Talking matters: Abused women's views on disclosure of partner abuse to the family doctor and its role in handling the abuse situation

Wong, Sylvie Lo Fo; Wester, Fred; Mol, Saskia; Römkens, Renée; Hezemans, Door; Lagro‐Janssen, Toine

doi:10.1016/j.pec.2007.11.013

Cited by 40 publications

(32 citation statements)

References 23 publications

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“…14,15 Current research already recommends that asking about DVA for the first time and validating a survivor's experience should not be separated, 12,16 as 'validation' from a healthcare professional can provide relief and comfort, and start the wheels turning towards change. 8 An important implication for practice that can be drawn from these findings is that GPs may have a role to play in helping women maintain any changes they make as a result of referral to an advocate, by asking about DVA in subsequent consultations, providing ongoing validation.…”

Section: Implications For Research and Practicementioning

confidence: 99%

Women’s experiences of referral to a domestic violence advocate in UK primary care settings: a service-user collaborative study

Malpass

Sales

Johnson³

et al. 2014

Br J Gen Pract

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INTRODUCTIONIdentification and Referral to Improve Safety (IRIS) is a training and support programme for general practice that aims to improve the response to women experiencing domestic violence and abuse (DVA). The programme trains clinicians in identification, initial response or validation, referral to specialist DVA advocacy, and continuing support.In a cluster randomised trial the IRIS intervention had a substantial effect on identification of women experiencing DVA and on referral to DVA advocacy.1 A meta-analysis of qualitative studies found women survivors of DVA see healthcare professionals as potential sources of support.2 However, there is still uncertainty about effective responses from clinicians, 3 including those working in general practice, 4 and about how women experience programmes such as IRIS that are designed to improve clinician engagement with DVA.The aims of this study were to understand women's experiences of disclosure of DVA in general practice settings in the context of the IRIS programme, focusing on women's subsequent referral by their GP or practice nurse to a DVA advocate. The study set out to explore women's experience of the initial contact with an advocate after the GP referral and their views on how important this initial meeting and contact was to any changes that they subsequently reported in attitude and behaviour that improved their sense of safety. It also aimed to investigate whether it mattered to the women that they had been referred to a DVA advocate by a healthcare professional and what impact, if any, their subsequent contact with their GP or nurse had on any changes they made after seeing the DVA advocate. METHOD Study designA service-user collaborative study using a qualitative study design was conducted. A multidisciplinary team of two DVA advocates, one social scientist, and one DVA specialist clinical psychologist supported a survivor of DVA (KS) to design and deliver a piece of service-user research (service user in this case refers to previous use of domestic violence agencies and services). SamplingWomen were recruited who had been referred to a domestic violence agency by general practice professionals taking part in a randomised controlled trial testing the IRIS programme. Recruitment took place across the trial sites in Bristol and Hackney. A purposive sampling strategy was adopted to maximise heterogeneity in terms of age, ethnicity, length of DVA, and whether or not women were still with the perpetrator. Twenty women were approached initially in each site by a specialist advocate and told about the study. Thirty-five women

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Section: Implications For Research and Practicementioning

confidence: 99%

Women’s experiences of referral to a domestic violence advocate in UK primary care settings: a service-user collaborative study

Malpass

Sales

Johnson³

et al. 2014

Br J Gen Pract

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“…Le dépistage systématique n'est pas encore recommandé [17]. C'est pourquoi il faut se fier d'abord à des indices comportementaux chez la femme (consultations répétées, attitude craintive, rendez-vous manqués, incohérence des faits ou encore anxiété et tristesse).…”

Section: êTre Vigilantunclassified

Quand les femmes victimes de violences conjugales se mettent à parler… Enquête qualitative par entretiens auprès de 11 femmes victimes de violences conjugales, dans le Rhône

Bars¹,

Lasserre²,

Goaziou³

2015

Éthique & Santé

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“…The CAS was translated to Dutch and next translated back to English (Australian) and validated for the Dutch medical setting in an earlier study [15]. All women aged between 18 and 60 years were approached in the waiting room by the studentresearcher.…”

Section: Designmentioning

confidence: 99%

Prevalence of intimate partner violence at an out-patient clinic obstetrics–gynecology in the Netherlands

Rietveld¹,

Lagro‐Janssen²,

Vierhout

et al. 2010

Journal of Psychosomatic Obstetrics & Gynecology

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Intimate partner violence (IPV) is a highly prevalent problem among women. Our aim was to investigate the prevalence of IPV among patients of an out-patient clinic obstetrics-gynecology, association with level of education, and women's opinion on asking about IPV by physicians. We conducted a survey among women between 18 and 60 years in a waiting room of an out-patient clinic obstetrics-gynecology. We used the Composite Abuse Scale to measure type and severity of IPV. Two hundred women of whom 82 (41%) were pregnant, were included in the study (response 57%). Twenty-three percent of the women ever experienced IPV and 9% currently. IPV is more prevalent among women with a lower educated partner. Four of the pregnant women (5%) experienced current IPV. Seventy-eight percent of the respondents find it important for physicians to ask about IPV. IPV proved to be a highly prevalent problem in an out-patient clinic obstetrics-gynecology with almost one-quarter of the patients ever having been victim of various forms of IPV, and almost one in 10 currently. Awareness of the possibility of IPV and early recognition by physicians might reduce mental and physical sequels and strengthen women's feeling of being supported.

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Talking matters: Abused women's views on disclosure of partner abuse to the family doctor and its role in handling the abuse situation

Cited by 40 publications

References 23 publications

Women’s experiences of referral to a domestic violence advocate in UK primary care settings: a service-user collaborative study

Women’s experiences of referral to a domestic violence advocate in UK primary care settings: a service-user collaborative study

Quand les femmes victimes de violences conjugales se mettent à parler… Enquête qualitative par entretiens auprès de 11 femmes victimes de violences conjugales, dans le Rhône

Prevalence of intimate partner violence at an out-patient clinic obstetrics–gynecology in the Netherlands

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