Attitudes toward computer interventions for partner abuse and drug use among women in the emergency department

Choo, Esther K.; Ranney, Megan L.; Wetle, Terrie; Morrow, Kathleen M.; Mello, Michael J.; Squires, Daniel D.; Garro, Aris; Tapé, Chantal; Zlotnick, Caron

doi:10.1016/j.drugalcdep.2014.09.137

Cited by 8 publications

(15 citation statements)

References 13 publications

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“…However, our open trial confirmed data from earlier exploratory work, (Choo, Ranney, et al, 2014) which suggested that our target population was, in general, technologically savvy and confident both with using devices to report and receive information about sensitive health issues and with the security and privacy provided by Web-based programs. Both the U.S. public in general (Fox & Duggan, 2013; Perrin & Duggan, 2015; Smith, 2013), and the ED population in particular (Ranney et al, 2012), report high rates of cell phone ownership, internet use, and comfort accessing health information online.…”

Section: Discussionsupporting

confidence: 82%

“…Our preliminary work demonstrated that drug using women in the ED reporting IPV would be receptive to Web-delivered screening and advice (Choo, Ranney, et al, 2014). However, there have been no established ED-based interventions integrating these topics, and little information about the content, format, and language specific to this population.…”

Section: Introductionmentioning

confidence: 99%

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“I Need to Hear From Women Who Have ‘Been There’”: Developing a Woman-Focused Intervention for Drug Use and Partner Violence in the Emergency Department

et al. 2016

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Objective Addressing violence and linking women to community services in parallel with drug change goals is critical for women with coexisting intimate partner violence (IPV) and substance use disorders (SUD). Our objective was to develop a Web-based intervention to address violence and drug use among women patients in the ED. Methods The intervention was developed in a five-step process: 1) Initial intervention development based on selected theoretical frameworks; 2) In-depth interviews with the target population; 3) Intervention adaptation, with iterative feedback from further interviews; 4) Beta testing and review by an advisory committee of domestic violence advocates; 5) Acceptability and feasibility testing in a small open trial. Results Themes supported the selection of MI and empowerment models but also guided major adaptations to the intervention, including the introduction of videos and a more robust booster phone call. Participants in the open trial reported high scores for satisfaction, usability, and consistency with essential elements of motivational interviewing. Conclusions This qualitative work with our target population of women in the ED with SUD experiencing IPV underscored the importance of connection to peers and empathetic human contact. We developed an acceptable and feasible intervention distinct from prior ED-based brief interventions for substance-using populations.

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Section: Discussionsupporting

confidence: 82%

Section: Introductionmentioning

confidence: 99%

“I Need to Hear From Women Who Have ‘Been There’”: Developing a Woman-Focused Intervention for Drug Use and Partner Violence in the Emergency Department

et al. 2016

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“…However, authors have reported favorable findings with respect to feasibility of computerized screening and advice for women with partner abuse and drug use histories. 61,62 In addition to future opportunities regarding the conduct of ED-SBIRT research with nFtF modalities, there exists opportunities to improve the reporting of such research. For instance, in terms of the 'screening' component of ED-SBIRT, it would be beneficial for authors to clearly report the screening duration.…”

Section: Discussionmentioning

confidence: 99%

Use of Non–Face-to-Face Modalities for Emergency Department Screening, Brief Intervention, and Referral to Treatment (ED-SBIRT) for High-Risk Alcohol Use: A Scoping Review

et al. 2019

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Background: The purpose of this review was to examine and chart the 'scope' of strategies reported in ED-SBIRT studies (emergency department-based screening, brief intervention and referral to treatment) that employ non-face-to-face (nFtF) modalities for high-risk alcohol use (i.e., risk for alcohol-related injury, medical condition, use disorder); and to identify research gaps in the scientific literature. Methods: The scoping review population included study participants with high-risk alcohol use patterns as well as study participants targeted for primary public health prevention (e.g., adolescent ED patients). Core concepts included SBIRT components among intervention studies that incorporated some form of nFtF modality (e.g., computer-assisted brief intervention). The context encompassed ED-based studies or trauma center studies, regardless of geographic location. After screening a total of 1,526 unique references, reviewers independently assessed 58 full-text articles for eligibility.

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“…[11][12][13][14] In our formative work, women with these coexisting problems indicated that direct human contact was instrumental to their receptivity to an intervention and to their ability to feel understood and to receive advice. 15 Therefore, we included a 15-to 20-minute booster conversation occurring two weeks after the initial visit, during which a trained interventionist led the participant in an open-ended conversation around progress toward the goals established in the ED program. As one means of enhancing and extending the impact of the necessarily brief ED-based intervention, investigators have used booster sessions, consisting of inperson or -more typically -telephone contact with interventionists in the weeks after the initial ED visit.…”

Section: Introductionmentioning

confidence: 99%

“That's Where the Arguments Come in”: A Qualitative Analysis of Booster Sessions following a Brief Intervention for Drug Use and Intimate Partner Violence in the Emergency Department

et al. 2016

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Although booster phone calls have been used to enhance the impact of brief interventions in the emergency department, there has been less number of studies describing the content of these boosters. We conducted a qualitative analysis of booster calls occurring two weeks after an initial Web-based intervention for drug use and intimate partner violence (IPV) among women presenting for emergency care, with the objective of identifying the following: progress toward goals set during the initial emergency department visit, barriers to positive change, and additional resources and services needed in order to inform improvements in future booster sessions. The initial thematic framework was developed by summarizing codes by major themes and subthemes; the study team collaboratively decided on a final thematic framework. Eighteen participants completed the booster call. Most of them described a therapeutic purpose for their drug use. Altering the social milieu was the primary means of drug use change; this seemed to increase isolation of women already in abusive relationships. Women described IPV as interwoven with drug use. Participants identified challenges in attending substance use treatment service and domestic violence agencies. Women with substance use disorders and in abusive relationships face specific barriers to reducing drug use and to seeking help after a brief intervention.

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Attitudes toward computer interventions for partner abuse and drug use among women in the emergency department

Abstract: Background-Drug use and partner abuse often coexist among women presenting to the emergency department (ED). Technology offers one solution to the limited time and expertise available to address these problems.

Cited by 8 publications

References 13 publications

“I Need to Hear From Women Who Have ‘Been There’”: Developing a Woman-Focused Intervention for Drug Use and Partner Violence in the Emergency Department

“I Need to Hear From Women Who Have ‘Been There’”: Developing a Woman-Focused Intervention for Drug Use and Partner Violence in the Emergency Department

Use of Non–Face-to-Face Modalities for Emergency Department Screening, Brief Intervention, and Referral to Treatment (ED-SBIRT) for High-Risk Alcohol Use: A Scoping Review

“That's Where the Arguments Come in”: A Qualitative Analysis of Booster Sessions following a Brief Intervention for Drug Use and Intimate Partner Violence in the Emergency Department

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