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The transtheoretical model in intimate partner violence victimization: stage changes over time
Kelly H Burkitt1, Gregory L Larkin
1Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, PA 15206, USA. Kelly.burkitt@va.gov
Violence and Victims
|September 16, 2008
Summary
The transtheoretical model of behavior change (TTM) helps understand progress for intimate partner violence (IPV) victims. Using community resources and ending abuse are key to advancing through change stages.
Area of Science:
- Behavioral Science
- Public Health
- Psychology
Background:
- The transtheoretical model (TTM) is used to understand behavior change.
- Its application to intimate partner violence (IPV) victims needs validation over time and in diverse populations.
- Previous research has not longitudinally assessed TTM staging in women experiencing IPV outside of shelter settings.
Purpose of the Study:
- To examine the process of change in intimate partner violence (IPV) victims longitudinally.
- To identify factors associated with TTM staging and stage progression in this population.
- To validate the transtheoretical model of behavior change in women experiencing IPV.
Main Methods:
- Fifty-three women presenting to an emergency department for healthcare were enrolled.
- Data on TTM staging, community resource utilization, ongoing abuse, mental health, and social support were collected.
- Longitudinal follow-up occurred at 3–4 months, with cluster analyses used to identify patterns.
Main Results:
- A five-cluster solution was identified, reflecting distinct patterns of change and related factors.
- Forward progression through TTM stages was significantly associated with increased use of community resources.
- Ending the intimate partner violence relationship was also a significant factor in advancing through change stages.
Conclusions:
- The transtheoretical model of behavior change can be applied to understand IPV victim progression.
- Community resource utilization and relationship termination are critical for advancing change.
- Findings support the TTM's utility in interventions for IPV survivors outside traditional shelter settings.
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