评估支持有亲密伴侣暴力经历的移民妇女的数字干预方法:来自It's weWomen的随机多重分配试验 (SMART) 的结果
Bushra Sabri1, Jian Li1, Subhash Aryal1
1School of Nursing, Johns Hopkins University, Baltimore, MD, 21205, United States.
Contemporary clinical trials communications
|September 2, 2025
概括
数字干预有效地减少了移民妇女的亲密伴侣暴力 (IPV). 添加电话支持以文本为基础的干预措施显著改善了最初不响应的结果.
科学领域:
- 公共卫生
- 数字健康
- 心理健康
背景情况:
- 亲密伴侣暴力 (IPV) 不成比例地影响移民妇女,她们面临面对面服务的障碍.
- 数字干预为幸存者提供量身定制的远程支持.
研究的目的:
- 评估为遭受IPV的移民妇女提供逐步照顾的数字干预措施.
- 为了比较个性化的在线,标准的在线,纯文本和文本+电话支持干预.
主要方法:
- 一个顺序多重分配随机试验 (SMART) 涉及1265名出生在国外的移民妇女.
- 随机化为个性化或标准的在线干预,然后再随机化为低响应的文本或文本 + 电话支持.
- 在3,6和12个月评估结果,包括身体/性暴力,抑郁,赋权和安全行为.
主要成果:
- 所有组的IPV随着时间的推移而降低;在最初的在线干预之间没有显著差异.
- 短信+电话支持的低响应者在IPV,抑郁和增强权力方面显著降低.
- 短信+电话组的低响应者表现出显著的改善,与最初响应者的差距缩小了12个月.
结论:
- 在解决持续性IPV需求方面,逐步照顾和适应性数字干预是有价值的.
- 整合个性化的电话支持可以提高那些无法响应最初的数字支持的幸存者的结果.
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