Intimate Partner Violence, Health, and Health Care Among Female Veterans

女性退伍军人的亲密伴侣暴力、健康和医疗保健

• 批准号: 8272987
• 负责人: Katherine M Iverson
• 金额: --
• 依托单位: VA BOSTON HEALTH CARE SYSTEM
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-01-01 至 2016-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8272987
• 关键词: Address; Adoption; Affect; Belief; Boston; Caring; Clinical; Clinical Psychology; Clinical Research; Collaborations; Commit; Comorbidity; Complex; Consultations; Detection; Development; Doctor of Philosophy; Documentation; Education; Educational process of instructing; Ensure; Evaluation; FarGo; Feedback; Female; Foundations; Funding; Future; Gender; Goals; Health; Health Sciences; Health Services; Health Services Research; Healthcare; Healthcare Systems; Hospitals; Individual; Interview; Knowledge; Lead; Leadership; Letters; Mails; Measurement; Mental Health; Mentorship; Methods; Modeling; New England; Online Systems; Outcome; Participant; Patients; Pilot Projects; Play; Policies; Policy Research; Post-Traumatic Stress Disorders; Preparation; Primary Health Care; Process; Protocols documentation; Provider; Psychologist; Public Health; Quality of Care; Reporting; Research; Research Methodology; Research Personnel; Research Proposals; Research Training; Resources; Role; Screening procedure; Self Efficacy; Services; Sexual abuse; Suggestion; Survey Methodology; Surveys; Survivors; Time; Training; Training Programs; Validity and Reliability; Veterans; Victimization; Wages; Woman; Women' s Health; Women' s Health Services; Work; administrative database; base; career; career development; cost effective; demographics; emotional abuse; evidence base; experience; health care delivery; health care quality; implementation research; improved; innovation; intimate partner violence; meetings; physical abuse; physical conditioning; programs; public health relevance; response; satisfaction; screening; service intervention; skills; theories; tool; usability

DESCRIPTION (provided by applicant): This is the third submission of a HSR&D CDA-2 proposal to provide five years of salary support to Katherine Iverson, Ph.D. toward her goal of developing an independent VA health services research career. Dr. Iverson is a Clinical Research Psychologist at the Women's Health Sciences Division of the National Center for Posttraumatic Stress Disorder (WHSD-NCPTSD) and investigator at the HSR&D Center of Excellence (Center for Organization, Leadership, and Management Research; COLMR) at the VA Boston Healthcare System. This proposal outlines research and training plans that will result in Dr. Iverson's efficient and successful transition fom clinical research elucidating health outcomes from intimate partner violence (IPV) among civilian women to health services research to develop, evaluate, and implement effective IPV-related health services for women Veterans. Although her clinical research has benefited many individual women, Dr. Iverson has not yet had the opportunity to conduct health services research that can result in large-scale improvements in women's health care and health. Knowledge of health services research methods and theories are critical to her development as a health services researcher specializing in IPV and women's health. Therefore, Dr. Iverson proposes a comprehensive training program in these methods, including qualitative/mixed-methods and survey research, VA administrative databases, and implementation theory and processes. This training will give her a strong foundation from which to achieve independence as a health services researcher. Additionally, Dr. Iverson has carefully chosen a mentorship team of top women's health and health services researchers (Drs. Patricia Resick, Ann Hendricks, Dawn Vogt and Rachel Kimerling). This mentorship, along with the rich resources available at the WHSD-NCPTSD and COLMR, will ensure that Dr. Iverson has all the support necessary to meet her research and training aims. Both WHSD-NCPTSD and COLMR are committed to her career development and protected research time, as described in the attached letters. She will have access to facilities, resources, and collaborations with HSR&D-funded investigators at both centers. This proposal will provide the necessary foundation for the development, evaluation and implementation of IPV-related health services within VA to improve women's health and health care. Dr. Iverson uses an implementation research framework to guide three proposed studies. First, starting in Year 1, she will conduct a mail survey of women patients in VISN 1 to evaluate the reliability and validity of previously developed IPV screening tool in female VA patients. Second, in Years 1 and 2, she will adapt an existing, but lengthy, evidence-based IPV screening and response training program for Primary Care providers (PCPs) for implementation with VA staff, using information derived from consultation with screening and education experts and interviews with VA PCPs. Finally, in Years 2 and 3, she will conduct a preliminary evaluation of the newly adapted IPV screening and response training with VA PCPs to assess provider knowledge, self-efficacy, and IPV screening practices. Findings from these studies will result in feasible, efficient, and cost-effective methods and protocols for intervening with women Veterans affected by IPV. The proposed research will also lead to future HSR&D research proposals, resulting in significant improvements in women's health care quality, health, and satisfaction with VA care. PUBLIC HEALTH RELEVANCE: Intimate partner violence (IPV) is a substantial women's health issue, affecting large numbers of women and resulting in complex and costly public health problems. Rates of lifetime IPV exceeding 70%1 among women VA patients, along with adverse mental and physical health effects, makes research concerning IPV one of the most critical directions for VA health services research at this time. Research is needed to determine best practices for caring for women Veterans who experience IPV. The proposed research will address this gap in VA research by evaluating specific methods for identifying and responding to IPV among VA patients. The findings from this study will lead to improvements in women's health care quality and health.

描述（由申请人提供）： 这是第三次提交HSR&D CDA-2提案，为凯瑟琳艾弗森博士提供五年的工资支持。朝着她发展独立的VA健康服务研究事业的目标。Iverson博士是国家创伤后应激障碍中心（WHSD-NCPTSD）妇女健康科学部的临床研究心理学家，也是VA波士顿医疗保健系统HSR&D卓越中心（组织，领导和管理研究中心; COLMR）的研究员。该提案概述了研究和培训计划，这将导致艾弗森博士从阐明平民妇女中亲密伴侣暴力（IPV）健康结果的临床研究有效和成功地过渡到卫生服务研究，以开发，评估和实施有效的IPV相关卫生服务。虽然她的临床研究使许多妇女受益，但艾弗森博士还没有机会进行能够大规模改善妇女保健和健康的卫生服务研究。卫生服务研究方法和理论的知识是至关重要的，她的发展作为一个卫生服务研究人员专门从事IPV和妇女健康。因此，艾弗森博士提出了一个全面的培训计划，在这些方法，包括定性/混合方法和调查研究，VA行政数据库，实施理论和过程。这一培训将为她奠定坚实的基础，以实现作为一个卫生服务研究人员的独立性。此外，艾弗森博士还精心挑选了一个由顶尖女性健康和健康服务研究人员组成的导师团队（帕特里夏·雷西克博士、安·亨德里克斯博士、道恩·沃格特博士和雷切尔·金莫林博士）。这种指导，沿着在WHSD-NCPTSD和COLMR丰富的资源，将确保艾弗森博士有所有必要的支持，以满足她的研究和培训目标。WHSD-NCPTSD和COLMR都致力于她的职业发展和保护研究时间，如所附信件所述。她将有机会获得设施，资源，并与HSR& D资助的研究人员在这两个中心的合作。该提案将为弗吉尼亚州内与IPV有关的保健服务的发展、评价和实施提供必要的基础，以改善妇女的健康和保健。艾弗森博士使用一个实施研究框架来指导三项拟议的研究。首先，从第1年开始，她将对VISN 1中的女性患者进行邮件调查，以评估先前开发的IPV筛查工具在女性VA患者中的可靠性和有效性。第二，在第1年和第2年，她将采用现有的，但冗长的，以证据为基础的IPV筛查和应对培训计划，为初级保健提供者（PCP）与VA工作人员实施，使用来自筛查和教育专家的咨询信息和VA PCP的访谈。最后，在第2年和第3年，她将与VA PCP一起对新适应的IPV筛查和应对培训进行初步评估，以评估提供者的知识，自我效能和IPV筛查实践。从这些研究的结果将导致可行的，有效的，具有成本效益的方法和协议，为干预受IPV影响的女性退伍军人。拟议的研究还将导致未来的HSR&D研究提案，从而显着改善妇女的医疗保健质量，健康和满意度与VA护理。 公共卫生关系： 亲密伴侣暴力是一个严重的妇女健康问题，影响到大量妇女，并导致复杂和代价高昂的公共健康问题。在女性VA患者中，IPV的终生率超过70%1，沿着不良的精神和身体健康影响，使得关于IPV的研究成为VA卫生服务研究的最关键方向之一。需要进行研究，以确定照顾经历IPV的女性退伍军人的最佳做法。拟议的研究将通过评估在VA患者中识别和应对IPV的具体方法来解决VA研究中的这一差距。本研究的结果将改善女性的医疗保健质量和健康。