Clinical trial NCT02236663: Effectiveness of a Safety App to Respond to Dating Violence for College Women and Their Friends
Official title: Effectiveness of a Safety App to Respond to Dating Violence for College Women and Their Friends
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Intimate Partner Violence
Keywords: Intimate Partner Violence
Dating Violence
Relationships
Safety Planning
College
Student
App
Lead sponsor: Johns Hopkins University
Sponsor class: OTHER
Collaborators: name: Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
name: Arizona State University
name: University of Missouri-Columbia
name: Kaiser Permanente
First posted: 2014-09-10
Enrollment: 649
Sex: ALL
Minimum age (years): 18
Maximum age (years): 24
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: OTHER

Brief summary: 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:

1. 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
2. dissemination of the App nationally to determine the reach, adoption, implementation and maintenance of App use among university/college students.


Eligibility criteria: 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

Primary outcomes:
measure: Change from baseline in survivors' use of safety strategies on Safety Behavior Checklist at 12 months
timeFrame: Baseline, 12 Months
measure: Change from baseline in survivors' and friends' decisional conflict on Decisional Conflict Scale (DCS) immediately post intervention.
timeFrame: Baseline, immediately post intervention
measure: Change from baseline in friends' efficacy to intervene on adapted Self-efficacy to Deal with Violence Scale at 12 months
timeFrame: Baseline, 12 months
measure: Changes from baseline in friends' supportive behaviors on Supportive Behaviors Checklist at 12 months
timeFrame: Baseline, 12 months
Secondary outcomes:
measure: Change from baseline in survivors' drug and alcohol use on adapted Monitoring the Future Drug and Alcohol Questionnaire at 12 months.
timeFrame: Baseline, 12 months
measure: Change from baseline in survivors' abuse exposure on the Composite Abuse Scale (CAS) at 12 months
timeFrame: Baseline, 12 months
measure: Change from baseline in survivors' and friends' Decisional Conflict on Decisional Conflict Scale at 12 mo
timeFrame: Baseline, 12 month
measure: Change from baseline in survivor' depression on Center for Epidemiologic Studies Depression Scale, Revised at 12 months
timeFrame: Baseline, 12 months
measure: Changes from baseline in friends' attitudes on the Intimate Partner Violence on the Acceptance of Dating Violence Scale at 12 months
timeFrame: Baseline, 12 months
Other outcomes:
Locations:
city: Phoenix
country: United States
facility: Arizona State University
state: Arizona
city: Baltimore
country: United States
facility: Johns Hopkins University School of Nursing
state: Maryland
city: Columbia
country: United States
facility: University of Missouri
state: Missouri
city: Portland
country: United States
facility: Kaiser Foundation Research Institute
state: Oregon
Study officials:
affiliation: Johns Hopkins University School of Nursing
name: Nancy Glass, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Glass NE, Clough A, Messing JT, Bloom T, Brown ML, Eden KB, Campbell JC, Gielen A, Laughon K, Grace KT, Turner RM, Alvarez C, Case J, Barnes-Hoyt J, Alhusen J, Hanson GC, Perrin NA. Longitudinal Impact of the myPlan App on Health and Safety Among College Women Experiencing Partner Violence. J Interpers Violence. 2022 Jul;37(13-14):NP11436-NP11459. doi: 10.1177/0886260521991880. Epub 2021 Feb 12.
citation: Glass N, Clough A, Case J, Hanson G, Barnes-Hoyt J, Waterbury A, Alhusen J, Ehrensaft M, Grace KT, Perrin N. A safety app to respond to dating violence for college women and their friends: the MyPlan study randomized controlled trial protocol. BMC Public Health. 2015 Sep 8;15:871. doi: 10.1186/s12889-015-2191-6.