Development of the Woman Abuse Screening Tool for use in family practice.
Development of the Woman Abuse Screening Tool for use in family practice.
复制标题
开发用于家庭实践的妇女虐待筛查工具。
作者：
J. Brown;B. Lent;P. Brett;G. Sas;L. Pederson
背景
这项研究开发了一种筛查工具，供家庭医生用于识别和评估遭受伴侣情感和/或身体虐待的女性患者。
方法
受虐待和未受虐待妇女都完成了为妇女虐待甄别工具编制的最初一套八个问题。参与者还被要求表明他们在回答研究和家庭实践背景下的问题时的舒适度。他们还完成了滥用风险清单和人口统计调查问卷。WAST的分析包括1）测量的有效性和可靠性的标准评估和2）检查进一步减少WAST上用于筛选目的的问题数量的有效性。
结果
最终样本的虐待（n = 24）和非虐待妇女（n = 24）显着不同的一些人口和虐待变量。消除一个原始项目后，一个强大的单因素结构被确定为WAST，占85%的总方差响应WAST项目。WAST被认为是一个高度可靠的措施;系数α估计为0.95。该量表还证明了结构效度和判别效度。受虐待的妇女报告说，在研究和家庭实践的背景下，不太舒服的回答WAST的问题，比非受虐待的妇女。被虐待妇女报告最舒服的两个WAST问题被用来构建WAST-Short用于初始筛选目的。WAST-Short对100%的未受虐待妇女和91.7%的受虐待妇女进行了正确分类。
结论
WAST表现出良好的信度和效度，并区分虐待和非虐待妇女。WAST-Short的开发为医生提供了一个相对不引人注目的评估滥用的筛查工具。使用额外的WAST问题可用于进一步探索女性患者遭受其伴侣虐待的可能性。进一步的研究包括在家庭实践环境中实地测试WAST。
BACKGROUND
This study developed a screening tool for use by family physicians to identify and assess women patients experiencing emotional and/or physical abuse by their partner.
METHODS
An initial set of eight questions developed for the Woman Abuse Screening Tool (WAST) was completed by both abused and non-abused women. Participants were also asked to indicate their comfort in answering the questions in both research and family practice contexts. They also completed the Abuse Risk Inventory and a demographic questionnaire. Analysis of the WAST included 1) standard assessment of the validity and reliability of the measure and 2) examination of the efficacy of further reducing the number of questions on the WAST for screening purposes.
RESULTS
The final samples of abused (n = 24) and non-abused women (n = 24) differed significantly on a number of demographic and abuse variables. After eliminating one of the original items, a strong single factor structure was identified for the WAST that accounted for 85% of the total variance in responses to the WAST items. The WAST was found to be a highly reliable measure; coefficient alpha was estimated at.95. The scale also demonstrated construct and discriminant validity. The abused women reported being less comfortable responding to the WAST questions, in both the research and family practice contexts, than the non-abused women. The two WAST questions the abused women reported being most comfortable with were used to construct the WAST-Short for initial screening purposes. The WAST-Short correctly classified 100% of the non-abused women and 91.7% of the abused women.
CONCLUSIONS
The WAST demonstrated good reliability and validity and discriminated between abused and non-abused women. Development of the WAST-Short provides physicians with a relatively unobtrusive screening tool for assessing abuse. The use of additional WAST questions can be used to further explore the possibility that a woman patient is experiencing abuse by her partner. Further study includes field testing the WAST in the family practice setting.