Dissemination and Implementation of a Web-based Relationship Safety App, myPlanKenya, for Women at Risk for Intimate Partner Violence in Nairobi, Kenya

Johns Hopkins Bloomberg School of Public Health440 enrolled

Overview

This effectiveness-implementation hybrid-3 study evaluates dissemination, implementation, and effectiveness of myPlanKenya. myPlanKenya will be disseminated through formal and informal sectors. This clinical trial portion of the study enrolls women at risk for intimate partner violence (IPV) who are referred to myPlanKenya by disseminators (i.e. "end-users"). This trial aims to evaluate the effectiveness of myPlanKenya referral on resilience, health and safety among a cohort of women referred to myPlanKenya based on disclosure of IPV or assessed to have IPV related risks.

Study Type

INTERVENTIONAL

Allocation

Purpose

PREVENTION

Masking

NONE

Enrollment

440

Conditions

Violence, Domestic Violence, Sexual Violence, Gender-Based

Interventions

The myPlan Kenya app is a web-based safety planning tool that is secure, private, free and personalized to the user. The app includes multiple, evidence-based modules: Strategies (safety strategies tailored to the user's needs and violence experience); Resources (referrals to local health, safety and justice resources and services); About You (questionnaires that help the user assess their relationship safety and tailor their Strategies, including My Relationship, Red Flags, My Safety, My Priorities); Understanding (knowledge sections that share information on relationships and violence, including Healthy Relationships, Harmful Beliefs About Abuse, About Violence).

Eligibility

Sex: FEMALEMin age: 16 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Female * Age 16 or older * Physical or sexual partner violence or relationship-based fears within the past six months; behaviorally assessed * Living in Nairobi, Kenya with no plans to move in the next 12 months * Access to a safe smart phone or computer (personal or shared), and comfort using it to access the myPlan Kenya app * Literate in English or Swahili languages; confirmed by reading and completing a short passage by filling in several blanks with the appropriate words, selected from a drop-down menu. Exclusion Criteria: * Male * Under age 16 * Have not experienced physical or sexual partner violence or relationship-based fears in past 6 months * Lives outside of the study area or plans to move within the next 12 months * Does not have access to a safe smart phone or computer, or is uncomfortable using it to access the myPlan Kenya app * Illiterate in English or Swahili languages

Outcomes

Primary Outcomes

Change in decisional conflict

12-item pre-intervention and 10-item post-intervention decisional conflict measures (specific to safety), assessed using a 5-point Likert scale (0-4). Items are scored from 0-60 pre-intervention and 0-50 post-intervention, with higher scores indicating higher lower decisional conflict and lower scores indicating higher decisional conflict.