{"doi":"10.1016/j.conctc.2025.101539","title":"Evaluating digital intervention approaches for supporting immigrant women with intimate partner violence experiences: Findings from the It's weWomen plus sequential multiple assignment randomized trial (SMART)","abstract":"Background Intimate partner violence (IPV) disproportionately affects immigrant women, who often face barriers to accessing in-person services. Digital interventions offer a promising alternative by providing tailored, remote support. Methods In this SMART trial, 1,265 foreign-born immigrant women across the U.S. were randomized to a personalized online ( n =660) or standard online safety information ( n =605) intervention. At 3 months, low responders ( n =366) were re-randomized to receive text-only ( n =183) or text + phone support ( n =183). Outcomes were assessed at 6 and 12 months. Results All groups showed reduced physical and sexual IPV over time, with no significant differences between first-stage conditions. Low responders in the text + phone group demonstrated significantly greater reductions in physical and sexual IPV ( d = -0.25, p < .01), depression ( d = -0.22, p < .01), and increased empowerment ( d = 0.22, p < .01), from 3 to 12 months, compared to responders. These between-group effects were supported by significant within-group improvements, with the text + phone group narrowing or closing the gap with responders in most outcomes by 12 months. Among low responders initially assigned to the personalized online intervention, those re-randomized to text + phone support outperformed those receiving text-only support—showing significantly greater reductions in IPV ( d = –0.32, p < .05), depression ( d = –0.33, p < .05), and greater gains in empowerment ( d = 0.27, p < .05). The text-only group also improved, particularly in depression and PTSD, with outcomes approaching those of responders by 12 months. Across conditions, low responders also showed substantial improvements in safety behaviors ( d = 0.24- 0.25; p < .05). Conclusion These findings highlight the value of stepped-care, adaptive approaches in addressing persistent IPV-related needs. Integrating personalized phone support into digital interventions can enhance outcomes for survivors who do not respond to brief, initial support alone.","journal":"Contemporary Clinical Trials Communications","year":2025,"id":546142,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":1,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.8751,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2025-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":23491,"name":"Jian Li","orcid":"0000-0002-3941-2622","position":1,"is_corresponding":false},{"id":772645,"name":"Subhash Aryal","orcid":"0000-0002-8300-1484","position":2,"is_corresponding":false},{"id":1437892,"name":"Theresa Mata","orcid":null,"position":3,"is_corresponding":false},{"id":263395,"name":"Sarah M. Murray","orcid":"0000-0002-4976-9713","position":4,"is_corresponding":false},{"id":467464,"name":"Nancy Glass","orcid":"0000-0002-6691-3684","position":5,"is_corresponding":false},{"id":784946,"name":"Jacquelyn Campbell","orcid":"0000-0002-3821-5037","position":6,"is_corresponding":false},{"id":717156,"name":"Bushra Sabri","orcid":"0000-0002-3258-523X","position":0,"is_corresponding":true}],"reference_count":40,"raw_metadata":null,"created_at":"2026-07-19T02:53:27.751050Z","pmid":"40893724","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}