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Judith R. L. M. Wolf - One of the best experts on this subject based on the ideXlab platform.
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The effectiveness of critical time intervention for Abused Women leaving Women's shelters: a randomized controlled trial
International journal of public health, 2018Co-Authors: Danielle A. M. Lako, Irene E. Jonker, Mariëlle D. Beijersbergen, Renée De Vet, Daniel B. Herman, Albert M. Van Hemert, Judith R. L. M. WolfAbstract:Objectives To examine the effectiveness of critical time intervention (CTI)—an evidence-based intervention—for Abused Women transitioning from Women’s shelters to community living.
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the effectiveness of critical time intervention for Abused Women leaving Women s shelters a randomized controlled trial
International Journal of Public Health, 2018Co-Authors: Irene E. Jonker, Danielle A. M. Lako, Mariëlle D. Beijersbergen, Renée De Vet, Daniel B. Herman, Albert M. Van Hemert, Judith R. L. M. WolfAbstract:To examine the effectiveness of critical time intervention (CTI)—an evidence-based intervention—for Abused Women transitioning from Women’s shelters to community living. A randomized controlled trial was conducted in nine Women’s shelters across the Netherlands. 136 Women were assigned to CTI (n = 70) or care-as-usual (n = 66). Data were analyzed using intention-to-treat three-level mixed-effects models. Women in the CTI group had significant fewer symptoms of post-traumatic stress (secondary outcome) (adjusted mean difference − 7.27, 95% CI − 14.31 to − 0.22) and a significant fourfold reduction in unmet care needs (intermediate outcome) (95% CI 0.06–0.94) compared to Women in the care-as-usual group. No differences were found for quality of life (primary outcome), re-abuse, symptoms of depression, psychological distress, self-esteem (secondary outcomes), family support, and social support (intermediate outcomes). This study shows that CTI is effective in a population of Abused Women in terms of a reduction of post-traumatic stress symptoms and unmet care needs. Because follow-up ended after the prescribed intervention period, further research is needed to determine the full long-term effects of CTI in this population.
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Appropriate Care for Shelter-Based Abused Women Concept Mapping With Dutch Clients and Professionals
Violence against women, 2014Co-Authors: Irene E. Jonker, Carinda Jansen, Milou G. M. Christians, Judith R. L. M. WolfAbstract:We conducted a concept mapping exercise to gain insight into the perspectives held by Abused Women and professionals with regard to appropriate care in Dutch Women's shelters. Three brainstorming sessions generated 92 statements that were then rated by 56 clients and 51 professionals. A total of 11 clusters were identified. The three most important clusters were "help with finding a safe house if necessary," "safety and suitable care for the children," and "a personalized, respectful approach." The most important statement was "take Women seriously and treat them with respect." The mapping exercise identified key practice-based elements of intervention that should better accommodate the needs of shelter-based Abused Women. We have used these elements in developing a new intervention for shelter-based Abused Women in the Netherlands.
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the effectiveness of critical time intervention for Abused Women and homeless people leaving dutch shelters study protocol of two randomised controlled trials
BMC Public Health, 2013Co-Authors: Danielle A. M. Lako, Mariëlle D. Beijersbergen, Renée De Vet, Daniel B. Herman, Albert M. Van Hemert, Judith R. L. M. WolfAbstract:Background One of the main priorities of Dutch organisations providing shelter services is to develop evidence-based interventions in the care for Abused Women and homeless people. To date, most of these organisations have not used specific intervention models and the interventions which have been implemented rarely have an empirical and theoretical foundation. The present studies aim to examine the effectiveness of critical time intervention (CTI) for Abused Women and homeless people.
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toward needs profiles of shelter based Abused Women a latent class approach
Psychology of Women Quarterly, 2012Co-Authors: Irene E. Jonker, Marit Sijbrandij, Judith R. L. M. WolfAbstract:Shelter-based Abused Women report a variety of needs across different domains (e.g., housing, finances, relationships, health, safety, and empowerment). This diversity of needs underscores the nece...
Jacquelyn C Campbell - One of the best experts on this subject based on the ideXlab platform.
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the effects of intimate partner violence and probable traumatic brain injury on central nervous system symptoms
Journal of Womens Health, 2017Co-Authors: Jacquelyn C Campbell, Jocelyn C Anderson, Akosoa L Mcfadgion, Jessica Gill, Elizabeth K Zink, Michelle Patch, Gloria B Callwood, Doris CampbellAbstract:Abstract Introduction: Abused Women often report a wide range of physical and psychological symptoms that present challenges to providers. Specifically, injuries to the head or strangulation, may initiate neurological changes that contribute to central nervous system (CNS) symptoms. These symptoms are often attributed to mental health diagnoses in this population. The purpose of this analysis is to examine the prevalence of and associations between reported probable traumatic brain injury (TBI) and CNS symptoms in a sample of Women of African descent. Methods: A convenience sample of 901 Women of African descent from Baltimore, MD and the US Virgin Islands, aged 18–55, was used to examine relationships among self-reported intimate partner violence (IPV), TBI, and CNS symptoms. Data were collected via Audio Computer-Assisted Self-Interview. Results: Abused Women who experienced a probable TBI were more likely to report CNS symptoms than those who did not. When controlling for demographics, IPV, and mental ...
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the longitudinal impact of an internet safety decision aid for Abused Women
American Journal of Preventive Medicine, 2017Co-Authors: Nancy Glass, Ginger C Hanson, Jill Theresa Messing, Tina Bloom, Jacquelyn C Campbell, Andrea Carlson Gielen, Amber Clough, Nancy Perrin, James Case, Karen EdenAbstract:Introduction Women experiencing intimate partner violence (IPV) navigate complex, dangerous decisions. Tailored safety information and safety planning, typically provided by domestic violence service providers, can prevent repeat IPV exposure and associated adverse health outcomes; however, few Abused Women access these services. The Internet represents a potentially innovative way to connect Abused Women with tailored safety planning resources and information. The purpose of this study was to compare safety and mental health outcomes at baseline, 6 months, and 12 months among Abused Women randomized to: (1) a tailored, Internet-based safety decision aid; or (2) control website (typical safety information available online). Design Multistate, community-based longitudinal RCT with one-to-one allocation ratio and blocked randomization. Data were collected March 2011–May 2013 and analyzed June–July 2015. Setting/participants Currently Abused Spanish- or English-speaking Women (N=720). Intervention A tailored Internet-based safety decision aid included priority-setting activities, risk assessment, and tailored feedback and safety plans. A control website offered typical safety information available online. Main outcome measures Primary outcomes were decisional conflict, safety behaviors, and repeat IPV; secondary outcomes included depression and post-traumatic stress disorder. Results At 12 months, there were no significant group differences in IPV, depression, or post-traumatic stress disorder. Intervention Women experienced significantly less decisional conflict after one use (β= –2.68, p =0.042) and greater increase in safety behaviors they rated as helpful from baseline to 12 months (12% vs 9%, p =0.033) and were more likely to have left the abuser (63% vs 53%, p =0.008). Women who left had higher baseline risk (14.9 vs 13.1, p =0.003) found more of the safety behaviors they tried helpful (61.1% vs 47.5%, p p =0.001) and sexual IPV (2.41 vs 1.25, p =0.001) than Women who stayed. Conclusions Internet-based safety planning represents a promising tool to reduce the public health impact of IPV.
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use of online safety decision aid by Abused Women effect on decisional conflict in a randomized controlled trial
American Journal of Preventive Medicine, 2015Co-Authors: Karen Eden, Nancy A Perrin, Ginger C Hanson, Jill Theresa Messing, Tina Bloom, Jacquelyn C Campbell, Andrea Carlson Gielen, Amber Clough, Jamie Barneshoyt, Nancy GlassAbstract:BACKGROUND: An Internet safety decision aid was developed to help Abused Women understand their risk for repeat and near-lethal intimate partner violence, clarify priorities related to safety, and develop an action plan customized to these priorities. PURPOSE: To test the effectiveness of a safety decision aid compared with usual safety planning (control) delivered through a secure website, using a multistate RCT design. The paper evaluates the effectiveness of the safety decision aid in reducing decisional conflict after a single use by Abused Women. DESIGN: RCT referred to as Internet Resource for Intervention and Safety (IRIS). SETTING/PARTICIPANTS: Abused Women who spoke English (n=708) were enrolled in a four-state RCT. INTERVENTION: The intervention was an interactive safety decision aid with personalized safety plan; the control condition was usual safety planning resources. Both were delivered to participants through the secure study website. MAIN OUTCOME MEASURES: This paper compares Women's decisional conflict about safety: total decisional conflict and the four subscales of this measure (feeling: uninformed, uncertain, unsupported, and unclear about safety priorities) between intervention/control conditions. Data were collected from March 2011 to May 2013 and analyzed from January to March 2014. RESULTS: Immediately following the first use of the interactive safety decision aid, intervention Women had significantly lower total decisional conflict than control Women, controlling for baseline value of decisional conflict (p=0.002, effect size=0.12). After controlling for baseline values, the safety decision aid group had significantly greater reduction in feeling uncertain (p=0.006, effect size=0.07) and in feeling unsupported (p=0.008, effect size=0.07) about safety than the usual safety planning group. CONCLUSIONS: Abused Women randomized to the safety decision aid reported less decisional conflict about their safety in the abusive intimate relationship after one use compared to Women randomized to the usual safety planning condition. Language: en
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engaging and retaining Abused Women in perinatal home visitation programs
Pediatrics, 2013Co-Authors: Phyllis Sharps, Jeanne L Alhusen, Linda F C Bullock, Shreya Bhandari, Sharon R Ghazarian, Ifeyinwa E Udo, Jacquelyn C CampbellAbstract:OBJECTIVES: Intimate partner violence (IPV) during pregnancy affects 0.9% to 17% of Women and affects maternal health significantly. The impact of IPV extends to the health of children, including an increased risk of complications during pregnancy and the neonatal period, mental health problems, and cognitive delays. Despite substantial sequelae, there is limited research substantiating best practices for engaging and retaining high-risk families in perinatal home visiting (HV) programs, which have been shown to improve infant development and reduce maltreatment. METHODS: The Domestic Violence Enhanced Home Visitation Program (DOVE) is a multistate longitudinal study testing the effectiveness of a structured IPV intervention integrated into health department perinatal HV programs. The DOVE intervention, based on an empowerment model, combined 2 evidence-based interventions: a 10-minute brochure-based IPV intervention and nurse home visitation. RESULTS: Across all sites, 689 referrals were received from participating health departments. A total of 339 Abused pregnant Women were eligible for randomization; 42 Women refused, and 239 Women were randomly assigned (124 DOVE; 115 usual care), resulting in a 71% recruitment rate. Retention rates from baseline included 93% at delivery, 80% at 3 months, 76% at 6 months, and 72% at 12 months. CONCLUSIONS: Challenges for HV programs include identifying and retaining Abused pregnant Women in their programs. DOVE strategies for engaging and retaining Abused pregnant Women should be integrated into HV programs’ federal government mandates for the appropriate identification and intervention of Women and children exposed to IPV.
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a population based survey assessing support for mandatory domestic violence reporting by health care personnel
Women & Health, 2002Co-Authors: Carolyn J Sachs, Jane Koziolmclain, Nel Glass, Daniel W Webster, Jacquelyn C CampbellAbstract:SUMMARY Background: State laws mandating health care personnel to contact police when treating patients injured as a result of domestic violence are controversial. Attitudes toward these laws have been studied in select groups, but never in a large population-based sample. Methods: We measured support for mandatory reporting (MR) among 845 Women in 11 cities who participated in a telephone survey assessing risk factors for intimate partner violence. Abused Women were over-sampled to create equal groups (427 Abused and 418 non-Abused); results are presented stratified by abuse status or weighted based on prevalence of abuse among Women who were screened. Results: The estimated prevalence of physical violence or threat of physical violence from an intimate partner during the past two years was 11.7%; 72% (95% CI = 69%–75%) of Women supported MR. Abused Women were significantly less likely to support MR compared to non-Abused Women (59% versus 73%, p < 0.01). Reasons that endorsed support included: victims w...
Nancy Glass - One of the best experts on this subject based on the ideXlab platform.
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the longitudinal impact of an internet safety decision aid for Abused Women
American Journal of Preventive Medicine, 2017Co-Authors: Nancy Glass, Ginger C Hanson, Jill Theresa Messing, Tina Bloom, Jacquelyn C Campbell, Andrea Carlson Gielen, Amber Clough, Nancy Perrin, James Case, Karen EdenAbstract:Introduction Women experiencing intimate partner violence (IPV) navigate complex, dangerous decisions. Tailored safety information and safety planning, typically provided by domestic violence service providers, can prevent repeat IPV exposure and associated adverse health outcomes; however, few Abused Women access these services. The Internet represents a potentially innovative way to connect Abused Women with tailored safety planning resources and information. The purpose of this study was to compare safety and mental health outcomes at baseline, 6 months, and 12 months among Abused Women randomized to: (1) a tailored, Internet-based safety decision aid; or (2) control website (typical safety information available online). Design Multistate, community-based longitudinal RCT with one-to-one allocation ratio and blocked randomization. Data were collected March 2011–May 2013 and analyzed June–July 2015. Setting/participants Currently Abused Spanish- or English-speaking Women (N=720). Intervention A tailored Internet-based safety decision aid included priority-setting activities, risk assessment, and tailored feedback and safety plans. A control website offered typical safety information available online. Main outcome measures Primary outcomes were decisional conflict, safety behaviors, and repeat IPV; secondary outcomes included depression and post-traumatic stress disorder. Results At 12 months, there were no significant group differences in IPV, depression, or post-traumatic stress disorder. Intervention Women experienced significantly less decisional conflict after one use (β= –2.68, p =0.042) and greater increase in safety behaviors they rated as helpful from baseline to 12 months (12% vs 9%, p =0.033) and were more likely to have left the abuser (63% vs 53%, p =0.008). Women who left had higher baseline risk (14.9 vs 13.1, p =0.003) found more of the safety behaviors they tried helpful (61.1% vs 47.5%, p p =0.001) and sexual IPV (2.41 vs 1.25, p =0.001) than Women who stayed. Conclusions Internet-based safety planning represents a promising tool to reduce the public health impact of IPV.
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use of online safety decision aid by Abused Women effect on decisional conflict in a randomized controlled trial
American Journal of Preventive Medicine, 2015Co-Authors: Karen Eden, Nancy A Perrin, Ginger C Hanson, Jill Theresa Messing, Tina Bloom, Jacquelyn C Campbell, Andrea Carlson Gielen, Amber Clough, Jamie Barneshoyt, Nancy GlassAbstract:BACKGROUND: An Internet safety decision aid was developed to help Abused Women understand their risk for repeat and near-lethal intimate partner violence, clarify priorities related to safety, and develop an action plan customized to these priorities. PURPOSE: To test the effectiveness of a safety decision aid compared with usual safety planning (control) delivered through a secure website, using a multistate RCT design. The paper evaluates the effectiveness of the safety decision aid in reducing decisional conflict after a single use by Abused Women. DESIGN: RCT referred to as Internet Resource for Intervention and Safety (IRIS). SETTING/PARTICIPANTS: Abused Women who spoke English (n=708) were enrolled in a four-state RCT. INTERVENTION: The intervention was an interactive safety decision aid with personalized safety plan; the control condition was usual safety planning resources. Both were delivered to participants through the secure study website. MAIN OUTCOME MEASURES: This paper compares Women's decisional conflict about safety: total decisional conflict and the four subscales of this measure (feeling: uninformed, uncertain, unsupported, and unclear about safety priorities) between intervention/control conditions. Data were collected from March 2011 to May 2013 and analyzed from January to March 2014. RESULTS: Immediately following the first use of the interactive safety decision aid, intervention Women had significantly lower total decisional conflict than control Women, controlling for baseline value of decisional conflict (p=0.002, effect size=0.12). After controlling for baseline values, the safety decision aid group had significantly greater reduction in feeling uncertain (p=0.006, effect size=0.07) and in feeling unsupported (p=0.008, effect size=0.07) about safety than the usual safety planning group. CONCLUSIONS: Abused Women randomized to the safety decision aid reported less decisional conflict about their safety in the abusive intimate relationship after one use compared to Women randomized to the usual safety planning condition. Language: en
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feasibility of an online safety planning intervention for rural and urban pregnant Abused Women
Nursing Research, 2014Co-Authors: Tina Bloom, Nancy Glass, James Case, Courtney Wright, Kimberly Nolte, Lindsay ParsonsAbstract:BACKGROUND: Intimate partner violence (IPV) in pregnancy is common and harmful to maternal-child health. Safety planning is the gold standard for intervention, but most Abused Women never access safety planning. Pregnant Women may face increased barriers to safety planning and risk of severe IPV, particularly if they are also rural residents. Internet-based safety planning interventions may be useful, but no such interventions specific to the needs of pregnant Women have been developed. OBJECTIVES: The aim was to evaluate feasibility (usability, safety, and acceptability) of Internet-based safety planning for rural and urban Abused pregnant Women and practicality of recruitment procedures for future trials. METHODS: An existing Internet-based safety decision aid for pregnant and postpartum Women was adapted; initial content validity was established with survivors of IPV, advocates, and national IPV experts; and a convenience sample of community-dwelling Abused pregnant Women was recruited and randomized into two groups to test the decision aid. RESULTS: Fifty-nine participants were enrolled; 46 completed the baseline session, 41% of whom (n = 19) resided in nonmetropolitan counties. Participants' average gestational age was 20.2 weeks, and 28.3% resided with the abusive partner. Participants reported severe IPV at baseline (mean Danger Assessment score of 16.1), but all were able to identify a safe computer, and 73.9% completed the baseline session in less than 1 week, with no adverse events reported. DISCUSSION: These findings provide preliminary evidence for the feasibility, acceptability, and safety of an Internet-based safety decision aid for urban and rural Abused pregnant Women. Language: en
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patterns of workplace supervisor support desired by Abused Women
Journal of Interpersonal Violence, 2011Co-Authors: Nancy Perrin, Ginger C Hanson, Nanette L Yragui, Nancy GlassAbstract:The purpose of this study was to understand differences in patterns of supervisor support desired by female victims of intimate partner violence (IPV) and to examine whether the pattern of support desired at work is reflective of a woman’s stage of change in the abusive relationship, IPV-related work interference, and IPV-related job reprimands or job loss. We conducted interviews in Spanish or English with adult Women working in low-income jobs who had been physically or sexually Abused by an intimate partner/ ex-partner in the past year ( N = 133). Cluster analysis revealed three distinct clusters that form a hierarchy of type of support wanted: those who desired limited support; those who desired confidential, time-off, and emotional support; and those who desired support in wide variety of ways from their supervisor. The clusters appeared to reflect stages of behavior change in an abusive relationship. Specifically, the limited-support cluster may represent an early precontemplation stage, with Women ...
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patterns of workplace supervisor support desired by Abused Women
Journal of Interpersonal Violence, 2011Co-Authors: Nancy Perrin, Ginger C Hanson, Nanette L Yragui, Nancy GlassAbstract:The purpose of this study was to understand differences in patterns of supervisor support desired by female victims of intimate partner violence (IPV) and to examine whether the pattern of support desired at work is reflective of a woman's stage of change in the abusive relationship, IPV-related work interference, and IPV-related job reprimands or job loss. We conducted interviews in Spanish or English with adult Women working in low-income jobs who had been physically or sexually Abused by an intimate partner/ ex-partner in the past year ( N = 133). Cluster analysis revealed three distinct clusters that form a hierarchy of type of support wanted: those who desired limited support; those who desired confidential, time-off, and emotional support; and those who desired support in wide variety of ways from their supervisor. The clusters appeared to reflect stages of behavior change in an abusive relationship. Specifically, the limited-support cluster may represent an early precontemplation stage, with Women reporting the least interference with work. The support-in-every-way cluster may represent later stages of change, in which Women are breaking away from the abusive partner and report the greatest interference with work. Women in the confidential-, time-off-, and emotional-support cluster are in a transition stage in which they are considering change and are exploring options in their abusive relationship. Understanding the hierarchy of the type of support desired, and its relationship to stages of change in the abusive relationship and work interference, may provide a strong foundation for developing appropriate and effective workplace interventions to guide supervisors in providing support to Women experiencing IPV.
Irene E. Jonker - One of the best experts on this subject based on the ideXlab platform.
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The effectiveness of critical time intervention for Abused Women leaving Women's shelters: a randomized controlled trial
International journal of public health, 2018Co-Authors: Danielle A. M. Lako, Irene E. Jonker, Mariëlle D. Beijersbergen, Renée De Vet, Daniel B. Herman, Albert M. Van Hemert, Judith R. L. M. WolfAbstract:Objectives To examine the effectiveness of critical time intervention (CTI)—an evidence-based intervention—for Abused Women transitioning from Women’s shelters to community living.
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the effectiveness of critical time intervention for Abused Women leaving Women s shelters a randomized controlled trial
International Journal of Public Health, 2018Co-Authors: Irene E. Jonker, Danielle A. M. Lako, Mariëlle D. Beijersbergen, Renée De Vet, Daniel B. Herman, Albert M. Van Hemert, Judith R. L. M. WolfAbstract:To examine the effectiveness of critical time intervention (CTI)—an evidence-based intervention—for Abused Women transitioning from Women’s shelters to community living. A randomized controlled trial was conducted in nine Women’s shelters across the Netherlands. 136 Women were assigned to CTI (n = 70) or care-as-usual (n = 66). Data were analyzed using intention-to-treat three-level mixed-effects models. Women in the CTI group had significant fewer symptoms of post-traumatic stress (secondary outcome) (adjusted mean difference − 7.27, 95% CI − 14.31 to − 0.22) and a significant fourfold reduction in unmet care needs (intermediate outcome) (95% CI 0.06–0.94) compared to Women in the care-as-usual group. No differences were found for quality of life (primary outcome), re-abuse, symptoms of depression, psychological distress, self-esteem (secondary outcomes), family support, and social support (intermediate outcomes). This study shows that CTI is effective in a population of Abused Women in terms of a reduction of post-traumatic stress symptoms and unmet care needs. Because follow-up ended after the prescribed intervention period, further research is needed to determine the full long-term effects of CTI in this population.
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Appropriate Care for Shelter-Based Abused Women Concept Mapping With Dutch Clients and Professionals
Violence against women, 2014Co-Authors: Irene E. Jonker, Carinda Jansen, Milou G. M. Christians, Judith R. L. M. WolfAbstract:We conducted a concept mapping exercise to gain insight into the perspectives held by Abused Women and professionals with regard to appropriate care in Dutch Women's shelters. Three brainstorming sessions generated 92 statements that were then rated by 56 clients and 51 professionals. A total of 11 clusters were identified. The three most important clusters were "help with finding a safe house if necessary," "safety and suitable care for the children," and "a personalized, respectful approach." The most important statement was "take Women seriously and treat them with respect." The mapping exercise identified key practice-based elements of intervention that should better accommodate the needs of shelter-based Abused Women. We have used these elements in developing a new intervention for shelter-based Abused Women in the Netherlands.
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toward needs profiles of shelter based Abused Women a latent class approach
Psychology of Women Quarterly, 2012Co-Authors: Irene E. Jonker, Marit Sijbrandij, Judith R. L. M. WolfAbstract:Shelter-based Abused Women report a variety of needs across different domains (e.g., housing, finances, relationships, health, safety, and empowerment). This diversity of needs underscores the nece...
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Toward needs profiles of shelter-based Abused Women: a latent class approach.
Psychology of Women Quarterly, 2011Co-Authors: Irene E. Jonker, Marit Sijbrandij, Judith R. L. M. WolfAbstract:Shelter-based Abused Women report a variety of needs across different domains (e.g., housing, finances, relationships, health, safety, and empowerment). This diversity of needs underscores the necessity for different types of services. In the current study, the authors constructed profiles of Dutch shelter-based Abused Women (N = 218) based on their reported needs. Further, the authors compared their needs profiles with respect to sociodemographic and social–economic characteristics, abuse type, symptoms of depression and posttraumatic stress disorder (PTSD), general life satisfaction, social support, self-efficacy, self-esteem, and the attuning of the shelter services to the needs reported. Latent class analysis (LCA) identified four needs profiles: a High Needs class, a Practical Needs class, an Empowerment Needs class, and a Low Needs class. The classes differed with respect to migration, mental health, well-being variables, and the attuning of care needs. The results of this study underline the necess...
Danielle A. M. Lako - One of the best experts on this subject based on the ideXlab platform.
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The effectiveness of critical time intervention for Abused Women leaving Women's shelters: a randomized controlled trial
International journal of public health, 2018Co-Authors: Danielle A. M. Lako, Irene E. Jonker, Mariëlle D. Beijersbergen, Renée De Vet, Daniel B. Herman, Albert M. Van Hemert, Judith R. L. M. WolfAbstract:Objectives To examine the effectiveness of critical time intervention (CTI)—an evidence-based intervention—for Abused Women transitioning from Women’s shelters to community living.
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the effectiveness of critical time intervention for Abused Women leaving Women s shelters a randomized controlled trial
International Journal of Public Health, 2018Co-Authors: Irene E. Jonker, Danielle A. M. Lako, Mariëlle D. Beijersbergen, Renée De Vet, Daniel B. Herman, Albert M. Van Hemert, Judith R. L. M. WolfAbstract:To examine the effectiveness of critical time intervention (CTI)—an evidence-based intervention—for Abused Women transitioning from Women’s shelters to community living. A randomized controlled trial was conducted in nine Women’s shelters across the Netherlands. 136 Women were assigned to CTI (n = 70) or care-as-usual (n = 66). Data were analyzed using intention-to-treat three-level mixed-effects models. Women in the CTI group had significant fewer symptoms of post-traumatic stress (secondary outcome) (adjusted mean difference − 7.27, 95% CI − 14.31 to − 0.22) and a significant fourfold reduction in unmet care needs (intermediate outcome) (95% CI 0.06–0.94) compared to Women in the care-as-usual group. No differences were found for quality of life (primary outcome), re-abuse, symptoms of depression, psychological distress, self-esteem (secondary outcomes), family support, and social support (intermediate outcomes). This study shows that CTI is effective in a population of Abused Women in terms of a reduction of post-traumatic stress symptoms and unmet care needs. Because follow-up ended after the prescribed intervention period, further research is needed to determine the full long-term effects of CTI in this population.
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the effectiveness of critical time intervention for Abused Women and homeless people leaving dutch shelters study protocol of two randomised controlled trials
BMC Public Health, 2013Co-Authors: Danielle A. M. Lako, Mariëlle D. Beijersbergen, Renée De Vet, Daniel B. Herman, Albert M. Van Hemert, Judith R. L. M. WolfAbstract:Background One of the main priorities of Dutch organisations providing shelter services is to develop evidence-based interventions in the care for Abused Women and homeless people. To date, most of these organisations have not used specific intervention models and the interventions which have been implemented rarely have an empirical and theoretical foundation. The present studies aim to examine the effectiveness of critical time intervention (CTI) for Abused Women and homeless people.