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Computer-assisted screening for intimate partner violence and control: a randomized trial.

Farah Ahmad¹, Sheilah Hogg-Johnson, Donna E Stewart

¹Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada. farah.ahmad@utoronto.ca

Annals of Internal Medicine

|June 3, 2009

Summary

Computer screening improved the detection of intimate partner violence and control (IPVC) in family practice. This method was found to be effective and acceptable to patients, enhancing women's health risk identification.

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Published on: July 4, 2013

Area of Science:

Public Health
Clinical Medicine
Health Services Research

Background:

Intimate partner violence and control (IPVC) poses significant health risks to women.
Prevalence of IPVC necessitates effective screening strategies in healthcare settings.

Purpose of the Study:

To evaluate the efficacy of computer-assisted screening in identifying women at risk for IPVC within a family practice environment.
To assess the impact of technology on IPVC detection rates.

Main Methods:

A randomized trial was conducted in an urban, academic family practice clinic.
Adult women in current or recent relationships were randomized to either computer-assisted screening or standard care.
Screening involved a computer-based multirisk assessment report, with detection assessed via audiotaped visits.

Main Results:

The overall prevalence of IPVC was 22%.
Computer-assisted screening significantly increased opportunities to discuss IPVC (aRR, 1.4) and detection of IPVC (aRR, 2.0).
Patients found the computer screening beneficial but expressed concerns regarding privacy and physician interaction.

Conclusions:

Computer-assisted screening is an effective tool for detecting IPVC in busy family medicine practices.
The screening method demonstrated patient acceptability.
Further research should explore impacts on service utilization and health outcomes.