nach oben

Journal of Family Violence

Erschienen in:

17.05.2022 | Original Article

Feasibility of an Online-Based Safety Decision Aid for Brazilian Women Living with Intimate Partner Violence: Findings from Participatory-Action Research in a One Stop Center

verfasst von: Marcos Claudio Signorelli, Vera Lucia Costa da Silva, Dabney P. Evans, Sandra Marques Prado, Nancy Glass

Erschienen in: Journal of Family Violence | Ausgabe 3/2023

Einloggen, um Zugang zu erhalten

Abstract

Intimate partner violence (IPV) is a challenge in Brazil; the country is ranked 6th globally for femicide and one in four women experience physical and/or sexual IPV in their lifetimes. Safety decision aids (SDA) are tools for women experiencing IPV. Building upon previously developed and tested online SDA tools, we intend to adapt an SDA tool for use in Brazil. The purpose of this study was to examine the feasibility of a technology-based SDA to support Brazilian women living with IPV, tailored for the Brazilian context. Our participatory-action research approach built upon research between 2018 and 2019 at the House of the Brazilian Woman (HBW) of Curitiba, Brazil, a cross-sectoral one-stop center (OSC) providing comprehensive care for IPV survivors. Field research included observation, field notes, and in-depth interviews with twenty-eight (n = 28) participants (HBW staff and survivors). The results were grouped into four main thematic categories: advantages; uncertainties; barriers; and suggestions. The triangulated results showed that the majority of participants considered the SDA feasible, highlighting flexibility and confidentiality; information about IPV; and access to resources for formal help-seeking as advantages of the tool. Participants also expressed uncertainties about SDA’s ability to increase women’s safety and its accessibility for the most vulnerable. They made suggestions for improvement to meet the unique needs of Brazilian women. This study provided evidence on the potential of an SDA tailored for use within a comprehensive program of women survivors in Brazil. This step was crucial to inform the future implementation and evaluation.

Nur mit Berechtigung zugänglich

Almeida, J., Rocha, R., Signorelli, M., Silva, V., Prado, S., & Evans, D. (2020). The house of the Brazilian woman: Impacts of a cross-sectoral public health policy for abused women. European Journal of Public Health, 30(Supplement 5), v882. https://doi.org/10.1093/eurpub/ckaa166.945CrossRef

Anderson, E. J., Krause, K. C., Meyer Krause, C., Welter, A., McClelland, D. J., Garcia, D. O., et al. (2019). Web-based and mhealth interventions for intimate partner violence victimization prevention: A systematic review. Trauma, Violence, and Abuse. First published online. https://doi.org/10.1177/1524838019888889

Bagwell-Gray, M. E., Loerzel, E., Dana Sacco, G., Messing, J., Glass, N., Sabri, B., et al. (2020). From myPlan to ourCircle: Adapting a web-based safety planning intervention for native American women exposed to intimate partner violence. Journal of Ethnic and Cultural Diversity in Social Work, 30(1-2), 163–180. https://doi.org/10.1080/15313204.2020.1770651CrossRef

Brazil. (2013). Decreto n° 8.086, de 30 de agosto de 2013 [Decree number 8.086, August 30, 2013]. Retrieved from: http://www.planalto.gov.br/ccivil_03/_ato2011-2014/2013/decreto/d8086.htm

Brazilian Federal Law Number 11,340 (2006). Retrains domestic and family violence against women. Retrieved from https://assets-compromissoeatitude-ipg.sfo2.digitaloceanspaces.com/2012/08/SPMlawmariapenha2006.pdf. Accessed 16 May 2022.

Brazilian Federal Law Number 13,104. (2015). Changes the art. 121 of Decree-Law No. 2,848, of December 7^th, 1940 - Penal Code, to provide femicide as a qualifying circumstance for the crime of homicide, and the art. 1 of Law No. 8072, of July 25^th 1990, to include femicide in the list of heinous crimes. Retrieved from http://www.planalto.gov.br/ccivil_03/_ato2015-2018/2015/lei/l13104.htm. Accessed 16 May 2022.

Brazilian Federal Law Number 14,188. (2021). Defines the red sign cooperation program against domestic violence. Retrieved from: https://www.in.gov.br/web/dou/-/lei-n-14.188-de-28-de-julho-de-2021-334902612. Accessed 16 May 2022.

Campbell, J. C., & Glass, N. (2009). Safety planning, danger, and lethality assessment. In C. E. Mitchell & D. Anglin (Eds.), Intimate partner violence: A health-based perspective (pp. 319–334). Oxford University Press.

Coll, C. V. N., Ewerling, F., García-Moreno, C., Hellwig, F., & Barros, A. J. D. (2020). Intimate partner violence in 46 low-income and middle-income countries: An appraisal of the most vulnerable groups of women using national health surveys. BMJ Global Health, 5(1), e002208. https://doi.org/10.1136/bmjgh-2019-002208CrossRefPubMedPubMedCentral

Darlington, S. (2013). Brazil city battles domestic abuse with mobile panic button. CNN World. Retrieved from: https://edition.cnn.com/2013/11/19/world/americas/brazil-panic-buttons/index.html. Accessed 16 May 2022.

Decker, M. R., Wood, S. N., Kennedy, S. R., Hameeduddin, Z., Tallam, C., Akumu, I., et al. (2020a). Adapting the myPlan safety app to respond to intimate partner violence for women in low- and middle-income country settings: App tailoring and randomized controlled trial protocol. BMC Public Health, 20, 808. https://doi.org/10.1186/s12889-020-08901-4CrossRefPubMedPubMedCentral

Decker, M. R., Wood, S. N., Hameeduddin, Z., Kennedy, S. R., Perrin, N., Tallam, C., et al. (2020b). Safety decision-making and planning mobile app for intimate partner violence prevention and response: Randomised controlled trial in Kenya. BMJ Global Health, 5, e002091. https://doi.org/10.1136/bmjgh-2019-002091CrossRefPubMedPubMedCentral

Dutton, M. A. (2004). Complexity of women’s response to violence: Response to Briere and Jordan. Journal of Interpersonal Violence, 19(11), 1277–1282. https://doi.org/10.1177/0886260504269683CrossRefPubMed

Eden, K. B., Perrin, N. A., Hanson, G. C., Messing, J. T., Bloom, T. L., Campbell, J. C., et al. (2015). Use of online safety decision aid by abused women: Effect on decisional conflict in a randomized controlled trial. American Journal of Preventive Medicine, 48(4), 372–383. https://doi.org/10.1016/j.amepre.2014.09.027CrossRefPubMed

Evans, D. P., Xavier Hall, C. D., da Rocha, R. W. G., Prado, S. M., & Signorelli, M. C. (2021). "These questions have everything that happens to me": Analysis of a Femicide risk assessment tool for abused women in Brazil. Journal of family violence, 1–11. Advance online publication. https://doi.org/10.1007/s10896-021-00313-1

Fals-Borda, O. (1987). The application of participatory action-research in Latin America. International Sociology, 2(4), 329–347. https://doi.org/10.1177/026858098700200401CrossRef

Ford-Gilboe, M., Varcoe, C., Scott-Storey, K., Wuest, J., Case, J., Currie, L. M., et al. (2017). A tailored online safety and health intervention for women experiencing intimate partner violence: The iCAN plan 4 safety randomized controlled trial protocol. BMC Public Health, 17(1), 273. https://doi.org/10.1186/s12889-017-4143-9CrossRefPubMedPubMedCentral

Ford-Gilboe, M., Varcoe, C., Scott-Storey, K., Perrin, N., Wuest, J., Wathen, C. N., et al. (2020). Longitudinal impacts of an online safety and health intervention for women experiencing intimate partner violence: Randomized controlled trial. BMC Public Health, 20(1), 1–17. https://doi.org/10.1186/s12889-020-8152-8CrossRef

Gattegno, M. V., Wilkins, J. D., & Evans, D. P. (2016). The relationship between the Maria da Penha law and intimate partner violence in two Brazilian states. International Journal for Equity in Health, 15(1), 138. https://doi.org/10.1186/s12939-016-0428-3CrossRefPubMedPubMedCentral

Glass, N., Eden, K. B., Bloom, T., & Perrin, N. (2010). Computerized aid improves safety decision process for survivors of intimate partner violence. Journal of Interpersonal Violence, 25(11), 1947–1964. https://doi.org/10.1177/0886260509354508CrossRefPubMed

Glass, N., Clough, A., Case, J., Hanson, G., Barnes-Hoyt, J., Waterbury, A., et al. (2015). A safety app to respond to dating violence for college women and their friends: The MyPlan study randomized controlled trial protocol. BMC Public Health, 15(1), 871. https://doi.org/10.1186/s12889-015-2191-6CrossRefPubMedPubMedCentral

Glass, N. E., Perrin, N. A., Hanson, G. C., Bloom, T. L., Messing, J. T., Clough, A. S., et al. (2017). The longitudinal impact of an internet safety decision aid for abused women. American Journal of Preventive Medicine, 52(5), 606–615. https://doi.org/10.1016/j.amepre.2016.12.014CrossRefPubMedPubMedCentral

Glass, N. E., Clough, A., Messing, J. T., Bloom, T., Brown, M. L., Eden, K. B., et al. (2021). Longitudinal impact of the myplan app on health and safety among college women experiencing partner violence. Journal of Interpersonal Violence. Advance online publication. https://doi.org/10.1177/0886260521991880

Hegarty, K., Tarzia, L., Murray, E., Valpied, J., Humphreys, C., Taft, A., et al. (2015). Protocol for a randomised controlled trial of a web-based healthy relationship tool and safety decision aid for women experiencing domestic violence (I-DECIDE). BMC Public Health, 15(1), 736. https://doi.org/10.1186/s12889-015-2072-zCrossRefPubMedPubMedCentral

Hegarty, K., Tarzia, L., Valpied, J., Murray, E., Humphreys, C., Taft, A., et al. (2019). An online healthy relationship tool and safety decision aid for women experiencing intimate partner violence (I-DECIDE): A randomised controlled trial. The Lancet Public Health, 4(6), e301–e310. https://doi.org/10.1016/S2468-2667(19)30079-9CrossRefPubMed

Instituto Brasileiro de Geografia e Estatística (IBGE). (2020). Use of internet, television and mobile phones in Brazil. Retrieved from: https://educa.ibge.gov.br/jovens/materias-especiais/20787-uso-de-internet-televisao-e-celular-no-brasil.html. Accessed 16 May 2022.

Johnson, S. (2020). 'We wrap services around women': Brazil's innovative domestic violence centre. Retrieved from: https://www.theguardian.com/global-development/2020/may/12/we-wrap-services-around-women-brazils-innovative-domestic-violence-centre. Accessed 16 May 2022.

Koziol-McLain, J., Vandal, A. C., Nada-Raja, S., Wilson, D., Glass, N. E., Eden, et al. (2015). A web-based intervention for abused women: The New Zealand isafe randomised controlled trial protocol. BMC Public Health, 15, 56. https://doi.org/10.1186/s12889-015-1395-0CrossRefPubMedPubMedCentral

Koziol-McLain, J., Vandal, A. C., Wilson, D., Nada-Raja, S., Dobbs, T., McLean, C., et al. (2018). Efficacy of a web-based safety decision aid for women experiencing intimate partner violence: Randomized controlled trial. Journal of Medical Internet Research, 20(1), e8. https://doi.org/10.2196/jmir.8617CrossRef

Liamputtong, P. (2010). Research methods in health. Oxford University Press.

Liamputtong, P. (2013). Qualitative research methods (4th ed.). Oxford University Press.

Lintvedt, O. K., Griffiths, K. M., Sørensen, K., Østvik, A. R., Wang, C. E., Eisemann, M., & Waterloo, K. (2013). Evaluating the effectiveness and efficacy of unguided internet-based self-help intervention for the prevention of depression: A randomized controlled trial. Clinical Psychology & Psychotherapy, 20(1), 10–27. https://doi.org/10.1002/cpp.770CrossRef

Marques, E. S., Moraes, C. L., Hasselmann, M. H., Deslandes, S. F., & Reichenheim, M. E. (2020). Violence against women, children, and adolescents during the COVID-19 pandemic: Overview, contributing factors, and mitigating measures. Cadernos De Saude Publica, 36(4). https://doi.org/10.1590/0102-311X00074420

Minayo, M. C. S., Assis, S. G., & Souza, E. R. (Eds.). (2005). Avaliação por triangulação de métodos: Abordagem de programas sociais. [Evaluation by triangulation of methods: Social programs approach]. Editora Fiocruz.

Monteiro, M. F. G., Romio, J. A. F., & Drezett, J. (2021). Is there race/color differential on femicide in Brazil? The inequality of mortality rates for violent causes among white and black women. Journal of Human Growth and Development, 31(2), 358–366. https://doi.org/10.36311/jhgd.v31.12257CrossRef

O'Doherty, L. J., Taft, A., McNair, R., & Hegarty, K. (2016). Fractured identity in the context of intimate partner violence: Barriers to and opportunities for seeking help in health settings. Violence Against Women, 22(2), 225–248. https://doi.org/10.1177/1077801215601248CrossRefPubMed

Phillippi, J., & Lauderdale, J. (2018). A guide to field notes for qualitative research: Context and conversation. Qualitative Health Research, 28(3), 381–388. https://doi.org/10.1177/1049732317697102CrossRefPubMed

Price, M., Yuen, E. K., Goetter, E. M., Herbert, J. D., Forman, E. M., Acierno, R., & Ruggiero, K. J. (2014). mHealth: A mechanism to deliver more accessible, more effective mental health care. Clinical Psychology & Psychotherapy, 21(5), 427–436. https://doi.org/10.1002/cpp.1855CrossRef

Ribeiro, D. (2018). Quem tem medo do feminismo negro? [who is afraid of black feminism?]. Companhia das Letras.

Santos, K., Ribeiro, M. C., Queiroga, D., Silva, I., & Ferreira, S. (2020). The use of multiple triangulations as a validation strategy in a qualitative study. Ciencia & saude coletiva, 25(2), 655–664. https://doi.org/10.1590/1413-81232020252.12302018CrossRef

Signorelli, M. C., Prado, S. M., Ramos, B. P., Silva, V. L. C., & Rocha, R. W. G. (2019). Feasibility study of an online-based decision and safety planning application for Brazilian women living with domestic violence. Paper presented at the SVRI forum and the 6th global conference on violence against women, Cape Town, South Africa. Retrieved from: https://www.svri.org/forums/forum2019/Presentations/Feasibility%20study%20of%20an%20online%20based%20decision%20Signorelli.pdf. Accessed 16 May 2022.

Silva, V. L. C. d., Prado, S. M., & Signorelli, M. C. (2019). Online-based platform to support decision-making and safety planning for women living with domestic violence in Brazil: Theoretical and methodological framework and preliminary results. Guaju - Revista Brasileira de Desenvolvimento Territorial Sustentável, 5(2), 99–113. https://doi.org/10.5380/guaju.v5i2.70501CrossRef

Smith, L., Rosenzweig, L., & Schmidt, M. (2010). Best practices in the reporting of participatory action research: Embracing both the Forest and the trees 1Ψ7. The Counseling Psychologist, 38(8), 1115–1138. https://doi.org/10.1177/0011000010376416CrossRef

Stacey, D., Légaré, F., Col, N. F., Bennett, C. L., Barry, M. J., Eden, K. B., et al. (2017). Decision aids for people facing health treatment or screening decisions. Cochrane Database of Systematic Reviews, 4, CD001431. https://doi.org/10.1002/14651858.CD001431.pub4CrossRefPubMed

Tarzia, L., May, C., & Hegarty, K. (2016b). Assessing the feasibility of a web-based domestic violence intervention using chronic disease frameworks: Reducing the burden of ‘treatment’ and promoting capacity for action in women abused by a partner. BMC Women’s Health, 16(1), 73. https://doi.org/10.1186/s12905-016-0352-0CrossRefPubMedPubMedCentral

Tarzia, L., Murray, E., Humphreys, C., Glass, N., Taft, A., Valpied, J., & Hegarty, K. (2016a). I-DECIDE: An online intervention drawing on the psychosocial readiness model for women experiencing domestic violence. Women’s Health Issues, 26(2), 208–216. https://doi.org/10.1016/j.whi.2015.07.011CrossRefPubMed

Thiollent, M. (2011). Action research and participatory research: An overview. International Journal of Action Research, 7(2), 160–174 Retrieved from: https://nbn-resolving.org/urn:nbn:de:0168-ssoar-414079. Accessed 16 May 2022.

Thiollent, M., & Toledo, R. F. (2012). Participatory methodology and action research in the area of health. International Journal of Action Research, 8(2), 142–158. https://nbn-resolving.org/urn:nbn:de:0168-ssoar-414106. Accessed 16 May 2022.

Udmuangpia, T., Shawong, P., Kammanat, Y., & Bloom, T. (2020). Perspectives of Thai healthcare providers and nursing students on the myPlan app for abused women. Pacific Rim International Journal of Nursing Research, 24(3), 389–402 https://he02.tci-thaijo.org/index.php/PRIJNR/article/view/218381

United Nations (UN). (2016). Sustainable development goal 5: Achieve gender equality and empower all women and girls. Retrieved from: https://www.un.org/sustainabledevelopment/gender-equality/. Accessed 16 May 2022.

Vasconcelos, N. M., Andrade, F. M. D., Gomes, C. S., Pinto, I. V., & Malta, D. C. (2021). Prevalence and factors associated with intimate partner violence against adult women in Brazil: National Survey of health, 2019. Revista Brasileira de Epidemiologia, 24(2), e210020. https://doi.org/10.1590/1980-549720210020.supl.2CrossRefPubMed

Waiselfisz, J. J. (2015). Mapa da violência 2015: Homicídio de mulheres no Brasil [map of violence 2015: Homicide of women in Brazil]. Faculdade Latino-Americana de Ciências Sociais. Retrieved from: http://www.onumulheres.org.br/wp-content/uploads/2016/04/MapaViolencia_2015_mulheres.pdf. Accessed 16 May 2022.

Wanzinack, C., Signorelli, M. C., Shimakura, S., Pereira, P., Polidoro, M., Oliveira, L. B., & Reis, C. (2019). Indigenous homicide in Brazil: Geospatial mapping and secondary data analysis (2010 to 2014). Ciencia & saude coletiva, 24(7), 2637–2648. https://doi.org/10.1590/1413-81232018247.23442017CrossRef

Wanzinack, C., Souza, M. G., Lucchesi, V. O., & Signorelli, M. C. (2020). Homicides of women and girls in the state of Paraná, Brazil: A territorial retrospective analysis from 2014 to 2018. Guaju - Revista Brasileira de Desenvolvimento Territorial Sustentável, 6(2), 140–156. https://doi.org/10.5380/guaju.v6i2.77269CrossRef

World Health Organization (WHO). (2010). Pr eventing intimate partner and sexual violence against women: taking action and generating evidence (Issue 1). Reetrieved from: https://apps.who.int/iris/handle/10665/44350. Accessed 16 May 2022.

World Health Organization (WHO). (2016). Ethical and safety recommendations for intervention research on violence against women: Building on lessons from the WHO publication ‘Putting women first: Ethical and safety recommendations for research on domestic violence against women’. Retrieved from: http://apps.who.int/iris/bitstream/handle/10665/251759/9789241510189-eng.pdf?sequence=1. Accessed 16 May 2022.

World Health Organization (WHO). (2021). Violence against women prevalence estimates, 2018. Global, regional and national prevalence estimates for intimate partner violence against women and global and regional prevalence estimates for non-partner sexual violence against women. Retrieved from: https://www.who.int/publications/i/item/9789240022256. Accessed 16 May 2022.

Wright, E. N., Anderson, J., Phillips, K., & Miyamoto, S. (2021). Help-seeking and barriers to care in intimate partner sexual violence: A systematic review. Trauma, Violence & Abuse, First published online. https://doi.org/10.1177/1524838021998305

Titel: Feasibility of an Online-Based Safety Decision Aid for Brazilian Women Living with Intimate Partner Violence: Findings from Participatory-Action Research in a One Stop Center
verfasst von: Marcos Claudio Signorelli
Vera Lucia Costa da Silva
Dabney P. Evans
Sandra Marques Prado
Nancy Glass
Publikationsdatum: 17.05.2022
Verlag: Springer US
Erschienen in: Journal of Family Violence / Ausgabe 3/2023
Print ISSN: 0885-7482
Elektronische ISSN: 1573-2851
DOI: https://doi.org/10.1007/s10896-022-00409-2

Neu im Fachgebiet Psychiatrie

ADHS-Medikation erhöht das kardiovaskuläre Risiko

16.05.2024 Herzinsuffizienz Nachrichten

Erwachsene, die Medikamente gegen das Aufmerksamkeitsdefizit-Hyperaktivitätssyndrom einnehmen, laufen offenbar erhöhte Gefahr, an Herzschwäche zu erkranken oder einen Schlaganfall zu erleiden. Es scheint eine Dosis-Wirkungs-Beziehung zu bestehen.

Typ-2-Diabetes und Depression folgen oft aufeinander

14.05.2024 Typ-2-Diabetes Nachrichten

Menschen mit Typ-2-Diabetes sind überdurchschnittlich gefährdet, in den nächsten Jahren auch noch eine Depression zu entwickeln – und umgekehrt. Besonders ausgeprägt ist die Wechselbeziehung laut GKV-Daten bei jüngeren Erwachsenen.

Darf man die Behandlung eines Neonazis ablehnen?

08.05.2024 Gesellschaft Nachrichten

In einer Leseranfrage in der Zeitschrift Journal of the American Academy of Dermatology möchte ein anonymer Dermatologe bzw. eine anonyme Dermatologin wissen, ob er oder sie einen Patienten behandeln muss, der eine rassistische Tätowierung trägt.

Spezielles Sportprogramm bei einer Reihe von psychischen Erkrankungen effektiv

08.05.2024 Psychotherapie Nachrichten

Sportliche Betätigung hilft nicht nur bei Depression, sondern auch in Gruppen von Patientinnen und Patienten mit unterschiedlichen psychischen Erkrankungen, wie Insomnie, Panikattacken, Agoraphobie und posttraumatischem Belastungssyndrom. Sie alle profitieren längerfristig.

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Die Highlights vom Kongress des American College of Cardiology 2024

Springer Medizin

Feasibility of an Online-Based Safety Decision Aid for Brazilian Women Living with Intimate Partner Violence: Findings from Participatory-Action Research in a One Stop Center

Abstract

Neu im Fachgebiet Psychiatrie

ADHS-Medikation erhöht das kardiovaskuläre Risiko

Typ-2-Diabetes und Depression folgen oft aufeinander

Darf man die Behandlung eines Neonazis ablehnen?

Spezielles Sportprogramm bei einer Reihe von psychischen Erkrankungen effektiv

Update Psychiatrie

Die Highlights vom Kongress des American College of Cardiology 2024

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 3/2023

Impact of the Domestic Violence Housing First Model on Survivors’ Safety and Housing Stability: Six Month Findings

‘Hey Buddy, Give Me Your Guns:’ Sheriffs’ Officers’ Strategies to Ensure Compliance with Domestic Violence Protective Order Firearm Restrictions

Help-Seeking for Intimate Partner and Family Violence Among Tertiary Students in Australia: Nature, Extent, and Cross-Cultural Differences

A National Survey of Intimate Partner Violence Policy and Practice in U.S. Children’s Hospitals

Child maltreatment, social capital, maternal mental health and duration of program involvement: Assessment from a community-based empowerment program in Kenya

A Family-Focused, Sibling-Synchronous Intervention in Borno State, Nigeria: Exploring the Impact on Family Functioning and Household Gender Roles

Neu im Fachgebiet Psychiatrie

ADHS-Medikation erhöht das kardiovaskuläre Risiko

Typ-2-Diabetes und Depression folgen oft aufeinander

Darf man die Behandlung eines Neonazis ablehnen?

Spezielles Sportprogramm bei einer Reihe von psychischen Erkrankungen effektiv

Update Psychiatrie