Health care interventions for intimate partner violence: What women want
Abstract
Objective We sought to determine what women want from health care interventions for intimate partner violence (IPV) and understand why they found certain interventions useful or not useful.Methods We conducted interviews with 21 women who have a past or current history of intimate partner violence. Participants were given cards describing various IPV interventions and asked to perform a pile sort by placing cards into three categories ("definitely yes," "maybe," and "definitely no") indicating whether they would want that resource available. They were then asked to explain their categorizations.Results The pile sort identified that the majority of participants supported informational interventions and individual counseling. Only 9 of 17, however, felt couple's counseling was a good idea with seven reporting it was definitely not useful. Half wanted help with substance use and treatment for depression. Interventions not well regarded included "Receiving a follow-up telephone call from the doctor's office/clinic" and "Go stay at shelter" with only 7 and 5 of the 21 women placing these cards in the "definitely yes" pile. "Health provider reporting to police" was the intervention most often placed in the "definitely no" pile, with 9 of 19 women doing so. The women described several elements that affected their likelihood of using particular IPV interventions. One theme related stages of "readiness" for change. Another theme dealt with the complexity of many women's lives. Interventions that could accommodate various stages of "readiness" and helped address concomitant issues were deemed more useful. Characteristics of such interventions included: 1) not requiring disclosure or identification as IPV victims, 2) presenting multiple options, and 3) preserving respect for autonomy.Conclusions Women who had experienced IPV described not only what they wanted from IPV interventions but how they wished to receive these services and why they would chose to use certain resources. They advised providing a variety of options to allow individualizing according to different needs and readiness to seek help. They emphasized interventions that protected safety, privacy, and autonomy.
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Further developments of the TTMC have stressed the importance of 'turning points' in women's lives that trigger a psychological shift, or provide external support to taking action.
“Further developments of the TTMC have stressed the importance of these 'turning points' in women's lives that trigger a psychological shift, or provide external support to taking action.”
From Help‐seeking amongst women survivors of domestic violence: a qualitative study of pathways towards formal and informal support (2016) · cites this paper as [29]
The transtheoretical model of change describes a series of changes from pre-contemplation through contemplation and preparation leading to action and finally maintenance of safety.
“The model describes a series of changes from pre-contemplation through contemplation and preparation leading to action and finally maintenance of safety.”
From Help‐seeking amongst women survivors of domestic violence: a qualitative study of pathways towards formal and informal support (2016) · cites this paper as [29]
A woman's recognition or acknowledgement of abuse is a crucial stage in her journey away from abuse.
“A woman's recognition or acknowledgement of abuse is seen as a crucial stage in her journey away from abuse.”
From Help‐seeking amongst women survivors of domestic violence: a qualitative study of pathways towards formal and informal support (2016) · cites this paper as [29]
Only after a woman recognizes or acknowledges abuse can she contemplate what action to take.
“Only then can she contemplate what action to take.”
From Help‐seeking amongst women survivors of domestic violence: a qualitative study of pathways towards formal and informal support (2016) · cites this paper as [29]
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- Authors
- Chang, J. C., Cluss, P. A., Ranieri, L., Hawker, L., Buranosky, R., Dado, D., McNeil, M., & Scholle, S. H.
- Affiliations
- University of Pittsburgh (US)
- Sewickley Valley Hospital (US)
- Magee-Womens Hospital (US)
- National Committee for Quality Assurance (US)
- Corresponding author
- Chang, Judy C.
- Venue
- Women's Health Issues
- Publisher
- Elsevier BV
- Published
- 2005-01
- Volume
- 15
- Issue
- 1
- Pages
- 21-30
- ISSN
- 1049-3867 (ISSN-L)
- OpenAlex
- W2001324217
- Cited by
- 178
- References
- 59
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 6 · 2023: 5 · 2022: 5 · 2021: 9 · 2020: 12 · 2019: 7 · 2018: 6 · 2017: 14 · 2016: 8 · 2015: 12 · 2014: 13 · 2013: 11 · 2012: 13
- FWCI
- 7.10
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Women s Health Issues (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Health › Intimate Partner and Family Violence
- Social Sciences › Demography › Elder Abuse and Neglect
- Social Sciences › Gender Studies › Sexual Assault and Victimization Studies
- Keywords
- intimate partner violence, health interventions, women's preferences, information interventions, individual counseling, addiction treatment, depression treatment, readiness to change, autonomy, privacy, help-seeking
- MeSH terms
- Adult, Counseling, Female, Humans, Middle Aged, Patient Acceptance of Health Care, Patient Education as Topic, Physician-Patient Relations, Surveys and Questionnaires, Risk Factors, Spouse Abuse, United States, Women's Health, Battered Women, Needs Assessment
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