PDF(Pubmed)
Abstract：
BACKGROUND: Globally, approximately 1 in 3 women experience intimate partner violence (IPV) in their lifetime. Brain injury (BI) is a common, yet often unrecognized, consequence of IPV. BIs caused by IPV tend to be mild, occur repetitively over the course of months or years, are remote in time, and result in chronic symptoms. Similar to BI from other causes, therapeutic treatment for women with IPV-caused BI (IPV-BI) is crucial to help resolve any physical or cognitive impairments, enhance the quality of life (QoL), and minimize longer-term neurodegeneration.
OBJECTIVE: This study aims to investigate the feasibility and efficacy of a community support network (CSN) rehabilitation intervention regarding its impact on resiliency, QoL, and neurocognitive function.
METHODS: In this pre- and postexperimental design, women (aged 18 to 50 years) who are survivors of IPV and IPV-BI will be recruited from various community organizations serving survivors of IPV. Exclusion criteria will include current pregnancy and any diagnosed neurological disorder known to affect cerebrovascular, neurocognitive, or sensorimotor function. A CSN rehabilitation intervention that includes aerobic exercise, cognitive training, mindfulness meditation, and counseling will be administered. A trauma-informed approach will be integrated into the design and implementation of the program. Furthermore, the program will include a participant navigator who will provide trauma- and violence-informed advocacy and systems navigation support to participants, in addition to facilitating a monthly peer support group. The intervention will be provided for 2.5 hours a day and 2 days a week for 3 months. Participants will complete psychological assessments and provide clinic-demographic information in the first assessment. In the second (before intervention), third (after intervention), and fourth (at follow-up) sessions, they will complete tests of resiliency, QoL, and neurocognition. The estimated sample size is 100. The objective of this study will be accomplished by quantitatively measuring resiliency, QoL, and neurocognition before and immediately after the intervention. A follow-up assessment will occur 3 months after the completion of the intervention to evaluate the maintenance of any improvements in function. One-way ANOVAs will be used to evaluate the intervention outcome across the testing times. Relationships among various variables will be explored using regression analysis.
RESULTS: We anticipate that the CSN rehabilitation intervention will be effective in improving resiliency, QoL, and neurocognitive function in women who have experienced IPV-BI. Furthermore, we anticipate that this intervention will be feasible in terms of study recruitment, adherence, and retention.
CONCLUSIONS: The CSN rehabilitation intervention will have a positive impact on resiliency, QoL, and neurocognitive functions in survivors of IPV-BI. Subsequently, a comparative study will be conducted by recruiting a control group receiving usual care.
UNASSIGNED: PRR1-10.2196/54605.
OBJECTIVE: This study aims to investigate the feasibility and efficacy of a community support network (CSN) rehabilitation intervention regarding its impact on resiliency, QoL, and neurocognitive function.
METHODS: In this pre- and postexperimental design, women (aged 18 to 50 years) who are survivors of IPV and IPV-BI will be recruited from various community organizations serving survivors of IPV. Exclusion criteria will include current pregnancy and any diagnosed neurological disorder known to affect cerebrovascular, neurocognitive, or sensorimotor function. A CSN rehabilitation intervention that includes aerobic exercise, cognitive training, mindfulness meditation, and counseling will be administered. A trauma-informed approach will be integrated into the design and implementation of the program. Furthermore, the program will include a participant navigator who will provide trauma- and violence-informed advocacy and systems navigation support to participants, in addition to facilitating a monthly peer support group. The intervention will be provided for 2.5 hours a day and 2 days a week for 3 months. Participants will complete psychological assessments and provide clinic-demographic information in the first assessment. In the second (before intervention), third (after intervention), and fourth (at follow-up) sessions, they will complete tests of resiliency, QoL, and neurocognition. The estimated sample size is 100. The objective of this study will be accomplished by quantitatively measuring resiliency, QoL, and neurocognition before and immediately after the intervention. A follow-up assessment will occur 3 months after the completion of the intervention to evaluate the maintenance of any improvements in function. One-way ANOVAs will be used to evaluate the intervention outcome across the testing times. Relationships among various variables will be explored using regression analysis.
RESULTS: We anticipate that the CSN rehabilitation intervention will be effective in improving resiliency, QoL, and neurocognitive function in women who have experienced IPV-BI. Furthermore, we anticipate that this intervention will be feasible in terms of study recruitment, adherence, and retention.
CONCLUSIONS: The CSN rehabilitation intervention will have a positive impact on resiliency, QoL, and neurocognitive functions in survivors of IPV-BI. Subsequently, a comparative study will be conducted by recruiting a control group receiving usual care.
UNASSIGNED: PRR1-10.2196/54605.
摘要：
背景：在全球范围内，大约三分之一的女性在一生中经历亲密伴侣暴力(IPV)。脑损伤(BI)是一种常见的，但往往无法识别，IPV的后果。由IPV引起的BI倾向于轻度，在几个月或几年的过程中重复发生，时间遥远，并导致慢性症状。类似于其他原因的BI，对患有IPV引起的BI（IPV-BI）的女性进行治疗对于帮助解决任何身体或认知障碍至关重要，提高生活质量(QoL)，并尽量减少长期的神经变性。
目的：本研究旨在探讨社区支持网络（CSN）康复干预对弹性的影响的可行性和有效性。QoL,和神经认知功能。
方法：在此实验前和实验后设计中，IPV和IPV-BI幸存者的女性(18至50岁)将从为IPV幸存者提供服务的各种社区组织中招募.排除标准将包括当前怀孕和任何已知影响脑血管的神经疾病，神经认知，或感觉运动功能。CSN康复干预，包括有氧运动，认知训练,正念冥想，和咨询将被管理。创伤知情的方法将被整合到该计划的设计和实施中。此外，该计划将包括一名参与者导航员，他将为参与者提供基于创伤和暴力的宣传和系统导航支持，除了促进每月同行支持小组。干预将提供每天2.5小时，每周2天，为期3个月。参与者将完成心理评估，并在第一次评估中提供临床人口统计信息。在第二次(干预前)，第三（干预后），和第四次(后续)会议，他们将完成弹性测试，QoL,和神经认知。估计样本量为100。本研究的目的将通过定量测量弹性来实现，QoL,以及干预前后的神经认知。完成干预后3个月将进行随访评估，以评估功能的任何改善的维持情况。单向ANOVA将用于评估整个测试时间的干预结果。将使用回归分析来探索各种变量之间的关系。
结果：我们预计CSN康复干预将有效提高弹性，QoL,经历过IPV-BI的女性的神经认知功能。此外，我们预计这项干预措施在招募研究方面将是可行的，坚持,和保留。
结论：CSN康复干预将对弹性产生积极影响，QoL,IPV-BI幸存者的神经认知功能。随后，将通过招募接受常规护理的对照组进行比较研究。
■PRR1-10.2196/54605。
目的：本研究旨在探讨社区支持网络（CSN）康复干预对弹性的影响的可行性和有效性。QoL,和神经认知功能。
方法：在此实验前和实验后设计中，IPV和IPV-BI幸存者的女性(18至50岁)将从为IPV幸存者提供服务的各种社区组织中招募.排除标准将包括当前怀孕和任何已知影响脑血管的神经疾病，神经认知，或感觉运动功能。CSN康复干预，包括有氧运动，认知训练,正念冥想，和咨询将被管理。创伤知情的方法将被整合到该计划的设计和实施中。此外，该计划将包括一名参与者导航员，他将为参与者提供基于创伤和暴力的宣传和系统导航支持，除了促进每月同行支持小组。干预将提供每天2.5小时，每周2天，为期3个月。参与者将完成心理评估，并在第一次评估中提供临床人口统计信息。在第二次(干预前)，第三（干预后），和第四次(后续)会议，他们将完成弹性测试，QoL,和神经认知。估计样本量为100。本研究的目的将通过定量测量弹性来实现，QoL,以及干预前后的神经认知。完成干预后3个月将进行随访评估，以评估功能的任何改善的维持情况。单向ANOVA将用于评估整个测试时间的干预结果。将使用回归分析来探索各种变量之间的关系。
结果：我们预计CSN康复干预将有效提高弹性，QoL,经历过IPV-BI的女性的神经认知功能。此外，我们预计这项干预措施在招募研究方面将是可行的，坚持,和保留。
结论：CSN康复干预将对弹性产生积极影响，QoL,IPV-BI幸存者的神经认知功能。随后，将通过招募接受常规护理的对照组进行比较研究。
■PRR1-10.2196/54605。
