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Feasibility of an online safety planning intervention for rural and urban pregnant abused women

机译:针对农村和城市受虐孕妇的在线安全规划干预措施的可行性

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Background: Intimate partner violence (IPV) in pregnancy is common and harmful to maternal-child health. Safety planning is the gold standard for intervention, but most abused women never access safety planning. Pregnant women may face increased barriers to safety planning and risk of severe IPV, particularly if they are also rural residents. Internet-based safety planning interventions may be useful, but no such interventions specific to the needs of pregnant women have been developed. Objectives: The aim was to evaluate feasibility (usability, safety, and acceptability) of Internet-based safety planning for rural and urban abused pregnant women and practicality of recruitment procedures for future trials. Methods: An existing Internet-based safety decision aid for pregnant and postpartum women was adapted; initial content validity was established with survivors of IPV, advocates, and national IPV experts; and a convenience sample of community-dwelling abused pregnant women was recruited and randomized into two groups to test the decision aid. Results: Fifty-nine participants were enrolled; 46 completed the baseline session, 41% of whom (n = 19) resided in nonmetropolitan counties. Participants' average gestational age was 20.2 weeks, and 28.3% resided with the abusive partner. Participants reported severe IPV at baseline (mean Danger Assessment score of 16.1), but all were able to identify a safe computer, and 73.9% completed the baseline session in less than 1 week, with no adverse events reported. Discussion: These findings provide preliminary evidence for the feasibility, acceptability, and safety of an Internet-based safety decision aid for urban and rural abused pregnant women.
机译:背景:怀孕期间的亲密伴侣暴力(IPV)很常见,对母婴健康有害。安全计划是干预的金标准,但大多数受虐妇女从未获得安全计划。孕妇可能面临越来越多的安全计划障碍和严重IPV风险,特别是如果他们也是农村居民。基于互联网的安全计划干预措施可能有用,但尚未针对孕妇需求制定此类干预措施。目标:目的是评估针对农村和城市受虐孕妇的基于互联网的安全计划的可行性(可用性,安全性和可接受性)以及未来试验的招募程序的实用性。方法:采用现有的基于互联网的孕妇和产后妇女安全决策辅助工具; IPV的幸存者,倡导者和国家IPV专家确定了初始内容的有效性;并招募了一个方便的社区居民受虐孕妇样本,并将其随机分为两组以测试决策援助。结果:共有59名参与者入选。 46名学员完成了基准会话,其中41%(n = 19)居住在非大都市县。参与者的平均胎龄为20.2周,其中28.3%居住在虐待对象中。参与者报告在基线时出现严重IPV(平均危险评估得分为16.1),但所有人都能够识别出安全的计算机,并且有73.9%的参与者在不到1周的时间内完成了基线会议,没有发生不良事件的报道。讨论:这些发现为城市和农村受虐孕妇基于Internet的安全决策辅助工具的可行性,可接受性和安全性提供了初步证据。

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