Lindsay Martin-Engel1, Jacqueline Allen2, Amber Alencar3, Scott Levin3, Victoria O Udezi4, Patti Pagels5, Rebecca L Eary6. 1. Foremost Family Health Center, Balch Springs, TX. 2. Charles R. Drew University of Medicine and Science, Los Angeles, CA. 3. West Suburban Medical Center Family Medicine Residency Program, Oak Park, IL. 4. University of Texas Southwestern Medical Center - Family and Community Medicine, Dallas, TX. 5. University of Texas Southwestern Medical Center-Department of Family and Community Medicine, Dallas, TX. 6. University of Texas Southwestern Medical Center - Department of Community and Family Medicine.
Abstract
BACKGROUND AND OBJECTIVES: Primary care clinicians are in a unique position to address intimate partner violence (IPV) in routine clinical practice. The purpose of this study was to improve clinician readiness to identify and manage IPV in four family medicine residency practice sites on the west side of Chicago by partnering with a local domestic violence organization. METHODS: Practice sites included three federally qualified health centers and one hospital-based office. Eligible clinicians included resident and faculty physicians, nurse practitioners, and certified nurse midwives. We assessed readiness using the validated Physician Readiness to Manage Intimate Partner Violence Survey (PREMIS). We used initial survey results (n=53, 73%) to develop a targeted clinician educational intervention by a community organization. We administered the PREMIS tool postintervention at 1 and 6 months, measuring perceived and actual knowledge, preparedness, and practice issues. We performed comparison statistics to assess aggregate change. RESULTS: PREMIS response rates were n=53 (72%), n=32 (47%), and n=36 (49%), for preintervention, 1, and 6 months postintervention, respectively. Mean clinician preparedness score improved significantly at 1 and 6 months (P<.001, P<.009). Mean self-perceived knowledge score improved significantly at 1 month (P<.001) and trended toward improvement at 6 months (P=.07). Actual knowledge trended toward improvement at 1 month (P=.07) and after 6 months (P=.05). Mean practice issues scores did not improve significantly. CONCLUSIONS: Participation in a 45-minute targeted educational intervention improved clinician readiness to manage IPV. Collaborating with a community partner builds a relationship for further referrals and advocacy for patients.
BACKGROUND AND OBJECTIVES: Primary care clinicians are in a unique position to address intimate partner violence (IPV) in routine clinical practice. The purpose of this study was to improve clinician readiness to identify and manage IPV in four family medicine residency practice sites on the west side of Chicago by partnering with a local domestic violence organization. METHODS: Practice sites included three federally qualified health centers and one hospital-based office. Eligible clinicians included resident and faculty physicians, nurse practitioners, and certified nurse midwives. We assessed readiness using the validated Physician Readiness to Manage Intimate Partner Violence Survey (PREMIS). We used initial survey results (n=53, 73%) to develop a targeted clinician educational intervention by a community organization. We administered the PREMIS tool postintervention at 1 and 6 months, measuring perceived and actual knowledge, preparedness, and practice issues. We performed comparison statistics to assess aggregate change. RESULTS: PREMIS response rates were n=53 (72%), n=32 (47%), and n=36 (49%), for preintervention, 1, and 6 months postintervention, respectively. Mean clinician preparedness score improved significantly at 1 and 6 months (P<.001, P<.009). Mean self-perceived knowledge score improved significantly at 1 month (P<.001) and trended toward improvement at 6 months (P=.07). Actual knowledge trended toward improvement at 1 month (P=.07) and after 6 months (P=.05). Mean practice issues scores did not improve significantly. CONCLUSIONS: Participation in a 45-minute targeted educational intervention improved clinician readiness to manage IPV. Collaborating with a community partner builds a relationship for further referrals and advocacy for patients.
Authors: Laura A McCloskey; Erika Lichter; Corrine Williams; Megan Gerber; Eve Wittenberg; Michael Ganz Journal: Public Health Rep Date: 2006 Jul-Aug Impact factor: 2.792
Authors: Diane S Morse; Ross Lafleur; Colleen T Fogarty; Mona Mittal; Catherine Cerulli Journal: J Am Board Fam Med Date: 2012 May-Jun Impact factor: 2.657