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Clinicians' Decisions to Screen for Intimate Partner Violence Use and Experience and Observed Impacts: Qualitative
Sarah A Walls1, Julie D Yeterian1,2, Skye Orazietti1
1Research Department, VA (Veterans Affairs) Connecticut Healthcare System, 950 Campbell Avenue, West Haven, CT, 06516, United States, 1 619-302-9234.
JMIR Formative Research
|June 1, 2026
Summary
Concurrent screening for intimate partner violence (IPV) use and experience is crucial, though implementation presents challenges. Adapting strategies and providing ongoing training can improve its impact on patient care.
Area of Science:
- Public Health
- Clinical Practice
- Healthcare System Improvement
Background:
- Concurrent intimate partner violence (IPV) victimization and perpetration are increasingly recognized as common.
- Screening for both IPV experience and use concurrently is essential for patient care and resource connection.
Purpose of the Study:
- To explore clinicians' decision-making processes regarding concurrent IPV screening.
- To understand clinicians' perceptions of the impact of concurrent IPV screening on patients, clinicians, and the healthcare system.
Main Methods:
- Qualitative interviews were conducted with 19 clinicians during a 90-day pilot implementation of concurrent IPV screening.
- Thematic analysis was used to analyze interview data focusing on implementation experiences.
Main Results:
- Implementation of new screening protocols is challenging and can be uncomfortable for clinicians.
- Clinicians adapted screening strategies and tools to improve adherence and overcome barriers.
- Concurrent IPV screening was found to be impactful despite implementation complexities.
Conclusions:
- Concurrent IPV screening is necessary but faces implementation barriers.
- Addressing barriers through resource allocation, strategy adaptation, and ongoing training is vital.
- Future research should examine reduced barriers, practice adaptations, and patient perspectives on concurrent IPV screening.
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