Comparing Online with Face-to-Face HELPP Intervention in Women Experiencing Intimate Partner Violence
Comparing Online with Face-to-Face HELPP Intervention in Women Experiencing Intimate Partner Violence
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DOI：
10.3109/01612840.2014.991049
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发表时间：
2015-01-01
影响因子：
2.1
通讯作者：
Greene, W. Brian
中科院分区：
文献类型：
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作者：
Constantino, Rose E.;Braxter, Betty;Greene, W. Brian
亲密伴侣暴力（IPV）是一个公共卫生问题。本研究的目的是比较HELPP（健康，安全教育，法律的支持和IPV参与者首选资源）干预IPV幸存者的有效性。采用序贯、转化混合方法设计。参与者被随机分配到三个研究组之一：在线（ONL），面对面（FTF）和等待名单控制（WLC）。HELPP干预提供给32名成年女性参与者，其中45.2%为亚洲人，32.3%为白色人，22.5%为黑人。结果测量焦虑，抑郁，愤怒，个人和社会支持。总的来说，64%（n = 20）的参与者报告在18岁之前经历过IPV。ONL（p < 0.001）和WLC（p = 0.01）的愤怒平均分测试前后差异显著。ONL组和WLC组的个人和社会支持测试前与测试后的平均得分差异分别为p < 0.001; p <0.001; p = 0.006。HELPP干预（1）降低了ONL组的焦虑、抑郁、愤怒，（2）增加了ONL组的个人和社会支持。与WLC组的参与者相比，HELPP信息和干预在IPV幸存者中是可行的、可接受的和有效的。WLC参与者显示（1）焦虑，抑郁和愤怒水平增加，（2）干预后个人和社会支持水平下降。可以进行进一步的研究，以确定单独使用电子邮件还是电子邮件加上移动的设备是更有用的干预方式。
Intimate partner violence (IPV) is a public health problem. The purpose of this study was to compare the effectiveness of the HELPP (Health, Education on Safety, and Legal Support and Resources in IPV Participant Preferred) intervention among IPV survivors. A sequential, transformative mixed-methods design was used. Participants were randomly assigned to one of three study groups: Online (ONL), Face-to-Face (FTF), and Waitlist Control (WLC). The HELPP intervention was offered to 32 adult female participants who were 45.2% Asian, 32.3% White, and 22.5% Black. Outcome measures were anxiety, depression, anger, personal, and social support. In total, 64% (n = 20) of the participants reported having experienced IPV before the age of 18. The anger mean score pre-test to post-test difference was significant for ONL (p < 0.001) and WLC (p = 0.01). The personal and social support pre-test to post-test mean score differences were significant for ONL (p < 0.001; p < 0.001) and WLC(p = 0.01; p = 0.006), respectively. The HELPP intervention (1) decreased anxiety, depression, anger, and (2) increased personal and social support in the ONL group. The HELPP information and intervention was shown to be feasible, acceptable, and effective among IPV survivors compared with participants in the WLC group. The WLC participants displayed (1) increased levels of anxiety, depression, and anger and (2) decreased levels of personal and social support, post-intervention. Further research could be conducted to determine if e-mail alone or e-mail plus mobile devices are more useful modes of delivering interventions.