Attributing Selected Costs to Intimate Partner Violence in a Sample of Women Who Have Left Abusive Partners: A Social Determinants of Health Approach

Varcoe, Colleen; Hankivsky, Olena; Ford‐Gilboe, Marilyn; Wuest, Judith; Wilk, Piotr; Hammerton, Joanne; Campbell, Jacquelyn C.

doi:10.3138/cpp.37.3.359

Cited by 58 publications

(46 citation statements)

References 26 publications

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“…Use of Safety Actions , measured on a 22 item self-report scale, adapted from several sources, including the Safety Behavior Checklist [48], Intimate Partner Violence Strategies Index [49] and our previous longitudinal research [50]. Women are asked to indicate whether they have used a variety of safety behavior strategies/actions (yes/no) within the past 12 months and, if used, how helpful this strategy was it in dealing with the violence (on a 5-point scale ranging from ‘not at all helpful’ to ‘very helpful’).…”

Section: Methodsmentioning

confidence: 99%

A tailored online safety and health intervention for women experiencing intimate partner violence: the iCAN Plan 4 Safety randomized controlled trial protocol

et al. 2017

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BackgroundIntimate partner violence (IPV) threatens the safety and health of women worldwide. Safety planning is a widely recommended, evidence-based intervention for women experiencing IPV, yet fewer than 1 in 5 Canadian women access safety planning through domestic violence services. Rural, Indigenous, racialized, and immigrant women, those who prioritize their privacy, and/or women who have partners other than men, face unique safety risks and access barriers. Online IPV interventions tailored to the unique features of women’s lives, and to maximize choice and control, have potential to reduce access barriers, and improve fit and inclusiveness, maximizing effectiveness of these interventions for diverse groups.Methods/DesignIn this double blind randomized controlled trial, 450 Canadian women who have experienced IPV in the previous 6 months will be randomized to either a tailored, interactive online safety and health intervention (iCAN Plan 4 Safety) or general online safety information (usual care). iCAN engages women in activities designed to increase their awareness of safety risks, reflect on their plans for their relationships and priorities, and create a personalize action plan of strategies and resources for addressing their safety and health concerns. Self-reported outcome measures will be collected at baseline and 3, 6, and 12 months post-baseline. Primary outcomes are depressive symptoms (Center for Epidemiological Studies Depression Scale, Revised) and PTSD Symptoms (PTSD Checklist, Civilian Version). Secondary outcomes include helpful safety actions, safety planning self-efficacy, mastery, and decisional conflict. In-depth qualitative interviews with approximately 60 women who have completed the trial and website utilization data will be used to explore women’s engagement with the intervention and processes of change.DiscussionThis trial will contribute timely evidence about the effectiveness of online safety and health interventions appropriate for diverse life contexts. If effective, iCAN could be readily adopted by health and social services and/or accessed by women to work through options independently. This study will produce contextualized knowledge about how women engage with the intervention; its strengths and weaknesses; whether specific groups benefit more than others; and the processes explaining any positive outcomes. Such information is critical for effective scale up of any complex intervention.Trial registrationClinicaltrials.gov ID NCT02258841 (Registered on Oct 2, 2014).

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Section: Methodsmentioning

confidence: 99%

A tailored online safety and health intervention for women experiencing intimate partner violence: the iCAN Plan 4 Safety randomized controlled trial protocol

et al. 2017

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“…We did not include the already well-reviewed and analyzed public health research on intimate partner violence here because this literature focuses rather more on the impacts of IPV on women than on children. In that regard, we refer readers to the following for a comprehensive overview of the International Journal of Child, Youth and Family Studies (2014) 5(4): 493-587 In Harm's Way: A Special Issue on the Impacts and Costs of Witnessing Intimate Partner Violence public health research on the impacts of IPV: Afifi (2011), Black et al (2008), Public Health Agency of Canada (2010), and Varcoe et al (2011).…”

Section: Literature Review Methodologymentioning

confidence: 99%

A Comprehensive Review of the Literature on the Impact of Exposure to Intimate Partner Violence for Children and Youth

Artz

Jackson

Rossiter

et al. 2014

IJCYFS

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Children living in homes where intimate partner violence occurs are often exposed to such violence through witnessing, seeing its effects, hearing about it, or otherwise being made aware that violence is taking place between parents or caregivers. Exposure to intimate partner violence is considered to be a form of child maltreatment, and affected children are often also the victims of targeted child abuse. This paper presents findings from a comprehensive review of the literature on the impact of exposure to intimate partner violence for children and youth, focusing on: (a) neurological disorders; (b) physical health outcomes; (c) mental health challenges; (d) conduct and behavioural problems; (e) delinquency, crime, and victimization; and (f) academic and employment outcomes. The notion of cascading effects informed our framework and analysis as it became evident that the individual categories of impacts were not only closely related to one another, but in a dynamic fashion also influence each other in multiple and interconnected ways over time. The research reviewed clearly shows that children who are exposed to intimate partner violence are at significant risk for lifelong negative outcomes, and the consequences are felt widely in society.

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“…Leaving an abusive partner may not stop violence (Campbell, Rose, Kub, & Ned, 1998 ; Wuest, Ford-Gilboe, Merritt-Gray, & Berman, 2003 ) or improve health (Anderson, Saunders, Yoshihama, Bybee, & Sullivan, 2003 ). In Canada, we found that women in the early years after leaving had poorer physical and mental health and higher rates of health service use than women in general, with higher annual health system costs by approximately $4,970 Canadian per woman (Ford-Gilboe et al, 2009 ; Varcoe et al, 2011 ; Wuest et al, 2007 2008, 2009, 2010).…”

Section: Health Care Of Women Survivors Of Abusive Relationshipsmentioning

confidence: 99%

The Process, Outcomes, and Challenges of Feasibility Studies Conducted in Partnership With Stakeholders: A Health Intervention for Women Survivors of Intimate Partner Violence

Wuest

Merritt‐Gray

Dubé

et al. 2015

Research in Nursing & Health

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Feasibility studies play a crucial role in determining whether complex, community-based interventions should be subject to efficacy testing. Reports of such studies often focus on efficacy potential but less often examine other elements of feasibility, such as acceptance by clients and professionals, practicality, and system integration, which are critical to decisions for proceeding with controlled efficacy testing. Although stakeholder partnership in feasibility studies is widely suggested to facilitate the research process, strengthen relevance, and increase knowledge transfer, little is written about how this occurs or its consequences and outcomes. We began to address these gaps in knowledge in a feasibility study of a health intervention for women survivors of intimate partner violence (IPV) conducted in partnership with policy, community and practitioner stakeholders. We employed a mixed-method design, combining a single-group, pre-post intervention study with 52 survivors of IPV, of whom 42 completed data collection, with chart review data and interviews of 18 purposefully sampled participants and all 9 interventionists. We assessed intervention feasibility in terms of acceptability, demand, practicality, implementation, adaptation, integration, and efficacy potential. Our findings demonstrate the scope of knowledge attainable when diverse elements of feasibility are considered, as well as the benefits and challenges of partnership. The implications of diverse perspectives on knowledge transfer are discussed. Our findings show the importance of examining elements of feasibility for complex community-based health interventions as a basis for determining whether controlled intervention efficacy testing is justified and for refining both the intervention and the research design. © 2015 The Authors. Research in Nursing & Health published by Wiley Periodicals, Inc.

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Attributing Selected Costs to Intimate Partner Violence in a Sample of Women Who Have Left Abusive Partners: A Social Determinants of Health Approach

Cited by 58 publications

References 26 publications

A tailored online safety and health intervention for women experiencing intimate partner violence: the iCAN Plan 4 Safety randomized controlled trial protocol

A tailored online safety and health intervention for women experiencing intimate partner violence: the iCAN Plan 4 Safety randomized controlled trial protocol

A Comprehensive Review of the Literature on the Impact of Exposure to Intimate Partner Violence for Children and Youth

The Process, Outcomes, and Challenges of Feasibility Studies Conducted in Partnership With Stakeholders: A Health Intervention for Women Survivors of Intimate Partner Violence

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