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Pilot educational outreach project on partner violence.
Elizabeth A Edwardsen1, Naomi A Pless, Kevin A Fiscella
1Department of Emergency Medicine, University of Rochester, Rochester, NY 14642, USA. Elizabeth_Edwardsen@urmc.rochester.edu
This study tested a training program to help doctors better detect and document intimate partner violence in primary care. Researchers compared screening rates before and after the intervention. They used patient surveys and medical records to measure changes. Three doctors in an urban area participated with 100 patients each. A trained educator visited the offices to teach proper screening methods. Before the program, only 24% of patients recalled being asked about abuse. After the training, 67% reported being asked verbally. The authors suggest that this approach is both practical and effective. The study did not claim that this is the only solution but supports the use of office-based education.
Area of Science:
- Primary care medicine
- Public health interventions
- Violence prevention research
Background:
Physician screening for intimate partner violence remains inconsistent in primary care settings. Prior research has shown that many patients do not recall being asked about abuse. No prior work had resolved how to effectively improve screening rates. This gap motivated the development of targeted educational outreach. Existing knowledge indicated that written and verbal screening methods exist. However, implementation varied widely across practices. The uncertainty around best practices for training staff drove this investigation. No prior work had demonstrated a feasible model for office-based education. This study aimed to address these limitations through a structured approach.
Purpose Of The Study:
This pilot study aimed to evaluate a multimodal educational outreach program. The specific problem was low rates of physician screening for intimate partner violence. The motivation came from the need for practical interventions in primary care. The goal was to improve both verbal and written screening methods. Researchers wanted to test the feasibility of office-based education. The study focused on three physicians in an urban setting. The objective was to measure changes in patient-reported screening. The intervention targeted both physicians and office staff.
Main Methods:
The study used pre- and post-intervention assessments of screening practices. Patient surveys were conducted after visits to measure verbal screening. Medical records were reviewed to assess written documentation. Three medical offices in a large urban area participated. One internist, one obstetrician, and one family physician were included. Each physician had 100 patients in the study sample. A trained educator made periodic visits to the offices. The educator provided instruction on screening and management techniques.
Main Results:
Before the intervention, 24% of patients reported being asked about IPV verbally. Only 16% recalled being asked in a written format. After the outreach, 67% of patients reported verbal screening. Written screening increased to 28% in the post-intervention period. The sample size was 150 patients before and 149 after the intervention. These results suggest a significant improvement in screening rates. The increase was observed across all three participating physicians. The study measured both patient reports and chart documentation.
Conclusions:
The pilot study found that educational outreach improved physician screening for IPV. The authors propose that this approach is both feasible and promising. The results suggest that office-based education can increase screening rates. The study supports the use of multimodal training methods. The findings may help guide future interventions in primary care. The authors state that the program can be implemented in similar settings. The study did not claim that this is the only effective method. The results indicate a need for further research on larger scales.
Frequently Asked Questions
According to the authors, 67% of patients reported being asked about IPV verbally after the intervention.
Medical record reviews were used to measure written documentation of IPV.
The researchers wanted to test feasibility in a small sample before larger trials.
The educator made periodic office visits to train physicians and staff on screening techniques.
The study included 100 patients from each of three medical offices, totaling 150 patients.
The authors propose that the outreach is a promising and feasible method for improving screening.