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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

BACKGROUND: Domestic violence shares many features with chronic disease, including ongoing physical and mental health problems and eroded self-efficacy. Given the challenges around help-seeking for women experiencing domestic violence, it is essential that they be given support to ‘self-manage’ thei...

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Autores principales: Tarzia, Laura, May, Carl, Hegarty, Kelsey
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5122198/
https://www.ncbi.nlm.nih.gov/pubmed/27881163
http://dx.doi.org/10.1186/s12905-016-0352-0
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author Tarzia, Laura
May, Carl
Hegarty, Kelsey
author_facet Tarzia, Laura
May, Carl
Hegarty, Kelsey
author_sort Tarzia, Laura
collection PubMed
description BACKGROUND: Domestic violence shares many features with chronic disease, including ongoing physical and mental health problems and eroded self-efficacy. Given the challenges around help-seeking for women experiencing domestic violence, it is essential that they be given support to ‘self-manage’ their condition. The growing popularity of web-based applications for chronic disease self-management suggests that there may be opportunities to use them as an intervention strategy for women experiencing domestic violence, however, as yet, little is known about whether this might work in practice. DISCUSSION: It is critical that interventions for domestic violence—whether web-based or otherwise—promote agency and capacity for action rather than adding to the ‘workload’ of already stressed and vulnerable women. Although randomised controlled trials are vital to determine the effectiveness of interventions, robust theoretical frameworks can complement them as a way of examining the feasibility of implementing an intervention in practice. To date, no such frameworks have been developed for the domestic violence context. Consequently, in this paper we propose that it may be useful to appraise interventions for domestic violence using frameworks developed to help understand the barriers and facilitators around self-management of chronic conditions. Using a case study of an online healthy relationship tool and safety decision aid developed in Australia (I-DECIDE), this paper adapts and applies two theories: Burden of Treatment Theory and Normalisation Process Theory, to assess whether the intervention might increase women’s agency and capacity for action. In doing this, it proposes a new theoretical model with which the practical application of domestic violence interventions could be appraised in conjunction with other evaluation frameworks. SUMMARY: This paper argues that theoretical frameworks for chronic disease are appropriate to assess the feasibility of implementing interventions for domestic violence in practice. The use of the modified Burden of Treatment/Normalisation Process Theory framework developed in this paper strengthens the case for I-DECIDE and other web-based applications as a way of supporting women experiencing domestic violence.
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spelling pubmed-51221982016-11-30 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 Tarzia, Laura May, Carl Hegarty, Kelsey BMC Womens Health Debate BACKGROUND: Domestic violence shares many features with chronic disease, including ongoing physical and mental health problems and eroded self-efficacy. Given the challenges around help-seeking for women experiencing domestic violence, it is essential that they be given support to ‘self-manage’ their condition. The growing popularity of web-based applications for chronic disease self-management suggests that there may be opportunities to use them as an intervention strategy for women experiencing domestic violence, however, as yet, little is known about whether this might work in practice. DISCUSSION: It is critical that interventions for domestic violence—whether web-based or otherwise—promote agency and capacity for action rather than adding to the ‘workload’ of already stressed and vulnerable women. Although randomised controlled trials are vital to determine the effectiveness of interventions, robust theoretical frameworks can complement them as a way of examining the feasibility of implementing an intervention in practice. To date, no such frameworks have been developed for the domestic violence context. Consequently, in this paper we propose that it may be useful to appraise interventions for domestic violence using frameworks developed to help understand the barriers and facilitators around self-management of chronic conditions. Using a case study of an online healthy relationship tool and safety decision aid developed in Australia (I-DECIDE), this paper adapts and applies two theories: Burden of Treatment Theory and Normalisation Process Theory, to assess whether the intervention might increase women’s agency and capacity for action. In doing this, it proposes a new theoretical model with which the practical application of domestic violence interventions could be appraised in conjunction with other evaluation frameworks. SUMMARY: This paper argues that theoretical frameworks for chronic disease are appropriate to assess the feasibility of implementing interventions for domestic violence in practice. The use of the modified Burden of Treatment/Normalisation Process Theory framework developed in this paper strengthens the case for I-DECIDE and other web-based applications as a way of supporting women experiencing domestic violence. BioMed Central 2016-11-24 /pmc/articles/PMC5122198/ /pubmed/27881163 http://dx.doi.org/10.1186/s12905-016-0352-0 Text en © The Author(s). 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Debate
Tarzia, Laura
May, Carl
Hegarty, Kelsey
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
title 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
title_full 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
title_fullStr 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
title_full_unstemmed 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
title_short 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
title_sort 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
topic Debate
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5122198/
https://www.ncbi.nlm.nih.gov/pubmed/27881163
http://dx.doi.org/10.1186/s12905-016-0352-0
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