Development and implementation of tablet-based screening for interpersonal violence in primary care settings

Area of Science:

• Public Health
• Digital Health
• Violence Prevention

Background:

• Interpersonal violence (IPV) is a significant public health issue.
• Primary care settings are crucial for identifying and supporting survivors.
• Existing screening methods may have limitations in reach and engagement.

Purpose of the Study:

• To evaluate the implementation of the Technology Enhanced Screening and Supportive Assistance (TESSA) program.
• To assess the feasibility of using a patient-facing mobile web app for IPV screening in primary care.
• To determine the uptake of health advocacy services among identified survivors.

Main Methods:

• An implementation study involving 1495 participants screened using a tablet-based self-screening tool.
• The tool identified patients with a history of intimate partner violence or sexual assault.
• Offered health advocacy services to participants who reported victimization.

Main Results:

• Approximately 29% of participants reported intimate partner violence and 24% reported sexual assault.
• Of those offered health advocacy services, 31% accepted assistance.
• The TESSA program demonstrated high participant engagement.

Conclusions:

• A tablet-based self-screening tool is a viable method for identifying IPV in primary care.
• The TESSA program successfully connects survivors with needed health advocacy services.
• Digital health tools can enhance the identification and support of individuals affected by interpersonal violence.