Efficacy of a Computerized Intervention on HIV and Intimate Partner Violence Among Substance-Using Women in Community Corrections: A Randomized Controlled Trial

Am J Public Health. 2016 Jul;106(7):1278-86. doi: 10.2105/AJPH.2016.303119. Epub 2016 Apr 14.

Abstract

Objectives: To test the efficacy of a computerized, group-based HIV and intimate partner violence (IPV) intervention on reducing IPV victimization among substance-using women mandated to community corrections.

Methods: Between November 2009 and January 2012, we randomly allocated 306 women from community corrections in New York City to 3 study arms of a computerized HIV and IPV prevention trial: (1) 4 group sessions intervention with computerized self-paced IPV prevention modules (Computerized Women on the Road to Health [WORTH]), (2) traditional HIV and IPV prevention intervention group covering the same HIV and IPV content as Computerized WORTH without computers (Traditional WORTH), and (3) a Wellness Promotion control group. Primary outcomes were physical, injurious, and sexual IPV victimization in the previous 6 months at 12-month follow-up.

Results: Computerized WORTH participants reported significantly lower risk of physical IPV victimization, severe injurious IPV victimization, and severe sexual IPV victimization at 12-month follow-up when compared with control participants. No significant differences were seen between Traditional WORTH and control participants for any IPV outcomes.

Conclusions: The efficacy of Computerized WORTH across multiple IPV outcomes highlights the promise of integrating computerized, self-paced IPV prevention modules in HIV prevention groups.

Publication types

  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Crime Victims
  • Female
  • HIV Infections / epidemiology
  • HIV Infections / prevention & control*
  • Health Promotion / organization & administration*
  • Humans
  • Intimate Partner Violence / prevention & control*
  • Intimate Partner Violence / statistics & numerical data
  • Middle Aged
  • New York City / epidemiology
  • Prisons / organization & administration*
  • Risk Factors
  • Sexual Behavior / statistics & numerical data
  • Single-Blind Method
  • Socioeconomic Factors
  • Spouse Abuse / prevention & control*
  • Spouse Abuse / statistics & numerical data
  • Substance-Related Disorders / epidemiology*