Use of online safety decision aid by abused women

Effect on decisional conflict in a randomized controlled trial

Karen Eden, Nancy A. Perrin, Ginger C. Hanson, Jill T. Messing, Tina L. Bloom, Jacquelyn C. Campbell, Andrea C. Gielen, Amber S. Clough, Jamie S. Barnes-Hoyt, Nancy E. Glass

Research output: Contribution to journalArticle

33 Citations (Scopus)

Abstract

Background An Internet safety decision aid was developed to help abused women understand their risk for repeat and near-lethal intimate partner violence, clarify priorities related to safety, and develop an action plan customized to these priorities. Purpose To test the effectiveness of a safety decision aid compared with usual safety planning (control) delivered through a secure website, using a multistate RCT design. The paper evaluates the effectiveness of the safety decision aid in reducing decisional conflict after a single use by abused women. Design RCT referred to as Internet Resource for Intervention and Safety (IRIS). Setting/participants Abused women who spoke English (n=708) were enrolled in a four-state RCT. Intervention The intervention was an interactive safety decision aid with personalized safety plan; the control condition was usual safety planning resources. Both were delivered to participants through the secure study website. Main outcome measures This paper compares women's decisional conflict about safety: total decisional conflict and the four subscales of this measure (feeling: uninformed, uncertain, unsupported, and unclear about safety priorities) between intervention/control conditions. Data were collected from March 2011 to May 2013 and analyzed from January to March 2014. Results Immediately following the first use of the interactive safety decision aid, intervention women had significantly lower total decisional conflict than control women, controlling for baseline value of decisional conflict (p=0.002, effect size=0.12). After controlling for baseline values, the safety decision aid group had significantly greater reduction in feeling uncertain (p=0.006, effect size=0.07) and in feeling unsupported (p=0.008, effect size=0.07) about safety than the usual safety planning group. Conclusions Abused women randomized to the safety decision aid reported less decisional conflict about their safety in the abusive intimate relationship after one use compared to women randomized to the usual safety planning condition.

Original languageEnglish (US)
Pages (from-to)372-383
Number of pages12
JournalAmerican Journal of Preventive Medicine
Volume48
Issue number4
DOIs
StatePublished - Apr 1 2015

Fingerprint

Battered Women
Decision Support Techniques
Randomized Controlled Trials
Safety
Conflict (Psychology)
Emotions
Internet

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Epidemiology

Cite this

Use of online safety decision aid by abused women : Effect on decisional conflict in a randomized controlled trial. / Eden, Karen; Perrin, Nancy A.; Hanson, Ginger C.; Messing, Jill T.; Bloom, Tina L.; Campbell, Jacquelyn C.; Gielen, Andrea C.; Clough, Amber S.; Barnes-Hoyt, Jamie S.; Glass, Nancy E.

In: American Journal of Preventive Medicine, Vol. 48, No. 4, 01.04.2015, p. 372-383.

Research output: Contribution to journalArticle

Eden, K, Perrin, NA, Hanson, GC, Messing, JT, Bloom, TL, Campbell, JC, Gielen, AC, Clough, AS, Barnes-Hoyt, JS & Glass, NE 2015, 'Use of online safety decision aid by abused women: Effect on decisional conflict in a randomized controlled trial', American Journal of Preventive Medicine, vol. 48, no. 4, pp. 372-383. https://doi.org/10.1016/j.amepre.2014.09.027
Eden, Karen ; Perrin, Nancy A. ; Hanson, Ginger C. ; Messing, Jill T. ; Bloom, Tina L. ; Campbell, Jacquelyn C. ; Gielen, Andrea C. ; Clough, Amber S. ; Barnes-Hoyt, Jamie S. ; Glass, Nancy E. / Use of online safety decision aid by abused women : Effect on decisional conflict in a randomized controlled trial. In: American Journal of Preventive Medicine. 2015 ; Vol. 48, No. 4. pp. 372-383.
@article{cd7cecb32ec54d2280f9f92729b700b5,
title = "Use of online safety decision aid by abused women: Effect on decisional conflict in a randomized controlled trial",
abstract = "Background An Internet safety decision aid was developed to help abused women understand their risk for repeat and near-lethal intimate partner violence, clarify priorities related to safety, and develop an action plan customized to these priorities. Purpose To test the effectiveness of a safety decision aid compared with usual safety planning (control) delivered through a secure website, using a multistate RCT design. The paper evaluates the effectiveness of the safety decision aid in reducing decisional conflict after a single use by abused women. Design RCT referred to as Internet Resource for Intervention and Safety (IRIS). Setting/participants Abused women who spoke English (n=708) were enrolled in a four-state RCT. Intervention The intervention was an interactive safety decision aid with personalized safety plan; the control condition was usual safety planning resources. Both were delivered to participants through the secure study website. Main outcome measures This paper compares women's decisional conflict about safety: total decisional conflict and the four subscales of this measure (feeling: uninformed, uncertain, unsupported, and unclear about safety priorities) between intervention/control conditions. Data were collected from March 2011 to May 2013 and analyzed from January to March 2014. Results Immediately following the first use of the interactive safety decision aid, intervention women had significantly lower total decisional conflict than control women, controlling for baseline value of decisional conflict (p=0.002, effect size=0.12). After controlling for baseline values, the safety decision aid group had significantly greater reduction in feeling uncertain (p=0.006, effect size=0.07) and in feeling unsupported (p=0.008, effect size=0.07) about safety than the usual safety planning group. Conclusions Abused women randomized to the safety decision aid reported less decisional conflict about their safety in the abusive intimate relationship after one use compared to women randomized to the usual safety planning condition.",
author = "Karen Eden and Perrin, {Nancy A.} and Hanson, {Ginger C.} and Messing, {Jill T.} and Bloom, {Tina L.} and Campbell, {Jacquelyn C.} and Gielen, {Andrea C.} and Clough, {Amber S.} and Barnes-Hoyt, {Jamie S.} and Glass, {Nancy E.}",
year = "2015",
month = "4",
day = "1",
doi = "10.1016/j.amepre.2014.09.027",
language = "English (US)",
volume = "48",
pages = "372--383",
journal = "American Journal of Preventive Medicine",
issn = "0749-3797",
publisher = "Elsevier Inc.",
number = "4",

}

TY - JOUR

T1 - Use of online safety decision aid by abused women

T2 - Effect on decisional conflict in a randomized controlled trial

AU - Eden, Karen

AU - Perrin, Nancy A.

AU - Hanson, Ginger C.

AU - Messing, Jill T.

AU - Bloom, Tina L.

AU - Campbell, Jacquelyn C.

AU - Gielen, Andrea C.

AU - Clough, Amber S.

AU - Barnes-Hoyt, Jamie S.

AU - Glass, Nancy E.

PY - 2015/4/1

Y1 - 2015/4/1

N2 - Background An Internet safety decision aid was developed to help abused women understand their risk for repeat and near-lethal intimate partner violence, clarify priorities related to safety, and develop an action plan customized to these priorities. Purpose To test the effectiveness of a safety decision aid compared with usual safety planning (control) delivered through a secure website, using a multistate RCT design. The paper evaluates the effectiveness of the safety decision aid in reducing decisional conflict after a single use by abused women. Design RCT referred to as Internet Resource for Intervention and Safety (IRIS). Setting/participants Abused women who spoke English (n=708) were enrolled in a four-state RCT. Intervention The intervention was an interactive safety decision aid with personalized safety plan; the control condition was usual safety planning resources. Both were delivered to participants through the secure study website. Main outcome measures This paper compares women's decisional conflict about safety: total decisional conflict and the four subscales of this measure (feeling: uninformed, uncertain, unsupported, and unclear about safety priorities) between intervention/control conditions. Data were collected from March 2011 to May 2013 and analyzed from January to March 2014. Results Immediately following the first use of the interactive safety decision aid, intervention women had significantly lower total decisional conflict than control women, controlling for baseline value of decisional conflict (p=0.002, effect size=0.12). After controlling for baseline values, the safety decision aid group had significantly greater reduction in feeling uncertain (p=0.006, effect size=0.07) and in feeling unsupported (p=0.008, effect size=0.07) about safety than the usual safety planning group. Conclusions Abused women randomized to the safety decision aid reported less decisional conflict about their safety in the abusive intimate relationship after one use compared to women randomized to the usual safety planning condition.

AB - Background An Internet safety decision aid was developed to help abused women understand their risk for repeat and near-lethal intimate partner violence, clarify priorities related to safety, and develop an action plan customized to these priorities. Purpose To test the effectiveness of a safety decision aid compared with usual safety planning (control) delivered through a secure website, using a multistate RCT design. The paper evaluates the effectiveness of the safety decision aid in reducing decisional conflict after a single use by abused women. Design RCT referred to as Internet Resource for Intervention and Safety (IRIS). Setting/participants Abused women who spoke English (n=708) were enrolled in a four-state RCT. Intervention The intervention was an interactive safety decision aid with personalized safety plan; the control condition was usual safety planning resources. Both were delivered to participants through the secure study website. Main outcome measures This paper compares women's decisional conflict about safety: total decisional conflict and the four subscales of this measure (feeling: uninformed, uncertain, unsupported, and unclear about safety priorities) between intervention/control conditions. Data were collected from March 2011 to May 2013 and analyzed from January to March 2014. Results Immediately following the first use of the interactive safety decision aid, intervention women had significantly lower total decisional conflict than control women, controlling for baseline value of decisional conflict (p=0.002, effect size=0.12). After controlling for baseline values, the safety decision aid group had significantly greater reduction in feeling uncertain (p=0.006, effect size=0.07) and in feeling unsupported (p=0.008, effect size=0.07) about safety than the usual safety planning group. Conclusions Abused women randomized to the safety decision aid reported less decisional conflict about their safety in the abusive intimate relationship after one use compared to women randomized to the usual safety planning condition.

UR - http://www.scopus.com/inward/record.url?scp=84925351109&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84925351109&partnerID=8YFLogxK

U2 - 10.1016/j.amepre.2014.09.027

DO - 10.1016/j.amepre.2014.09.027

M3 - Article

VL - 48

SP - 372

EP - 383

JO - American Journal of Preventive Medicine

JF - American Journal of Preventive Medicine

SN - 0749-3797

IS - 4

ER -