Educational Interventions for Intimate Partner Violence Guidance From Survivors
ABSTRACT OBJECTIVE: Previous research suggests that health care providers' assumptions about the content and marketing of intimate partner violence (IPV) materials are not always correct and may do harm. This study sought to determine what mothers with histories of IPV identify as important information to communicate about IPV and how it should be presented in a pediatric emergency department. METHODS: This qualitative study used English- and Spanish-speaking focus groups for data collection and a grounded theory approach for data analysis. Initial focus groups elicited opinions on content, appearance, and location of IPV material. After data analysis, IPV posters were developed. Follow-up focus groups provided feedback on the posters. RESULTS: Ninety-nine mothers with histories of IPV participated in 8 initial and 4 follow-up focus groups. Women felt information should be presented in a positive, hopeful manner. Key information desired was signs of IPV, effects of childhood IPV exposure, and available resources. Spanish-speaking groups desired that information that helps was available regardless of immigration status. Women cautioned that information regarding the effects of childhood IPV exposure should be presented in a nonjudgmental manner to minimize feelings of anger and guilt in mothers. Participants endorsed the distribution of IPV materials in many formats and locations but also worried that women might suffer retribution if perpetrators see IPV material. CONCLUSIONS: Passive educational interventions for IPV should present information about the signs of IPV, resources, and effects on children in a positive, hopeful manner. Materials directed toward Spanish-speaking victims should address the issue of immigration status.
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ABSTRACT: The number of American children living in partner-violent households was estimated from a nationally representative sample of 1,615 dual-parent households. Approximately 15.5 million American children were estimated to live in families in which partner violence had occurred at least once in the previous year, with 7 million estimated to live in families in which severe partner violence had occurred. The prevalence of partner violence was higher among couples with children than among couples without children.Journal of Family Psychology 04/2006; 20(1):137-42. DOI:10.1037/0893-3126.96.36.199 · 1.89 Impact Factor
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ABSTRACT: Clinicians are mandated reporters for child abuse and elder abuse. Medical organizations recommend that patients be assessed for domestic violence. To date, the only quality improvement instrument related to family violence is a tool for assessing hospitals' domestic violence efforts. Using the Delphi method of consensus among national experts, we modified the hospital tool (Delphi Instrument for Domestic Violence for Hospital Programs) to make it applicable for primary care offices assessing for family violence (child abuse, intimate partner violence, and elder abuse). Face validity and the ability of an office/nurse manager to complete the tool independently were tested in 32 primary care practices in Ohio and Minnesota. The final instrument includes 111 items divided into 9 categories with a total possible score of 100%. The highest score among primary care practices was 91.4%, achieved by a family medicine office. Offices that focused on family violence-related issues for more than 4 years and were located in an urban area had higher scores. The US Preventive Guideline task force calls for tools related to violence screening and management. To our knowledge, this represents the first family violence quality improvement tool for primary care offices.Quality management in health care 07/2007; 16(3):265-79. DOI:10.1097/01.QMH.0000281063.22732.e5
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ABSTRACT: Healthcare providers (HCPs) may be perplexed by the decision-making processes of battered Latino women in situations involving intimate partner violence (IPV). In particular, decisions may appear contradictory and hazardous to the women's children. The findings of this interpretive descriptive study reveal that the mothering role was central to battered Latina mothers' decisions. The mothers strove to prioritize, protect, and provide for their children in every way, including managing the abuse and avoiding IPV disclosure to HCPs. Disparate understandings of the women's decisions and mothering create a Catch-22 between battered Latina mothers and their HCPs. A trusting mother-HCP relationship is necessary for effective screening and intervention for IPV. This requires HCPs' understanding of these mothers' decisions and changes in clinical practice.Research in Nursing & Health 06/2009; 32(3):286-97. DOI:10.1002/nur.20327 · 1.16 Impact Factor