Safety-promoting behaviors of community-dwelling abused Chinese women after an advocacy intervention: A randomized controlled trial

Journal Article

Objective: To examine the effect of an advocacy intervention on the use of safety-promoting behaviors in community-dwelling abused Chinese women as compared to a control condition of usual care. Design: This efficacy trial used a randomized controlled, parallel group design. Participants and methods: A total of 200 Chinese women in a community setting who screened positive for intimate partner violence using the Chinese version of the Abuse Assessment Screen were randomized to receive either an advocacy intervention (intervention group, . n=. 100) or usual community care (control group, . n=. 100). The outcome measured was the change in the self-reported safety-promoting behaviors as measured by the Safety-promoting Behavior Checklist over three time-points (baseline, 3-month follow-up and 9-month follow-up). Participants and assessors were blinded to the study hypothesis. Assessors were further blinded to the group membership of the participants. Results: The Safety-promoting Behavior Checklist scores in the intervention group increased from the baseline on average by 5.65 (95% confidence interval [CI], 4.92-6.39) at 3-month and 6.65 (95% CI, 5.90-7.39) at 9-month follow-ups, while the scores in the control group also increased by 1.71 (95% CI, 1.06-2.37) at 3-month and 1.79 (95% CI, 1.15-2.43) at 9-month follow-ups. After adjusting for baseline differences, the between-group differences in scores were significant at 3-month and 9-month follow-ups (. p=. 0.04). The intervention group increased the scores by 3.61 (95% CI, 2.61-4.61, . p<. 0.001) more than the control group at 3-month and by 4.53 (95% CI, 3.53-5.53, . p<. 0.001) at 9-month follow-ups. Conclusion: An advocacy intervention is efficacious in increasing the use of safety-promoting behaviors as compared to usual community care in community-dwelling abused Chinese women. © 2011 Elsevier Ltd.

Full Text

Duke Authors

Cited Authors

  • Tiwari, A; Fong, DYT; Wong, JYH; Yuen, K; Yuk, H; Pang, P; Humphreys, J; Bullock, L

Published Date

  • 2012

Published In

Volume / Issue

  • 49 / 6

Start / End Page

  • 645 - 655

PubMed ID

  • 22227168

International Standard Serial Number (ISSN)

  • 0020-7489

Digital Object Identifier (DOI)

  • 10.1016/j.ijnurstu.2011.12.005