Physicians' Perceptions of Adult Patients' History of Child Abuse in Family Medicine Settings

Fletcher, Kenneth E.; Candib, Lucy M.; Bacigalupe, Gonzalo

doi:10.3122/jabfm.2007.04.060208

Cited by 12 publications

(10 citation statements)

References 9 publications

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“…They are criticized generally for providing suboptimal care to women exposed to IPV (Alpert, 2007; Gadomski, Wolff, Tripp, Lewis, & Short, 2001; Sugg, Thompson, Thompson, Maurio, & Rivara, 1999). A number of studies of primary care physicians have documented high levels of misperceptions and prejudicial attitudes about IPV along with a knowledge gap, lack of awareness, and poor clinical skills and practices (Gutmanis, Beynon, Tutty, Wathen, & MacMillan, 2007; Miller & Jaye, 2007; Rodriguez, McLoughlin, Nah, & Campbell, 2001; Sugg et al, 1999; Weinreb, Fletcher, Candib, & Bacigalupe, 2007). It has also been noted that family physicians remain uncertain about their role with respect to assessment for IPV (Janssen, Dascal-Weichhendler, & McGregor, 2006).…”

Section: Introductionmentioning

confidence: 99%

Defining Physicians’ Readiness to Screen and Manage Intimate Partner Violence in Greek Primary Care Settings

et al. 2011

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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.

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Section: Introductionmentioning

confidence: 99%

Defining Physicians’ Readiness to Screen and Manage Intimate Partner Violence in Greek Primary Care Settings

et al. 2011

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“…The medical visit includes taking a history which should include assessment of past and present health risks 36,37 . However, even in health care settings a very large proportion of abuse cases remain unidentified 18, 22,36,38 .…”

Section: Introductionmentioning

confidence: 99%

“…screening instruments) 39 and lack of strategies for incorporating the use of measures into their practice (i.e. how to practically implement screening measures) 22, 38 . DiLillo and his colleagues have pointed out that we lack an understanding as to how the mode of administering abuse screens (i.e.…”

Section: Introductionmentioning

confidence: 99%

Administration of Childhood Physical and Childhood Sexual Abuse Screens in Adolescents and Young Adults: a Literature Review

Díaz

Peake

2017

Annals of Global Health

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Purpose Childhood physical and sexual abuse can have a negative impact on adolescents and young adults. Although effective interventions that can ameliorate both the short and long-term negative impact are available, many adolescent and young adult victims remain without help: they rarely self-identify as victims and health care providers generally fail to inquire about a history of childhood abuse, especially in the absence of physical signs. The health care field lacks an understanding of effective methods for the identification of childhood abuse. To address this knowledge gap, this paper focuses on a systematic review of the literature for studies comparing modes of administration of measures to identify a history of childhood physical and sexual abuse in adolescents and young adults. Methods A systematic review of the literature published in English in peer reviewed journals between January 1st, 1994 and December 31st, 2014 was conducted to identify studies that compared two or more modes of administration using the same measure to identify a history of childhood physical and sexual abuse in adolescent and young adult populations. Studies that compared two or more different measures for identifying abuse were not included in this review because the focus of the review was to isolate the effects of the mode of administration. Results Only one study that met review criteria was found. It was conducted among female college students in a university setting. No studies were identified that compared modes of administration used to elicit disclosure of a history of childhood abuse among adolescents. Conclusion There remains an urgent need to conduct evaluation of methods to identify childhood physical and sexual abuse including the mode of administration of screens in young people. It is recommended that future studies include diverse populations and randomized and quasi experimental approaches.

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“…12,13,14 Unfortunately most health care providers do not ask about abuse when there are no obvious signs or symptoms, as is most commonly the case. 15 Though very few studies have focused on understanding why providers do not assess for childhood abuse, 16 there is evidence that they feel ill-prepared and lack the knowledge of effective methods for identification. 18, 17 …”

Section: Introductionmentioning

confidence: 99%

Comparison of Modes of Administration of Screens to Identify a History of Childhood Physical Abuse in an Adolescent and Young Adult Population

Díaz

Peake

Nucci-Sack

et al. 2017

Annals of Global Health

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Background Childhood physical abuse is a major public health issue with negative consequences to health and well-being manifested in childhood and adolescence, and persisting into adulthood. Yet much childhood physical abuse is not identified when it occurs and little is known about how to screen for it. Methods To address this gap, the effectiveness of four modes of administration of screens to identify childhood physical abuse were compared in a sample of 506 adolescents and young adults ages 12 – 24 years seeking general health services at a primary care clinic. Comparisons were made between paper and pencil screen, Audio Computer Assisted Self Interview (ACASI) screen, face to face structured screen (all three utilizing the same measure), and face to face unstructured interview. Results Overall, 44.5% of the sample disclosed that they had been physically abused. When compared to paper and pencil screen, the odds of reporting physical abuse was 1.5 (95%CI: 0.92, 2.58) and 4.3 (95%CI: 2.49, 7.43) higher among participants using face-to-face structured screen and face-to-face unstructured interview methods, respectively. The face-to-face unstructured interview identified significantly higher reports than the paper and pencil screen. Conclusions While the unstructured interview was the most effective mode for screening for childhood physical abuse, additional research is needed to confirm whether this holds true in other health care settings. Further research should examine how a health provider’s training, experience, and comfort level might influence the identification of physical abuse disclosure in primary care settings using face to face unstructured interview.

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Physicians' Perceptions of Adult Patients' History of Child Abuse in Family Medicine Settings

Cited by 12 publications

References 9 publications

Defining Physicians’ Readiness to Screen and Manage Intimate Partner Violence in Greek Primary Care Settings

Defining Physicians’ Readiness to Screen and Manage Intimate Partner Violence in Greek Primary Care Settings

Administration of Childhood Physical and Childhood Sexual Abuse Screens in Adolescents and Young Adults: a Literature Review

Comparison of Modes of Administration of Screens to Identify a History of Childhood Physical Abuse in an Adolescent and Young Adult Population

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