Identifying Factors that Predict Women's Inability to Maintain Separation from an Abusive Partner

Alhalal, Eman; Ford‐Gilboe, Marilyn; Kerr, Mickey; Davies, Lorraine

doi:10.3109/01612840.2012.714054

Cited by 18 publications

(15 citation statements)

References 103 publications

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“…Statistically significant gains in mental health were compelling because mental health is a provincial priority (Province of New Brunswick, 2011 ), and higher rates of depression and anxiety in women versus men have been linked to a greater burden of violence (Hegarty, 2011 ) and greater risk of returning to an abusive relationship (Alhalal, Ford-Gilboe, Kerr & Davies, 2012 ). Findings related to intrusion, specifically the reduction in the numbers of women with symptoms consistent with clinical depression or diagnoses of PTSD, suggested the intervention may yield clinically significant outcomes, a key concern of decision-makers (Brown, 2002 ).…”

Section: Discussionmentioning

confidence: 99%

The Process, Outcomes, and Challenges of Feasibility Studies Conducted in Partnership With Stakeholders: A Health Intervention for Women Survivors of Intimate Partner Violence

Wuest

Merritt‐Gray

Dubé

et al. 2015

Research in Nursing & Health

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Feasibility studies play a crucial role in determining whether complex, community-based interventions should be subject to efficacy testing. Reports of such studies often focus on efficacy potential but less often examine other elements of feasibility, such as acceptance by clients and professionals, practicality, and system integration, which are critical to decisions for proceeding with controlled efficacy testing. Although stakeholder partnership in feasibility studies is widely suggested to facilitate the research process, strengthen relevance, and increase knowledge transfer, little is written about how this occurs or its consequences and outcomes. We began to address these gaps in knowledge in a feasibility study of a health intervention for women survivors of intimate partner violence (IPV) conducted in partnership with policy, community and practitioner stakeholders. We employed a mixed-method design, combining a single-group, pre-post intervention study with 52 survivors of IPV, of whom 42 completed data collection, with chart review data and interviews of 18 purposefully sampled participants and all 9 interventionists. We assessed intervention feasibility in terms of acceptability, demand, practicality, implementation, adaptation, integration, and efficacy potential. Our findings demonstrate the scope of knowledge attainable when diverse elements of feasibility are considered, as well as the benefits and challenges of partnership. The implications of diverse perspectives on knowledge transfer are discussed. Our findings show the importance of examining elements of feasibility for complex community-based health interventions as a basis for determining whether controlled intervention efficacy testing is justified and for refining both the intervention and the research design. © 2015 The Authors. Research in Nursing & Health published by Wiley Periodicals, Inc.

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Section: Discussionmentioning

confidence: 99%

The Process, Outcomes, and Challenges of Feasibility Studies Conducted in Partnership With Stakeholders: A Health Intervention for Women Survivors of Intimate Partner Violence

Wuest

Merritt‐Gray

Dubé

et al. 2015

Research in Nursing & Health

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show abstract

“…Disabling mental and physical health problems place women at greater risk of IPV (Brownridge 2006 ) and poor mental health has been found to increase women’s risk of returning to an abusive relationship after they have separated (Alhalal et al 2012 ). Among female IPV survivors, living with a disability has been associated with greater use of services in general (Barrett and Pierre 2011 ).…”

Section: Use Of Services In Different Sectorsmentioning

confidence: 99%

Patterns and Predictors of Service Use Among Women Who Have Separated from an Abusive Partner

et al. 2015

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Using baseline data from a survey of 309 Canadian women recently separated from an abusive partner, we investigated patterns of access to health, social, legal, and violencespecific services and whether abuse history and social and health variables predict service use. We compared rates of service use to population rates, and used logistic regression to identify determinants of use. Service use rates were substantially higher than population estimates in every category, particularly in general and mental health sectors. Although women were confident in their ability to access services, they reported substantial unmet need, difficulty accessing services, and multiple barriers. The strongest unique predictors of use varied across service type. Health variables (high disability chronic pain, symptoms of depression and PTSD), low income, and mothering were the most consistent predictors. Service providers and policy makers must account for social location, abuse history, and health status of Intimate Violence (IPV) survivors. Strategies to enhance access to primary health care services, and to create a system of more integrated, accessible services, are required.

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“…Women’s capacity to address their safety is intertwined with their health. For example, women with poorer mental health are more likely to return to an abusive partner after initially separating [8]. To improve the mental health and quality of life of women experiencing IPV, gender- and context-specific, culturally safe interventions are urgently needed.…”

Section: Introductionmentioning

confidence: 99%

A tailored online safety and health intervention for women experiencing intimate partner violence: the iCAN Plan 4 Safety randomized controlled trial protocol

et al. 2017

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BackgroundIntimate partner violence (IPV) threatens the safety and health of women worldwide. Safety planning is a widely recommended, evidence-based intervention for women experiencing IPV, yet fewer than 1 in 5 Canadian women access safety planning through domestic violence services. Rural, Indigenous, racialized, and immigrant women, those who prioritize their privacy, and/or women who have partners other than men, face unique safety risks and access barriers. Online IPV interventions tailored to the unique features of women’s lives, and to maximize choice and control, have potential to reduce access barriers, and improve fit and inclusiveness, maximizing effectiveness of these interventions for diverse groups.Methods/DesignIn this double blind randomized controlled trial, 450 Canadian women who have experienced IPV in the previous 6 months will be randomized to either a tailored, interactive online safety and health intervention (iCAN Plan 4 Safety) or general online safety information (usual care). iCAN engages women in activities designed to increase their awareness of safety risks, reflect on their plans for their relationships and priorities, and create a personalize action plan of strategies and resources for addressing their safety and health concerns. Self-reported outcome measures will be collected at baseline and 3, 6, and 12 months post-baseline. Primary outcomes are depressive symptoms (Center for Epidemiological Studies Depression Scale, Revised) and PTSD Symptoms (PTSD Checklist, Civilian Version). Secondary outcomes include helpful safety actions, safety planning self-efficacy, mastery, and decisional conflict. In-depth qualitative interviews with approximately 60 women who have completed the trial and website utilization data will be used to explore women’s engagement with the intervention and processes of change.DiscussionThis trial will contribute timely evidence about the effectiveness of online safety and health interventions appropriate for diverse life contexts. If effective, iCAN could be readily adopted by health and social services and/or accessed by women to work through options independently. This study will produce contextualized knowledge about how women engage with the intervention; its strengths and weaknesses; whether specific groups benefit more than others; and the processes explaining any positive outcomes. Such information is critical for effective scale up of any complex intervention.Trial registrationClinicaltrials.gov ID NCT02258841 (Registered on Oct 2, 2014).

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Identifying Factors that Predict Women's Inability to Maintain Separation from an Abusive Partner

Cited by 18 publications

References 103 publications

The Process, Outcomes, and Challenges of Feasibility Studies Conducted in Partnership With Stakeholders: A Health Intervention for Women Survivors of Intimate Partner Violence

The Process, Outcomes, and Challenges of Feasibility Studies Conducted in Partnership With Stakeholders: A Health Intervention for Women Survivors of Intimate Partner Violence

Patterns and Predictors of Service Use Among Women Who Have Separated from an Abusive Partner

A tailored online safety and health intervention for women experiencing intimate partner violence: the iCAN Plan 4 Safety randomized controlled trial protocol

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