Impact of Culturally Specific Danger Assessment on Safety, Mental Health and Empowerment

文化特定危险评估对安全、心理健康和赋权的影响

• 批准号: 9144408
• 负责人: Jacquelyn Cutler Campbell
• 金额: $ 59.73万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-09-14 至 2018-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9144408
• 关键词: Accounting; Acculturation; Address; Affect; African American; Alaska Native; Alcohol abuse; Alcohol consumption; American Indians; Asian Americans; Assessment tool; Battered Women; Cause of Death; Cellular Phone; Child; Clinical Trials; Communities; Dangerousness; Data; Decision Aid; Decision Making; Development; Domestic Violence; Effectiveness; Experimental Designs; Fatal injury; Female; Focus Groups; Goals; Group Interviews; Health; Healthcare; High Risk Woman; Hispanics; Homicide; Husband; Immigrant; Indigenous; Injury; Internet; Intervention; Interview; Latina; Lead; Mental Depression; Mental Health; Methods; Modeling; Murder; Odds Ratio; Outcome; Pattern; Pharmaceutical Preparations; Phase; Population; Post-Traumatic Stress Disorders; Predictive Factor; Process; Provider; Public Health; Randomized; Refugees; Research; Resources; Risk; Risk Assessment; Risk Factors; Safety; Sampling; Services; Survivors; Testing; Trauma; Validity and Reliability; Violence; Woman; assault; base; design; empowered; empowerment; evidence base; experience; health empowerment; high risk; improved; informant; instrument; intimate partner violence; killings; perpetrators; preference; racial and ethnic; relationship abuse; tool; treatment as usual; violence victimization; web site

 DESCRIPTION (provided by applicant): Intimate partner violence (IPV) and homicides disproportionately affect immigrant, refugee and indigenous women. Thus, there is need for empirically supported culturally competent assessment and interventions for abused immigrant, refugee and indigenous women to address risk factors and any health or safety concerns. The Danger Assessment (DA) instrument was originally developed to assess risk of homicide, near lethality and potentially lethal injury by an intimate partner. The goal of the proposed study is t develop and validate clinically useful, culturally specific versions of the DA to assess risk for severe IPV among immigrant, refugee and indigenous women. Further, the study will evaluate the impact of administering the culturally specific DAs with safety planning/referral tailored to te level of danger, women's preferences and culture in promoting women's empowerment, safety and mental health. Using a sequential mixed methods design (qualitative and quantitative), data will be collected from a) practitioners serving immigrant, refugee and indigenous survivors/perpetrators of IPV, and b) immigrant, refugee and indigenous women with IPV experiences. In the qualitative phase, focus groups with practitioners and in-depth interviews with survivors will be conducted to develop culturally specific versions of the DA for immigrant, refugee and indigenous women. In the quantitative phase, data will be collected from women a) to test the reliability and validity (including predictive validity) of the created DAs, and b) to evaluate the impact of administering the created DAs with DA-informed safety planning/referrals on women's empowerment, safety and mental health. Using a longitudinal randomized experimental design, women will be randomized to either the intervention website (i.e., DA followed by DA- informed safety planning/referral intervention administered via internet and/ or smart phone application accessible safety decision aid) or the control (i.e., non-DA informed usual care) website. Data on outcomes (i.e., safety, mental health and empowerment) will be collected at baseline and at 3, 6, and 12 months post- baseline. The study will result in evidence-based culturally tailored DAs for use by healthcare and domestic violence providers serving immigrant, refugee and indigenous survivors of IPV. The culturally tailored DAs may not only reduce risk for violence victimization, but also empower abused women and improve their mental health outcomes (i.e., PTSD, depression, drug/alcohol use).

 描述（由申请人提供）：亲密伴侣暴力（IPV）和凶杀案不成比例地影响移民，难民和土著妇女。因此，需要对受虐待的移民、难民和土著妇女进行有经验支持的文化上胜任的评估和干预，以解决风险因素和任何健康或安全问题。危险评估（DA）工具最初是为了评估亲密伴侣的杀人、近乎致命和潜在致命伤害的风险而开发的。拟议研究的目标是开发和验证临床上有用的、文化上特定的DA版本，以评估移民、难民和土著妇女患严重IPV的风险。此外，该研究还将评估管理具有特定文化的残疾人事务，并根据危险程度、妇女的偏好和文化进行安全规划/转诊，对促进妇女赋权、安全和心理健康的影响。采用顺序混合方法设计（定性和定量），将从以下两个方面收集数据：a）为移民、难民和土著受害者幸存者/施暴者提供服务的从业人员，和B）有受害者受害经历的移民、难民和土著妇女。在定性阶段，将与从业人员进行重点小组讨论，并与幸存者进行深入访谈，以便为移民、难民和土著妇女制定符合文化特点的发展议程。在定量阶段，将从女性中收集数据，a）以测试所创建DA的可靠性和有效性（包括预测有效性），以及B）以评价管理所创建DA以及DA知情的安全规划/转诊对女性赋权、安全和心理健康的影响。使用纵向随机实验设计，女性将被随机分配到干预网站（即，DA之后是DA-通过互联网和/或智能手机应用程序可访问的安全决策辅助进行的知情安全计划/转诊干预）或对照（即，非DA知情的日常护理）网站。关于成果的数据（即，安全性、心理健康和赋权）将在基线和基线后3、6和12个月收集。这项研究将产生基于证据的文化定制的DA，供医疗保健和家庭暴力提供者使用，为IPV的移民，难民和土著幸存者提供服务。根据文化特点制定的残疾援助不仅可以减少暴力受害的风险，而且还可以增强受虐待妇女的权能，改善她们的心理健康状况（即，PTSD、抑郁症、药物/酒精使用）。