The Process Through Which an Advocacy Intervention Resulted in Positive Change for Battered Women Over Time
Abstract
A prior experimental evaluation of a community-based advocacy program for women with abusive partners demonstrated positive change in the lives of women even 2 years postintervention (C M. Sullivan & D. I. Bybee, 1999). The current study explored the complex mediational process through which this change occurred, using longitudinal structural equation modeling and formal tests of mediation. As hypothesized, the advocacy intervention first resulted in women successfully obtaining desired community resources and increasing their social support, which enhanced their overall quality of life. This improvement in well-being appeared to serve as a protective factor from subsequent abuse, as women who received the intervention were significantly less likely to be abused at 2-year follow-up compared with women in the control condition. Increased quality of life completely mediated the impact of the advocacy intervention on later reabuse. Discussion places advocacy for women in the context of other efforts that are needed to build an effective community response to preventing intimate violence against women.
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Survivor-focused advocacy/case management interventions showed good to moderate evidence of positive impact on mental health outcomes and access to social support, and in a few studies a reduction in partner aggression or experience of IPV.
“The studies showed good to moderate evidence of the positive impact of these interventions on mental health outcomes and also access to social support for the IPV survivors included in the study, and in a few studies, a reduction in partner aggression or experience of IPV (IPV scores) [15–23].”
From A systematic review of intimate partner violence interventions focused on improving social support and/ mental health outcomes of survivors (2020) · cites this paper as [16]
Many of the advocacy/case management interventions described created linkages by assisting IPV survivors identify sources of support within their existing networks and engage in forming new social relationships.
“Many of the advocacy/case management interventions described above have created these linkages by assisting IPV survivors identify sources of support within their existing networks and also engage in forming new social relationships [16, 18, 48].”
From A systematic review of intimate partner violence interventions focused on improving social support and/ mental health outcomes of survivors (2020) · cites this paper as [16]
In some studies, dosage of the intervention and participant characteristics like age or ethnicity are often cited as potential moderators of some outcomes.
“In some of the studies, the ‘dosage of the intervention’, as well as some participant characteristics like age or ethnicity are often cited as potential moderators of some of the outcomes, more research on IPV intervention should examine the time dependent nature of interventions and their effect on outcomes similar to what was done by Bybee et al[16].”
From A systematic review of intimate partner violence interventions focused on improving social support and/ mental health outcomes of survivors (2020) · cites this paper as [16]
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- Authors
- Bybee, D. I., & Sullivan, C. M.
- Affiliations
- Michigan State University (US)
- Corresponding author
- Sullivan, Cris M.
- ORCID
- Sullivan, Cris M.
- Venue
- American Journal of Community Psychology
- Publisher
- Wiley
- Published
- 2002-02
- Volume
- 30
- Issue
- 1
- Pages
- 103-132
- ISSN
- 0091-0562 (ISSN-L)
- 1573-2770
- OpenAlex
- W2117687319
- Cited by
- 242
- References
- 92
- Citations by year
- 2026: 6 · 2025: 7 · 2024: 7 · 2023: 7 · 2022: 15 · 2021: 8 · 2020: 15 · 2019: 11 · 2018: 11 · 2017: 14 · 2016: 10 · 2015: 12 · 2014: 13 · 2013: 11 · 2012: 11
- FWCI
- 6.20
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Community Psychology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5r01mh044849-08)
- National Institute of Mental Health (R01 MH44849)
- Topics
- Social Sciences › Health › Intimate Partner and Family Violence
- Social Sciences › Gender Studies › Sexual Assault and Victimization Studies
- Social Sciences › Demography › Elder Abuse and Neglect
- Keywords
- intimate partner violence, battered women, community-based advocacy, quality of life, social support, community resources, mediation, protective factors
- MeSH terms
- Consumer Advocacy, Female, Humans, Interviews as Topic, Models, Psychological, Quality of Life, Social Support, United States, Program Evaluation, Women's Health, Negotiating, Domestic Violence, Battered Women
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