders and ages, specifically, depression, anxiety, and PTSD. This is the first meta‐analysis on IPV‐related mental health outcomes targeted by digital interventions. To synthesize current evidence on the intervention and treatment effects of digital and technology‐based interventions (mHealth and eHealth) addressing IPV mental health outcomes (depression, anxiety, and PTSD) among survivors of IPV. This study's research questions are as follows: (a) What are the overall average treatment effects of IPV digital interventions on IPV survivors' mental health outcomes? (b) Do these mental health outcomes vary based on methodological study designs, sample characteristics, and intervention characteristics? An extensive search strategy will be utilized to find qualifying studies. Various electronic bibliographic databases will be searched for studies since 2009 (coinciding with the onset of mobile health interventions). Other databases, such as government databases, grey literature databases, trial registers, specialty journals, and citations in other studies will be searched. Also, we will search “grey databases,” such as Google Scholar. Ethical and safety concerns preclude the randomization of IPV survivors to specific intervention conditions. Therefore, we will not exclude studies based on a lack of random assignment. Studies will be full‐text accessible, published in any language (translatable into English). We will also contact researchers where needed data is missing in their report. Neither language, study location, nor study settings will be a limiter for searches. Keyword and MeSH headings will be used. Effect sizes (Hedges' g) will be estimated with a Type I error rate set at an alpha of .05. All studies will measure IPV‐related mental health as an outcome and provide outcome data to calculate effect sizes for PTSD, anxiety, depression, and victimization (physical, psychological, and sexual violence). Digital interventions may clinically reduce depression, anxiety, PTSD, and IPV victimization. Summary effect sizes ranging from small to large will signal the usefulness of digital interventions to IPV survivors contending with common mental health issues. Future studies beyond this one may identify other active intervention ingredients of digital interventions, best modes of delivery, and guidelines to increase their feasibility and acceptability.
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