Screening for domestic violence in a predominantly Hispanic clinical setting

Chen, Ping-Hsin; Rovi, Sue; Vega, Marielos; Jacobs, Abbie; Johnson, Mark S.

doi:10.1093/fampra/cmi075

Cited by 82 publications

(84 citation statements)

References 24 publications

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“…The HITS screening tool 13 comprises the following four items: "Over the last 12 months, how often did your partner: (1) physically hurt you, (2) insult you or talk down to you, (3) threaten you with harm, and (4) scream or curse at you?" Responses are scored on a 5-point scale from 1 ("never") to 5 ("frequently") and summed for a total score (range [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20]. Findings support the concurrent validity of this instrument.…”

Section: Methodsmentioning

confidence: 91%

“…Findings support the concurrent validity of this instrument. 13,15,16 In addition, support for the reliability, sensitivity, and specificity of this instrument has been provided in several studies, although results vary with regard to the most appropriate cutoff score identified for different samples. Specifically, while findings from a sample of general female primary care patients were compared with a sample of women who were currently seeking help for IPV indicate that a cutoff score of 11 has a sensitivity of 96 % and specificity of 91 % in detecting IPV victims, 13 other studies have supported a lower cutoff score of 6 in some diverse populations, including ethnic minority women.…”

Section: Methodsmentioning

confidence: 99%

“…Specifically, while findings from a sample of general female primary care patients were compared with a sample of women who were currently seeking help for IPV indicate that a cutoff score of 11 has a sensitivity of 96 % and specificity of 91 % in detecting IPV victims, 13 other studies have supported a lower cutoff score of 6 in some diverse populations, including ethnic minority women. 16 IPV Reference Standard. The CTS-2 21 is considered a "gold standard" for assessing IPV and includes 39 behaviorally specific statements that comprise five scales (physical assault, sexual coercion, psychological aggression, injury, and negotiation).…”

Section: Methodsmentioning

confidence: 99%

“…11 It can be administered within a couple of minutes, is easy to score, and has demonstrated sensitivity and specificity. [14][15][16] The HITS includes items assessing psychological IPV, as well as physical aggression, a component of IPV that is lacking in other screens. 17 It is critical to assess psychological IPV because it is strongly and independently associated with adverse health outcomes.…”

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confidence: 99%

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Clinical Utility of an Intimate Partner Violence Screening Tool for Female VHA Patients

et al. 2013

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OBJECTIVES: Female Veterans are at high risk for physical, sexual, and psychological forms of intimate partner violence (IPV) victimization. This study evaluated the accuracy of a brief IPV victimization screening tool for use with female Veterans Health Administration (VHA) patients. DESIGN: Participants completed a paper-and-pencil mail survey that included the four-item Hurt/Insult/ Threaten/Scream (HITS) and the 39-item Revised Conflict Tactics Scales (CTS-2). Operating characteristics, including sensitivity and specificity, were calculated using the CTS-2 as the reference standard for pastyear IPV. PARTICIPANTS: Female veterans from a roster of randomly selected female patients of the New England VA Healthcare System. Women must have reported being in an intimate relationship in the past year to be included. MAIN MEASURES: Primary measures included the HITS (index test) and the CTS-2 (reference standard). KEY RESULTS: This study included 160 women. The percentage of women who reported past-year IPV, as measured by any physical assault, sexual coercion, and/or severe psychological aggression on the CTS-2, was 28.8 %. The receiver-operator characteristic curve demonstrated that the HITS cutoff score of 6 maximizes the true positives while minimizing the false positives in this sample. The sensitivity of the optimal HITS cutoff score of 6 was 78 % (95 % CI 64 % to 88 %), specificity 80 % (95 % CI 71 % to 87 %), positive likelihood ratio 3.9 (95 % CI 2.61 to 5.76), negative likelihood ratio 0.27 (95 % CI 0.16 to 0.47), positive predictive value 0.61 (95 % CI 0.47, 0.73), and negative predictive value 0.90 (95 % CI 0.82, 0.95). CONCLUSIONS: For a low-burden screen, the HITS demonstrated good accuracy in detecting past-year IPV relative to the CTS-2 in a sample of female VHA patients with an optimal cutpoint of 6. The HITS may help VHA and other health-care providers detect past-year IPV and deliver appropriate care for female Veterans. I ntimate partner violence (IPV) refers to actual or threatened physical, sexual, and psychological abuse by a current or former intimate partner. 1 IPV is a major public health problem that causes and exacerbates physical health problems, including cardiovascular, respiratory, chronic pain, gynecological disorders, and adverse pregnancy outcomes. [2][3][4] Similarly, IPV increases risk for psychiatric conditions such as posttraumatic stress disorder (PTSD), other anxiety disorders, depression, substance misuse, eating disorders, and suicidality. [3][4][5] Relative to civilians, female veterans are at higher risk for physical and sexual forms of IPV (33.0 % vs. 23.8 % lifetime prevalence). 2 Although the reasons for elevated risk among female Veterans remain unknown, some theorize that women's exposure to violence-prone environments, such as violent childhood homes and the military, may elevate women's risk for IPV. 6,7 IPV may be particularly common among women seeking care at Veterans Health Affairs (VHA) health-care facilities. 6,8,9 Studies have found lifetime reports of IPV a...

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Section: Methodsmentioning

confidence: 91%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

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Clinical Utility of an Intimate Partner Violence Screening Tool for Female VHA Patients

et al. 2013

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“…In a cross-sectional study, [10] tested the reliability and validity of a brief 4-question instrument, the Hurt Insult Threaten Scream (HITS) among predominantly Hispanic women. Two hundred and two women completed the HITS and two other previously validated tools, the Index of Spouse Abuse-Physical Scale (ISA-P) and the Woman Abuse Screening Tool (WAST).…”

Section: Measure Of Construct: B: (Socio-economic)mentioning

confidence: 99%

Investigating the Reliability and Validity of a Newly Developed Intimate Partner Violence Screening Tool for use in Physical Therapy Practice

Walton¹,

Schbley²,

Muvuti³

et al. 2017

Int J Phys Med Rehabil

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We conducted a study to investigate the reliability and validity of a newly developed Intimate Partner Violence (IPV) Screening Tool. The literature shows that victims of intimate partner violence identify health-care practitioners as potential sources of support. Meanwhile health care professionals are often unprepared to identify and help victims appropriately. Our survey addressed psychosocial, socio-economic and physical constructs influencing prevalence and screening accuracy for IPV. Four experts in the fields of social sciences, education, and physical therapy gave feedback on the survey content validity. A rubric was designed to determine construct validity and inter-rater reliability. The new IPV screening tool was shown to have strong inter-rater reliability (ICC=0.71, p<0.001), internal consistency (Cronbach's alpha=0.80-1.0 for all constructs, p<0.001), construct validity, concurrent validity, and percent agreement (88.9-100%) among an expert panel of four qualified health professionals, including two licensed physical therapists and two licensed social workers with expertise in women's health issues. The results of this study suggest the newly developed IPV Screening Tool for Physical Therapists to hold a strong content and construct validity, strong internal consistency, and strong inter-rater reliability and percent agreement between experts. Future research should focus on pilot testing for clinical utilization with feedback from both clinicians and patients regarding application.

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Screening for Intimate Partner Violence, Elder Abuse, and Abuse of Vulnerable Adults

Feltner

Wallace

Berkman

et al. 2018

JAMA

115

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Screening for domestic violence in a predominantly Hispanic clinical setting

Abstract: HITS demonstrated good reliability and validity with ISA-P in English speaking patients. The Spanish version of HITS showed moderate reliability and good validity with WAST in Spanish speaking patients. HITS may help physicians detect abuse in predominantly Hispanic clinical settings.

Cited by 82 publications

References 24 publications

Clinical Utility of an Intimate Partner Violence Screening Tool for Female VHA Patients

Clinical Utility of an Intimate Partner Violence Screening Tool for Female VHA Patients

Investigating the Reliability and Validity of a Newly Developed Intimate Partner Violence Screening Tool for use in Physical Therapy Practice

Screening for Intimate Partner Violence, Elder Abuse, and Abuse of Vulnerable Adults

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