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Journal of Community Health

Erschienen in:

09.07.2021 | Original Paper

Community Health Worker Knowledge, Attitudes, Practices and Readiness to Manage Intimate Partner Violence

verfasst von: Zahra Saboori, Robert S. Gold, Kerry M. Green, Min Qi Wang

Erschienen in: Journal of Community Health | Ausgabe 1/2022

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Abstract

Intimate partner violence (IPV) is an important public health concern with higher prevalence among women. Community health workers (CHWs) are trusted frontline public health workers that bridge gaps between communities and healthcare services. Despite their effectiveness in delivering services and improving outcomes for different chronic conditions, there is a dearth of understanding regarding CHW management of IPV. The purpose of this study is to examine knowledge, attitudes, practices, and readiness to manage IPV among a sample of CHWs (n = 152). Participants completed an online version of the Physician Readiness to Manage Intimate Partner Violence Survey (PREMIS), which was modified for CHW practice. Psychometrics of the newly adapted tool, along with empirical relationships between knowledge, attitudes, and readiness to manage IPV were examined. Most sub-scales yielded moderate to high reliability (0.70 < α’s < 0.97), some sub-scales had low reliability (0.57 < α’s < 0.64), and construct validity was established for several of the subscales. On average, many CHWs had low scores on objective knowledge of IPV (mean = 15.4 out of 26), perceived preparation to manage IPV (mean = 3.8 out of 7), and perceived knowledge of IPV (mean = 3.7 out of 7). About 56% of CHWs indicated having no previous IPV training, 34% did not screen for IPV, and 65% were in the contemplation stage of behavior change. Multiple regression models indicated that knowledge, staff capabilities and staff preparation were significant predictors of perceived preparedness to manage IPV (all p’s < 0.05). Results can inform future credentialing requirements and training programs for CHWs to better assist their clients who are victims of IPV.

Breiding, M. J., Basile, K. C., Smith, S. G., Black, M. C., & Mahendra, R. (2015). Intimate partner violence surveillance: Uniform definitions and recommended data elements version 2.0. National Center for Injury Prevention and Control, Centers for Disease Control and Prevention. https://www.cdc.gov/violenceprevention/pdf/intimatepartnerviolence.pdf

Smith, S. G., Zhang, X., Basile, K. C., Merrick, M. T., Wang, J., Kresnow, M., & Chen, J. (2018). National intimate partner and sexual violence survey (NISVS): 2015 data brief—updated release. Atlanta, GA: National Center for Injury Prevention and Control, Centers for Disease Control and Prevention

Fanslow, J., Wise, M. R., & Marriott, J. (2019). Intimate partner violence and women’s reproductive health. Obstetrics, Gynaecology & Reproductive Medicine, 29(12), 342–350. https://doi.org/10.1016/j.ogrm.2019.09.003CrossRef

Breiding, M. J., Black, M. C., & Ryan, G. W. (2008). Chronic disease and health risk behaviors associated with intimate partner violence-18 U.S. states/territories, 2005. Annals of Epidemiology, 18(7), 538–544. https://doi.org/10.1016/j.annepidem.2008.02.005CrossRefPubMed

Plichta, S. B. (2004). Intimate partner violence and physical health consequences: Policy and practice implications. Journal of Interpersonal Violence, 19(11), 1296–1323. https://doi.org/10.1177/0886260504269685CrossRefPubMed

Beydoun, H. A., Beydoun, M. A., Kaufman, J. S., Lo, B., & Zonderman, A. B. (2012). Intimate partner violence against adult women and its association with major depressive disorder, depressive symptoms and postpartum depression: A systematic review and meta-analysis. Social Science & Medicine, 75(6), 959–975. https://doi.org/10.1016/j.socscimed.2012.04.025CrossRef

Black, M. C. (2011). Intimate partner violence and adverse health consequences: Implications for clinicians. American Journal of Lifestyle Medicine, 5(5), 428–439. https://doi.org/10.1177/1559827611410265CrossRef

Karakurt, G., Smith, D., & Whiting, J. (2014). Impact of intimate partner violence on women’s mental health. Journal of Family Violence, 29(7), 693–702. https://doi.org/10.1007/s10896-014-9633-2CrossRefPubMedPubMedCentral

Dillon, G., Hussain, R., Loxton, D., & Rahman, S. (2013). Mental and physical health and intimate partner violence against women: A review of the literature. International Journal of Family Medicine, 313909. https://doi.org/10.1155/2013/313909

10.

Campbell, J., Jones, A. S., Dienemann, J., Kub, J., Schollenberger, J., O’Campo, P., Wynne, C. (2002). Intimate partner violence and physical health consequences. Archives of Internal Medicine, 162(10), 1157–1163. https://doi.org/10.1001/archinte.162.10.1157CrossRefPubMed

11.

Bair-Merritt, M. H., Lewis-O’Connor, A., Goel, S., Amato, P., Ismailji, T., Jelley, M. … Cronholm, P. (2014). Primary care–based interventions for intimate partner violence: A systematic review. American Journal of Preventive Medicine, 46(2), 188–194. https://doi.org/10.1016/j.amepre.2013.10.001CrossRefPubMed

12.

Chang, J. C., Decker, M., Moracco, K. E., Martin, S. L., Petersen, R., & Frasier, P. Y. (2003). What happens when health care providers ask about intimate partner violence? A description of consequences from the perspectives of female survivors. Journal of the American Medical Women’s Association (1972), 58(2), 76–81

13.

McCloskey, L. A., Lichter, E., Williams, C., Gerber, M., Wittenberg, E., & Ganz, M. (2006). Assessing intimate partner violence in health care settings leads to women’s receipt of interventions and improved health. Public Health Reports (Washington, D.C.: 1974), 121(4), 435–444. https://doi.org/10.1177/003335490612100412

14.

Miller, E., McCaw, B., Humphreys, B. L., & Mitchell, C. (2015). Integrating intimate partner violence assessment and intervention into healthcare in the united states: A systems approach.Journal of Women’s Health, 24(1), 92–99. https://doi.org/10.1089/jwh.2014.4870CrossRefPubMedPubMedCentral

15.

U.S. Preventive Services Task Force. (2018). Screening for intimate partner violence, elder abuse, and abuse of vulnerable adults: US preventive services task force final recommendation statement. JAMA, 320(16), 1678–1687. https://doi.org/10.1001/jama.2018.14741

16.

Liebschutz, J., Battaglia, T., Finley, E., & Averbuch, T. (2008). Disclosing intimate partner violence to health care clinicians—What a difference the setting makes: A qualitative study. BMC Public Health, 8(1), 229. https://doi.org/10.1186/1471-2458-8-229.CrossRefPubMedPubMedCentral

17.

Ambuel, B., Hamberger, L. K., Guse, C. E., Melzer-Lange, M., Phelan, M. B., & Kistner, A. (2013). Healthcare can change from within: Sustained improvement in the healthcare response to intimate partner violence. Journal of Family Violence, 28(8), 833–847. https://doi.org/10.1007/s10896-013-9550-9.CrossRef

18.

Hamberger, L. K., Rhodes, K., & Brown, J. (2015). Screening and intervention for intimate partner violence in healthcare settings: Creating sustainable system-level programs. Journal of Women’s Health, 24(1), 86–91. https://doi.org/10.1089/jwh.2014.4861.CrossRefPubMedPubMedCentral

19.

American Public Health Association. (2000). Community health workers. https://www.apha.org/apha-communities/member-sections/community-health-workers

20.

Vaughan, K., Kok, M. C., Witter, S., & Dieleman, M. (2015). Costs and cost-effectiveness of community health workers: Evidence from a literature review. Human Resources for Health, 13(1), 71. https://doi.org/10.1186/s12960-015-0070-yCrossRefPubMedPubMedCentral

21.

Gatuguta, A., Katusiime, B., Seeley, J., Colombini, M., Mwanzo, I., & Devries, K. (2017). Should community health workers offer support healthcare services to survivors of sexual violence? A systematic review. BMC International Health and Human Rights, 17(1), 28. https://doi.org/10.1186/s12914-017-0137-zCrossRefPubMedPubMedCentral

22.

Short, L. M., Alpert, E., Harris, J. M., & Surprenant, Z. J. (2006). PREMIS: A comprehensive and reliable tool for measuring physician readiness to manage IPV. American Journal of Preventive Medicine, 30(2), 173–180. https://doi.org/10.1016/j.amepre.2005.10.009.CrossRefPubMedPubMedCentral

23.

Bays, A., & Ingram, K. (2015). Critical synthesis package: Physician readiness to manage intimate partner violence (PREMIS). MedEdPORTAL, 11. https://doi.org/10.15766/mep_2374-8265.10095

24.

DiClemente, C. C., & Hughes, S. O. (1990). Stages of change profiles in outpatient alcoholism treatment. Journal of Substance Abuse, 2(2), 217–235. https://doi.org/10.1016/s0899-3289(05)80057-4CrossRefPubMed

25.

Prochaska, J. O., & DiClemente, C. C. (1992). Stages of change in the modification of problem behaviors. Progress in Behavior Modification, 28, 183–218PubMed

26.

IBM Corp. Released 2020. IBM SPSS statistics for windows, Version 27.0. IBM Corp, Armonk, NY

27.

Michalos, A. C. (Ed.). (2014). Kuder-Richardson KR20 Formula. In Encyclopedia of quality of life and well-being research (pp. 3482–3482). Springer, Netherlands. https://doi.org/10.1007/978-94-007-0753-5_102199

28.

Mukaka, M. (2012). A guide to appropriate use of correlation coefficient in medical research. The Journal of Medical Association of Malawi, 24(3), 69–71.

29.

Kaiser, H. F. (1970). A second-generation little jiffy. Psychometrika, 35, 401–415.CrossRef

30.

Office of Disease Prevention and Health Promotion. (n.d.). Reduce intimate partner violence—IVP-DO4. Healthy People 2030. U.S. Department of Health and Human Services. https://health.gov/healthypeople/objectives-and-data/browse-objectives/violenceprevention/reduce-intimate-partner-violence-ivp-d04

31.

Health Resources and Services Administration, Office of Women’s Health (2017). The HRSA strategy to address intimate partner violence 2017–2020. Health Resources and Services Administration. https://www.hrsa.gov/sites/default/files/hrsa/HRSA-strategy-intimate-partnerviolence.pdf

32.

Rodgers, M. A., Grisso, J. A., Crits-Christoph, P., & Rhodes, K. V. (2017). No quick fixes: a mixed methods feasibility study of an urban community health worker outreach program for intimate partner violence. Violence Against Women, 23(3), 287–308. https://doi.org/10.1177/1077801216640383CrossRefPubMed

33.

London, K., Carey, M., & Russell, K. (2016). Community health worker certification requirements by state (pp. 1–10). Connecticut Health Foundation. https://www.cthealth.org/wp-content/uploads/2016/02/CHW-Certificaiton-by-State-Final-Final.pdf

Titel: Community Health Worker Knowledge, Attitudes, Practices and Readiness to Manage Intimate Partner Violence
verfasst von: Zahra Saboori
Robert S. Gold
Kerry M. Green
Min Qi Wang
Publikationsdatum: 09.07.2021
Verlag: Springer US
Erschienen in: Journal of Community Health / Ausgabe 1/2022
Print ISSN: 0094-5145
Elektronische ISSN: 1573-3610
DOI: https://doi.org/10.1007/s10900-021-01012-0

Springer Medizin

Abstract

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