Violence, Domestic, Violence, Gender-Based, Violence, Sexual
Conditions
Keywords
Intimate Partner Violence, Relationships, Safety Planning, technology, implementation
Brief summary
This effectiveness-implementation hybrid-3 study evaluates dissemination, implementation, and effectiveness of myPlanKenya. myPlanKenya will be disseminated through formal and informal sectors. This clinical trial portion of the study enrolls women at risk for intimate partner violence (IPV) who are referred to myPlanKenya by disseminators (i.e. "end-users"). This trial aims to evaluate the effectiveness of myPlanKenya referral on resilience, health and safety among a cohort of women referred to myPlanKenya based on disclosure of IPV or assessed to have IPV related risks.
Interventions
BEHAVIORALPersonalized safety planning tool
The myPlan Kenya app is a web-based safety planning tool that is secure, private, free and personalized to the user. The app includes multiple, evidence-based modules: Strategies (safety strategies tailored to the user's needs and violence experience); Resources (referrals to local health, safety and justice resources and services); About You (questionnaires that help the user assess their relationship safety and tailor their Strategies, including My Relationship, Red Flags, My Safety, My Priorities); Understanding (knowledge sections that share information on relationships and violence, including Healthy Relationships, Harmful Beliefs About Abuse, About Violence).
Sponsors
Johns Hopkins Bloomberg School of Public Health
Ujamaa Africa
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
16 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Female * Age 16 or older * Physical or sexual partner violence or relationship-based fears within the past six months; behaviorally assessed * Living in Nairobi, Kenya with no plans to move in the next 12 months * Access to a safe smart phone or computer (personal or shared), and comfort using it to access the myPlan Kenya app * Literate in English or Swahili languages; confirmed by reading and completing a short passage by filling in several blanks with the appropriate words, selected from a drop-down menu.
Exclusion criteria
* Male * Under age 16 * Have not experienced physical or sexual partner violence or relationship-based fears in past 6 months * Lives outside of the study area or plans to move within the next 12 months * Does not have access to a safe smart phone or computer, or is uncomfortable using it to access the myPlan Kenya app * Illiterate in English or Swahili languages
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Resilience as Assessed by Connor-Davidson Resilience Scale | Baseline, 6-month, 12-month | 10-item Connor-Davidson Resilience Scale assesses resilience using a 5-point Likert scale (0-4). Scored from 0-40, with higher scores indicating greater resilience and lower scores indicating lower resilience. |
| Decisional Conflict Score | Baseline, 6-month, 12-month | 12-item decisional conflict measures (specific to safety), assessed using a 5-point Likert scale (0-4). The mean Decisional Conflict score is multiplied by 25 to create an overall score, ranging from 0-100; 0 (no decisional conflict) to 100 (extremely high decisional conflict). |
| Safety/IPV Experience(s) as Assessed by the Conflict Tactics Scale-2 | Baseline, 6-month, 12-month | 10-item adapted Conflict Tactics Scale-2 (CTS2), which assesses IPV experiences using a 3-point scale on the frequency of these experiences. Score range 0-20; higher score indicates more IPV. |
| Percentage of Participants Who Sought Services (Help-seeking) | Baseline, 6-month, 12-month | 6-item index on help-seeking, which assesses abuse disclosure and services/information received on a 2-point scale (yes/no); operationally defined as percentage of participants who sought help from any of the services. |
| Helpfulness of Services Assessed by Help-Seeking Index | Baseline, 6-month, 12-month | 6-item index on help-seeking which assesses abuse disclosure and services/information. Helpfulness of services rated on a 5-point Likert scale (Score range 0-4; with higher score more helpful). Mean helpfulness score of services sought is reported. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Safety Strategy Score | Baseline, 6-month, 12-month | 5-item index on safety strategies used (yes/no), summed for a range of 0-5 with higher scores indicating more safety strategies used. For each strategy used, helpfulness is assessed on a 5-point Likert scale (1-5), with higher scores indicating more helpfulness; mean scores are presented (range 1-5). |
| IPV Recognition as Assessed by the Abusive Behaviors Scale | Baseline, 6-month, 12-month | 7-item adapted Abusive Behaviors Scale, which assesses IPV recognition using a 5-point Likert scale (0-4). Items are scored from 0-28, with higher scores indicating greater IPV recognition and lower scores indicating lower IPV recognition. |
Countries
Kenya
Contacts
PRINCIPAL_INVESTIGATORMichele Decker
Johns Hopkins Bloomberg School of Public Health
Participant flow
Recruitment details
This single arm implementation trial enrolled 440 women referred to the myPlanKenya safety decision aid. Individuals were eligible for 12-month follow-up irrespective of 6-month completion.
Baseline characteristics
| Characteristic | — |
|---|---|
| Age, Customized 18-24 years | 186 Participants |
| Age, Customized <18 years | 4 Participants |
| Age, Customized 25-34 years | 159 Participants |
| Age, Customized 35-44 years | 76 Participants |
| Age, Customized >=45 years | 14 Participants |
| Educational Attainment Primary | 39 Participants |
| Educational Attainment Secondary | 204 Participants |
| Educational Attainment Some secondary | 37 Participants |
| Educational Attainment University or beyond | 47 Participants |
| Educational Attainment Vocational training | 107 Participants |
| Race/Ethnicity, Customized Kamba | 60 Participants |
| Race/Ethnicity, Customized Kikuyu | 103 Participants |
| Race/Ethnicity, Customized Luhya | 62 Participants |
| Race/Ethnicity, Customized Luo | 147 Participants |
| Race/Ethnicity, Customized Other | 66 Participants |
| Sex: Female, Male Female | 440 Participants |
| Sex: Female, Male Male | 0 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 0 / 440 |
| other Total, other adverse events | 0 / 440 |
| serious Total, serious adverse events | 0 / 440 |
Outcome results
None listed