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Detecting potential intimate partner violence: which approach do women want?
Elizabeth C McCord-Duncan1, Michael Floyd, Evelyn C Kemp
1Department of Family Medicine, East Tennessee State University, Johnson City, TN 37614, USA. mccord@etsu.edu
Family Medicine
|June 3, 2006
Summary
Women prefer patient-centered approaches for intimate partner violence (IPV) screening over the Partner Violence Screen (PVS). The Woman Abuse Screening Tool (WAST) was also preferred, with preferences independent of IPV history or demographics.
Area of Science:
- Medical Screening
- Public Health
- Women's Health
Background:
- Intimate partner violence (IPV) screening in women is recommended.
- No studies have compared patient preferences for different IPV screening methods.
- This study aimed to identify women's preferred methods for IPV detection.
Purpose of the Study:
- To determine women's preferences for intimate partner violence (IPV) detection methods.
- To compare preferences for the Partner Violence Screen (PVS), Woman Abuse Screening Tool (WAST), and a patient-centered (PC) approach.
- To understand what communication strategies women prefer for discussing IPV.
Main Methods:
- A video stimulus method was used with 97 women.
- Participants evaluated three IPV screening methods: PVS, WAST, and PC approach.
- Women also provided feedback on communication and suggested preferred physician responses.
Main Results:
- 39% of participants reported experiencing IPV.
- The patient-centered (PC) approach was the most preferred screening method.
- The Partner Violence Screen (PVS) was the least preferred, with over half recommending its avoidance.
Conclusions:
- Primary care patients preferred the PC approach, followed by WAST, for IPV assessment.
- The PVS method should be avoided in clinical practice.
- Patient preferences for IPV screening methods were not influenced by demographics or personal IPV history.
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