Development and testing of a smartphone-delivered climate adaptation and IPV and related stress intervention for residents of informal settlements in Kenya using ecological momentary approaches

使用生态瞬时方法为肯尼亚非正规住区居民开发和测试智能手机提供的气候适应和 IPV 及相关压力干预措施

• 批准号: 10740006
• 负责人: Christine Wayua Musyimi
• 金额: $ 14.35万
• 依托单位: AFRICA MENTAL HEALTH FOUNDATION
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-18 至 2025-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10740006
• 关键词: Anxiety; Area; Behavior; Behavior Therapy; Cause of Death; Cellular Phone; Climate; Collection; Communities; Data; Development; Ecological momentary assessment; Emotional Stress; Environment; Event; Evidence based intervention; Exclusion; Face; Female; Floods; Foundations; Frequencies; Geography; Goals; Harm Reduction; Health Services Accessibility; Health behavior; Heat Waves; Household; Housing; Industrialization; Infrastructure; Interpersonal Violence; Intervention; Kenya; Land Tenure; Legal; Mental Depression; Mental Health; Modeling; Morbidity - disease rate; Outcome; Participant; Personal Satisfaction; Persons; Phase; Politics; Population; Post-Traumatic Stress Disorders; Poverty; Precipitation; Probability Samples; Rain; Randomized; Randomized, Controlled Trials; Reporting; Research; Resources; Risk; Risk Reduction; Safety; Sanitation; Seasons; Secure; Self Efficacy; Services; Site; Social Work; Social support; Stress; Structure; Surveys; Survivors; Temperature; Testing; Time; Violence; Water; Weather; Well in self; Wing; Woman; Women' s Health; Work; anxiety reduction; assessment application; behavior change; behavioral response; climate adaptation; climate change; climate impact; computerized; cost; design; digital assessment; empowerment; evidence base; experience; extreme weather; feasibility testing; food insecurity; interpersonal conflict; intimate partner violence; low and middle-income countries; low income country; marginalization; mobile application; mortality; participant retention; physical conditioning; pilot test; response; smartphone application; social; spelling; tool; wasting

PROJECT SUMMARY Climate change (CC) and related weather events are expected to impact intimate partner violence (IPV). Women in informal settlements in lower- and middle-income countries (LMICs) are more likely to be experiencing IPV, less likely to have access to services, and more vulnerable to the effects of CC and related extreme weather events (EWEs). Despite the potential impacts of CC on IPV, strategies to adapt to CC in these settlements, i.e., reducing the consequences of mounting climate challenges, have overlooked violence-related outcomes. In particular, there is a paucity of interventions to help residents of informal settlements experiencing IPV to adapt to or minimize the impact of CC on their safety and well-being. The purpose of this exploratory/developmental R21/R33 study is to develop and test the preliminary efficacy of a smartphone-delivered climate adaptation safety and harm reduction intervention for women experiencing IPV in informal settlements in Kenya using ecological momentary intervention (EMI) and ecological momentary assessment (EMA). We will achieve this goal through the following aims: R21: Aim 1 is to develop and pilot a smartphone-based application to collect real-time EMA information about IPV experiences, emotional stress, IPV self-efficacy, receipt of IPV-related social support and services, safety, climate-related comfort, social and environmental context, and current behaviors from 320 IPV survivors in informal settlements. Participants will complete EMAs thrice daily for a two-week baseline period and for two-weeks following three common types of EWEs (heatwave, cold spell, heavy rainfall). R21: Aim 2: is to use AIM 1 data to explore important, but understudied associations between climate and IPV. R33: Aim 1 is to adapt an evidence-based Wings of hope intervention (WINGS) for integration into the EMA application developed in the R21 study. R33: Aim 2 is to test the feasibility and preliminary efficacy of the event-triggered WINGS-based EMI adapted in R33: Aim 1 through a randomized control trial (RCT). Participants retained from the R21 phase (n=272), will be randomized to receive either a single-session, mobile version of WINGS (n=136) or the event-triggered, WINGS-based EMI adapted in R33: Aim 1 (n=136). For nine months, participants assigned to the event-triggered EMI will be prompted to participate in daily EMIs for two-weeks following EWEs. They will also be prompted to complete daily EMAs during these two-week periods. All participants, regardless of assignment, will be asked to complete digital assessments at baseline, immediately following receipt of the single-session of WINGS, and at 3-, 6-, and 12-months. The goals of this study are: to provide women with a low-cost, accessible, smartphone-based tool that empowers them to develop, utilize, and revise personal safety and harm reduction strategies that are specifically responsive to climate-related IPV and to provide survivors with interventions in real-time. Findings could support a low-cost, sustainable, and easily adaptable climate adaptation and IPV response application and implementation model for informal settlements or other under- resourced settings, globally.

项目摘要 气候变化（CC）和相关天气事件有望影响亲密的伴侣暴力（IPV）。女性 在中低收入国家（LMIC）的非正式定居点中，更有可能经历IPV， 不太可能获得服务，并且更容易受到CC和相关极端天气的影响 事件（母羊）。尽管CC对IPV产生了潜在的影响，但在这些定居点中适应CC的策略，即 减少了安越气候挑战的后果，忽略了与暴力有关的结果。在 特别是，干预措施很少，可以帮助居民进行IPV的非正式定居点以适应 或最大程度地减少CC对其安全和福祉的影响。此探索/发展的目的 R21/R33研究是为了开发和测试智能手机提供的气候适应安全性的初步功效 以及使用生态学的妇女在肯尼亚非正式定居点中经历IPV的妇女的损害减少干预措施 瞬时干预（EMI）和生态瞬时评估（EMA）。我们将通过 以下目的：R21：AIM 1是开发和试行基于智能手机的应用程序以收集实时EMA 有关IPV体验，情绪压力，IPV自我效能感，与IPV相关的社会支持的信息 服务，安全性，与气候相关的舒适感，社会和环境环境以及320 IPV的当前行为 非正式定居点的幸存者。参与者将在为期两周的基准期间每天完成EMAS三次 对于两个普通母羊类型的两周（热浪，寒冷，大雨）。 R21：目标2：是 使用AIM 1数据来探索气候和IPV之间重要但研究研究的关联。 R33：AIM 1是 调整基于循证的希望干预（WINGS）以集成到EMA应用程序的翅膀 在R21研究中开发。 R33：AIM 2是测试事件触发的可行性和初步功效 基于机翼的EMI通过R33：AIM 1通过随机对照试验（RCT）进行了调整。参与者保留了 R21阶段（n = 272），将随机分配以接收单次移动版本的机翼（n = 136） 或事件触发的基于机翼的EMI改编在R33中：AIM 1（n = 136）。九个月，参与者 分配给事件触发的EMI将被提示参加母羊之后的两周的日常EMI。 还将在这两周的时间内提示他们每天完成EMAS。所有参与者，无论如何 任务，将要求在基线完成数字评估，并在收到收到后立即 翅膀的单条，在3，6，6个月和12个月中。这项研究的目标是：为妇女提供 低成本，可访问的，基于智能手机的工具，可以使它们能够开发，利用和修订人身安全 以及对与气候相关的IPV有专门响应并为幸存者提供的危害减少策略 实时干预。调查结果可以支持低成本，可持续和易于适应的气候 适应和IPV响应申请和实施模型，用于非正式和解或其他不足 全球资源设置。