000			04156nab a22004937a 4500
999			_c5720 _d5720
005			20250625151444.0
008			180117s2018 -nz||||| |||| 00| 0 eng d
040			_aAFVC
100			_91511 _aKoziol-McLain, Jane
245			_aEfficacy of a web-based safety decision aid for women experiencing intimate partner violence : _brandomized controlled trial _cJane Koziol-McLain, Alain C. Vandal, Denise Wilson, Shyamala Nada-Raja, Terry Dobbs, Christine McLean, Rose Sisk, Karen B. Eden and Nancy E. Glass
260			_bJMIR Publications, _c2018
500			_aJournal of Medical Internet Research, 2018, 20(1): e8
520			_aBackground: Intimate partner violence (IPV) is a human rights violation and leading health burden for women. Safety planning is a hallmark of specialist family violence intervention, yet only a small proportion of women access formal services. A Web-based safety decision aid may reach a wide audience of women experiencing IPV and offer the opportunity to prioritize and plan for safety for themselves and their families. Objective: The aim of this study was to test the efficacy of a Web-based safety decision aid (isafe) for women experiencing IPV. Methods: We conducted a fully automated Web-based two-arm parallel randomized controlled trial (RCT) in a general population of New Zealand women who had experienced IPV in the past 6 months. Computer-generated randomization was based on a minimization scheme with stratification by severity of violence and children. Women were randomly assigned to the password-protected intervention website (safety priority setting, danger assessment, and tailored action plan components) or control website (standard, nonindividualized information). Primary endpoints were self-reported mental health (Center for Epidemiologic Studies Depression Scale-Revised, CESD-R) and IPV exposure (Severity of Violence Against Women Scale, SVAWS) at 12-month follow-up. Analyses were by intention to treat. Results: Women were recruited from September 2012 to September 2014. Participants were aged between 16 and 60 years, 27% (111/412) self-identified as Māori (indigenous New Zealand), and 51% (210/412) reported at baseline that they were unsure of their future plans for their partner relationship. Among the 412 women recruited, retention at 12 months was 87%. The adjusted estimated intervention effect for SVAWS was −12.44 (95% CI −23.35 to −1.54) for Māori and 0.76 (95% CI −5.57 to 7.09) for non-Māori. The adjusted intervention effect for CESD-R was −7.75 (95% CI −15.57 to 0.07) for Māori and 1.36 (−3.16 to 5.88) for non-Māori. No study-related adverse events were reported. Conclusions: The interactive, individualized Web-based isafe decision aid was effective in reducing IPV exposure limited to indigenous Māori women. Discovery of a treatment effect in a population group that experiences significant health disparities is a welcome, important finding. (Authors' abstract). Record #5720
650			_97276 _aONLINE TOOLS
650			_aABUSED WOMEN _925
650			_aDEPRESSION _9192
650			_aDOMESTIC VIOLENCE _9203
650			_aEVALUATION _9236
650			_aINTERVENTION _9326
650			_aINTIMATE PARTNER VIOLENCE _9431
650			_aMĀORI _9357
650			_aRANDOMISED CONTROLLED TRIALS _99368
650			_aSAFETY PLANNING _94994
650			_aHAUMARUTANGA _95539
650			_aNGĀKAU PŌURI _2TRH _98269
650			_aPĀRURENGA _2reo _92626
650			_aRANGAHAU MĀORI _95532
650			_aRAUEMI-Ā-IPURANGI _96930
650			_aTŪKINOTANGA Ā-WHĀNAU _95382
650			_aWĀHINE _94040
651		4	_aNEW ZEALAND _92588
700			_94542 _aVandal, Alain C.
700			_aWilson, Denise _94116
700			_aNada-Raja, Shyamala _94543
700			_91061 _aDobbs, Terry
700			_93933 _aMcLean, Christine
700			_aSisk, Rose _96648
700			_aEden, Karen E. _97277
700			_94544 _aGlass, Nancy E.
773	0		_tJournal of Medical Internet Research, 2018, 20(1): e8
830			_aJournal of Medical Internet Research _96599
856			_uhttp://www.jmir.org/2018/1/e8/
942			_2ddc _cARTICLE