A Scoping Review of Intimate Partner Violence Screening Programs for Health Care Professionals

Sprague, Sheila; Slobogean, Gerard P.; Spurr, Hayley; McKay, Paula; Scott, Taryn; Arseneau, Erika; Memon, Muzammil; Bhandari, Mohit; Swaminathan, Aparna

doi:10.1371/journal.pone.0168502

Cited by 25 publications

(32 citation statements)

References 65 publications

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“…According to a recent Cochrane review, screening of women who attend antenatal care may be helpful in identifying women who are exposed to IPV [ 13 ]. Similar findings have been reported in a scoping review of IPV screening programs [ 14 ]. However, the reviews do also stress that there is still a paucity of high quality evidence to support routine IPV screening.…”

Section: Introductionsupporting

confidence: 90%

Intimate partner violence (IPV): The validity of an IPV screening instrument utilized among pregnant women in Tanzania and Vietnam

et al. 2018

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BackgroundIntimate partner violence (IPV) is a global problem that affects one-third of all women. The present study aims to develop and determine the validity of a screening instrument for the detection of IPV in pregnant women in Tanzania and Vietnam and to determine the minimum number of questions needed to identify IPV.MethodAn IPV screening instrument based on eight questions was tested on 1,116 Tanzanian and 1,309 Vietnamese women who attended antenatal care before 24 gestational weeks. The women were re-interviewed during their 30th-34th gestational week where the World Health Organization (WHO) IPV questionnaire was used as the gold standard. In all, 255 combinations of eight different questions were first tested on the Tanzanian study population where sensitivity, specificity, positive predictive value, negative predictive value and accuracy were calculated. In the evaluation of the performance of the question combinations, different IPV types and the frequency of abusive acts were considered. The question combinations that performed best in Tanzania were subsequently evaluated in the Vietnamese study population.ResultsIn Tanzania, a combination of three selected questions including one question on emotional IPV, one on physical IPV and one on sexual IPV was found to be most effective in identifying women who are exposed to at least one type of IPV during pregnancy (sensitivity = .80; specificity = .74). The performance of the identified combination was slightly less effective in Vietnam (sensitivity = .74; specificity = .68). Focusing on different IPV types, the best performance was found for exposure to physical IPV in both Tanzania (sensitivity = .93; specificity = .70) and Vietnam (sensitivity = .96; specificity = .55). In both countries, the sensitivity increased with the frequency of abuse whereas the specificity decreased.ConclusionBy asking pregnant women three simple questions we were able to identify women who were exposed to IPV during pregnancy in two different countries. The question combination performed best in assessing physical IPV where it identified 93% and 96% of Vietnamese and Tanzanian women, respectively, who were exposed to physical IPV.

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Section: Introductionsupporting

confidence: 90%

Intimate partner violence (IPV): The validity of an IPV screening instrument utilized among pregnant women in Tanzania and Vietnam

et al. 2018

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“…Several studies suggest that if the evidence is not accessible, it may not influence policymakers and practitioners (Breckenridge & Hamer, 2014; Decker et al., 2012; Jack, 2006; PreVAiL, 2016; Saul et al., 2008; Sibbald et al., 2017; Spalding et al, 2015b; Sprague et al., 2016; Wathen et al, 2013; Wathen et al., 2011). Using a range of evidence and dissemination strategies (e.g.…”

Section: Resultsmentioning

confidence: 99%

Exploring the knowledge translation of domestic violence research: A literature review

Cameron

Humphreys

Kothari

et al. 2020

Health Soc Care Community

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Over the past decade, there has been considerable growth in knowledge translation research, yet there remains a 'knowledge gap' when applying this knowledge to policy (Fafard & Hoffman, 2018) and practice (Graham et al., 2006; Reid et al., 2017). Further, despite the rapid increase in domestic violence research over the past decade, there remains a dearth of studies evaluating knowledge translation activities, suggesting an urgent need to maximise the knowledge translation capacity of domestic violence research. Many different terms associated with knowledge translation are used interchangeably such as 'knowledge translation', 'knowledge-to-action', 'knowledge mobilisation' or 'translational research' (Graham, 2013). In Australia, the term 'knowledge translation' is often (but not always) used, whereas in the UK the term 'knowledge mobilisation' is more common. In Canada where the term originated, the term 'knowledge translation' is used but equally 'knowledge to action' and more recently 'integrated knowledge translation'

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“…4 In addition, there is a wide range of screening strategies across different medical practices, with some clinics assigning nonphysician personnel (ie, nurse/midwife, social worker, medical assistant) to do screening, while others rely on physicians. 5 There is no consensus on the optimal screening protocol. A randomized trial of three screening protocols (self-administered survey, nonphysician personnel interview, and physician interview) showed similar rates of IPV disclosure in a controlled environment.…”

mentioning

confidence: 99%

Identifying Opportunities to Improve Intimate Partner Violence Screening in a Primary Care System

Sharples

Nguyen

Singh

et al. 2018

Fam Med

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Background and Objectives: Intimate partner violence (IPV) is a silent epidemic affecting one in three women. The US Preventive Services Task Force recommends routine IPV screening for women of childbearing age, but actual rates of screening in primary care settings are low. Our objectives were to determine how often IPV screening was being done in our system and whether screening initiated by medical assistants or physicians resulted in more screens. Methods: We conducted a retrospective chart review to investigate IPV screening practices in five primary care clinics within a university-based network in Northern California. We reviewed 100 charts from each clinic for a total of 500 charts. Each chart was reviewed to determine if an IPV screen was documented, and if so, whether it was done by the medical assistant or the physician. Results: The overall frequency of IPV screening was 22% (111/500). We found a wide variation in screening practices among the clinics. Screening initiated by medical assistants resulted in significantly more documented screens than screening delivered by physicians (74% vs 9%, P<0.001). Conclusions: IPV screening is an important, but underdelivered service. Using medical assistants to deliver IPV screening may be more effective than relying on physicians alone.

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A Scoping Review of Intimate Partner Violence Screening Programs for Health Care Professionals

Cited by 25 publications

References 65 publications

Intimate partner violence (IPV): The validity of an IPV screening instrument utilized among pregnant women in Tanzania and Vietnam

Intimate partner violence (IPV): The validity of an IPV screening instrument utilized among pregnant women in Tanzania and Vietnam

Exploring the knowledge translation of domestic violence research: A literature review

Identifying Opportunities to Improve Intimate Partner Violence Screening in a Primary Care System

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