Validation of a Domestic Violence Program Impact Measure

产品说明：（申请人提供）背景和意义：家庭暴力每年影响100万至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，越来越多的医院和卫生中心建立了现场DV计划。目前迫切需要一种具体的工具来评估参与这种基于保健的家庭暴力方案的客户的进展情况，既可用作临床评估工具，也可用于方案评估目的。研究设计和具体目标：本项目的目标是进行初步研究，以评估家庭暴力方案客户调查的英文和西班牙文版本的可靠性和有效性，这是波士顿教学医院家庭暴力咨询理事会会议设计的一项客户进展衡量标准，用于基于医疗保健的家庭暴力方案。本项目将具体评估家庭暴力方案客户调查的以下四个方面，调查对象是参加四个完善的基于保健的家庭暴力方案的客户：1）通过分别针对白色、非西班牙裔、非裔美国人和西班牙裔客户的三个焦点小组，对调查的英文和西班牙文版本的内容效度进行了评估（每组n = 6-8），2）英文版调查的重测信度（n = 50），3）与配偶虐待指数相比，英文版调查（n = 50）和西班牙文版调查（n = 50）的同时效度，医学结果研究-简表20、生活质量指数和Rosenberg自尊量表; 4）通过比较在律师指导下完成的调查（n = 50）和独立于律师完成的调查（n = 50），研究英文版调查的反应偏差。贡献和长期目标：这项研究将提供有关的可靠性和有效性的工具，以评估客户参与医疗为基础的家庭暴力计划的进展的英文和西班牙文版本的重要信息。该工具将是非常有用的医疗保健为基础的DV程序的临床和程序开发的目的，除了提供有关这些程序的有效性有价值的信息。

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.