Management of Victimized Patients in Greek Primary Care Settings: A Pilot Study

Papadakaki, Maria; Petridou, Eleni; Petelos, Elena; Germeni, Evi; Kogevinas, Manolis; Lionis, Christos

doi:10.1007/s10896-014-9596-3

Cited by 7 publications

(12 citation statements)

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“…Other strengths of this study are related to the content of the training program, which was designed to address existing knowledge/practice gaps of the Greek GPs [37] and the use of validated research instruments in the assessment of the study outcomes [39]. Most importantly, this study is among the few published studies, if not the first, that draws comparisons between practicing physicians and residents of the same specialty, in terms of IPV educational outcomes.…”

Section: Discussionmentioning

confidence: 99%

“…Findings from a qualitative survey with Greek GPs were also taken into account in the design of the training content [37]. A number of barriers in responding effectively to IPV victims were identified in this study and were addressed through the training program.…”

Section: Methodsmentioning

confidence: 99%

“…We further hypothesized that the GPs [Intervention group I] would present better study outcomes compared with the GPs not assigned to take the program (Control group) as well as better study outcomes compared with the residents of general practice [Intervention group II] due to differences in clinical experience. Finally, the intensive IPV training program was expected to meet high acceptability and practicality in both groups of physicians as its content drew on physicians’ training needs identified earlier through qualitative methods [37]. …”

Section: Introductionmentioning

confidence: 99%

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Measuring the effectiveness of an intensive IPV training program offered to Greek general practitioners and residents of general practice

et al. 2013

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BackgroundThe need for effective training of primary care physicians in the prevention, detection and handling of intimate partner violence (IPV) has been widely acknowledged, given its frequency in daily practice. The current intervention study aimed to measure changes in the actual IPV knowledge, perceived knowledge, perceived preparedness and detection ability of practicing general practitioners (GPs) and general practice residents, following an intensive IPV training program.MethodsA pre/post-test design with a control group was employed to compare changes in baseline measures of IPV at the post intervention stage and at 12 months. A total of 40 participants provided full data; 25 GPs (11 in the intervention and 14 in the control) and 15 residents (intervention only). Three scales of the PREMIS survey were used to draw information on the study outcomes.ResultsThe training program met high acceptance by both groups of participants and high practicality in clinical practice. The GPs in the intervention group performed better than the GPs in the control group on “Perceived preparedness” and “Perceived knowledge” in both the post-intervention (p = .012, r = .50 and p = .001, r = .68) and the 12-month follow-up (p = .024, r = .45 and p = .007, r = .54) as well as better than the residents in “Perceived preparedness” at post-intervention level (p = .037, r = .41). Residents on the other hand, performed better than the GPs in the intervention group on “Actual knowledge” at the 12-month follow-up (p = .012, r = .49). No significant improvements or between group differences were found in terms of the self-reported detection of IPV cases.ConclusionFurther studies are needed to decide whether residency training could serve as an early intervention stage for IPV training.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Measuring the effectiveness of an intensive IPV training program offered to Greek general practitioners and residents of general practice

et al. 2013

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“… Hospital & local health N = 15 Interviews / Content analysis Range: 8 months to 35 years 13 McCauley et al [ 40 ] 2017 (Pakistan) To investigate the knowledge and perceptions of IPA among doctors who provide routine antenatal and postnatal care at healthcare facilities in Pakistan. Hospital N = 25 Interviews/ Thematic framework analysis Range: 2–10 years 14 Papadakaki et al [ 41 ] 2014 (Greece) To explore the perceptions and practices of general practitioners (GPs) regarding the identification and management of IPA in primary care settings. Primary Care N = 18 Focus Groups / Thematic analysis Mean 12 years 15 Pau [ 42 ] 2015 (Malaysia) To examine factors that influence Malaysian health care providers’ attitudes, knowledge, and responses to IPA survivors, including their perceptions of IPA, factors that influenced the ways they work with IPV survivors, factors they perceived influenced IPA survivors’ help-seeking behaviors, and their recommendations for improving IPA training.…”

Section: Resultsmentioning

confidence: 99%

“… Finnbogadottir & Dykes [ 35 ] Yes Yes Yes Yes Yes Yes Yes Yes N/A No or very minor concerns Gallagher [ 36 ] Yes Yes Yes Partial Unclear Partial Yes Yes Concerns around recruitment and ethics. Minor concerns Guruge [ 37 ] Yes Yes Yes Yes Yes Yes Yes Yes N/A No or very minor concerns Husso et al [ 38 ] Yes Yes Yes Yes Yes Yes Yes Yes N/A No or very minor concerns Mauri et al [ 39 ] Yes Yes Yes Yes Partial Yes Yes Yes No limitations acknowledged No or very minor concerns McCauley et al [ 40 ] Yes Yes Yes Yes Yes Yes Yes Yes N/A No or very minor concerns Papadakaki et al [ 41 ] Yes Yes Yes Yes Yes Yes Yes Yes N/A No or very minor concerns Pau [ 42 ] Yes Yes Yes ...…”

Section: Resultsmentioning

confidence: 99%

Personal barriers to addressing intimate partner abuse: a qualitative meta-synthesis of healthcare practitioners’ experiences

Tarzia

Cameron

Watson

et al. 2021

BMC Health Serv Res

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Background Healthcare practitioners (HCPs) play a crucial role in recognising, responding to, and supporting female patients experiencing intimate partner abuse (IPA). However, research consistently identifies barriers they perceive prevent them from doing this work effectively. These barriers can be system-based (e.g. lack of time or training) or personal/individual. This review of qualitative evidence aims to synthesise the personal barriers that impact HCPs’ responses to IPA. Methods Five databases were searched in March 2020. Studies needed to utilise qualitative methods for both data collection and analysis and be published between 2010 and 2020 in order to qualify for inclusion; however, we considered any type of healthcare setting in any country. Article screening, data extraction and methodological appraisal using a modified version of the Critical Appraisal Skills Program checklist for qualitative studies were undertaken by at least two independent reviewers. Data analysis drew on Thomas and Harden’s thematic synthesis approach. Results Twenty-nine studies conducted in 20 countries informed the final review. A variety of HCPs and settings were represented. Three themes were developed that describe the personal barriers experienced by HCPs: I can’t interfere (which describes the belief that IPA is a “private matter” and HCPs’ fears of causing harm by intervening); I don’t have control (highlighting HCPs’ frustration when women do not follow their advice); and I won’t take responsibility (which illuminates beliefs that addressing IPA should be someone else’s job). Conclusion This review highlights the need for training to address personal issues in addition to structural or organisational barriers. Education and training for HCPs needs to: encourage reflection on their own values to reinforce their commitment to addressing IPA; teach HCPs to relinquish the need to control outcomes so that they can adopt an advocacy approach; and support HCPs’ trust in the critical role they can play in responding. Future research should explore effective ways to do this within the context of complex healthcare organisations.

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Opinions and Experiences of Primary Healthcare Providers Regarding Violence against Women: a Systematic Review of Qualitative Studies

2018

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Management of Victimized Patients in Greek Primary Care Settings: A Pilot Study

Cited by 7 publications

References 35 publications

Measuring the effectiveness of an intensive IPV training program offered to Greek general practitioners and residents of general practice

Measuring the effectiveness of an intensive IPV training program offered to Greek general practitioners and residents of general practice

Personal barriers to addressing intimate partner abuse: a qualitative meta-synthesis of healthcare practitioners’ experiences

Opinions and Experiences of Primary Healthcare Providers Regarding Violence against Women: a Systematic Review of Qualitative Studies

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