A technology-based intervention to improve safety, mental health and empowerment outcomes for immigrant women with intimate partner violence experiences: it's weWomen plus sequential multiple assignment randomized trial (SMART) protocol.
A technology-based intervention to improve safety, mental health and empowerment outcomes for immigrant women with intimate partner violence experiences: it's weWomen plus sequential multiple assignment randomized trial (SMART) protocol.
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DOI：
10.1186/s12889-021-11930-2
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发表时间：
2021-10-28
影响因子：
4.5
通讯作者：
Campbell JC
中科院分区：
文献类型：
--
作者：
Sabri B;Glass N;Murray S;Perrin N;Case JR;Campbell JC
亲密伴侣暴力（IPV）对移民妇女的影响不成比例，这是一个研究不足和服务不足的人口，需要基于证据的严格评估的文化上可行的干预措施，可以有效地解决他们的健康和安全需求。本研究采用了一个连续的，多分配，随机试验（SMART）设计，严格评估适应性，创伤知情，文化定制的技术提供的干预措施，专门针对有经验的IPV移民妇女的需求。在第一阶段随机化中，参与者被随机分配到在线安全性决策和计划或常规护理对照组，并在基线后3个月、6个月和12个月评估安全性、心理健康和赋权结局。对于第二阶段随机化，没有报告安全性显著改善的女性（即，IPV的降低）和从基线到3个月随访的赋权（即，无应答者）被重新随机分配到仅通过文本或文本和电话的组合与受过训练的倡导者传递的安全和授权策略。在重新随机化后6个月和12个月评估早期无应答者的结局数据（安全性、心理健康和赋权）。该研究的SMART设计提供了一个机会，根据移民妇女对干预类型或强度的反应，实施和评估针对移民妇女的个性化干预方案。研究结果将有助于确定哪些对谁有效，以及需要特定类型或强度水平干预以改善结果的参与者的特征。如果发现是有效的，该研究将导致一个基于证据的创伤知情的文化定制的技术为基础的安全决策和规划干预的IPV的移民幸存者，可以由从业人员在不同的环境中为移民妇女服务。本试验于2019年9月13日在ClinicalTrials.gov注册为NCT 04098276。
Intimate partner violence (IPV) disproportionately affects immigrant women, an understudied and underserved population in need for evidence-based rigorously evaluated culturally competent interventions that can effectively address their health and safety needs. This study uses a sequential, multiple assignment, randomized trial (SMART) design to rigorously evaluate an adaptive, trauma-informed, culturally tailored technology-delivered intervention tailored to the needs of immigrant women who have experienced IPV. In the first stage randomization, participants are randomly assigned to an online safety decision and planning or a usual care control arm and safety, mental health and empowerment outcomes are assessed at 3-, 6- and 12-months post-baseline. For the second stage randomization, women who do not report significant improvements in safety (i.e., reduction in IPV) and empowerment from baseline to 3 months follow up (i.e., non-responders) are re- randomized to safety and empowerment strategies delivered via text only or a combination of text and phone calls with trained advocates. Data on outcomes (safety, mental health, and empowerment) for early non-responders is assessed at 6 and 12 months post re-randomization. The study’s SMART design provides an opportunity to implement and evaluate an individualized intervention protocol for immigrant women based on their response to type or intensity of intervention. The findings will be useful for identifying what works for whom and characteristics of participants needing a particular type or intensity level of intervention for improved outcomes. If found to be effective, the study will result in an evidence-based trauma-informed culturally tailored technology-based safety decision and planning intervention for immigrant survivors of IPV that can be implemented by practitioners serving immigrant women in diverse settings. This trial was registered with ClinicalTrials.gov as NCT04098276 on September 13, 2019.
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影响因子：
2.1
作者：
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