Facilitators and Barriers for Implementing Home Visit Interventions to Address Intimate Partner Violence: Town and Gown Partnerships

Eddy, T. P.; Kilburn, Erin; Chang, Cheng-Yen; Bullock, Linda; Sharps, Phyllis

doi:10.1016/j.cnur.2008.04.005

Cited by 26 publications

(44 citation statements)

References 41 publications

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“…Although 4 formal training programs, consisting of at least a halfday session, had been provided to all home visitors in all 12 programs, a fifth training session was planned and implemented. 17 Barriers and facilitators to screening were discussed, and the most common barriers discussed by home visitors included fear of either being a victim of violence from the abusive partner or having the client withdraw from HV because discussing IPV would be too sensitive and intrusive for participants. Thus, the study protocol was modified so that home visitors obtained only the woman' s consent to provide her name and contact information, to be given to the research team.…”

Section: Discussionmentioning

confidence: 99%

Engaging and Retaining Abused Women in Perinatal Home Visitation Programs

Sharps¹,

Alhusen²,

Bullock

et al. 2013

Pediatrics

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OBJECTIVES: Intimate partner violence (IPV) during pregnancy affects 0.9% to 17% of women and affects maternal health significantly. The impact of IPV extends to the health of children, including an increased risk of complications during pregnancy and the neonatal period, mental health problems, and cognitive delays. Despite substantial sequelae, there is limited research substantiating best practices for engaging and retaining high-risk families in perinatal home visiting (HV) programs, which have been shown to improve infant development and reduce maltreatment. METHODS:The Domestic Violence Enhanced Home Visitation Program (DOVE) is a multistate longitudinal study testing the effectiveness of a structured IPV intervention integrated into health department perinatal HV programs. The DOVE intervention, based on an empowerment model, combined 2 evidence-based interventions: a 10-minute brochurebased IPV intervention and nurse home visitation.RESULTS: Across all sites, 689 referrals were received from participating health departments. A total of 339 abused pregnant women were eligible for randomization; 42 women refused, and 239 women were randomly assigned (124 DOVE; 115 usual care), resulting in a 71% recruitment rate. Retention rates from baseline included 93% at delivery, 80% at 3 months, 76% at 6 months, and 72% at 12 months. CONCLUSIONS:Challenges for HV programs include identifying and retaining abused pregnant women in their programs. DOVE strategies for engaging and retaining abused pregnant women should be integrated into HV programs' federal government mandates for the appropriate identification and intervention of women and children exposed to IPV. Pediatrics 2013;132:S134-S139

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Section: Discussionmentioning

confidence: 99%

Engaging and Retaining Abused Women in Perinatal Home Visitation Programs

Sharps¹,

Alhusen²,

Bullock

et al. 2013

Pediatrics

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“…Barriers to screening include provider discomfort with IPV questioning, fear of offending women, lack of training, confidentiality issues, and time restrictions [12-14]. Mobile health technology (mHealth) such as mobile phones and other wireless computing devices may offer a solution to some of these problems, as they can allow for more confidentiality, may be beneficial for women who are unwilling to disclose abuse to a health professional, and may help to standardize the way IPV assessments and interventions are delivered [15].…”

Section: Introductionmentioning

confidence: 99%

Infusing Technology Into Perinatal Home Visitation in the United States for Women Experiencing Intimate Partner Violence: Exploring the Interpretive Flexibility of an mHealth Intervention

Bacchus¹,

Bullock²,

Sharps³

et al. 2016

J Med Internet Res

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115

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BackgroundIntimate partner violence (IPV) is common during pregnancy and the postpartum. Perinatal home visitation provides favorable conditions in which to identify and support women affected by IPV. However, the use of mHealth for delivering IPV interventions in perinatal home visiting has not been explored.ObjectiveOur objective was to conduct a nested qualitative interpretive study to explore perinatal home visitors’ and women’s perceptions and experiences of the Domestic Violence Enhanced Home Visitation Program (DOVE) using mHealth technology (ie, a computer tablet) or a home visitor-administered, paper-based method.MethodsWe used purposive sampling, using maximum variation, to select women enrolled in a US-based randomized controlled trial of the DOVE intervention for semistructured interviews. Selection criteria were discussed with the trial research team and 32 women were invited to participate. We invited 45 home visitors at the 8 study sites to participate in an interview, along with the 2 DOVE program designers. Nonparticipant observations of home visits with trial participants who chose not to participate in semistructured interviews were undertaken.ResultsWe conducted 51 interviews with 26 women, 23 home visiting staff at rural and urban sites, and the 2 DOVE program designers. We conducted 4 nonparticipant observations. Among 18 IPV-positive women, 7 used the computer tablet and 11 used the home visitor method. Among 8 IPV-negative women, 7 used the home visitor method. The computer tablet was viewed as a safe and confidential way for abused women to disclose their experiences without fear of being judged. The meanings that the DOVE technology held for home visitors and women led to its construction as either an impersonal artifact that was an impediment to discussion of IPV or a conduit through which interpersonal connection could be deepened, thereby facilitating discussion about IPV. Women’s and home visitors’ comfort with either method of screening was positively influenced by factors such as having established trust and rapport, as well as good interpersonal communication. The technology helped reduce the anticipated stigma associated with disclosing abuse. The didactic intervention video was a limiting feature, as the content could not be tailored to accommodate the fluidity of women’s circumstances.ConclusionsUsers and developers of technology-based IPV interventions need to consider the context in which they are being embedded and the importance of the patient-provider relationship in promoting behavior change in order to realize the full benefits. An mHealth approach can and should be used as a tool for initiating discussion about IPV, assisting women in enhancing their safety and exploring help-seeking options. However, training for home visitors is required to ensure that a computer tablet is used to complement and enhance the therapeutic relationship.ClinicalTrialClinicaltrials.gov NCT01688427; https://clinicaltrials.gov/ct2/show/NCT01688427 (Archived by WebCite at http://www.webcitatio...

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“…Research has shown that visitors reported multiple personal barriers to addressing IPV during their visits. These included: (a) fear of offending the client and having the client withdraw from services; and (b) not knowing what to do if IPV were disclosed (Eddy, Kilburn, Chang, Bullock, & Sharps, 2008;Jack et al, 2012;Sharps et al, 2013); (c) believing the formal training they received to be inadequate (Tandon, Parillo, Jenkins, & Duggan, 2005); and (d) not knowing how to assist clients in connecting with the resources they needed due to a lack of knowledge about the community services available (Eddy et al, 2008). As reported by Jack et al (2012), home visitors' lack of general knowledge and skills in identifying and responding to IPV was certainly noted by their clients.…”

Section: Early Prevention Home Visiting Programsmentioning

confidence: 99%

A Literature Review of Strategies for the Prevention of Intimate Partner Violence During the Childbearing Years

Sinnott

Artz

2016

IJCYFS

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This narrative literature review examines the peer-reviewed research in English on the prevention of intimate partner violence (IPV) during the childbearing years, published between January 2000 and January 2015. It shows that in the 43 articles that were located there is a disproportionate emphasis on making females responsible for not becoming victims of IPV, especially if they are mothers, who are made responsible for ensuring not only their own but also their children's safety. Also noted is a striking lack of research on the prevention of IPV perpetration in males, particularly fathers. Even the current IPV research that focuses on interventions with males, notes the absence of interventions specifically designed for fathers and calls for both a better understanding of the underlying factors that contribute to male violence and a focus on interventions tailored to preparing men for the challenges of fatherhood. Two such programs are described in the final section of this review.Keywords: intimate partner, domestic violence, domestic abuse, prevention, childbearing, pregnancy, parenthood, transition to parenthood, father, fatherhood, paternal Teila Sinnott, MA is working for the Government of Alberta as a policy analyst as part of a policy internship program. Email: teilasinnott@gmail.com Sibylle Artz, PhD (the corresponding author) is a Professor in the School of Child and Youth Care at the University of Victoria, P.O. Box 1700, STN CSC, Victoria, British Columbia, Canada, V8W 2Y2. Email: sartz@uvic.ca International Journal of Child, Youth and Family Studies (2016) 7(3/4): 324-342 325 Interest in the serious and widespread issue of intimate partner violence (IPV) has increasingly been characterized by a growing concern for the impact of exposure to this violence on children (Jackson & Artz, 2014) Although children may not be the direct victims of IPV, research clearly shows that witnessing violence between family members puts children at risk of adverse outcomes in multiple domains, including neurological, mental, and physiological development; these in turn can lead to poor physical health; multiple behavioural challenges such as conduct disorder, delinquency, and crime, and, eventually, poor academic and employment outcomes ( Artz et al., 2014). The personal impacts of witnessing IPV also come with enormous economic costs to society: costs for the provision of medical care, criminal justice, and other social services, and costs incurred through the loss of productivity in education and the workplace (Andresen & Linning, 2014). Estimates that put the rate of IPV exposure at 125,000 new children in Canada each year approximate a yearly economic expense of $759 million for a single cohort of children (Andresen & Linning, 2014). New costs of course are not "freestanding" and are added each year to the already accumulated lifelong costs of all previous new cases. With $759 million as the benchmark for each new cohort and the cumulative continuing costs over a ten-year period for the ten cohorts ...

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Facilitators and Barriers for Implementing Home Visit Interventions to Address Intimate Partner Violence: Town and Gown Partnerships

Cited by 26 publications

References 41 publications

Engaging and Retaining Abused Women in Perinatal Home Visitation Programs

Engaging and Retaining Abused Women in Perinatal Home Visitation Programs

Infusing Technology Into Perinatal Home Visitation in the United States for Women Experiencing Intimate Partner Violence: Exploring the Interpretive Flexibility of an mHealth Intervention

A Literature Review of Strategies for the Prevention of Intimate Partner Violence During the Childbearing Years

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