Screening for intimate partner violence using an audiotape questionnaire - A randomized clinical trial in a pediatric emergency department
Screening for intimate partner violence using an audiotape questionnaire - A randomized clinical trial in a pediatric emergency department
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DOI：
10.1001/archpedi.160.3.311
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发表时间：
2006-03-01
影响因子：
--
通讯作者：
Fein, JA
中科院分区：
文献类型：
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作者：
Bair-Merritt, MH;Feudtner, C;Fein, JA
目的：比较两种不同的亲密伴侣暴力筛查方法在儿科急诊科的可接受性。设计：随机临床试验。设置：城市、儿科、三级护理中心急诊科。参与者：儿童的女性照顾者。主要暴露：通过录音带或书面问卷方法筛查亲密伴侣暴力。主要观察指标：对每种筛查方法的安全性、可接受性和易用性的感知。结果：497名参与者中有50人(10%)报告亲密伴侣暴力，录音带组266人中30人(11%)，书面问卷组231人中20人(9%)(P=.30)。录音带组的女性明显更有可能报告录音带方法不会将她们置于危险之中，而且是私密的。两组中的女性都对自己的筛查方法感到满意，并愿意再次使用。结论：与书面问卷筛查相比，用录音带方法筛查亲密伴侣的暴力行为具有多方面的优势，而且录音带方法可能与亲密伴侣暴力的揭发率略高有关。
Objective: To compare women's acceptability ratings of 2 different intimate partner violence screening methods, an audiotape questionnaire and a written questionnaire, in a pediatric emergency department.Design: Randomized clinical trial.Setting: An urban, pediatric, tertiary care center emergency department.Participants: Female caregivers of children.Main Exposure: Intimate partner violence screening by either an audiotape or written questionnaire method.Main Outcome Measures: Perceptions of each screening method's safety, acceptability, and ease of use.Results: Fifty (10%) of 497 participants reported intimate partner violence, 30 (11%) of 266 in the audiotape group and 20 (9%) of 231 in the written questionnaire group (P = .30). Women in the audiotape group were significantly more likely to report that the audiotape method did not put them at risk and was private. Women in both groups were satisfied with their screening method and were willing to use it again. Women in both groups preferred their given method over the idea of direct emergency department provider screening.Conclusions: Screening for intimate partner violence with an audiotape method appears to have several advantages compared with screening by a written questionnaire, and the audiotape method may be associated with slightly higher rates of disclosing intimate partner violence.