Understanding behavior change for women experiencing intimate partner violence: Mapping the ups and downs using the stages of change

Chang, Judy C.; Dado, Diane; Ashton, Susan; Hawker, Lynn; Cluss, Patricia A.; Buranosky, Raquel; Scholle, Sarah Hudson

doi:10.1016/j.pec.2006.06.009

Cited by 91 publications

(128 citation statements)

References 41 publications

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“…Both studies used a qualitative design. [40][41][42][43]63 In one, we conducted focus groups among women who were attending group counseling services for IPV at community center= shelters for women. 41,63 We asked, ''What was the turning point when you decided that this [the IPV] was something that you wanted help for?''…”

Section: Settings and Participantsmentioning

confidence: 99%

“…These turning points are often associated with help-seeking or selfempowerment behaviors as women attempt to change their situation and=or increase their safety. 42,43,52,[60][61][62] These helpseeking and self-empowerment behaviors may be subtle and are sometimes not recognized by health providers who want to see major changes. 43,63 In this study, we wished specifically to examine the various factors and situations associated with turning points and the beginning of change seeking in the IPV situation.…”

mentioning

confidence: 99%

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Understanding Turning Points in Intimate Partner Violence: Factors and Circumstances Leading Women Victims Toward Change

Chang

Dado

Hawker³

et al. 2010

Journal of Women's Health

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131

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Objective: When counseling women experiencing intimate partner violence (IPV), healthcare providers can benefit from understanding the factors contributing to a women's motivation to change her situation. We wished to examine the various factors and situations associated with turning points and change seeking in the IPV situation. Methods: We performed qualitative analysis on data from 7 focus groups and 20 individual interviews with women (61 participants) with past and=or current histories of IPV. Results: The turning points women identified fell into 5 major themes: (1) protecting others from the abuse=abuser; (2) increased severity=humiliation with abuse; (3) increased awareness of options=access to support and resources; (4) fatigue=recognition that the abuser was not going to change; and (5) partner betrayal=infidelity. Conclusions: Women experiencing IPV can identify specific factors and events constituting turning points or catalyst to change in their IPV situation. These turning points are dramatic shifts in beliefs and perceptions of themselves, their partners, and=or their situation that alter the women's willingness to tolerate the situation and motivate them to consider change. When counseling women experiencing IPV, health providers can incorporate understanding of turning points to motivate women to move forward in their process of changing their IPV situation.

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Section: Settings and Participantsmentioning

confidence: 99%

mentioning

confidence: 99%

Understanding Turning Points in Intimate Partner Violence: Factors and Circumstances Leading Women Victims Toward Change

Chang

Dado

Hawker³

et al. 2010

Journal of Women's Health

Self Cite

131

View full text Add to dashboard Cite

show abstract

“…Recently, researchers have applied the TTM to evaluate the effectiveness of prevention programs in the areas of interpersonal violence 37,38 and sexual violence prevention. 39 In addition, TTM stage of change questions were used in a study examining the efficacy of a media campaign aimed at educating members of the public (as potential bystanders) on the problems of child abuse and neglect.…”

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confidence: 99%

Using a Multimedia Social Marketing Campaign to Increase Active Bystanders on the College Campus

Potter

2012

Journal of American College Health

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“…Furthermore, it has been shown that women in abusive relationships often progress or regress in their readiness to change depending on external factors, such as increasing levels of partner violence. 25 In our study, 92% of the women who reported making a protective action during the first week of follow-up performed more than one protective action-the most common safety behaviors being the construction of a safety plan and self-reported ending of the relationship. The variety and quantity of protective actions taken by the women in our study supports findings by Chang et al 26 that women in violent relationships desire direct access to multiple safety resources that preserve their autonomy and anonymity.…”

Section: Discussionmentioning

confidence: 56%

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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Understanding behavior change for women experiencing intimate partner violence: Mapping the ups and downs using the stages of change

Cited by 91 publications

References 41 publications

Understanding Turning Points in Intimate Partner Violence: Factors and Circumstances Leading Women Victims Toward Change

Understanding Turning Points in Intimate Partner Violence: Factors and Circumstances Leading Women Victims Toward Change

Using a Multimedia Social Marketing Campaign to Increase Active Bystanders on the College Campus

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

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