Implementation and Impact of Intimate Partner Violence Screening Expansion in the Veterans Health Administration: Protocol for a Mixed Methods Evaluation.

Autor:	Portnoy GA; VA Connecticut Healthcare System, West Haven, CT, United States.; Yale School of Medicine, New Haven, CT, United States., Relyea MR; VA Connecticut Healthcare System, West Haven, CT, United States.; Yale School of Medicine, New Haven, CT, United States., Dichter ME; VA Center for Health Equity Research and Promotion (CHERP), Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA, United States.; School of Social Work, Temple University, Philadelphia, PA, United States., Iverson KM; Women's Health Sciences Division of the National Center for PTSD, VA Boston Healthcare System, Boston, MA, United States.; Department of Psychiatry, Boston University School of Medicine, Boston, MA, United States., Presseau C; VA Connecticut Healthcare System, West Haven, CT, United States.; Yale School of Medicine, New Haven, CT, United States., Brandt CA; VA Connecticut Healthcare System, West Haven, CT, United States.; Yale School of Medicine, New Haven, CT, United States., Skanderson M; VA Connecticut Healthcare System, West Haven, CT, United States.; Yale School of Medicine, New Haven, CT, United States., Bruce LE; Intimate Partner Violence Assistance Program, Care Management and Social Work Service, Veterans Health Administration, Washington, DC, United States., Martino S; VA Connecticut Healthcare System, West Haven, CT, United States.; Yale School of Medicine, New Haven, CT, United States.
Jazyk:	angličtina
Zdroj:	JMIR research protocols [JMIR Res Protoc] 2024 Aug 28; Vol. 13, pp. e59918. Date of Electronic Publication: 2024 Aug 28.
DOI:	10.2196/59918
Abstrakt:	Background: Intimate partner violence (IPV) is a significant public health problem with far-reaching consequences. The health care system plays an integral role in the detection of and response to IPV. Historically, the majority of IPV screening initiatives have targeted women of reproductive age, with little known about men's IPV screening experiences or the impact of screening on men's health care. The Veterans Health Administration (VHA) has called for an expansion of IPV screening, providing a unique opportunity for a large-scale evaluation of IPV screening and response across all patient populations. Objective: In this protocol paper, we describe the recently funded Partnered Evaluation of Relationship Health Innovations and Services through Mixed Methods (PRISM) initiative, aiming to evaluate the implementation and impact of the VHA's IPV screening and response expansion, with a particular focus on identifying potential gender differences. Methods: The PRISM Initiative is guided by the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) and Consolidated Framework for Implementation Research (CFIR 2.0) frameworks. We will use mixed methods data from 139 VHA facilities to evaluate the IPV screening expansion, including electronic health record data and qualitative interviews with patients, clinicians, and national IPV program leadership. Quantitative data will be analyzed using a longitudinal observational design with repeated measurement periods at baseline (T0), year 1 (T1), and year 2 (T2). Qualitative interviews will focus on identifying multilevel factors, including potential implementation barriers and facilitators critical to IPV screening and response expansion, and examining the impact of screening on patients and clinicians. Results: The PRISM initiative was funded in October 2023. We have developed the qualitative interview guides, obtained institutional review board approval, extracted quantitative data for baseline analyses, and began recruitment for qualitative interviews. Reports of progress and results will be made available to evaluation partners and funders through quarterly and end-of-year reports. All data collection and analyses across time points are expected to be completed in June 2026. Conclusions: Findings from this mixed methods evaluation will provide a comprehensive understanding of IPV screening expansion at the VHA, including the implementation and impact of screening and the scope of IPV detected in the VHA patient population. Moreover, data generated by this initiative have critical policy and clinical practice implications in a national health care system. International Registered Report Identifier (irrid): PRR1-10.2196/59918. (©Galina A Portnoy, Mark R Relyea, Melissa E Dichter, Katherine M Iverson, Candice Presseau, Cynthia A Brandt, Melissa Skanderson, LeAnn E Bruce, Steve Martino. Originally published in JMIR Research Protocols (https://www.researchprotocols.org), 28.08.2024.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu