| Results of a multifaceted Intimate Partner Violence training program for pediatric residents. | |
| | |
MedLine Citation:
|
PMID: 20303591 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: To evaluate the efficacy of a multifaceted Intimate Partner Violence (IPV) intervention on knowledge, attitudes, and screening practices of pediatric residents. METHODS: The intervention included: an on-site IPV counselor, IPV training for attending physicians, residents and social workers, and screening prompts. Evaluation included baseline and post-training surveys of residents, assessing their knowledge, attitudes, and comfort with IPV screening, patient chart reviews at baseline, 3 months, and 8 months for documentation of IPV screening, and review of the IPV counselor's client charts. RESULTS: Baseline chart review showed screening rates of less than 1%. Screening rates were 36.2% at 3 months and 33.1% at 8 months. After training, residents were more likely to know: IPV screening questions (47.1% vs. 100%); referral sources (34.3% vs. 82.9%); and the relationship between child abuse and IPV (52.9% vs. 97.1%). At baseline, barriers to IPV screening included time (50%), lack of knowledge of how to screen (26.5%) and where to refer (23.5%). Post-training, barriers were time (44%), presence of children (25.9%) or other adults (18.5%) in the room, and inappropriate location (18.5%). Post-training, none of the residents listed "lack of knowledge" or "lack of referral sources" as barriers to IPV screening. After 12 months, 107 victims of IPV were identified; most referred from inpatient units and subspecialty clinics. CONCLUSION: A multifaceted IPV intervention increased identification of IPV victims and markedly improved attitudes, comfort, and IPV screening practices of pediatric residents. IPV screening rates were sustainable with minimal ongoing training. PRACTICE IMPLICATIONS: Consideration should be given to the training and practice supports necessary to encourage IPV screening in the pediatric setting. Educational efforts that familiarize pediatricians with the content surrounding the risk and potential impact of IPV to children and families along with practice supports that make incorporating screening for IPV as easy as possible have the potential to increase the identification of this problem and promote referrals to IPV agencies for follow-up and intervention where needed. |
| | |
Authors:
|
Maria D McColgan; Mario Cruz; Jessica McKee; Sandra H Dempsey; Martha B Davis; Patricia Barry; Ana Lisa Yoder; Angelo P Giardino |
Publication Detail:
|
Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2010-03-19 |
Journal Detail:
|
Title: Child abuse & neglect Volume: 34 ISSN: 1873-7757 ISO Abbreviation: Child Abuse Negl Publication Date: 2010 Apr |
Date Detail:
|
Created Date: 2010-04-16 Completed Date: 2010-07-15 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 7801702 Medline TA: Child Abuse Negl Country: England |
Other Details:
|
Languages: eng Pagination: 275-83 Citation Subset: IM |
Copyright Information:
|
Copyright 2010 Elsevier Ltd. All rights reserved. |
Affiliation:
|
Drexel University College of Medicine, St. Christopher's Hospital for Children, Philadelphia, PA, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Attitude of Health Personnel* Child Child Abuse / diagnosis, statistics & numerical data Cross-Sectional Studies Curriculum Female Humans Internship and Residency* Male Mass Screening* / statistics & numerical data Patient Care Team* Pediatrics / education* Philadelphia Referral and Consultation / statistics & numerical data Spouse Abuse / diagnosis*, statistics & numerical data |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Prognostic classification of patients with acute lymphoblastic leukemia by using gene copy number pr...
Next Document: Stabilizing group treatment for Complex Posttraumatic Stress Disorder related to childhood abuse bas...