Using the stages of change model to counsel victims of intimate partner violence

Frasier, Pamela York; Slatt, Lisa M.; Kowlowitz, Vicki; Glowa, Patricia T

doi:10.1016/s0738-3991(00)00152-x

Cited by 67 publications

(72 citation statements)

References 9 publications

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“…Finally, it is imperative that interventions be patient-centered, matched to the women's stage in the change process, and tailored to fit the women's unique experiences (Anderson, 2003;Frasier et al, 2001;Zink et al, 2004). For example, those in precontemplation may benefit most from education, whereas those in the action phase may respond most favorably to guidance and support for their efforts.…”

Section: Discussionmentioning

confidence: 99%

“…However, only recently have investigators begun to explore its use with women's experiences of intimate partner violence (IPV; Anderson, 2003;Babcock, Canady, Senior, & Eckhardt, 2005;Burke, Denison, Gielen, McDonnell, & O'Campo, 2004;Burke, Gielen, McDonnell, O'Campo, & Maman, 2001;Frasier, Slatt, Kowlowitz, & Glowa, 2001;Haggerty & Goodman, 2003;Liang, Goodman, Tummala-Narra, & Weintraub, 2005;Mayer & Liebschutz, 1998;Zink, Elder, Jacobson, & Klostermann, 2004). Use of the TM is gaining in popularity as a framework for conceptualizing abused women's attempts to extricate themselves from abusive relationships, as well as a guide for IPV interventions.…”

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confidence: 99%

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Stages of change as a correlate of mental health symptoms in abused, low-income African American women

Edwards¹,

Houry²,

Kemball³

et al. 2006

J. Clin. Psychol.

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The current study aims to further our understanding of the applicability of the transtheoretical model (TM) to intimate partner violence (IPV), with particular focus on mental health symptoms (depression, posttraumatic stress disorder symptomatology, suicidal ideation) in a sample of lowincome African American women seeking medical services at an inner city emergency department. Results revealed that of the 121 abused African American women, the majority (95%) were in the precontempla-tion and contemplation stages of the change process. Further, contrary to predictions, bivariate analyses revealed those at further stages of change endorsed more severe mental health symptoms. However, a multivariate analysis of variance examining differences in level of mental health symptoms between women high and low on stages of change was inconclusive due to the small number of women at the higher stages of the TM model. These findings contribute to the growing body of literature supporting the TM as applied to IPV. Results are discussed in terms of applicability to intervention design. Keywords intimate partner violence; African American women; transtheoretical modelThe transtheoretical model (TM), also known as the stages of change model, describes an individual's readiness to change behavior. The TM suggests that to make a successful behavior change, individuals must go through a process of evaluating and increasing their readiness to

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Stages of change as a correlate of mental health symptoms in abused, low-income African American women

Edwards¹,

Houry²,

Kemball³

et al. 2006

J. Clin. Psychol.

View full text Add to dashboard Cite

show abstract

“…Readiness to change is introduced as a mediating variable for help-seeking behaviour, since it is known that seeking help is influenced by the phase in which people are located [66][67][68]. The answer that indicates not considering making any changes to the situation in the next 6 months was coded as the precontemplation phase.…”

Section: Follow-up Assessmentmentioning

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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“…Precontemplation Victims in precontemplation do not recognize their partner' s behavior as abusive and see their relationships as normal. 38,44,45 By inquiring about IPV, the physician is raising awareness. When asked how she would respond to a physician screening for IPV, one participant responded:…”

Section: Stages Of Change and Physician Managementmentioning

confidence: 99%

“…Several authors have examined the stages-of-change model applied to behavior change in IPV, both with the abuser 42,43 and the victim. 38,44,45 No study has examined the victim' s perceptions of physician management in light of the stages of change. Whereas many factors shape the victim' s process of managing the abuse, the victim clearly has some control over how he or she chooses to respond to the abuse, and it is, therefore, important that victims' processes be carefully described and examined.…”

Section: Initial Analysismentioning

confidence: 99%

Medical Management of Intimate Partner Violence Considering the Stages of Change: Precontemplation and Contemplation

Zink

Elder

Jacobson

et al. 2004

The Annals of Family Medicine

130

114

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BACKGROUND We undertook a study to understand how women who are victims of intimate partner violence (IPV) want physicians to manage these abusive relationships in the primary care offi ce.METHODS Thirty-two mothers in IPV shelters or support groups in southwestern Ohio were interviewed to explore their abuse experiences and health care encounters retrospectively. The interviews were taped and transcribed. Using thematic analysis techniques, transcripts were read for indications of the stages of change and for participants' desires concerning appropriate physician management.RESULTS Participants believed that physicians should screen women for IPV both on a routine basis and when symptoms indicating possible abuse are present, even if the victim does not disclose the abuse. Screening is an important tool to capture those women early in the process of victimization. When a victim does not recognize her relationship as abusive, participants recommended that physicians raise the issue by asking, but they also warned that doing more may alienate the victim. Participants also encouraged physicians to explore clues that victims might give about the abuse. In later contemplation, victims are willing to disclose the abuse and are exploring options. Physicians were encouraged to affi rm the abuse, know local resources for IPV victims, make appropriate referrals, educate victims about how the abuse affects their health, and document the abuse. Participants identifi ed a variety of internal and external factors that had affected their processes. CONCLUSIONSIn hindsight, IPV victims recommended desired actions from physicians that could help them during early stages of coming to terms with their abusive relationships. Stage-matched interventions may help physicians manage IPV more effectively and avoid overloading the victim with information for which she is not ready. BACKGROUNDI n the primary care offi ce, 11% to 22% of women are currently experiencing physical abuse. [1][2][3] Studies show that intimate partner violence or abuse (IPV) affects the physical and mental health of victims [4][5][6][7][8][9][10][11][12] and of children who witness it. [13][14][15][16][17][18] Because IPV is commonplace and the consequences of IPV are serious, professional organizations recommend that physicians routinely screen the woman alone without her spouse or children. [19][20][21][22][23] The value of screening for IPV when effectiveness has not been proved remains subject to controversy. 24,25 Rhodes and Levinson 26 remind us, however, that physicians will continue to see both men and women who are abused and that the recognition of abuse may infl uence the evaluation of the patient' s complaints as well as the outcomes of care.Studies show that physicians are not screening. [27][28][29] The reported barriers One barrier not mentioned in the literature is that children are often with their mothers in the offi ce. Sometimes children accompany their mothers to her medical appointments (8%), and often mothers bring children to ...

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Using the stages of change model to counsel victims of intimate partner violence

Cited by 67 publications

References 9 publications

Stages of change as a correlate of mental health symptoms in abused, low-income African American women

Stages of change as a correlate of mental health symptoms in abused, low-income African American women

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

Medical Management of Intimate Partner Violence Considering the Stages of Change: Precontemplation and Contemplation

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