Safety decision-making and planning mobile app for intimate partner violence prevention and response: randomised controlled trial in Kenya.

BMJ Global Health
Michele R DeckerNancy E Glass

Abstract

Intimate partner violence (IPV) threatens women's health and safety globally, yet services remain underdeveloped and inaccessible. Technology-based resources exist, however, few have been adapted and tested in low-resource settings. We evaluate the efficacy of a community-partnered technology solution: culturally and linguistically adapted version of the myPlan app, a tailored safety decision-making and planning intervention, administrated by trained lay professionals. This randomised, controlled, participant-blinded superiority trial compares safety-related outcomes at baseline, immediate post intervention and 3-month follow-up among women at risk of and experiencing IPV in Nairobi, Kenya. Women were randomised (1:1 ratio) to: (1) myPlan Kenya (intervention); or (2) standard IPV referrals (control). Primary outcomes were safety preparedness, safety behaviour and IPV; secondary outcomes include resilience, mental health, service utilisation and self-blame. Between April 2018 and October 2018, 352 participants (n=177 intervention, n=175 control) were enrolled and randomly assigned; 312 (88.6%, n=157 intervention, n=155 control) were retained at 3 months. Intervention participants demonstrated immediate postintervention improveme...Continue Reading

References

Jan 1, 1995·Medical Decision Making : an International Journal of the Society for Medical Decision Making·A M O'Connor
Feb 24, 1999·Journal of Consulting and Clinical Psychology·C M Sullivan, D I Bybee
Apr 20, 2002·Lancet·Jacquelyn C Campbell
Apr 1, 2006·Journal of Interpersonal Violence·Kimberly Hanson Breitenbecher
Aug 1, 2008·Journal of Interpersonal Violence·Jacquelyn C CampbellNancy Glass
Dec 31, 2009·Journal of Interpersonal Violence·Nancy GlassNancy Perrin
Jun 25, 2013·Lancet·Heidi StöcklClaudia Garcia Moreno
Oct 31, 2014·Journal of Interpersonal Violence·George C T MugoyaKacey C Ernst
Dec 31, 2014·American Journal of Preventive Medicine·Karen B EdenNancy E Glass
Jan 8, 2016·Journal of Interpersonal Violence·Tameka L GillumLeso Munala
Jan 22, 2017·American Journal of Preventive Medicine·Nancy E GlassKaren B Eden
Jan 13, 2018·Journal of Medical Internet Research·Jane Koziol-McLainNancy E Glass
Jan 5, 2019·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·Edward L MachtingerBrigid McCaw

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Software Mentioned

myPlan
STATA
myPlanKenya
myPlan Kenya

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