Perspectives of Thai Healthcare Providers and Nursing Students on the myPlan App for Abused Women
Keywords:
Abuse, violence against women, perceptions, healthcare providers, ThailandAbstract
Intimate partner violence is common in Thailand. The myPlan app (www. myplanapp.org) is an individualized, evidence-based safety planning decision aid for abused women. The aim of this study was to explore the perspectives of Thai providers working with abused women regarding the potential usefulness and feasibility of app-based interventions in the Thai context. We conducted an exploratory qualitative study in a province in northeast Thailand. Using a semi-structured interview guide, we conducted Thai-language focus groups and interviews with a convenience sample of service providers, health providers, and nursing students. These lasted 90-120 minutes and were recorded, transcribed verbatim, and analyzed qualitatively.
There were 67 participants (seven focus groups and one in-depth interview). Overall, participants described app-based interventions as likely being appropriate for Thai culture, aligned with Thai government policy and resources, and having potential to help abuse survivors. Internet access in rural areas was an area of concern, as was the readiness of health and social service providers to respond to survivors and the effectiveness of referral systems. In conclusion, participants view app-based safety planning as largely possible and feasible in the Thai context. Future research is needed to include survivors’ perspectives on myPlan app, as well as on culturally-specific, evidence-based risk assessment and safety planning for Thai survivors to inform and tailor of adapting the myPlan app. Mixed-methods and longitudinal research is needed for future research.
References
Breiding M, Basile KC, Smith SG, Black MC, Mahendra RR. Intimate partner violence surveillance: Uniform definitions and recommended data elements. Version 2.0. 2015.
World Health Organization. Responding to Intimate PArtner Violence and Sexual Violence against women: WHO Clinical and Policy Guidelines. 2013.
Al-Natour A, Gillespie G, Felblinger D, Wang L. Jordanian nurses› barriers to screening for intimate partner violence. Violence Against Women. 2014;20(12):1473-88.
Djikanovic B, Celik H, Simic S, Matejic B, Cucic V. Health professionals› perceptions of intimate partner violence against women in Serbia: opportunities and barriers for response improvement. Patient Education and Counselling. 2010;80(1): 88-93.
World Health Organization. WHO Multi-country Study on Women's Health and Domestic Violence against Women: initial results on prevalence, health outcomes and women's responses. 2005.
Mekrungruengkul. Briefing Report: Women in Thailand. Berlin. 2011.
Henriette JH. 2017 Regional Snapshot: Women Who Experience Intimate Partner violence: 2000 – 2017. UNFPA Asia and the Pacific Region. 2017.
Saito A, Creedy D, Cooke M, Chaboyer W. Effect of Intimate Partner Violence on Antenatal Functional Health Status of Childbearing Women in Northeastern Thailand. Health Care for Women International. 2013;34(9):757-74.
Devries KM, Mak JY, Bacchus LJ, Child JC, Falder G, Petzold M, et al. Intimate partner violence and incident depressive symptoms and suicide attempts: a systematic review of longitudinal studies. PLoS Medicine. 2013; 10(5):e1001439.
Peltzer K, Pengpid S. Associations between intimate partner violence, depression, and suicidal behavior among women attending antenatal and general outpatients hospital services in Thailand. Nigerian. Journal of Clinical Practice. 2017;20(7):892-9.
Davies J. Advocacy beyond leaving. San Francisco: Family Violence Prevention Fund. 2009.
Davies J, Lyon E, Monti-Catania D. Safety planning with battered women: Complex lives/difficult choices: Sage; 1998.
Miller E, McCaw B, Humphreys BL, Mitchell C. Integrating Intimate Partner Violence Assessment and Intervention into Healthcare in the United States: A Systems Approach. Journal of Women›s Health. 2015;24(1):92-9.
Ramsay J, Rutterford C, Gregory A, Dunne D, Eldridge S, Sharp D, et al. Domestic violence: knowledge, attitudes, and clinical practice of selected UK primary healthcare clinicians. British Journal of General Practice. 2012; 62(602):e647-e55.
Sriyothin S, Maneesri K. The mediating effect of adult attachment on the relation between childhood experiences and intimate partner perpetration and victimization in Thailand. Asian Social Science.2017;13(2):e75-e.
Han CK, Resurreccion BP. Struggling alone: Gender, migration and domestic violence among Thai women in Bangkok. Asian Journal of Women's Studies. 2008 Jan 1;14(1):34-71.
Sricamsuk A. Domestic violence against pregnant women: A Thai perspective: Griffith University; 2006.
Rujiraprasert N, Sripichyakan K, Kantaruksa K, Baosoung C, Kushner KE. Disclosure of wife abuse among Northeastern Thai women. Thai Journal of Nursing Research. 2009; 13(4):332-46.
Alvarez C, Fedock G, Grace KT, Campbell JC. Provider screening and counseling for intimate partner violence: a systematic review of practices and influencing factors. Trauma, Violence, & Abuse. 2017;18(5):479-95.
World Health Organization. mHealth: new horizons for health through mobile technologies. mHealth: new horizons for health through mobile technologies. 2011.
Nation U. mHealth for development: The opportunity of mobile technology for healthcare in developing world, United Nation foundation & Vadfone foundation. 2009.
Export.gov. Thailand - Telecommunications [Online]. 2019 [cited 2020 January 6]. Available from: https://www. export.gov/article?id=Thailand-telecommunications.
Stats IW. Asia Marketing Research, Internet Usage, Population Statistics and Facebook Subscribers 2019 [Available from: https://www.internetworldstats.com/asia.htm.
Eden KB, Perrin NA, Hanson GC, Messing JT, Bloom TL, Campbell JC, et al. Use of online safety decision aid by abused women: effect on decisional conflict in a randomized controlled trial. American Journal of Preventive Medicine. 2015;48(4):372-83.
Glass NE, Perrin NA, Hanson GC, Bloom TL, Messing JT, Clough AS, et al. The Longitudinal Impact of an Internet Safety Decision Aid for Abused Women. American Journal of Preventive Medicine. 2017;52(5):606-15.
Glass N, Eden KB, Bloom T, Perrin N. Computerized aid improves safety decision process for survivors of intimate partner violence. Journal of Interpersonal Violence. 2010;25(11):1947-64.
Campbell JC, Webster DW, Glass N. The danger assessment: Validation of a lethality risk assessment instrument for intimate partner femicide. Journal of Interpersonal Violence. 2009;24(4):653-74.
Bloom T, Gielen A, Glass N. Developing an app for college women in abusive same-sex relationships and their friends. Journal of Homosexuality. 2016;63(6):855-74.
Buus N, Juel A, Haskelberg H, Frandsen H, Larsen JLS, River J, et al. User involvement in developing the MYPLAN mobile phone safety plan app for people in suicidal crisis: case study. Journal of Medical Internet Research Mental Health. 2019;6(4):e11965.
Glass NE, Perrin NA, Hanson GC, Bloom TL, Messing JT, Clough AS, et al. The longitudinal impact of an internet safety decision aid for abused women. American Journal of Preventive Medicine. 2017;52(5):606-15.
Sandelowski M. Whatever happened to qualitative description?. Research in Nursing & Health. 2000 Aug;23(4):334-40.
Maxwell JA. Qualitative research design: An interactive approach: Sage publications; 2012.
Stacey D, Legare F, Col NF, Bennett CL, Barry MJ, Eden KB, et al. Decision aids for people facing health treatment or screening decisions. The Cochrane Database of Systematic Reviews. 2014(1):Cd001431.
Jones C, Pimdee P. Innovative ideas: Thailand 4.0 and the fourth industrial revolution. Asian International Journal of Social Sciences. 2017;17(1):4-35.
Malisuwan S, Kaewphanuekrungsi W. “Analysis of Mobile Telecommunications Market in Thailand”. International Journal of Management (IJM). 2015;6(12):01-10.
Pratumgul W, Sa-ngiamvibool W. The prototype of computer-assisted for screening and identifying severity of diabetic retinopathy automatically from color fundus images for mhealth system in Thailand. Procedia Computer Science. 2016;86:457-60.
Group MM. Asia Marketing Research, Internet Usage, Population Statistics and Facebook Subscribers: Thailand. 2018.
International Trade Association USDoC. Thailand -- Telecommunications.
Grisurapong S. Establishing a one-stop crisis center for women suffering violence in Khonkaen hospital, Thailand. International Journal of Gynecology & Obstetrics. 2002;78:S27-S38.
Alvarez C, Debnam K, Clough A, Alexander K, Glass NE. Responding to intimate partner violence: Healthcare providers› current practices and views on integrating a safety decision aid into primary care settings. Research in Nursing & Health. 2018;41(2):145-55.
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