PT - JOURNAL ARTICLE AU - Michele R Decker AU - Shannon N Wood AU - Zaynab Hameeduddin AU - S Rachel Kennedy AU - Nancy Perrin AU - Catherine Tallam AU - Irene Akumu AU - Irene Wanjiru AU - Ben Asira AU - Ariel Frankel AU - Benjamin Omondi AU - James Case AU - Amber Clough AU - Richard Otieno AU - Morris Mwiti AU - Nancy Glass TI - Safety decision-making and planning mobile app for intimate partner violence prevention and response: randomised controlled trial in Kenya AID - 10.1136/bmjgh-2019-002091 DP - 2020 Jul 01 TA - BMJ Global Health PG - e002091 VI - 5 IP - 7 4099 - http://gh.bmj.com/content/5/7/e002091.short 4100 - http://gh.bmj.com/content/5/7/e002091.full SO - BMJ Global Health2020 Jul 01; 5 AB - Introduction Intimate partner violence (IPV) threatens women’s health and safety globally, yet services remain underdeveloped and inaccessible. Technology-based resources exist, however, few have been adapted and tested in low-resource settings. We evaluate the efficacy of a community-partnered technology solution: culturally and linguistically adapted version of the myPlan app, a tailored safety decision-making and planning intervention, administrated by trained lay professionals.Methods This randomised, controlled, participant-blinded superiority trial compares safety-related outcomes at baseline, immediate post intervention and 3-month follow-up among women at risk of and experiencing IPV in Nairobi, Kenya. Women were randomised (1:1 ratio) to: (1) myPlan Kenya (intervention); or (2) standard IPV referrals (control). Primary outcomes were safety preparedness, safety behaviour and IPV; secondary outcomes include resilience, mental health, service utilisation and self-blame.Results Between April 2018 and October 2018, 352 participants (n=177 intervention, n=175 control) were enrolled and randomly assigned; 312 (88.6%, n=157 intervention, n=155 control) were retained at 3 months. Intervention participants demonstrated immediate postintervention improvement in safety preparedness relative to control participants (p=0.001). At 3 months, intervention participants reported increased helpfulness of safety strategies used relative to control participants (p=0.004); IPV reduced in both groups. Among women reporting the highest level of IPV severity, intervention participants had significant increase in resilience (p<0.01) compared with controls, and significantly decreased risk for lethal violence (p<0.01).Conclusions Facilitated delivery of a technology-based safety intervention appropriately adapted to the context demonstrates promise in improving women’s IPV-related health and safety in a low-resource, urban setting.Trial registration number Pan African Clinical Trial Registry (PACTR201804003321122).