An online intervention targeting intimate partner violence in perinatal women with recent mental health care utilization: a multisite randomized clinical trial

一项针对近期曾接受心理健康服务的围产期妇女的亲密伴侣暴力在线干预:一项多中心随机临床试验

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Abstract

PURPOSE: This study evaluated the efficacy of an online intervention targeting intimate partner violence (IPV) in perinatal women, Strength for U in Relationship Empowerment (SURE), relative to an attention, time, and information-matched control, on IPV severity, positive affect and well-being, and perceived emotional support across a 12-month follow-up. METHODS: Perinatal women (N = 122) who reported past 12-month IPV and recently engaged in mental health treatment were randomized to SURE (n = 65) or control (n = 57). SURE participants received a 40-minute online intervention based in motivational interviewing and empowerment. Control participants viewed a 40-minute online video of popular entertainment, followed by questions about preferences. Both conditions also included a brief 10-15-minute telephone-delivered booster session one month after the online session. Follow-up assessments occurred at 6 weeks, and 3-, 6-, and 12-months since the baseline visit. RESULTS: Both interventions exhibited a significant drop in IPV severity from baseline to 12-month follow-up, with no significant differences between arms (range of standardized effect sizes for the time by group interaction = 0.20–1.65). Significant intervention effects were found for both positive affect and well-being (range of standardized effect sizes for the time by group interaction = -0.04-1.62) and perceived emotional support (range of standardized effect sizes for the time by group interaction = 0.65–2.10), where participants in SURE exhibited significant increases in both outcomes, while control participants did not. CONCLUSION: Results suggest that SURE provides a good model for an online intervention for perinatal women who have sought mental health services.

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