Health care interventions for intimate partner violence: What women want
Health care interventions for intimate partner violence: What women want
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DOI：
10.1016/j.whi.2004.08.007
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发表时间：
2005-01-01
影响因子：
3.2
通讯作者：
Scholle, SH
中科院分区：
文献类型：
--
作者：
Chang, JC;Ranieri, L;Scholle, SH
目的：我们试图确定妇女想要从医疗保健干预亲密伴侣暴力（IPV），并了解为什么他们发现某些干预措施有用或不useful.Methods：我们进行了采访，21名妇女谁有过去或现在的亲密伴侣暴力的历史。参与者获得了描述各种IPV干预措施的卡片，并被要求通过将卡片分为三类（“肯定是”，“可能”和“肯定不是”）来进行分类，以表明他们是否希望获得该资源。然后，他们被要求解释他们的categorizations.Results：桩排序确定，大多数参与者支持信息干预和个人咨询。然而，17人中只有9人认为夫妻咨询是一个好主意，7人报告说这绝对没有用。一半的人希望在物质使用和抑郁症治疗方面得到帮助。不受欢迎的干预措施包括“接到医生办公室/诊所的后续电话”和“留在庇护所”，21名妇女中只有7名和5名将这些卡片放在“肯定是”的一堆卡片上。“向警察报告医疗服务提供者”是最常被放在“绝对没有”一堆的干预措施，19名妇女中有9名这样做。妇女描述了影响她们使用特定IPV干预措施的可能性的几个因素。其中一个主题与变革的“准备”阶段有关。另一个主题涉及许多妇女生活的复杂性。与会者认为，能够适应不同“准备”阶段并有助于解决伴随问题的干预措施更为有用。这种干预措施的特点包括：1）不需要披露或识别为IPV受害者，2）提出多种选择，和3）保留尊重autonomy.Conclusions：经历过IPV的妇女不仅描述了他们想要从IPV干预，但他们希望如何接受这些服务，为什么他们会选择使用某些资源。他们建议提供多种选择，以便根据不同的需要和寻求帮助的意愿进行个性化。他们强调保护安全、隐私和自主权的干预措施。
Objective: We sought to determine what women want from health care interventions for intimate partner violence (IPV) and understand why they found certain interventions useful or not useful.Methods: We conducted interviews with 21 women who have a past or current history of intimate partner violence. Participants were given cards describing various IPV interventions and asked to perform a pile sort by placing cards into three categories ("definitely yes," "maybe," and "definitely no") indicating whether they would want that resource available. They were then asked to explain their categorizations.Results: The pile sort identified that the majority of participants supported informational interventions and individual counseling. Only 9 of 17, however, felt couple's counseling was a good idea with seven reporting it was definitely not useful. Half wanted help with substance use and treatment for depression. Interventions not well regarded included "Receiving a follow-up telephone call from the doctor's office/clinic" and "Go stay at shelter" with only 7 and 5 of the 21 women placing these cards in the "definitely yes" pile. "Health provider reporting to police" was the intervention most often placed in the "definitely no" pile, with 9 of 19 women doing so. The women described several elements that affected their likelihood of using particular IPV interventions. One theme related stages of "readiness" for change. Another theme dealt with the complexity of many women's lives. Interventions that could accommodate various stages of "readiness" and helped address concomitant issues were deemed more useful. Characteristics of such interventions included: 1) not requiring disclosure or identification as IPV victims, 2) presenting multiple options, and 3) preserving respect for autonomy.Conclusions: Women who had experienced IPV described not only what they wanted from IPV interventions but how they wished to receive these services and why they would chose to use certain resources. They advised providing a variety of options to allow individualizing according to different needs and readiness to seek help. They emphasized interventions that protected safety, privacy, and autonomy.