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A Multi-Center Structural Equation Modeling Approach to Investigate Interpersonal Violence Screening for Public

Lan Jiang1, Melissa A Sutherland2, M Katherine Hutchinson3

  • 1Department of Systems Science and Industrial Engineering, Thomas J. Watson School of Engineering and Applied Science, Binghamton University, Binghamton, NY, United States.

Frontiers in Public Health
|June 28, 2021
PubMed
Summary
This summary is machine-generated.

Healthcare providers are more likely to screen for interpersonal violence when organizational policies and priorities support it. This finding can improve training and practice environments for better women's health.

Keywords:
healthcare providersinterpersonal violence screeningmulti-center data fusionstructural equation modelingtheory of planned behavior

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Area of Science:

  • Public Health
  • Healthcare Provider Behavior
  • Violence Prevention

Background:

  • Interpersonal violence is a major public health concern with significant physical and mental health consequences.
  • Routine screening for interpersonal violence by healthcare providers is a cost-effective intervention.
  • Current rates of violence screening offered by healthcare providers remain low, necessitating research into influencing factors.

Purpose of the Study:

  • To investigate individual and organizational factors influencing healthcare providers' screening behaviors for interpersonal violence.
  • To integrate data from two multi-center studies using a structural equation model.
  • To quantitatively examine the applicability of the Theory of Planned Behavior to healthcare providers' violence screening practices.

Main Methods:

  • Combined multi-center quantitative data from The Health Care Providers and Nurse Practitioners Violence Screening studies (n=389).
  • Developed a system-level, multi-center structural equation model.
  • Applied the Theory of Planned Behavior framework to analyze provider screening behavior.

Main Results:

  • The Theory of Planned Behavior effectively predicted healthcare providers' screening behavior for interpersonal violence.
  • Organizational factors, including policy availability, prioritization of violence screening, and interest in quality improvement, were significantly associated with screening behavior.

Conclusions:

  • Organizational factors play a crucial role in healthcare providers' routine screening for interpersonal violence.
  • Insights gained can inform the design of health professional training and practice environments.
  • Optimizing these factors can lead to improved women's health outcomes and overall quality of care.