Effectiveness of a Safety App to Respond to Dating Violence for College Women and Their Friends

Study Overview
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Brief Summary
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Intimate partner violence (IPV), including violence in dating relationships (dating violence, DV) is a widespread and serious public health problem. Among U.S. female IPV survivors, 47.1% report their first abusive relationship occurred at college age (age 18-24). Similarly, in national surveys, adults respondents 18-24 years of age report the highest rate of stalking victimization, most commonly by a former intimate partner. Safety planning is the most widely used intervention to prevent and respond to IPV, yet the vast majority of abused women never access safety planning services. Our challenge is to increase college women's access to safety planning, with the opportunity to consider their unique safety priorities and level of danger during and when ending an abusive relationship. In addition, while bystander interventions that train peers to safely intervene have been shown to be effective in sexual assault prevention on campus, and college women in abusive relationships most frequently disclose IPV to a friend, no similar interventions have been tested with friends for IPV response on campuses. Therefore, the objective of the study is to evaluate the: effectiveness of an interactive, personalized smart phone and web based safety application (App) intervention in Maryland and Oregon with: 1) college women (age 18-24) who experience IPV and 2) friends (age 18-24) of women experiencing IPV. The safety decision App allows the user to enter information on: a) relationship health; b) safety priorities; and c) severity of violence/danger in relationship. The App then uses the information to provide the user with a personalized safety planning information and resources; and dissemination of the App nationally to determine the reach, adoption, implementation and maintenance of App use among university/college students.

Official Title
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Effectiveness of a Safety App to Respond to Dating Violence for College Women and Their Friends

Conditions
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Intimate Partner Violence

Intervention / Treatment
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* Behavioral: Usual Care Safety Planing App
* Behavioral: Personalized App-Based Safety Decision Aid


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Females who report current physical violence, sexual violence, psychological abuse or stalking by a dating/intimate/ex-intimate partner, or who have a female friend currently experiencing abuse from dating/intimate/ex-intimate partner. Males who have a female friend currently experiencing physical violence, sexual violence, psychological abuse or stalking by a dating/intimate/ex-intimate partner English speaking Between the ages of 18-24 years old Attend a college in Maryland or Oregon Enrolled in college or university (at least part time) Have access to a safe smart-phone or computer with internet and are comfortable downloading an app or using the internet Have a safe email address Exclusion Criteria: Younger than 18 years of age Older than 24 years of age Cannot read/speak English Live outside targeted states No access to safe smart phone or computer with internet Uncomfortable with downloading an app No access to a safe email address Does not report current violence from an intimate partner or having a female friend that has experienced intimate partner violence

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 24 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: App Based Safety Decision Aid<br>Personalized App-Based Safety Decision Aid | Behavioral: Personalized App-Based Safety Decision Aid<br>* Setting of priorities for safety: participants will establish priorities by making pairwise comparisons of importance between 5 factors. Danger Assessment: asks participants to report on well-established risk factors for repeat violence and lethal IPV. A weighted scoring algorithm provides participants with their validated level of danger and safety planning information and resources based on their level of danger. Personalized action plan: Based on a participant's answers to the previous sections, a list of safety strategies with links to resources will be presented tailored to their level of danger and priority settings. The participant is given the option to print results and the personalized plan.<br>|
| Active Comparator: Control App<br>Usual Care Safety Plan | Behavioral: Usual Care Safety Planing App<br>* The control group App will provide women and friends with basic safety planning information and a brief resource list of IPV resources. The resources will be targeted to college students age 18-24 years. The control group App safety plan is not personalized to woman/friend's safety priorities and danger in the relationship.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from baseline in survivors' use of safety strategies on Safety Behavior Checklist at 12 months | Adapted from Intimate Partner Violence Strategies Index to assess for survivors the range of strategies used to halt, escape, or resist violence, and the helpfulness of each strategy. | Baseline, 12 Months | 
| Change from baseline in survivors' and friends' decisional conflict on Decisional Conflict Scale (DCS) immediately post intervention. | The DCS consists of twelve items, with each question having three response options (yes, no, and unsure). The DCS provides a total score, which is a measure of the decision process, as well as scores for four subscales (feeling informed, certainty about decision, values clarity, and support), with higher scores on the DCS indicating a greater degree of decisional conflict (indicative of a poorer decision process). Will be used to assess decisional conflict with survivors and friends. | Baseline, immediately post intervention | 
| Change from baseline in friends' efficacy to intervene on adapted Self-efficacy to Deal with Violence Scale at 12 months | 19 times scale adapted to assess friends of survivors' confidence to intervene. | Baseline, 12 months | 
| Changes from baseline in friends' supportive behaviors on Supportive Behaviors Checklist at 12 months | Assesses supportive behaviors used to assist a friend experiencing intimate partner violence. | Baseline, 12 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from baseline in survivors' drug and alcohol use on adapted Monitoring the Future Drug and Alcohol Questionnaire at 12 months. |  | Baseline, 12 months | 
| Change from baseline in survivors' abuse exposure on the Composite Abuse Scale (CAS) at 12 months | The CAS is a 30 item validated comprehensive intimate partner violence screening measure with | Baseline, 12 months | 
| Change from baseline in survivors' and friends' Decisional Conflict on Decisional Conflict Scale at 12 mo |  | Baseline, 12 month | 
| Change from baseline in survivor' depression on Center for Epidemiologic Studies Depression Scale, Revised at 12 months | A 20-item self report measure, designed to screen for depressive symptoms in community samples and assess the probability that an individual meets the criteria for major depressive disorder. | Baseline, 12 months | 
| Changes from baseline in friends' attitudes on the Intimate Partner Violence on the Acceptance of Dating Violence Scale at 12 months | 5 item scale used to measures norms that support violence. | Baseline, 12 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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College, Intimate Partner Violence, Dating Violence, Relationships, Safety Planning, Student, App