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Trial registered on ANZCTR
Registration number
ACTRN12612000708853
Ethics application status
Approved
Date submitted
19/06/2012
Date registered
3/07/2012
Date last updated
6/11/2015
Type of registration
Prospectively registered
Titles & IDs
Public title
Internet-based Intervention to Improve Mental Health Outcomes for Abused Women
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Scientific title
For women currently experiencing intimate partner violence the effectiveness of an Internet-based safety decision aid intervention compared to Internet-based resources only to improve mental health outcomes and reduce exposure to repeat violence
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Secondary ID [1]
280699
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Nil
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Universal Trial Number (UTN)
Nil
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Trial acronym
isafe
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Partner Violence
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Condition category
Condition code
Mental Health
287037
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0
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Depression
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Public Health
287038
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0
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Other public health
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Injuries and Accidents
287071
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0
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Other injuries and accidents
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Women will have access to an online intervention website for a period of 12 months. Women will be directed to the website at measurement points (baseline and 3, 6 and 12 months post-randomisation) and invited to access at her discretion throughout the year. Components of the website include: safety-seeking behaviours, safety decision priorities, danger assessment, and a personalised safety action plan. The website provides automated, individualised feedback about decision priorities and level of danger. The woman develops a tailored action plan with community resources and tips about safety for her and her children.
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Intervention code [1]
285117
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Behaviour
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Comparator / control treatment
Women will have access to the online control website for a period of 12 months. Women will be directed to the website at measurement points (baseline and 3, 6 and 12 months post-randomisation) and invited to access at her discretion throughout the year. The website includes a resource list with a range of internet and community resources (e.g., Women’s Refuge, It’s Not OK, mental health services, legal services, housing, drug and alcohol treatment, child health, batterer intervention programmes, and general health and welfare services). Resources are not individualised to the safety needs of the woman.
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Control group
Active
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Outcomes
Primary outcome [1]
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Depression assessed using the Center for Epidemiologic Studies Depression Scale, Revised (CESD-R)
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Assessment method [1]
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Timepoint [1]
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Primary endpoint 1: CESD-R at 12 months after randomisation
Other timepoints: baseline and at 3 and 6 months after randomisation.
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Primary outcome [2]
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Violence assessed using the Severity Violence Against Women Scale (SVAWS)
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Assessment method [2]
287372
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Timepoint [2]
287372
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Primary endpoint 1: SVAWS at 12 months after randomisation
Other timepoints: baseline and at 3 and 6 months after randomisation
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Secondary outcome [1]
298015
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PTSD Checklist, Civilian Version
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Assessment method [1]
298015
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Timepoint [1]
298015
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baseline and at 6 and 12 months after randomisation
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Secondary outcome [2]
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Women's Experiences with Battering
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Assessment method [2]
298016
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Timepoint [2]
298016
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baseline and at 6 and 12 months after randomisation
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Secondary outcome [3]
298017
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Alcohol Use Disorder Identification Test (AUDIT)
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Assessment method [3]
298017
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Timepoint [3]
298017
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baseline and at 6 and 12 months after randomisation
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Secondary outcome [4]
298018
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Drug Abuse Screening Tool (DAST-10)
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Assessment method [4]
298018
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Timepoint [4]
298018
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baseline and at 6 and 12 months after randomisation
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Secondary outcome [5]
298019
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Decisional Conflict Scale
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Assessment method [5]
298019
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Timepoint [5]
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baseline and at 3, 6 and 12 months after randomisation
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Secondary outcome [6]
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Safety Checklist (adapted from Sullivan et al 1999; Parker et al, 1999; and McFarlane et al 2004)
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Assessment method [6]
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Timepoint [6]
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baseline and at 3, 6 and 12 months after randomisation
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Secondary outcome [7]
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Danger Assessment (Campbell, 2003)
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Assessment method [7]
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Timepoint [7]
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baseline and 12 months after randomisation
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Eligibility
Key inclusion criteria
1. women
2. at least 16 years of age
3. in a current relationship (with a male or female)
4. experiencing partner abuse within in the past 6 months including:
(a) hit, kicked, punched, chocked or otherwise physically hurt;
(b) forced into sexual activities or coerced into sexual activities with threats;
(c) threatened to harm physically; or
(d) feel unsafe
5. live in New Zealand
6. safe computer and internet access
7. safe email address
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Minimum age
16
Years
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Maximum age
No limit
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Male, unable to understand English, unable to use computer.
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Study design
Purpose of the study
Educational / counselling / training
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Participants enrol online and those who meet entry criteria are randomised to one of two groups. Allocation is automatically computer generated centrally. The randomisation algorithm uses two random factors in addition to a stratified block scheme. These random factors greatly reduce the predictability of the next random allocation thereby promoting concealment.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Participants will be randomised using a minimisation scheme with two stratification factors (severity of violence and children) and 2 random factors each with 2 equiprobable levels. Severity of violence factor is dichotomous, based on one positive response to the current intimate partner violence eligibility items versus two or more. The children factor is also dichotomous, the woman having one or more children versus none. The computerised randomisation is merged with the online application system so that eligible applicants are automatically assigned.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
20/08/2012
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Actual
17/09/2012
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Date of last participant enrolment
Anticipated
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Actual
20/08/2014
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
340
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Accrual to date
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Final
412
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Recruitment outside Australia
Country [1]
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New Zealand
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State/province [1]
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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Health Research Council of New Zealand
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Address [1]
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110 Stanley Street
Auckland 1010
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Country [1]
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New Zealand
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Primary sponsor type
University
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Name
Interdisciplinary Trauma Research Centre, Auckland University of Technology
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Address
Auckland University of Technology
Private Bag 92006
Auckland 1142
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Country
New Zealand
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
284322
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Country [1]
284322
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Auckland University of Technology Ethics Committee (AUTEC)
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Ethics committee address [1]
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AUTEC Auckland University of Technology Private Bag 92006 Auckland 1142
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Ethics committee country [1]
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New Zealand
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Date submitted for ethics approval [1]
287481
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Approval date [1]
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12/03/2012
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Ethics approval number [1]
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AUTEC 12/51
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Summary
Brief summary
The problem of intimate partner violence (IPV) and its mental health effects on women are significant in New Zealand. Our overall goal is to develop culturally appropriate and accessible interventions for women that limit IPV and its negative consequences. One of the most widely recommended intervention is safety planning. A safety decision aid, weighing the dangers of leaving or staying in a relationship, gives women the opportunity to prioritise and plan safety for themselves and their children. Using an experimental design, we will test the effectiveness of an interactive Internet-based safety decision aid. 340 abused women will be assigned by chance in equal numbers to either a safety decision aid intervention or control website. Women will be asked to self-report online their decisional conflict related to an abusive relationship, their safety-seeking behaviours, mental health and exposure to repeat violence when they start the trial and 3, 6, and 12-months later.
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Trial website
isafe.aut.ac.nz
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Prof Jane Koziol-McLain
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Address
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Auckland University of Technology
Private Bag 92006
Auckland 1142
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Country
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New Zealand
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Phone
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+64 9 921 9670
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Christine McLean
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Address
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Interdisciplinary Trauma Research Centre
Auckland University of Technology
Private Bag 92006
Auckland 1142
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Country
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New Zealand
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Phone
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+64,9,921 9999,7114
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Fax
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+64,9,921 9796
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Email
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[email protected]
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Contact person for scientific queries
Name
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Professor Jane Koziol-McLain
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Address
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Interdisciplinary Trauma Research Centre
Auckland University of Technology
Private Bag 92006
Auckland 1142
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Country
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New Zealand
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Phone
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+ 64, 9, 921 9670
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Fax
8510
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+64, 9, 921 9796
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
A web-based intervention for abused women: the New Zealand isafe randomised controlled trial protocol.
2015
https://dx.doi.org/10.1186/s12889-015-1395-0
Embase
Participant Recruitment and Engagement in Automated eHealth Trial Registration: Challenges and Opportunities for Recruiting Women Who Experience Violence.
2016
Embase
Efficacy of a Web-Based Safety Decision Aid for Women Experiencing Intimate Partner Violence: Randomized Controlled Trial.
2018
https://dx.doi.org/10.2196/jmir.8617
N.B. These documents automatically identified may not have been verified by the study sponsor.
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