Developing Comprehensive Screening and Treatment for Intimate Partner Violence Perpetration

对亲密伴侣暴力行为进行全面筛查和治疗

基本信息

项目摘要

Background: Intimate partner violence (IPV) is a major public health concern with significant negative consequences for those who experience it and wide-ranging impact on children, families, and the healthcare system. However, IPV is an especially prevalent health issue for Veterans, who are at increased risk of both experiencing and perpetrating IPV. More than one out of three women Veterans experience IPV and up to 60% of Veteran men report IPV perpetration. Although VHA currently recommends routine screening of IPV experiences among women Veterans, no guidelines or instruments currently exist for IPV perpetration screening. Moreover, effective intervention development for IPV perpetration is in its infancy with no evidence- based individual treatment available for IPV perpetration. In order to improve Veterans' health and reduce rates of IPV, effective and acceptable screening and treatment for IPV perpetration must exist. Significance/Impact: IPV perpetration detection, followed by behavioral intervention, are urgently needed for IPV cessation and improved health of Veterans with these common presenting problems. Yet there has been little progress to develop tools and procedures for IPV perpetration, and no guidelines on best practices for IPV perpetration screening or treatment exist. The findings of the proposed research will improve the health and functioning of Veterans and their families, enhance much needed healthcare response for this population, and inform VHA national efforts for IPV response among Veterans. Innovation: This project is innovative in its focus on IPV perpetration. With the majority of IPV research focusing on IPV victimization, there is currently a significant gap in knowledge related to IPV perpetration, including limited tools and procedures with which to address perpetration of IPV among Veterans. Enhancing services for those who experience IPV is essential, but insufficient. In order to reduce and prevent IPV, a comprehensive healthcare response necessitates implementing validated screening to detect IPV perpetration among Veterans and developing intervention protocols to address IPV perpetration. Completion of the CDA research aims will provide VHA with the data and tools necessary to inform IPV efforts, practices, and policy. Aims: The primary objective of this research is to decrease IPV among Veterans. To do so, we must have effective and acceptable tools and protocols. Aim 1: Evaluate the psychometric properties and cut-scores of a previously developed IPV screening tool. Aim 2: Identify an effective IPV perpetration intervention process and essential treatment components and develop an intervention manual. Aim 3: Conduct a pilot study of the IPV perpetration manualized intervention in a sample of Veterans. Methodology: For Aim 1, we will calculate the sensitivity, specificity, positive and negative predictive value, and positive and negative likelihood ratios of the screening instrument in comparison to the reference standard in a sample of [male] Veterans (n=113). To achieve Aim 2, we will a) engage in a consensus process with IPV experts to select intervention components from four pre-existing treatment models; b) solicit Veterans’ feedback through focus group discussions (n=4 focus groups); and c) refine the intervention, develop intervention manual, and present manual to stakeholders. For Aim 3, we will use a pre-post design to assess feasibility, safety, acceptability, and satisfaction (primary outcomes) and patient- and partner-reported changes on indicators of psychosocial health (secondary outcomes) among Veterans (n=20). Next Steps/Implementation: Research proposed in this CDA will provide the necessary groundwork for developing and implementing screening and intervention for IPV perpetration among Veterans, a critical need in VA care. Completion of these aims will inform an IIR proposal, to further evaluate and implement VHA's IPV perpetration response. Specifically, I will use findings from the CDA to refine the manualized IPV perpetration intervention, which I will then test in a larger Hybrid Type 1 effectiveness-implementation trial.
背景:亲密伴侣暴力(IPV)是一个重大的公共卫生问题,具有显着的负面影响 对经历过这种情况的人造成的后果以及对儿童、家庭和医疗保健的广泛影响 系统。然而,对于退伍军人来说,IPV 是一个特别普遍的健康问题,他们感染这两种病毒的风险更高 经历并实施 IPV。超过三分之一的女性退伍军人经历过 IPV,比例高达 60% 的退伍军人报告了 IPV 的实施情况。尽管 VHA 目前建议对 IPV 进行常规筛查 根据女性退伍军人的经验,目前尚无针对 IPV 实施的指南或文书 筛选。此外,针对 IPV 实施的有效干预措施的开发还处于起步阶段,没有证据表明 - 针对 IPV 实施者可提供基于个人的治疗。为了改善退伍军人的健康并降低比率 为了预防 IPV 的发生,必须存在针对 IPV 实施的有效且可接受的筛查和治疗。 意义/影响:迫切需要 IPV 行为检测,然后进行行为干预 停止 IPV 并改善患有这些常见问题的退伍军人的健康状况。然而已经有 在开发 IPV 实施工具和程序方面进展甚微,并且没有 IPV 最佳实践指南 存在犯罪筛查或治疗。拟议研究的结果将改善健康和 退伍军人及其家人的运作,加强该人群急需的医疗保健应对措施,以及 告知 VHA 国家在退伍军人中应对 IPV 的工作。 创新:该项目的创新之处在于其重点关注 IPV 的实施。随着大多数 IPV 研究 重点关注 IPV 受害问题,目前与 IPV 犯罪相关的知识存在很大差距, 包括用于解决退伍军人中 IPV 犯罪问题的有限工具和程序。增强 对于那些经历 IPV 的人来说,服务是必要的,但还不够。为了减少和预防 IPV, 全面的医疗保健应对措施需要实施经过验证的筛查来检测 IPV 的行为 并制定干预方案来解决 IPV 犯罪问题。完成CDA 研究目标将为 VHA 提供必要的数据和工具,为 IPV 的工作、实践和政策提供信息。 目的:本研究的主要目的是减少退伍军人的 IPV。为此,我们必须 有效且可接受的工具和协议。目标 1:评估心理测量特性和分数 先前开发的 IPV 筛选工具。目标 2:确定有效的 IPV 实施干预流程并 重要的治疗组成部分并制定干预手册。目标 3:进行 IPV 试点研究 对退伍军人样本进行手动干预。 方法:对于目标 1,我们将计算敏感性、特异性、阳性和阴性预测值,以及 筛选工具与参考标准相比的阳性和阴性似然比 [男性]退伍军人样本 (n=113)。为了实现目标 2,我们将 a) 与 IPV 达成共识 专家从四种现有治疗模式中选择干预措施; b) 征集退伍军人的意见 通过焦点小组讨论提供反馈(n=4 个焦点小组); c) 完善干预措施,制定 干预手册,并向利益相关者提供手册。对于目标 3,我们将使用前后设计来评估 可行性、安全性、可接受性和满意度(主要结果)以及患者和合作伙伴报告的变化 退伍军人心理社会健康指标(次要结果)(n=20)。 后续步骤/实施:本 CDA 中提出的研究将为以下方面提供必要的基础: 制定并实施针对退伍军人中 IPV 实施情况的筛查和干预措施,这是一项迫切需要 在 VA 护理中。这些目标的完成将为 IIR 提案提供信息,以进一步评估和实施 VHA 的 IPV 实施反应。具体来说,我将使用 CDA 的调查结果来完善手动 IPV 攻击 干预,然后我将在更大规模的混合 1 型有效性实施试验中对其进行测试。

项目成果

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Galina Alexandra Portnoy其他文献

Galina Alexandra Portnoy的其他文献

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{{ truncateString('Galina Alexandra Portnoy', 18)}}的其他基金

Developing Comprehensive Screening and Treatment for Intimate Partner Violence Perpetration
对亲密伴侣暴力行为进行全面筛查和治疗
  • 批准号:
    10535427
  • 财政年份:
    2020
  • 资助金额:
    --
  • 项目类别:
Developing Comprehensive Screening and Treatment for Intimate Partner Violence Perpetration
对亲密伴侣暴力行为进行全面筛查和治疗
  • 批准号:
    10300985
  • 财政年份:
    2020
  • 资助金额:
    --
  • 项目类别:

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