Nancy Glass|Nancy Perrin|Ginger C. Hanson|Tina Bloom|Jill T. Messing|Amber Clough|Jacquelyn C. Campbell|Andrea Carlson Gielen|James Case|Karen Eden
The Longitudinal Impact of an Internet Safety Decision Aid for Abused Women
Johns Hopkins University|Center for Global Health|Johns Hopkins University|Center for Global Health|Kaiser Permanente Center for Health Research|University of Missouri|Arizona State University|Johns Hopkins University|Center for Global Health|Johns Hopkins University|Center for Global Health|Johns Hopkins University|Johns Hopkins University|Center for Global Health|Oregon Health & Science University
introductionwomen experiencing intimate partner violence ipv navigate complex dangerous decisions tailored safety information safety planning typically provided domestic violence service providers prevent repeat ipv exposure associated adverse health outcomes however abused women access services internet represents potentially innovative way connect abused women tailored safety planning resources information purpose study compare safety mental health outcomes baseline 6 months 12 months among abused women randomized 1 tailored internetbased safety decision aid 2 control website typical safety information available onlinedesignmultistate communitybased longitudinal rct onetoone allocation ratio blocked randomization data collected march 2011may 2013 analyzed junejuly 2015settingparticipantscurrently abused spanish englishspeaking women n720interventiona tailored internetbased safety decision aid included prioritysetting activities risk assessment tailored feedback safety plans control website offered typical safety information available onlinemain outcome measuresprimary outcomes decisional conflict safety behaviors repeat ipv secondary outcomes included depression posttraumatic stress disorderresultsat 12 months significant group differences ipv depression posttraumatic stress disorder intervention women experienced significantly less decisional conflict one use 268 p0042 greater increase safety behaviors rated helpful baseline 12 months 12 vs 9 p0033 likely left abuser 63 vs 53 p0008 women left higher baseline risk 149 vs 131 p0003 found safety behaviors tried helpful 611 vs 475 p0001 greater reductions psychological ipv 1169 vs 75 p0001 sexual ipv 241 vs 125 p0001 women stayedconclusionsinternetbased safety planning represents promising tool reduce public health impact ipv