Health Care's Response to Women Exposed to Partner Violence

Wathen, C. Nadine; MacMillan, Harriet L.

doi:10.1001/jama.2012.9913

Cited by 32 publications

(32 citation statements)

References 11 publications

(9 reference statements)

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“…If assessment for IPV based on history and risks (i.e., indicator-based assessment) is promoted over universal screening, as advocated by some scholars as the technique of choice for identifying IPV (Wathen & MacMillan, 2012), policies that promote training for providers into the risk factors that should trigger investigation for IPV will be needed. However, because IPV screening is now a preventive service recommended by the IOM (2011), it is possible that universal screening strategies for IPV will become more widely adopted in healthcare settings.…”

Section: Implications For Practice and Policymentioning

confidence: 99%

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Prospective Association of Intimate Partner Violence with Receipt of Clinical Preventive Services in Women of Reproductive Age

McCall-Hosenfeld

Chuang

Weisman

2013

Women's Health Issues

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Background Women who experience intimate partner violence (IPV) have a greater risk for adverse health outcomes, suggesting the importance of preventive services in this group. Little prior research has explored how IPV exposure impacts receipt of relevant preventive services. We assess the prospective association of IPV exposure with receiving specific preventive services. Methods Women in the Central Pennsylvania Women’s Health Study’s longitudinal cohort study (conducted 2004–2007; n = 1,420) identified past-year exposure to IPV at baseline and receipt of IPV-relevant preventive services (counseling for safety and violence concerns, tests for sexually transmitted infections [STIs], counseling for STIs, Pap testing, counseling for smoking/tobacco use, alcohol/drug use, and birth control) at 2-year follow-up. Multiple logistic regression analysis assessed the impact of IPV on service receipt, controlling for relevant covariates. Findings Women exposed to IPV had greater odds of receiving safety and violence counseling (adjusted odds ratio [AOR], 2.40; 95% confidence interval [CI], 1.25–4.61), and tests for STIs (AOR, 2.46; 95% CI, 1.41–4.28) compared with women who had not been exposed to IPV. Independent of other predictors, including IPV, women who saw an obstetrician-gynecologist were more likely to receive Pap tests, STI/HIV testing and counseling, and birth control counseling, compared with women who had not seen an obstetrician-gynecologist. Conclusion Overall rates of preventive service receipt for all women in the sample were low. Women exposed to IPV were more likely to receive safety and violence counseling and STI testing, and seeing an obstetrician-gynecologist increased the odds of receiving several preventive services.

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Section: Implications For Practice and Policymentioning

confidence: 99%

“…Need for preventive services is defined by clinical guidelines and can be elevated in the presence of specific risks. For example, need for preventive IPV-related services is elevated among women displaying specific physical and mental health concerns that are known to be associated with IPV (Wathen & MacMillan, 2012). …”

Section: Introductionmentioning

confidence: 99%

Prospective Association of Intimate Partner Violence with Receipt of Clinical Preventive Services in Women of Reproductive Age

McCall-Hosenfeld

Chuang

Weisman

2013

Women's Health Issues

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“…43,44 Understanding the integration of screening with the support services that follow emerged as a central research gap. Short of the KP model, whose systems approach enables tracking patients after intervention and referral, little research exists on what happens for women after a positive screen, yet tracking this process is central to understanding the impact of screening, as many harm-reduction and safety enhancement steps occur outside of the clinical setting.…”

Section: Lessons Learnedmentioning

confidence: 99%

Transforming the Healthcare Response to Intimate Partner Violence and Taking Best Practices to Scale

Decker

Frattaroli

McCaw

et al. 2012

Journal of Women's Health

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Background: Intimate partner violence (IPV) is prevalent among adolescent and adult women, with significant physical, sexual, and mental health consequences. In 2011, the Institute of Medicine's Clinical Preventive Services for Women consensus report recommended universal screening for violence as a component of women's preventive services; this policy has been adopted by the Health Resources and Services Administration (HRSA). These policy developments require that effective clinic-based interventions be identified, easily implemented, and taken to scale. Methods: To foster dialogue about implementing effective interventions, we convened a symposium entitled ''Responding to Violence Against Women: Emerging Evidence, Implementation Science, and Innovative Interventions,'' on May 21, 2012. Drawing on multidisciplinary expertise, the agenda integrated data on the prevalence and health impact of IPV violence, with an overview of the implementation science framework, and a panel of innovative IPV screening interventions. Recommendations were generated for developing, testing, and implementing clinic-based interventions to reduce violence and mitigate its health impact. Results: The strength of evidence supporting specific IPV screening interventions has improved, but the optimal implementation and dissemination strategies are not clear. Implementation science, which seeks to close the evidence to program gap, is a useful framework for improving screening and intervention uptake and ensuring the translation of research findings into routine practice. Conclusions: Findings have substantial relevance to the broader research, clinical, and practitioner community. Our conference proceedings fill a timely gap in knowledge by informing practitioners as they strive to implement universal IPV screening and guiding researchers as they evaluate the success of implementing IPV interventions to improve women's health and well-being.

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“…The key messages arising from the trial are outlined below. During the course of the current analysis, a second large RCT, conducted in the USA and also addressing IPV screening in health care settings, was published in JAMA , with very similar findings [26]; it too had an accompanying editorial re-emphasizing the need for clinical case-finding [27]. …”

Section: Introductionmentioning

confidence: 99%

Exploring the uptake and framing of research evidence on universal screening for intimate partner violence against women: a knowledge translation case study

Wathen

MacGregor

Sibbald

et al. 2013

Health Res Policy Sys

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BackgroundSignificant emphasis is currently placed on the need to enhance health care decision-making with research-derived evidence. While much has been written on specific strategies to enable these “knowledge-to-action” processes, there is less empirical evidence regarding what happens when knowledge translation (KT) processes do not proceed as planned. The present paper provides a KT case study using the area of health care screening for intimate partner violence (IPV).MethodsA modified citation analysis method was used, beginning with a comprehensive search (August 2009 to October 2012) to capture scholarly and grey literature, and news reports citing a specific randomized controlled trial published in a major medical journal on the effectiveness of screening women, in health care settings, for exposure to IPV. Results of the searches were extracted, coded and analysed using a multi-step mixed qualitative and quantitative content analysis process.ResultsThe trial was cited in 147 citations from 112 different sources in journal articles, commentaries, books, and government and news reports. The trial also formed part of the evidence base for several national-level practice guidelines and policy statements. The most common interpretations of the trial were “no benefit of screening”, “no harms of screening”, or both. Variation existed in how these findings were represented, ranging from summaries of the findings, to privileging one outcome over others, and to critical qualifications, especially with regard to methodological rigour of the trial. Of note, interpretations were not always internally consistent, with the same evidence used in sometimes contradictory ways within the same source.ConclusionsOur findings provide empirical data on the malleability of “evidence” in knowledge translation processes, and its potential for multiple, often unanticipated, uses. They have implications for understanding how research evidence is used and interpreted in policy and practice, particularly in contested knowledge areas.

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Health Care's Response to Women Exposed to Partner Violence

Cited by 32 publications

References 11 publications

Prospective Association of Intimate Partner Violence with Receipt of Clinical Preventive Services in Women of Reproductive Age

Prospective Association of Intimate Partner Violence with Receipt of Clinical Preventive Services in Women of Reproductive Age

Transforming the Healthcare Response to Intimate Partner Violence and Taking Best Practices to Scale

Exploring the uptake and framing of research evidence on universal screening for intimate partner violence against women: a knowledge translation case study

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