“Between me and the computer”: Increased detection of intimate partner violence using a computer questionnaire

Rhodes, Karin V.; Lauderdale, Diane S.; He, Theresa; Howes, David S.; Levinson, Wendy

doi:10.1067/mem.2002.127181

Cited by 195 publications

(173 citation statements)

References 45 publications

(46 reference statements)

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“…Of note, focus groups fail to bear out the latter concern, as parents seem to acknowledge that these problems exist and have medical implications [36]. Alternatives to face-to-face screening have been found to be well-accepted and effective [37][38][39][40].…”

Section: Discussionmentioning

confidence: 99%

Child Injury Risks are Close to Home: Parent Psychosocial Factors Associated with Child Safety

Rhodes

Iwashyna

2007

Matern Child Health J

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Objective: In several populations, maternal depression has been associated with reduced child safety. In an urban pediatric Emergency Department, we examined the relationship between parental depression, social support, and domestic conflict and child safety behaviors.Methods: We studied consecutive patients in an Emergency Department. Trained interviewers used a structured instrument to assess patient, primary caregiver, and household demographics, socio-economic status, psychosocial factors, child safety behaviors (whether a gun was in the home, poisons were locked, a functioning smoke detector was present, and use of carseats or seatbelts), and whether the home was smokefree. 1,116 patients provided adequate data.Results: Depression was associated with a modest and not statistically significant reduction in child safety behaviors in this population. Lack of social support and the presence of domestic conflict were robustly, independently, and statistically significantly associated with less safe homes. Domestic conflict was associated with more smoking in the home.Conclusion: In our population, child safety was associated less with depression and more with parental lack of social support and domestic conflict. These can be assessed in a Emergency Department and may be amenable to intervention. Abstract Objective: In several populations, maternal depression has been associated with reduced child safety. In an urban pediatric Emergency Department, we examined the relationship between parental depression, social support, and domestic conflict and child safety behaviors.Methods: We studied consecutive patients in an Emergency Department. Trained interviewers used a structured instrument to assess patient, primary caregiver, and household demographics, socio-economic status, psychosocial factors, child safety behaviors (whether a gun was in the home, poisons were locked, a functioning smoke detector was present, and use of carseats or seatbelts), and whether the home was smoke-free. 1,116 patients provided adequate data.Results: Depression was associated with a modest and not statistically significant reduction in child safety behaviors in this population. Lack of social support and the presence of domestic conflict were robustly, independently, and statistically significantly associated with less safe homes. Domestic conflict was associated with more smoking in the home.Conclusion: In our population, child safety was associated less with depression and more with parental lack of social support and domestic conflict. These can be assessed in a Emergency Department and may be amenable to intervention.

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Section: Discussionmentioning

confidence: 99%

Child Injury Risks are Close to Home: Parent Psychosocial Factors Associated with Child Safety

Rhodes

Iwashyna

2007

Matern Child Health J

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“…17 Computer screening is associated with high rates of disclosure of emotional or physical abuse in ED patients. 18 Moreover, patients taking the computer-based health risk assessment appreciate the opportunity to self-disclose their psychosocial health risks. 19 Female patients prefer self-completed approaches (written questionnaire or computer-based questionnaire) over face-to-face interviews with a health provider.…”

Section: Discussionmentioning

confidence: 99%

Does Screening in the Emergency Department Hurt or Help Victims of Intimate Partner Violence?

Houry

Kaslow

Kemball

et al. 2008

Annals of Emergency Medicine

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108

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Study objective: Recent systematic reviews have noted a lack of evidence that screening for intimate partner violence does more good than harm. We assess whether patients screened for intimate partner violence on a computer kiosk in the emergency department (ED) experienced any adverse events during or subsequent to the ED visit and whether computer kiosk identification and referral of intimate partner violence in the ED setting resulted in safety behaviors or contact with referrals.Methods: We conducted a prospective, observational study in which a convenience sample of male and female ED patients triaged to the waiting room who screened positive (on a computer kiosk-based questionnaire) for intimate partner violence in the past year were provided with resources and information and invited to participate in a series of follow-up interviews. At 1-week and 3-month follow-up visits, we assessed intimate partner violence, safety issues, and use of resources. In addition, to obtain an objective measure of safety, we assessed the number of violence-related 911 calls to participant addresses within a call district 6 months before and 6 months after the index ED visit.Results: Of the 2,134 participants in a relationship in the last year, 548 (25.7%) screened positive for intimate partner violence. No safety issues, such as calling security or a partner's interference with the screening, occurred during the ED visit for any patient who disclosed intimate partner violence. Of the 216 intimate partner violence victims interviewed in person and 65 contacted by telephone 1 week later, no intimate partner violence victims reported any injuries or increased intimate partner violence resulting from participating in the study. For the sample in the local police district, there was no increase in the number of intimate partner violence victims who called 911 in the 6 months after the ED visit. Finally, 35% (n131) reported they had contacted community resources during the 3-month follow-up period.Conclusion: Among patients screening positive for intimate partner violence, there were no identified adverse events related to screening, and many had contacted community resources. Study objective: Recent systematic reviews have noted a lack of evidence that screening for intimate partner violence does more good than harm. We assess whether patients screened for intimate partner violence on a computer kiosk in the emergency department (ED) experienced any adverse events during or subsequent to the ED visit and whether computer kiosk identification and referral of intimate partner violence in the ED setting resulted in safety behaviors or contact with referrals. Comments Postprint version. Published inMethods: We conducted a prospective, observational study in which a convenience sample of male and female ED patients triaged to the waiting room who screened positive (on a computer kioskbased questionnaire) for intimate partner violence in the past year were provided with resources and information and invited to participate in a ...

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“…[27][28][29][30][31] Kiosk screening and intervention in the ED has been shown to be a safe and effective way to disseminate IPV information. 23,32 This is especially important among vulnerable minority and low-income populations, like the women in our study.…”

Section: Discussionmentioning

confidence: 99%

“…23 These tools are successful in bringing about safety-related change in the lives of victims of IPV. 4 This study agrees with prior research in that regard, and was able to demonstrate a high proportion of women taking protective action following the computer-based screening and intervention.…”

Section: Discussionmentioning

confidence: 99%

Does Stage of Change Predict Improved Intimate Partner Violence Outcomes Following an Emergency Department Intervention?

Schrager

Smith

Heron

et al. 2013

Academic Emergency Medicine

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Objectives: The objective was to assess the effect of an emergency department (ED)-based computer screening and referral intervention on the safety-seeking behaviors of female intimate partner violence (IPV) victims at differing stages of change. The study also aimed to determine which personal and behavioral characteristics were associated with a positive change in safety-seeking behavior. The hypothesis was that women who were in contemplation or action stages of change would be more likely to endorse safety behaviors during follow-up.Methods: This was a prospective cohort study of female IPV victims at three urban EDs, using a computer kiosk to deliver targeted education about IPV to provide referrals to local resources. All noncritically ill adult English-speaking women triaged to the ED waiting room during study hours were eligible to participate. Women were screened for IPV using the validated Universal Violence Prevention Screening Protocol (UVPSP), and all IPV-positive women further responded to validated questionnaires for alcohol and drug abuse, depression, and IPV severity. The women were assigned a baseline stage of change using the University of Rhode Island Change Assessment (URICA) scale for readiness to change their IPV behaviors. Study participants were contacted at 1 week and 3 months to assess a variety of predetermined safety behaviors to prevent further IPV during that period. Descriptive analyses were performed to determine if stage of change at enrollment and a variety of specific sociodemographic characteristics were associated with taking protective action during follow-up.Results: A total of 1,474 women were screened for IPV; 154 (10.4%) disclosed IPV and completed the full survey. Approximately half (47.4%) of the IPV victims were in the precontemplation stage of change, and 50.0% were in the contemplation stage. A total of 110 women returned at 1 week of follow-up (71.4%), and 63 (40.9%) women returned for the 3-month follow-up. Fifty-five percent of those who returned at 1 week and 73% of those who returned at 3 months took protective action against further IPV. Stage of change at enrollment was not significantly associated with taking protective action during follow-up. There was no association between demographic characteristics and taking protective action at 1 week or 3 months.Conclusions: Emergency department-based kiosk screening and health information delivery is a feasible method of health information dissemination for women experiencing IPV and was associated with a high proportion of study participants taking protective action. Stage of change was not associated with actual IPV protective measures.ACADEMIC EMERGENCY MEDICINE 2013; 20:169-177 © 2013 by the Society for Academic Emergency Medicine W ith an estimated 28.9% of women experiencing intimate partner violence (IPV) during their lifetime, 1 at an annual medical and mental health care cost of $4.1 billion, 2 IPV represents a significant problem with personal and societal consequences. The hospital emergency de...

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“Between me and the computer”: Increased detection of intimate partner violence using a computer questionnaire

Cited by 195 publications

References 45 publications

Child Injury Risks are Close to Home: Parent Psychosocial Factors Associated with Child Safety

Child Injury Risks are Close to Home: Parent Psychosocial Factors Associated with Child Safety

Does Screening in the Emergency Department Hurt or Help Victims of Intimate Partner Violence?

Does Stage of Change Predict Improved Intimate Partner Violence Outcomes Following an Emergency Department Intervention?

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