Effectiveness of an Online Safety Tool for Canadian Women Experiencing Intimate Partner Violence

Western University, Canada

Status: Completed

Conditions: Domestic Violence

Treatments: Behavioral: Basic Emergency Safety Plan; Behavioral: Setting Priorities for Safety; Behavioral: Personalized Action Plan; Behavioral: Danger Assessment; Behavioral: General risk and safety information

Study type: Interventional

Funder types: Other

Identifiers

NCT02258841

HSREB 105436

Details and patient eligibility

About

The purpose of this study is to assess the effectiveness of an interactive, online safety decision aid among diverse Canadian women who are experiencing intimate partner violence (IPV). The investigators will also explore how the online intervention works, and whether it has different effects for different groups of women.

Full description

1 in 3 Canadian women experience IPV in their lifetimes. Over time, chronic stress of living in an abusive relationship has been shown to contribute to depression, anxiety and PTSD. Safety planning to reduce the risk of physical and emotional harm in abusive situations is one of the most widely recommended interventions for women in abusive relationship. However, fewer than 1 in 5 Canadian women access support from violence services to assist them in safety planning. Rural, Aboriginal, racialized, immigrant, sexual minority women and women who prioritize their privacy face particular barriers to accessing information and support for safety planning.

We adapted an interactive, online safety decision aid (SDA) recently developed and tested in the U.S. (Glass and colleagues, 2010) so that it applies to diverse groups of Canadian women, and extends the focus on emotional safety. The tool was revised based on a pilot testing for content and usability with 30 women (15 women who had experienced IPV and 15 service providers/experts). In this study, we test the effectiveness of this new tool, called "I CAN Plan 4 Safety" in a sample of 450 women from 3 provinces (ON, BC, New Brunswick). Women will be randomly assigned to complete either the personalized online safety decision aid (intervention) or an online tool which contains general risk and safety information (usual care control). Both tools are located on a confidential, password protected website. After initial completion of the online tools, they will be asked to login to the websites 3, 6 and 12 months later to complete standard outcome assessments. Women may access the information and resources in the online tools at any time for a 12 month period after they enrol in the study.

Enrollment: 462 patients

Sex: Female

Ages: 19+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Women
• 19 years and older,
• English-speaking,
• Living in Ontario, New Brunswick, or British Columbia,
• Reports current physical, sexual or emotional abuse in the context of coercive control from a current or former partner (boyfriend, girlfriend, husband, wife, or intimate/sexual partner)
• Expresses comfort with and access to a safe computer with internet
• Access to safe email and mailing address

Exclusion criteria

• Men
• Under 19 years of age
• Cannot read/speak English
• Living outside of the 3 study sites
• Uncomfortable using a computer or internet
• No access to a safe computer with internet
• No access to safe email and mailing address
• Does not report current violence from an intimate partner

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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462 participants in 2 patient groups

Personalized online Safety Decision Aid

Experimental group

Description:

Setting priorities for safety; Danger Assessment; Personalized Action Plan

Treatment:

Behavioral: Setting Priorities for Safety

Behavioral: Personalized Action Plan

Behavioral: Danger Assessment

General Online Risk/Safety Information

Active Comparator group

Description:

General Risk and Safety Information; Basic Emergency Safety Plan

Treatment:

Behavioral: Basic Emergency Safety Plan

Behavioral: General risk and safety information