The current article aims to translate the PREMIS (Physician Readiness to Manage Intimate Partner Violence) survey into the Greek language and test its validity and reliability in a sample of primary care physicians. The validation study was conducted in 2010 and involved all the general practitioners serving two adjacent prefectures of Greece (n = 80). Maximum-likelihood factor analysis (MLF) was used to extract key survey factors. The instrument was further assessed for the following psychometric properties: (a) scale reliability, (b) item-specific reliability, (c) test-retest reliability, (d) scale construct validity, and (e) internal predictive validity. The MLF analysis of 23 opinion items revealed a seven-factor solution (preparation, constraint, workplace issues, screening, self-efficacy, alcohol/drugs, victim understanding), which was statistically sound (p = .293). Most of the newly derived scales displayed satisfactory internal consistency (α ≥ .60), high item-specific reliability, strong construct, and internal predictive validity (F = 2.82; p = .004), and high repeatability when retested with 20 individuals (intraclass correlation coefficient [ICC] > .70). The tool was found appropriate to facilitate the identification of competence deficits and the evaluation of training initiatives.

BackgroundResearch has indicated that general practitioners (GPs) have good clinical judgment in regards to diagnosing and managing herpes zoster (HZ) within clinical practice in a country with limited resources for primary care and general practice. The objective of the current study was to assess the burden of HZ and post herpetic neuralgia (PHN) within rural general practices in Crete, Greece.MethodsThe current study took place within a rural setting in Crete, Greece during the period of November 2007 to November 2009 within the catchment area in which the Cretan Rural Practice-based Research Network is operating. In total 19 GP's from 14 health care units in rural Crete were invited to participate, covering a total turnover patient population of approximately 25, 000 subjects. For the purpose of this study an electronic record database was constructed and used as the main tool for monitoring HZ and PHN incidence. Stress related data was also collected with the use of the Short Anxiety Screening Test (SAST).ResultsThe crude incidence rate of HZ was 1.4/1000 patients/year throughout the entire network of health centers and satellite practices, while among satellite practices alone it was calculated at 1.3/1000 patients/year. Additionally, the standardised incidence density within satellite practices was calculated at 1.6/1000 patients/year. In regards to the stress associated with HZ and PHN, the latter were found to have lower levels of anxiety, as assessed through the SAST score (17.4 ± 3.9 vs. 21.1 ± 5.7; p = 0.029).ConclusionsThe implementation of an electronic surveillance system was feasible so as to measure the burden of HZ and PHN within the rural general practice setting in Crete.

The aim of this study was to translate and validate the Alzheimer's Disease Knowledge scale (ADKS) in a population of Greek general practitioners (GPs). The international standards for the forward and back translation approach were followed. For the validation step, 112 GPs, treating dementia in their daily practices, were enrolled from Crete. The questionnaire was assessed for the following psychometric properties: intraclass reliability, test-retest reliability, and construct and face validity. Internal consistency of the Greek ADKS was satisfactory (α = .65). A high repeatability of the instrument was found during the retest with 27 GPs (intraclass correlation coefficient = 1.0). Factor analysis showed that all the items from the original instrument can be used in the Greek version. The inter-item correlation revealed a high cross-correlation between the items of the questionnaire (α > .6). The data confirmed the validity of the Greek version of the ADKS for measuring GPs' knowledge on the diagnosis and management of dementia.

This study aimed to explore the problem of inmate sexual victimization in a Greek male prison. A total of 400 individuals were approached in the largest Greek male prison and 50 individuals participated. The questionnaire examined sociodemographic, offence-related information, sexual victimization during incarceration, experiences of witnessing the sexual coercion of other inmates, and history of sexual victimization. Thirteen (26.0%) participants reported sexual victimization by an inmate, including either “only non-penetrative” or “only penetrative ones” or “both penetrative and non-penetrative” ones. The victimized participants also performed worse in child sexual victimization and self-esteem scores as compared with the non-victimized ones. Vulnerable groups identified in the current study could receive further attention in future studies and policy initiatives. Large-scale surveys could be designed to extend our knowledge on this neglected area of research.

Background Primary care providers have been criticised for inadequate routine assessment of patients' exposure to intimate partner violence (IPV). Aims To report on the content/ methods used and experiences learned regarding three key objectives in identifying and managing victimised patients at primary care settings, as part of a Thesis. Methods A qualitative study employing three focus groups with 18 General Practitioners drawn from respective Networks in Greece was designed to explore physicians' views, perceptions and current practices. Tools for the assessment of physicians' training needs were validated and implemented focusing on Physicians' Readiness to Manage Intimate Partner Violence (PREMIS) employing a sample of 80 physicians. Lastly, acceptability and effectiveness of an educational outreach aiming at increasing physicians' perceived and actual knowledge, perceived readiness and number of detected cases was assessed using a pre/post-evaluation study design of a two-day training programme offered to 26 licensed General Practitioners/General Practice residents employing also a control group. Results Issues of discomfort in discussing IPV, lack of confidence in diagnoses and mistrust in referral structures were indicated as barriers of effective case management. The Greek version of the PREMIS survey demonstrated good psychometric properties. The educational programme met high acceptability and proved to be effective in introducing changes in the physicians' perceived readiness as well as their perceived and actual knowledge. Significance International experience/tools were tailored for Greek primary care services, demonstrating the great potential of comprehensive efforts to address IPV at the very early stage of contact of victimised patients with health care system.