Use of Online Safety Decision Aid by Abused Women Effect on Decisional Conflict in a Randomized Controlled Trial
Use of Online Safety Decision Aid by Abused Women Effect on Decisional Conflict in a Randomized Controlled Trial
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DOI：
10.1016/j.amepre.2014.09.027
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发表时间：
2015-04-01
影响因子：
5.5
通讯作者：
Glass, Nancy E.
中科院分区：
文献类型：
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作者：
Eden, Karen B.;Perrin, Nancy A.;Glass, Nancy E.
背景：开发互联网安全决策援助的目的是帮助受虐待的妇女了解她们遭受重复和近乎致命的亲密伴侣暴力的风险，澄清与安全相关的优先事项，并制定针对这些优先事项定制的行动计划。目的：使用多州随机对照试验设计，测试安全决策援助与通过安全网站提供的常规安全计划（控制）的有效性。本文评估了安全决策辅助工具在减少受虐妇女单次使用后决策冲突方面的有效性。设计：随机对照试验，称为互联网干预和安全资源（IRIS）。设置/参与者：说英语的受虐妇女（n = 708）参加了四州随机对照试验。干预：干预是一种带有个性化安全计划的交互式安全决策辅助工具；控制条件是通常的安全规划资源。两者均通过安全研究网站提供给参与者。 主要结果指标：本文比较了干预/控制条件之间妇女关于安全的决策冲突：总体决策冲突和该指标的四个子量表（感觉：不知情、不确定、不支持和不清楚安全优先事项）。数据收集时间为 2011 年 3 月至 2013 年 5 月，分析时间为 2014 年 1 月至 3 月。结果：在首次使用交互式安全决策辅助工具后，在控制决策冲突的基线值的情况下，干预妇女的总决策冲突明显低于对照妇女（p=0.002，效应大小=0.12）。在控制基线值后，安全决策援助组比通常的安全计划组在安全方面的不确定感（p = 0.006，效应大小= 0.07）和不受支持的感觉（p = 0.008，效应大小= 0.07）显着减少。结论：与随机分配到通常安全计划条件的女性相比，随机分配到安全决策援助的受虐女性在一次使用后报告称，在虐待性亲密关系中，她们的安全决策冲突较少。 (C) 2015 年美国预防医学杂志
Background: An Internet safety decision aid was developed to help abused women understand their risk for repeat and near-lethal intimate partner violence, clarify priorities related to safety, and develop an action plan customized to these priorities.Purpose: To test the effectiveness of a safety decision aid compared with usual safety planning (control) delivered through a secure website, using a multistate RCT design. The paper evaluates the effectiveness of the safety decision aid in reducing decisional conflict after a single use by abused women.Design: RCT referred to as Internet Resource for Intervention and Safety (IRIS).Setting/participants: Abused women who spoke English (n=708) were enrolled in a four-state RCT.Intervention: The intervention was an interactive safety decision aid with personalized safety plan; the control condition was usual safety planning resources. Both were delivered to participants through the secure study website.Main outcome measures: This paper compares women's decisional conflict about safety: total decisional conflict and the four subscales of this measure (feeling: uninformed, uncertain, unsupported, and unclear about safety priorities) between intervention/control conditions. Data were collected from March 2011 to May 2013 and analyzed from January to March 2014.Results: Immediately following the first use of the interactive safety decision aid, intervention women had significantly lower total decisional conflict than control women, controlling for baseline value of decisional conflict (p=0.002, effect size=0.12). After controlling for baseline values, the safety decision aid group had significantly greater reduction in feeling uncertain (p=0.006, effect size=0.07) and in feeling unsupported (p=0.008, effect size=0.07) about safety than the usual safety planning group.Conclusions: Abused women randomized to the safety decision aid reported less decisional conflict about their safety in the abusive intimate relationship after one use compared to women randomized to the usual safety planning condition. (C) 2015 American Journal of Preventive Medicine