The Effect of Lecture and a Standardized Patient Encounter on Medical Student Rape Myth Acceptance and Attitudes Toward Screening Patients for a History of Sexual Assault

Milone, Jennifer M; Burg, Mary Ann; Duerson, Margaret; Hagen, Melanie; Pauly, Rebecca

doi:10.1080/10401330903446321

Cited by 21 publications

(16 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Even therapists who work specifically with SA survivors may hold negative perceptions of SA survivors (Ullman, 2014). Importantly, these attitudes are modifiable with education about SA myths and facts (Milone, Burg, Duerson, Hagen, & Pauly, 2010). Societal barriers are challenging to address.…”

Section: Discussionmentioning

confidence: 99%

Physicians' Perceived Roles, as Well as Barriers, Toward Caring for Women Sex Assault Survivors

Amin

Buranosky

Chang

2017

Women's Health Issues

View full text Add to dashboard Cite

Background Sexual assault (SA) affects about 40% of women in the US and has many mental and physical health sequelae. Physicians often do not address SA with patients although SA survivors describe a desire to talk to physicians to obtain additional help. Little information exists on how providers perceive their roles regarding caring for women SA survivors and what barriers they face in providing this care. Methods We performed a qualitative study using semi-structured one-on-one interviews with sixteen faculty physicians from five specialties: obstetrics and gynecology (four), internal medicine (four), family medicine (one), emergency medicine (three), and psychiatry (four). Interviews were conducted between July 2011 and July 2012, transcribed verbatim, and coded using a constant comparative approach. Once a final coding scheme was applied to all transcripts, we identified patterns and themes related to perceived roles and barriers to caring for SA survivors. Results Physicians described two main categories of roles: clinical tasks (e.g. testing and treating for sexually transmitted infections, managing associated mental health sequelae) and interpersonal roles (e.g. providing support, acting as patient advocate). Physician barriers fell into three main categories: (1) internal barriers (e.g. discomfort with the topic of SA); (2) physician-patient communication; and (3) system obstacles (e.g. competing priorities for time). Conclusions Although physicians describe key roles in caring for SA survivors, several barriers hinder their ability to fulfill these roles. Training interventions are needed to reduce the barriers that would ultimately improve clinical care for SA survivors.

show abstract

Section: Discussionmentioning

confidence: 99%

Physicians' Perceived Roles, as Well as Barriers, Toward Caring for Women Sex Assault Survivors

Amin

Buranosky

Chang

2017

Women's Health Issues

View full text Add to dashboard Cite

show abstract

“…A review of international post-rape training programmes showed that there were marked differences in the courses offered to providers [7-16], with lengths ranging from a 45 minute lecture to medical students [15] and 2 hours training on clinical forensic medicine in the United States of America (USA) [8], to a 6 month rotation in forensic medicine for emergency room physicians in Australia [13]. The nursing programmes especially the Sexual Assault Nurse Examiner (SANE) programmes in the USA [9,10] and Canada [9,11] were found to be the most established with a 5 – 7 day didactic training programme followed by clinical exposure in a practical setting.…”

Section: Introductionmentioning

confidence: 99%

“…The content of the courses have also varied, with a focus on the examination of survivors and evidence collection. Some of these programmes have reported on improvements in provider knowledge and skills after training but these studies were conducted with small groups in limited settings and did not include a mixed group of providers in a national programme [7,10,15,16]. No studies were found from developing, low resourced settings.…”

Section: Introductionmentioning

confidence: 99%

Knowledge and confidence of South African health care providers regarding post-rape care: a cross-sectional study

Jina

Jewkes

Christofides

et al. 2013

BMC Health Serv Res

View full text Add to dashboard Cite

BackgroundIn South Africa, providers are trained on post-rape care by a multitude of organisations, resulting in varied knowledge and skills. In 2007, a national training curriculum was developed and piloted in the country. The objectives of this paper are to identify the factors associated with higher knowledge and confidence in providers at the commencement of the training and to reflect on the implications of this for training and other efforts being made to improve services.MethodsA cross-sectional study using questionnaires was conducted. Providers who attended the training provided information on socio-demographic background, service provision, training, attitudes, and confidence. Knowledge was measured through multiple choice questions. Bi-variable analysis was carried out in order to test for factors associated with high knowledge and confidence. Variables with a p value of <0.20 were then included in backward selection to develop the final multivariable models.ResultsOf the 124 providers, 70% were female and 68% were nurses. The mean age of the providers was 41.7 (24 – 64) years. About 60% of providers were trained in providing post-rape care. The median percentage knowledge score was 37.3% (0% - 65.3%) and the median percentage confidence score was 75.4% (10% - 100%). Having a more appropriate attitude towards rape was associated with higher knowledge, while older providers and nurses had lower odds of having high knowledge levels. Working in a crisis centre in the facility, having examined a survivor in the last 3 months, and seeing more than 60% of survivors who came to the facility were associated with higher confidence. Higher confidence was not associated with greater knowledge.ConclusionThe study indicated that although confidence was high, there was poor knowledge in providers, even in those who were previously trained. Knowledge seems to be critically dependant on attitude, which highlights the need for educating providers on rape and the seriousness of the problem. There is a need to train more providers in post-rape care in country, and to ensure that training is comprehensive, and that providers who are trained remain knowledgeable and skilled in current best practices.

show abstract

“…Potential barriers to screening, including prejudicial or false beliefs about sexual assault, survivors, and perpetrators, should be addressed. One related study of medical students indicated that sexual assault education can diminish prejudicial or false attitudes about rape and promote screening for sexual assault [26].…”

Section: Additional Training For Campus Leadersmentioning

confidence: 99%

Academic Psychiatry’s Role in Addressing Campus Sexual Assault

et al. 2016

View full text Add to dashboard Cite

In 2011, the US President, Vice President, and Secretary of Education spotlighted the serious and pervasive issue of sexual assault in institutions of higher learning, offering comprehensive guidance to colleges and universities regarding student rights and needs. In 2014, the White House Task Force to Protect Students from Sexual Assault was established and the "It's On Us" public health campaign was launched, aiming to inspire and engage all members of college campus communities in preventing sexual assault and victimization. At the outset of the campaign, President Obama stated that sexual assault was an "affront to our basic humanity" [1]:It insults our most basic values as individuals and families, and as a nation. We are a nation that values liberty and equality and justice. And we're a people who believe every child deserves an education … free from fear of intimidation or violence. And we owe it to our children to live up to those values.The campaign partnered with student, faculty, and university organizations; the media; the Department of Justice; the Department of Health and Human Services; and other stakeholders. Through this campaign, efforts were undertaken to reach kindergarteners to high school seniors, first-year university students to college educators, and all levels of leaders in higher education.Later in 2014, the Massachusetts Institute of Technology (MIT) [2] reported the results of its Community Attitudes on Sexual Assault survey (35 % response rate, N = 3844 participants), endorsing strong, prosocial, respectful, and protective attitudes regarding consensual sexual relations and sexual safety. Nevertheless, 17 % of undergraduate women and 5 % of undergraduate men in this study reported an experience of unwanted sexual behavior during their college careers. When asked about more specific or "labeled" unwanted sexual behaviors, 5 % of the undergraduate women reported being raped, 14 % reported being stalked or followed or receiving repeated unwanted messages that made them feel uncomfortable, and 15 % reported that they had been sexually harassed. The most common perpetrators of these unwanted behaviors and acts of sexual violence were fellow students. These experiences were less commonly reported by undergraduate men and by graduate students in the study. Most survivors of these experiences had talked with someone, such as a friend, family member, or doctor, about what had happened, but only a very small proportion (fewer than 5 %) formally reported their experience to an institutional or other official. The MIT report emphasized the important positive role of bystanders in shifting social norms, for example, by speaking up against sexist remarks or unwanted behavior, checking in with others about whether they need assistance, and looking out for others by walking them home safely [3]. DeGue [4] has also highlighted the possible benefits of bystander efforts in preventing sexual assault.

show abstract

The Effect of Lecture and a Standardized Patient Encounter on Medical Student Rape Myth Acceptance and Attitudes Toward Screening Patients for a History of Sexual Assault

Abstract: Sexual assault education can diminish rape myth acceptance and promote screening for sexual assault.

Cited by 21 publications

References 17 publications

Physicians' Perceived Roles, as Well as Barriers, Toward Caring for Women Sex Assault Survivors

Physicians' Perceived Roles, as Well as Barriers, Toward Caring for Women Sex Assault Survivors

Knowledge and confidence of South African health care providers regarding post-rape care: a cross-sectional study

Academic Psychiatry’s Role in Addressing Campus Sexual Assault

Contact Info

Product

Resources

About