Cutshall 2019.
Study characteristics | ||
Methods |
Design: RCT Unit of randomisation: not reported |
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Participants |
Healthcare provider: newly‐licensed mental health professionals, such as licensed clinical social workers; licensed professional counsellors; licensed marriage and family therapists; licensed clinical psychologists Other: N/A Location/Setting: online delivery to healthcare providers at home or the office in the USA Sample size: n = 53 (intervention group n = 26, control group n = 27) Number of withdrawals/dropouts: nil Sex: 20 men, 31 women, 2 non‐binary Mean age: 7 = 20 ‐ 29 years; 29 = 30 ‐ 39 years; 11 = 40 ‐ 49 years; 5 = 50 ‐ 59 years; 1 = 60 ‐ 69 years Inclusion criteria: less than 5 years clinical experience, have treated at least 1 victim of IPV Exclusion criteria: if healthcare provider had any additional/specialised coursework in trauma practice of IPV or sexual violence outside of the graduate programme, licensed longer than 5 years |
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Interventions |
Intervention (n = 26): online only, interactive web‐based IPV and sexual violence training; total of 15 hours (3 x 5‐hour sessions offered over 3 consecutive weeks); 3 modules (module 1: introduction to IPV and rape culture ‐ definitions, prevalence, myths; module 2: marginalised populations (e.g. children, military); and module 3: knowledge of IPV and sexual violence reporting, rape culture, consent, advocacy skills, confidence levels in providing therapeutic intervention and follow‐up care) Control (n = 27): wait‐list |
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Outcomes |
Primary outcomes
Secondary outcomes: not reported Timing of outcome assessment: 1 follow‐up at 4 weeks after baseline |
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Notes |
Study start date: not reported Study end date: not reported Funding source: not reported Conflicts of interest: not reported |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Quote: "A waitlist‐controlled design was used, and participants were randomized into either the educational intervention group (15‐hour training) or the waitlist control group”. (p 49) |
Allocation concealment (selection bias) | Unclear risk | Comment: no information provided on allocation. |
Blinding of participants and personnel (performance bias) All outcomes | High risk |
Comment: High risk of performance bias as outcomes were self‐reported and participants were aware of allocation status Quote: "Participants who met inclusion criteria were informed that they would be randomly assigned to either one of two treatment groups”. (p 61) |
Blinding of outcome assessment (detection bias) All outcomes | Low risk |
Comment: self‐reported outcomes used Quote: “I administered a pre‐test using the following outcome measures: the personal assessment for advocates working with victims of sexual violence and the PREMIS previously noted.” (p 62) |
Incomplete outcome data (attrition bias) All outcomes | Low risk | Quote: "Adherence to the waitlist control, educational training intervention, post‐test, and questionnaires was at 100% adherence and retention in both the initial intervention group and the waitlist intervention group.” (p 68) |
Selective reporting (reporting bias) | Low risk | Comment: all relevant outcomes from the Methods section were reported in the Results section of the study |
Other bias | Low risk | Comment: no other risks identified |