Exploring the Feasibility of Text Messaging Intervention in Intimate Partner Violence


Introduction: Intimate Partner Violence (IPV) is defined as controlling, abusive, and aggressive behavior in a romantic relationship. Women between the ages 16 and 24 experience the highest rate of IPV. IPV costs US society at least $13.6 billion annually and is expected to rise to $15.6 billion by 2021. The purpose of this study is to explore the feasibility of Text Messaging Intervention (TMI) in recognizing, responding and preventing IPV among college students. The research questions are: Will TMI 1) improve participant knowledge of warning signs of IPV? (Knowledge) and 2) improve participant confidence to intervene in IPV? (Confidence). Methods: A mixed methods design in data collection and data analysis was used. One-way ANOVA and Chi-square test were used to analyze quantitative data from the pre and post TMI survey. Results of the qualitative data analysis are included verbatim. Results: Results showed that knowledge level pre to post test increased from 2.00 ± 1.00 to 2.7 ± 0.48 (p < 0.001) and confidence level pre to post test increased from 2.89 ± 0.60 to 3.30 ± 0.68 (p < 0.001). Conclusions: Further research is needed in evaluating the feasibility and effectiveness of IPV prevention programs that uses mobile devices to create the best optimal health outcomes.

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Constantino, R. , Wu, L. , de la Cruz, D. , Burroughs, J. , Hwang, J. , Henderson, A. and Braxter, B. (2014) Exploring the Feasibility of Text Messaging Intervention in Intimate Partner Violence. Open Journal of Nursing, 4, 528-537. doi: 10.4236/ojn.2014.47056.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] Centers for Disease Control and Prevention (2009) National Youth Risk Behavior Survey Overview.
[2] Centers for Disease Control and Prevention (2012) Dating Matters: Strategies to Promote Healthy Teen Relationships.
[3] Garcia, C.M., Lechner, K.E., Frerich, E.A., Lust, K.A. and Eisenberg, M.E. (2012) Preventing Sexual Violence Instead of Just Responding to It: Students’ Perceptions of Sexual Violence Resources on Campus. Journal of Forensic Nursing, 8, 61-71. http://dx.doi.org/10.1111/j.1939-3938.2011.01130.x
[4] Claiborne, Liz Inc. (2012) Love Is Not Abuse: http://loveisnotabuse.com/web/guest/college_introduction
[5] National Center for Injury Prevention and Control & Centers for Disease Control and Prevention: Division of Violence Prevention (2011) The National Intimate Partner and Sexual Violence Survey: 2010 Summary Report.
[6] Black, M.C., Basile, K.C., Breiding, M.J., Smith, S.G., Walters, M.L., Merrick, M.T., Chen, J. and Stevens, M.R. (2011) The National Intimate Partner and Sexual Violence Survey: 2010 Summary Report. National Center for Injury Prevention and Control Division of Violence Prevention.
[7] Stockl, H., Davies, K., Rotstein, A., Abrahams, N., Campbell, J. and Garcia-Moreno, C. (2013) The Global Prevalence of Intimate Partner Homicide: A Systematic Review, Lancet, 382, 859-865.
[8] Tjaden, P. (2005) Defining and Measuring Violence against Women: Background, Issues, and Recommendations. Statistical Journal of the United Nations, 22, 217-234.
[9] Montalvo-Liendo, N., Wardell, D.W., Engebretson, J. and Reininger, B.M. (2009) Factors Influencing Disclosures of Abuse by Women of Mexican Descent. Journal of Nursing Scholarship, 41, 359-367.
[10] Campbell, J.C. (2002) Safety Planning Based on Lethality Assessment for Partners for Partners of Batterers in Treatment. Journal of Aggression, Maltreatment and Trauma, 5, 129-143. http://dx.doi.org/10.1300/J146v05n02_08
[11] Kimerling, R., et al. (2007) The Veterans Health Administration and Military Sexual Trauma. American Journal of Public Health, 97, 2160-166.
[12] Finitsis, D.J., Pellowski, J.A. and Johnson, B.T. (2014) Text Message Intervention Designs to Promote Adherence to Antiretroviral Therapy (ART): A Meta-Analysis of Randomized Controlled Trials. PLoS One, 9, Article ID: e88166.
[13] Gold, J., Aitken, C.K., Dixon, H.G., Lim, M.S., Gouillou, M., Spelman, T., Wakefield, M. and Hellard, M.E. (2011) A Randomized Controlled Trial Using Mobile Advertising to Promote Safer Sex and Sun Safety to Young People. Health Education Research, 26, 782-794. http://dx.doi.org/10.1093/her/cyr020
[14] Heron, K.E. and Smyth, J.M. (2010) Ecological Momentary Interventions: Incorporating Mobile Technology into Psychosocial and Health Behavior Treatments. British Journal of Health Psychology, 15, 1-39.
[15] Hassija, C. and Gray, M.J. (2011) The Effectiveness and Feasibility of Videoconferencing Technology to Provide Evidence-Based Treatment to Rural Domestic Violence and Sexual Assault Populations. Telemedicine and E-Health, 17, 309-315.
[16] Tschirch, P., Walker, G. and Calvacca, L.T. (2006) Nursing in Tele-Mental Health. Journal of Psychosocial Nursing and Mental Health Services, 44, 20-27.
[17] Gilroy, H., McFarlane, J., Nava, A. and Maddoux, J. (2013) Preferred Communication Method of Abused Women. Public Health Nursing, 30, 402-408.
[18] Rothman, E., Meade, J. and Decker, M.R. (2009) E-Mail Use among a Sample of Intimate Partner Violence Shelter Residents. Violence against Women, 15, 736-744. http://dx.doi.org/10.1177/1077801209332188
[19] Constantino, R.E., Crane, P.A., Noll, B.S., Doswell, W.M. and Braxter, B. (2007) Exploring the Feasibility of Email-Mediated Interaction in Survivors of Abuse. Journal of Psychiatric and Mental Health Nursing, 14, 291-301.
[20] Head, K.J., Noar, S.M., Iannarino, N.T. and Harrington, N.G. (2013) Efficacy of Text Messaging-Based Interventions for Health Promotion: A Meta-Analysis. Social Science & Medicine, 97, 41-48.
[21] Creswell, J.W., Klassen, A.C., Clark, V.L.P. and Smith, K.C. for the Office of Behavioral and Social Sciences Research, NIH (2011) Best Practices for Mixed Methods Research in the Health Sciences.
[22] Constantino, R.E. (2007) A Transdisciplinary Team Acting on Evidence through Analysis of Moot Malpractice Cases. Dimensions of Critical Care Nursing, 26, 150-155. http://dx.doi.org/10.1097/01.DCC.0000278766.39348.04
[23] Johnson, R.B. and Onwuegbuzie, A.J. (2004) Mixed Methods Research: A Research Paradigm Whose Time Has Come. Educational Researcher, 33, 14-26. http://dx.doi.org/10.3102/0013189X033007014
[24] Plano Clark, V.L. and Wang, S.C. (2011) Adapting Mixed Methods Research to Multicultural Counseling. In: Creswell, J.W., Klassen, A.C., Plano Clark, V.L. and Smith, K.C., Eds., Best Practices for Mixed Methods Research in the Health Sciences.
[25] Ponterotto, J.G., Matthew, J.T. and Raughley, B. (2013) The Value of Mixed Methods Designs to Social Justice Research in Counseling and Psychology. Journal of Social Action in Counseling and Psychology, 5, 42-68.
[26] Miller, E. and Levenson, R. (2013) Hanging out or Hooking up: Clinical Guidelines on Responding to Adolescent Relationship Abuse. Futures without Violence.
[27] Fisher, J. and Clayton, M. (2012) Who Gives a Tweet: Assessing Patients’ Interest in the Use of Social Media for Health Care. Worldviews on Evidence-Based Nursing, 2nd Quarter, 9, 100-108.
[28] Robinson, L. (2009) A Summary of Diffusion of Innovations.
[29] Constantino, R.E. and Privitera, M.R. (2011) Prevention Terminology: Primary, Secondary, Tertiary, and an Evolution of Terms. In: Privitera, M.R., Ed., Workplace Violence, Jones and Barlett Publishers, Suddbury.
[30] Gordon, R. (1983) An Operational Classification of Disease Prevention. Public Health Reports, 98, 107-109.

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