Cargando…

Intimate Partner Violence and Electronic Health Interventions: Systematic Review and Meta-Analysis of Randomized Trials

BACKGROUND: Intimate partner violence (IPV) is a major public health concern. eHealth interventions may reduce exposure to violence and health-related consequences as the technology provides a safe and flexible space for the target population. However, the evidence is unclear. OBJECTIVE: The goal of...

Descripción completa

Detalles Bibliográficos
Autores principales: Linde, Ditte S, Bakiewicz, Aleksandra, Normann, Anne Katrine, Hansen, Nina Beck, Lundh, Andreas, Rasch, Vibeke
Formato: Online Artículo Texto
Lenguaje:English
Publicado: JMIR Publications 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7762681/
https://www.ncbi.nlm.nih.gov/pubmed/33306030
http://dx.doi.org/10.2196/22361
_version_ 1783627863669342208
author Linde, Ditte S
Bakiewicz, Aleksandra
Normann, Anne Katrine
Hansen, Nina Beck
Lundh, Andreas
Rasch, Vibeke
author_facet Linde, Ditte S
Bakiewicz, Aleksandra
Normann, Anne Katrine
Hansen, Nina Beck
Lundh, Andreas
Rasch, Vibeke
author_sort Linde, Ditte S
collection PubMed
description BACKGROUND: Intimate partner violence (IPV) is a major public health concern. eHealth interventions may reduce exposure to violence and health-related consequences as the technology provides a safe and flexible space for the target population. However, the evidence is unclear. OBJECTIVE: The goal of the review is to examine the effect of eHealth interventions compared with standard care on reducing IPV, depression, and posttraumatic stress disorder (PTSD) among women exposed to IPV. METHODS: We searched EMBASE, MEDLINE, Cochrane Central Register of Controlled Trials, PsycInfo, Scopus, Global Health Library, ClinicalTrials.gov, and International Clinical Trials Registry Platform for published and unpublished trials from inception until April 2019. Trials with an eHealth intervention targeting women exposed to violence were included. We assessed risk of bias using the Cochrane Risk of Bias Tool. Trials that reported effect estimates on overall IPV; physical, sexual, and psychological violence; depression; or posttraumatic stress disorder were included in meta-analyses. RESULTS: A total of 14 trials were included in the review; 8 published trials, 3 unpublished trials and 3 ongoing trials. Of the 8 published trials, 2 were judged as overall low risk of bias trials. The trials reported 23 types of outcomes, and 7 of the trials had outcomes that were eligible for meta-analyses. Our pooled analyses found no effect of eHealth interventions on any of our prespecified outcomes: overall IPV (SMD –0.01; 95% CI –0.11 to 0.08; I(2)=0%; 5 trials, 1668 women); physical violence (SMD 0.01; 95% CI –0.22 to 0.24; I(2)=58%; 4 trials, 1128 women); psychological violence (SMD 0.07; 95% CI –0.12 to 0.25; I(2)=40%; 4 trials, 1129 women); sexual violence (MD 0.36; 95% CI –0.18 to 0.91; I(2)=0%; 2 trials, 1029 women); depression (SMD –0.13; 95% CI –0.37 to 0.11; I(2)=78%; 5 trials, 1600 women); and PTSD (MD –0.11; 95% CI –1.04 to 0.82; I(2)=0%; 5 trials, 1267 women). CONCLUSIONS: There is no evidence from randomized trials of a beneficial effect of eHealth interventions on IPV. More high-quality trials are needed, and we recommend harmonizing outcome reporting in IPV trials by establishing core outcome sets. TRIAL REGISTRATION: PROSPERO International Prospective Register of Systematic Reviews CRD42019130124; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=130124
format Online
Article
Text
id pubmed-7762681
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher JMIR Publications
record_format MEDLINE/PubMed
spelling pubmed-77626812020-12-29 Intimate Partner Violence and Electronic Health Interventions: Systematic Review and Meta-Analysis of Randomized Trials Linde, Ditte S Bakiewicz, Aleksandra Normann, Anne Katrine Hansen, Nina Beck Lundh, Andreas Rasch, Vibeke J Med Internet Res Review BACKGROUND: Intimate partner violence (IPV) is a major public health concern. eHealth interventions may reduce exposure to violence and health-related consequences as the technology provides a safe and flexible space for the target population. However, the evidence is unclear. OBJECTIVE: The goal of the review is to examine the effect of eHealth interventions compared with standard care on reducing IPV, depression, and posttraumatic stress disorder (PTSD) among women exposed to IPV. METHODS: We searched EMBASE, MEDLINE, Cochrane Central Register of Controlled Trials, PsycInfo, Scopus, Global Health Library, ClinicalTrials.gov, and International Clinical Trials Registry Platform for published and unpublished trials from inception until April 2019. Trials with an eHealth intervention targeting women exposed to violence were included. We assessed risk of bias using the Cochrane Risk of Bias Tool. Trials that reported effect estimates on overall IPV; physical, sexual, and psychological violence; depression; or posttraumatic stress disorder were included in meta-analyses. RESULTS: A total of 14 trials were included in the review; 8 published trials, 3 unpublished trials and 3 ongoing trials. Of the 8 published trials, 2 were judged as overall low risk of bias trials. The trials reported 23 types of outcomes, and 7 of the trials had outcomes that were eligible for meta-analyses. Our pooled analyses found no effect of eHealth interventions on any of our prespecified outcomes: overall IPV (SMD –0.01; 95% CI –0.11 to 0.08; I(2)=0%; 5 trials, 1668 women); physical violence (SMD 0.01; 95% CI –0.22 to 0.24; I(2)=58%; 4 trials, 1128 women); psychological violence (SMD 0.07; 95% CI –0.12 to 0.25; I(2)=40%; 4 trials, 1129 women); sexual violence (MD 0.36; 95% CI –0.18 to 0.91; I(2)=0%; 2 trials, 1029 women); depression (SMD –0.13; 95% CI –0.37 to 0.11; I(2)=78%; 5 trials, 1600 women); and PTSD (MD –0.11; 95% CI –1.04 to 0.82; I(2)=0%; 5 trials, 1267 women). CONCLUSIONS: There is no evidence from randomized trials of a beneficial effect of eHealth interventions on IPV. More high-quality trials are needed, and we recommend harmonizing outcome reporting in IPV trials by establishing core outcome sets. TRIAL REGISTRATION: PROSPERO International Prospective Register of Systematic Reviews CRD42019130124; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=130124 JMIR Publications 2020-12-11 /pmc/articles/PMC7762681/ /pubmed/33306030 http://dx.doi.org/10.2196/22361 Text en ©Ditte S Linde, Aleksandra Bakiewicz, Anne Katrine Normann, Nina Beck Hansen, Andreas Lundh, Vibeke Rasch. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 11.12.2020. https://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in the Journal of Medical Internet Research, is properly cited. The complete bibliographic information, a link to the original publication on http://www.jmir.org/, as well as this copyright and license information must be included.
spellingShingle Review
Linde, Ditte S
Bakiewicz, Aleksandra
Normann, Anne Katrine
Hansen, Nina Beck
Lundh, Andreas
Rasch, Vibeke
Intimate Partner Violence and Electronic Health Interventions: Systematic Review and Meta-Analysis of Randomized Trials
title Intimate Partner Violence and Electronic Health Interventions: Systematic Review and Meta-Analysis of Randomized Trials
title_full Intimate Partner Violence and Electronic Health Interventions: Systematic Review and Meta-Analysis of Randomized Trials
title_fullStr Intimate Partner Violence and Electronic Health Interventions: Systematic Review and Meta-Analysis of Randomized Trials
title_full_unstemmed Intimate Partner Violence and Electronic Health Interventions: Systematic Review and Meta-Analysis of Randomized Trials
title_short Intimate Partner Violence and Electronic Health Interventions: Systematic Review and Meta-Analysis of Randomized Trials
title_sort intimate partner violence and electronic health interventions: systematic review and meta-analysis of randomized trials
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7762681/
https://www.ncbi.nlm.nih.gov/pubmed/33306030
http://dx.doi.org/10.2196/22361
work_keys_str_mv AT lindedittes intimatepartnerviolenceandelectronichealthinterventionssystematicreviewandmetaanalysisofrandomizedtrials
AT bakiewiczaleksandra intimatepartnerviolenceandelectronichealthinterventionssystematicreviewandmetaanalysisofrandomizedtrials
AT normannannekatrine intimatepartnerviolenceandelectronichealthinterventionssystematicreviewandmetaanalysisofrandomizedtrials
AT hansenninabeck intimatepartnerviolenceandelectronichealthinterventionssystematicreviewandmetaanalysisofrandomizedtrials
AT lundhandreas intimatepartnerviolenceandelectronichealthinterventionssystematicreviewandmetaanalysisofrandomizedtrials
AT raschvibeke intimatepartnerviolenceandelectronichealthinterventionssystematicreviewandmetaanalysisofrandomizedtrials