Patient and provider barriers, facilitators, and implementation preferences of intimate partner violence perpetration screening

Abstract Background The substantial prevalence and consequences of intimate partner violence (IPV) underscore the need for effective healthcare response in the way of screening and follow up care. Despite growing evidence regarding perspectives on healthcare-based screening for IPV experiences (i.e....

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Main Authors: Galina A. Portnoy, Richard Colon, Georgina M. Gross, Lynette J. Adams, Lori A. Bastian, Katherine M. Iverson
Format: Article
Language:English
Published: BMC 2020-08-01
Series:BMC Health Services Research
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12913-020-05595-7
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author Galina A. Portnoy
Richard Colon
Georgina M. Gross
Lynette J. Adams
Lori A. Bastian
Katherine M. Iverson
author_facet Galina A. Portnoy
Richard Colon
Georgina M. Gross
Lynette J. Adams
Lori A. Bastian
Katherine M. Iverson
author_sort Galina A. Portnoy
collection DOAJ
description Abstract Background The substantial prevalence and consequences of intimate partner violence (IPV) underscore the need for effective healthcare response in the way of screening and follow up care. Despite growing evidence regarding perspectives on healthcare-based screening for IPV experiences (i.e., victimization), there is an extremely limited evidence-base to inform practice and policy for detecting IPV use (i.e., perpetration). This study identified barriers, facilitators, and implementation preferences among United States (US) Veterans Health Administration (VHA) patients and providers for IPV use screening. Methods We conducted qualitative interviews with patients enrolled in VHA healthcare (N = 10) and focus groups with VHA providers across professional disciplines (N = 29). Data was analyzed using thematic and content analyses. Results Qualitative analysis revealed convergence between patients’ and providers’ beliefs regarding key factors for IPV use screening, including the importance of a strong rapport, clear and comprehensive processes and procedures, universal implementation of screening, and a self-report screening tool that assesses for both IPV use and experiences concurrently. Conclusions Findings provide foundational information regarding patient and provider barriers, facilitators, and preferences for IPV use screening that can inform clinical practice and next steps in this important but understudied aspect of healthcare.
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spelling doaj.art-cfbf66f7f05b4a8db81ec9dba693c04c2022-12-22T01:58:44ZengBMCBMC Health Services Research1472-69632020-08-0120111210.1186/s12913-020-05595-7Patient and provider barriers, facilitators, and implementation preferences of intimate partner violence perpetration screeningGalina A. Portnoy0Richard Colon1Georgina M. Gross2Lynette J. Adams3Lori A. Bastian4Katherine M. Iverson5VA Connecticut Healthcare System, VA PRIME CenterVA Connecticut Healthcare System, VA PRIME CenterVA Connecticut Healthcare System, VA PRIME CenterVA Connecticut Healthcare System, VA PRIME CenterVA Connecticut Healthcare System, VA PRIME CenterWomen’s Health Sciences Division, National Center for PTSD, VA Boston Healthcare SystemAbstract Background The substantial prevalence and consequences of intimate partner violence (IPV) underscore the need for effective healthcare response in the way of screening and follow up care. Despite growing evidence regarding perspectives on healthcare-based screening for IPV experiences (i.e., victimization), there is an extremely limited evidence-base to inform practice and policy for detecting IPV use (i.e., perpetration). This study identified barriers, facilitators, and implementation preferences among United States (US) Veterans Health Administration (VHA) patients and providers for IPV use screening. Methods We conducted qualitative interviews with patients enrolled in VHA healthcare (N = 10) and focus groups with VHA providers across professional disciplines (N = 29). Data was analyzed using thematic and content analyses. Results Qualitative analysis revealed convergence between patients’ and providers’ beliefs regarding key factors for IPV use screening, including the importance of a strong rapport, clear and comprehensive processes and procedures, universal implementation of screening, and a self-report screening tool that assesses for both IPV use and experiences concurrently. Conclusions Findings provide foundational information regarding patient and provider barriers, facilitators, and preferences for IPV use screening that can inform clinical practice and next steps in this important but understudied aspect of healthcare.http://link.springer.com/article/10.1186/s12913-020-05595-7Intimate partner violenceViolence perpetrationScreeningPatient preferencesProvider preferencesHealthcare needs
spellingShingle Galina A. Portnoy
Richard Colon
Georgina M. Gross
Lynette J. Adams
Lori A. Bastian
Katherine M. Iverson
Patient and provider barriers, facilitators, and implementation preferences of intimate partner violence perpetration screening
BMC Health Services Research
Intimate partner violence
Violence perpetration
Screening
Patient preferences
Provider preferences
Healthcare needs
title Patient and provider barriers, facilitators, and implementation preferences of intimate partner violence perpetration screening
title_full Patient and provider barriers, facilitators, and implementation preferences of intimate partner violence perpetration screening
title_fullStr Patient and provider barriers, facilitators, and implementation preferences of intimate partner violence perpetration screening
title_full_unstemmed Patient and provider barriers, facilitators, and implementation preferences of intimate partner violence perpetration screening
title_short Patient and provider barriers, facilitators, and implementation preferences of intimate partner violence perpetration screening
title_sort patient and provider barriers facilitators and implementation preferences of intimate partner violence perpetration screening
topic Intimate partner violence
Violence perpetration
Screening
Patient preferences
Provider preferences
Healthcare needs
url http://link.springer.com/article/10.1186/s12913-020-05595-7
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