针对遭受亲密伴侣暴力和虐待的妇女的SAFE电子健康干预措施的有效性:随机对照试验,定量过程评估和开放可行性研究
Nicole E van Gelder1, Suzanne A Ligthart1, Karin Awl van Rosmalen-Nooijens1
1Department of Primary and Community Care, Research Institute for Medical Innovation, Radboud University Medical Center, Nijmegen, Netherlands.
Journal of medical Internet research
|June 27, 2023
概括
针对亲密伴侣暴力和虐待 (IPVA) 的基于网络的干预措施显示,两组之间的结果没有显著差异. 然而,幸存者报告说,焦虑和恐惧减少,干预组的满意度更高.
科学领域:
- 数字健康干预措施 数字健康干预措施
- 电子健康 电子健康
- 在线支持系统在线支持系统.
背景情况:
- 亲密伴侣暴力和虐待 (IPVA) 是一个全球性问题,不成比例地影响着女性.
- 基于网络的干预提供了可访问的支持,克服了IPVA幸存者寻求帮助的障碍.
研究的目的:
- 为女性IPVA幸存者进行SAFE电子健康干预的定量评估.
- 评估SAFE干预的可行性,需求,实施和实用性.
主要方法:
- 一项随机对照试验,涉及198名IPVA幸存者,将一个完整的SAFE干预网站与一个有限访问控制网站进行比较.
- 使用基于Web的自我报告问卷和自动注册的Web数据进行量化过程评估和开放的可行性研究 (OFS).
- 主要结局:6个月的自我效能;次要结局:抑郁,焦虑,恐惧,意识,感知支持和可行性方面.
主要成果:
- 干预组和对照组之间主要结果 (自我效果,抑郁,焦虑) 没有显著差异.
- 两组人都显著减少了对伴侣的焦虑和恐惧.
- 干预组报告了更高的适合性和帮助感;在后续调查中发现了高 attrition.
- 与随机对照试验相比,在OFS中观察到的注册人数增加.
结论:
- 与有限的对照组相比,SAFE电子健康干预没有显示出显著的结果差异.
- 虽然两组都满意,但干预组的满意度更高.
- 在基于网络的IPVA干预中量化交互组件的影响需要多层次的方法.
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