Women’s Views of Prenatal Violence Screening

Renker, Paula; Tonkin, Peggy

doi:10.1097/01.aog.0000195356.90589.c5

Cited by 63 publications

(20 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Differences also emerged in regard to socio-economic characteristics, with younger women feeling more embarrassed by routine or case-based inquiry than older women [19,20] and women with a high school degree or higher income being more likely to oppose it [20,23]. As it has been reported before, health care providers are often hesitant to inquire about intimate partner violence.…”

Section: Introductionmentioning

confidence: 99%

Acceptance of routine or case-based inquiry for intimate partner violence: a mixed method study

Stöckl

Hertlein

Himsl

et al. 2013

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

BackgroundThe prevalence and detrimental health effects of intimate partner violence have resulted in international discussions and recommendations that health care professionals should screen women for intimate partner violence during general and antenatal health care visits. Due to the lack of discussion on routine or case-based inquiry for intimate partner violence during antenatal care in Germany, this study seeks to explore its acceptability among pregnant German women.MethodsA mixed methods approach was used, utilizing a self-administered survey on the acceptability of routine or case-based inquiry for intimate partner violence in a university hospital’s maternity ward in Munich and in-depth interviews with seven women who experienced violence during pregnancy.ResultsOf the 401 women who participated in the survey, 92 percent were in favor of routine or case-based inquiry for intimate partner violence during antenatal care. Acceptance of routine or case-based inquiry for intimate partner violence during antenatal care was significantly associated with women’s experiences of child sexual abuse, being young, less educated, single or divorced and smoking during pregnancy. Open-ended survey questions and in-depth interviews stressed adequate training for screening, sufficient time and provision of referral information as important conditions for routine or case-based inquiry for intimate partner violence.ConclusionsWomen in this study showed an overwhelming support for routine or case-based screening for intimate partner violence in antenatal care in Germany. Until adequate training is in place to allow providers to inquire for intimate partner violence in a professional manner, this study recommends that health care providers are made aware of the prevalence and health consequences of violence during pregnancy.

show abstract

Section: Introductionmentioning

confidence: 99%

Acceptance of routine or case-based inquiry for intimate partner violence: a mixed method study

Stöckl

Hertlein

Himsl

et al. 2013

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

show abstract

“…Strong evidence exists that women experiencing abuse do not self-disclose their situations during routine prenatal care, but respond to provider-initiated inquiry [18,19]. Furthermore, despite the increased number of contacts with healthcare providers in the course of routine prenatal care and higher utilization of medical services, few providers routinely assess pregnant and postpartum women for abuse [20,21].…”

Section: Introductionmentioning

confidence: 99%

Correlates of Abuse Around the Time of Pregnancy: Results from a National Survey of Canadian Women

Kingston

Heaman

Urquia

et al. 2015

Matern Child Health J

View full text Add to dashboard Cite

show abstract

“…On the basis of high levels of acceptability and disclosure reported using computer screening [46,47], we established that e-screening would be feasible if, in the intervention group, 85% of women indicated that they were able to tell the truth on all questions on the psychosocial assessment (question 7 of the computer assessment evaluation, CAE). For our other outcomes, we based the sample size calculation on 85% of women scoring 4-8 on the Risk subscale of the Disclosure Expectations Scale and 85% scoring 16-20 on the Utility subscale of the Disclosure Expectations Scale.…”

Section: Methodsmentioning

confidence: 99%

“…We measured women’s views on the feasibility and acceptability of e-screening with an adapted 9-item version of Renker and Tonkin’s assessment of the feasibility of computerized screening for interpersonal violence [46,47]. Of the 9 items, 2 items are related to acceptability of e-screening (I did or would like to use a tablet to answer these questions about emotional health; I would prefer answering questions about emotional health on the tablet compared to a paper questionnaire) and the remaining 7 items measure broad areas of feasibility, including disclosure (I was able to tell the truth on all the questions about emotional health; I did not like answering the questions about emotional health on the tablet or paper because it was hard to answer how I really felt), features of screening (privacy; ease of understanding questions; impersonal; time to completion), and comparison with paper-based screening.…”

Section: Methodsmentioning

confidence: 99%

Pregnant Women’s Views on the Feasibility and Acceptability of Web-Based Mental Health E-Screening Versus Paper-Based Screening: A Randomized Controlled Trial

Kingston¹,

Austin²,

Zanten³

et al. 2017

J Med Internet Res

View full text Add to dashboard Cite

BackgroundMajor international guidelines recommend mental health screening during the perinatal period. However, substantial barriers to screening have been reported by pregnant and postpartum women and perinatal care providers. E-screening offers benefits that may address implementation challenges.ObjectiveThe primary objective of this randomized controlled trial was to evaluate the feasibility and acceptability of Web-based mental health e-screening compared with paper-based screening among pregnant women. A secondary objective was to identify factors associated with women’s preferences for e-screening and disclosure of mental health concerns.MethodsPregnant women recruited from community and hospital-based antenatal clinics and hospital-based prenatal classes were computer-randomized to a fully automated Web-based e-screening intervention group or a paper-based control group. Women were eligible if they spoke or read English, were willing to be randomized to e-screening, and were willing to participate in a follow-up diagnostic interview. The intervention group completed the Antenatal Psychosocial Health Assessment and the Edinburgh Postnatal Depression Scale on a tablet computer, while controls completed them on paper. All women completed self-report baseline questions and were telephoned 1 week after randomization by a blinded research assistant for a MINI International Neuropsychiatric Interview. Renker and Tonkin’s tool of feasibility and acceptability of computerized screening was used to assess the feasibility and acceptability of e-screening compared with paper-based screening. Intention-to-treat analysis was used. To identify factors associated with preference for e-screening and disclosure, variables associated with each outcome at P<.20 were simultaneously entered into final multivariable models to estimate adjusted odds ratios (AORs) and 95% CIs.ResultsOf the 675 eligible women approached, 636 agreed to participate (participation rate 94.2%) and were randomized to the intervention (n=305) or control (n=331) groups. There were no significant baseline differences between groups. More women in the e-screening group strongly or somewhat agreed that they would like to use a tablet for answering questions on emotional health (57.9%, 175/302 vs 37.2%, 121/325) and would prefer using a tablet to paper (46.0%, 139/302 vs 29.2%, 95/325), compared with women in the paper-based screening group. There were no differences between groups in women’s disclosure of emotional health concerns (94.1%, 284/302 vs 90.2%, 293/325). Women in the e-screening group consistently reported the features of e-screening more favorably than controls (more private or confidential, less impersonal, less time-consuming). In the multivariable models, being in the e-screening group was significantly associated with preferring e-screening (AOR 2.29, 95% CI 1.66-3.17), while no factors were significantly associated with disclosure.ConclusionsThe findings suggest that mental health e-screening is feasible and acceptable to pregnant women.Tr...

show abstract

Women’s Views of Prenatal Violence Screening

Abstract: II-3.

Cited by 63 publications

References 30 publications

Acceptance of routine or case-based inquiry for intimate partner violence: a mixed method study

Acceptance of routine or case-based inquiry for intimate partner violence: a mixed method study

Correlates of Abuse Around the Time of Pregnancy: Results from a National Survey of Canadian Women

Pregnant Women’s Views on the Feasibility and Acceptability of Web-Based Mental Health E-Screening Versus Paper-Based Screening: A Randomized Controlled Trial

Contact Info

Product

Resources

About