Screening women for intimate partner violence in healthcare settings

O’Doherty, Lorna; Hegarty, Kelsey; Ramsay, Jean; Davidson, Leslie L.; Feder, Gene; Taft, Angela

doi:10.1002/14651858.cd007007.pub3

Cited by 304 publications

(324 citation statements)

References 138 publications

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“…Although we were not able to detect significant differences between the intervention (n = 28) and the control groups (n = 16), the helpfulness of referral card seemed to be more prominent in the IG and approximated statistical significance (p = 0.085). Although in recent years, more and more evidence is emerging that low intensive interventions such as handing a referral card are not likely to have a large and lasting impact on women's experience of IPV [96], the evidence based is still quite limited .…”

Section: Perceived Helpfulness Of the Interventionmentioning

confidence: 99%

The impact of a referral card-based intervention on intimate partner violence, psychosocial health, help-seeking and safety behaviour during pregnancy and postpartum: a randomized controlled trial

Parys

Deschepper

Roelens

et al. 2017

BMC Pregnancy Childbirth

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Background: We aimed to investigate the impact of a referral-based intervention in a prospective cohort of women disclosing intimate partner violence (IPV) on the prevalence of violence, and associated outcomes psychosocial health, help-seeking and safety behaviour during and after pregnancy. Methods: Women seeking antenatal care in eleven Belgian hospitals were consecutively invited from June 2010 to October 2012, to participate in a single-blind randomized controlled trial (RCT) and handed a questionnaire. Participants willing to be interviewed and reporting IPV victimisation were randomised. In the Intervention Group (IG) participants received a referral card with contact details of services providing assistance and tips to increase safety behaviour. Participants in the Control Group (CG) received a "thank you" card. Follow-up data were obtained through telephone interview at an average of 10 months after receipt of the card. Results: At follow-up (n = 189), 66.7% (n = 126) of the participants reported IPV victimisation. Over the study-period, the prevalence of IPV victimisation decreased by 31.4% (P < 0.001), psychosocial health increased significantly (5.4/140, P < 0.001), 23.8% (n = 46/193) of the women sought formal help, 70.5% (n = 136/193) sought informal help, and 31.3% (n = 60/192) took at least one safety measure. We observed no statistically significant differences between the IG and CG, however. Adjusted for psychosocial health at baseline, the perceived helpfulness of the referral card seemed to be larger in the IG. Both the questionnaire and the interview were perceived to be significantly more helpful than the referral card itself (P < 0.001).

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Section: Perceived Helpfulness Of the Interventionmentioning

confidence: 99%

The impact of a referral card-based intervention on intimate partner violence, psychosocial health, help-seeking and safety behaviour during pregnancy and postpartum: a randomized controlled trial

Parys

Deschepper

Roelens

et al. 2017

BMC Pregnancy Childbirth

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“…HIV testing and counselling services offer unique opportunities for integrated screening. Antenatal services also provide excellent screening opportunities, as pregnancy is a critical period for entry into HIV care for women in Africa, and pregnant women have been reported to be 4-times more likely to disclose IPV when screened than other women (O'Doherty et al, 2015).…”

Section: Intervening In Sub-saharan Africamentioning

confidence: 99%

Intimate partner violence, HIV, and mental health: a triple epidemic of global proportions

Mitchell

Wight

Heerden

et al. 2016

International Review of Psychiatry

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Intimate partner violence (IPV) is a global health problem of epidemic proportions, affecting a third of women across the globe and as many as 60% in heavily affected regions of Africa. There is strong evidence that risk of IPV is heightened in HIV-infected women, and emerging evidence linking experiencing IPV and/or HIV to a higher likelihood of experiencing mental health problems. This triple burden makes women in Africa, living in the epicentre of HIV, all the more vulnerable. In this synthesis, this study reviewed literature pertaining to the overlap of IPV, HIV, and mental health problems. It presents a series of geographical maps illustrating the heavy burden of IPV and HIV globally, and how these coincide with a growing prevalence of mental health problems in Africa. Furthermore, it presents evidence on: the association between IPV and HIV, shared risk factors, and health consequences. This synthesis sheds light on the fact that $30% of women are affected by these three burdens concurrently, and the need for intervention is essential. Promising large scale interventions which have taken place in Africa are described, and evidence is presented in support of integrated versus targeted screening. ARTICLE HISTORY

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“…Women in the study may benefit from the referral list as well as from the baseline encounter with the nurse in which she inquires about her experiences of violence in a kind, non-judgmental way. Inquiring about violence exposure in the context of research may lead women to contemplate the role of violence in their lives, which could increase their awareness and recognition of the problem and potentially influence outcomes [48]. These conditions may reduce the relative difference in outcomes between the intervention and control groups and could bias results towards the null hypothesis.…”

Section: Discussionmentioning

confidence: 99%

Testing a counselling intervention in antenatal care for women experiencing partner violence: a study protocol for a randomized controlled trial in Johannesburg, South Africa

Tordrup

García‐Moreno

Stöeckl

et al. 2016

BMC Health Serv Res

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BackgroundIntimate partner violence (IPV) during or before pregnancy is associated with many adverse health outcomes. Pregnancy-related complications or poor infant health outcomes can arise from direct trauma as well as physiological effects of stress, both of which impact maternal health and fetal growth and development. Antenatal care can be a key entry point within the health system for many women, particularly in low-resource settings. Interventions to identify violence during pregnancy and offer women support and counselling may reduce the occurrence of violence and mitigate its consequences.MethodsFollowing a formative research phase, a randomized controlled trial will be conducted to test a nurse-led empowerment counselling intervention, originally developed for high-income settings and adapted for urban South Africa. The primary outcome is reduction of partner violence, and secondary outcomes include improvement in women’s mental health, safety and self-efficacy. The study aims to recruit 504 pregnant women from three antenatal clinics in Johannesburg who will be randomized to the nurse-led empowerment arm (two 30-min counselling sessions) or enhanced control condition (a referral list) to determine whether participants in the intervention arm have better outcomes as compared to the those in the control arm.DiscussionThis research will provide much needed evidence on whether a short counselling intervention delivered by nurses is efficacious and feasible in low resource settings that have high prevalence of IPV and HIV.Trial registrationThe study was registered in the South African Clinical Trials Registry (DOH-27-0414-4720) on 11 August 2014 and in the ISRCTN Registry (ISRCTN35969343) on 23 May 2016).

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Screening women for intimate partner violence in healthcare settings

Cited by 304 publications

References 138 publications

The impact of a referral card-based intervention on intimate partner violence, psychosocial health, help-seeking and safety behaviour during pregnancy and postpartum: a randomized controlled trial

The impact of a referral card-based intervention on intimate partner violence, psychosocial health, help-seeking and safety behaviour during pregnancy and postpartum: a randomized controlled trial

Intimate partner violence, HIV, and mental health: a triple epidemic of global proportions

Testing a counselling intervention in antenatal care for women experiencing partner violence: a study protocol for a randomized controlled trial in Johannesburg, South Africa

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