Validation of a Domestic Violence Program Impact Measure

背景和意义：家庭暴力每年影响100至300万美国人，并对受害者的健康和医疗保健产生重大影响。为了更好地满足遭受家庭暴力(DV)患者的需求，越来越多的医院和健康中心建立了现场DV计划。目前迫切需要一种特定的工具来评估参与此类基于医疗保健的DV计划的客户的进展情况，既用作临床评估工具，也用于计划评估目的。研究设计和具体目标：本项目的目标是进行初步研究，以评估DV计划客户调查的英语和西班牙语版本的可靠性和有效性，DV计划客户调查是由波士顿教学医院DV咨询委员会会议设计的客户进度衡量标准，用于基于医疗保健的DV计划。本项目将具体评估参与四个基于医疗保健的DV项目的客户的DV计划客户调查的以下四个方面：1)通过三个焦点小组分别与白人、非西班牙裔、非裔美国人和西班牙裔客户(n=6-8，每组)评估英语和西班牙语版本调查的内容有效性，2)英语版本调查的重测可靠性(n=50)，3)英语(n=50)和西班牙语(n=50)版本的调查与虐待配偶指数相比的同时效度，医疗结果研究-简表20、生活质量指数和罗森伯格自尊量表，以及4)通过比较在倡导者指导下完成的调查(n=50)和独立完成的调查(n=50)，英文版调查的回答偏差。贡献和长期目标：这项研究将提供有关英语和西班牙语版本的工具的可靠性和有效性的基本信息，以评估客户参与基于医疗保健的DV计划的进展情况。除了提供有关这些计划有效性的有价值的信息外，该仪器还将对基于医疗保健的DV计划非常有用，用于临床和计划开发目的。

DESCRIPTION: (Provided by the Applicant) Background and Significance: Domestic violence affects one to three million Americans each year and has significant impacts on victim's health and health care. To better address the needs of patients experiencing domestic violence (DV), a growing number of hospitals and health centers have established on-site DV programs. There is currently a pressing need for a specific instrument to assess the progress of clients participating in such healthcare-based DV programs, both for use as a clinical assessment tool, as well as for program evaluation purposes. Research design and specific aims: The goal of this project is to conduct initial studies to assess the reliability and validity of the English and Spanish versions of the DV Program Client Survey, a client progress measure designed by the Conference of Boston Teaching Hospitals' DV Advisory Council for use in healthcare-based DV programs. This project will specifically assess the four following aspects of the DV Program Client Survey among clients participating in four well established healthcare-based DV programs: 1) the content validity of the English and Spanish versions of the survey through three focus groups with white, non-Hispanic, African-American, and Hispanic clients respectively (n = 6-8 per group), 2) the test-retest reliability of the English version of the survey (n = 50), 3) the concurrent validity of the English (n = 50) and the Spanish (n = 50) versions of the survey in comparison with the Index of Spouse Abuse, the Medical Outcomes Study - Short Form 20, the Quality of Life Index, and the Rosenberg Self-Esteem Scale, and 4) the response bias of the English version of the survey through a comparison of surveys completed under the guidance of an advocate (n = 50) with those completed independently of an advocate (n = 50). Contribution and long-term objective: This study will provide essential information regarding the reliability and validity of both the English and Spanish versions of an instrument to assess the progress of clients participating in healthcare-based DV programs. This instrument will be extremely useful to healthcare-based DV programs for clinical and program development purposes, in addition to providing valuable information regarding the effectiveness of these programs.