A Theory-Based Primary Health Care Intervention for Women Who Have Left Abusive Partners
Abstract
Although intimate partner violence is a significant global health problem, few tested interventions have been designed to improve women's health and quality of life, particularly beyond the crisis of leaving. The Intervention for Health Enhancement After Leaving is a comprehensive, trauma informed, primary health care intervention, which builds on the grounded theory Strengthening Capacity to Limit Intrusion and other research findings. Delivered by a nurse and a domestic violence advocate working collaboratively with women through 6 components (safeguarding, managing basics, managing symptoms, cautious connecting, renewing self, and regenerating family), this promising intervention is in the early phases of testing.
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Survivors experience adverse physical health consequences relating to both physical injury and somatization of stress, including traumatic brain injury, chronic pain, gastrointestinal symptoms, reproductive health, neuroendocrine alterations, and epigenetic changes.
“Survivors experience adverse physical health consequences relating to both physical injury and somatization of stress, including traumatic brain injury (Valera et al., 2021), chronic pain, gastrointestinal symptoms, reproductive health, neuroendocrine alterations and epigenetic changes (Ford-Gilboe et al., 2011; Ford-Gilboe et al., 2015).”
From Post‐separation abuse: A concept analysis (2023) · cites this paper as Ford-Gilboe et al., 2011
Cites
Physiology and neurobiology of stress and adaptation: central role of the brain
McEwen, B. S. (2007) · Physiological Reviews · doi:10.1152/physrev.00041.2006 · Cited by 4,981 · see citing works
Secondary Prevention of Intimate Partner Violence: A Randomized Controlled Trial
McFarlane, J. M., Groff, J. Y., O'Brien, J. A., & Watson, K. (2006) · Nursing Research · doi:10.1097/00006199-200601000-00007 · Cited by 206 · see citing works
Chronic Pain in Women Survivors of Intimate Partner Violence
Wuest, J., Merritt-Gray, M., Ford-Gilboe, M., Lent, B., Varcoe, C., & Campbell, J. C. (2008) · The Journal of Pain · doi:10.1016/j.jpain.2008.06.009 · Cited by 175 · see citing works
Self-citationBeyond bruises and broken bones: The joint effects of stress and injuries on battered women’s health
Sutherland, C. A., Bybee, D. I., & Sullivan, C. M. (2002) · American Journal of Community Psychology · doi:10.1023/a:1016317130710 · Cited by 154 · see citing works
Tiwari, A., Fong, D. Y. T., Yuen, K. H., Yuk, H., Pang, P., Humphreys, J., & Bullock, L. (2010) · JAMA · doi:10.1001/jama.2010.1052 · Cited by 120 · see citing works
Wuest, J., Ford-Gilboe, M., Merritt-Gray, M., & Berman, H. (2003) · Qualitative Health Research · doi:10.1177/1049732303013005002 · Cited by 118 · see citing works
Self-citationTelomere shortening in formerly abused and never abused women.
Humphreys, J., Epel, E. S., Cooper, B. A., Lin, J., Blackburn, E. H., & Lee, K. A. (2012) · Biological Research For Nursing · doi:10.1177/1099800411398479 · Cited by 97 · see citing works
Ford-Gilboe, M., Wuest, J., & Merritt-Gray, M. (2005) · Qualitative Health Research · doi:10.1177/1049732305274590 · Cited by 83 · see citing works
Self-citationWuest, J., Ford-Gilboe, M., Merritt-Gray, M., Varcoe, C., Lent, B., Wilk, P., & Campbell, J. (2009) · Pain Medicine · doi:10.1111/j.1526-4637.2009.00624.x · Cited by 82 · see citing works
Self-citationGender Inequality and Patterns of Abuse Post Leaving
Davies, L., Ford-Gilboe, M., & Hammerton, J. (2009) · Journal of Family Violence · doi:10.1007/s10896-008-9204-5 · Cited by 73 · see citing works
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on behalf of the EQUIP Research Team, Browne, A. J., Varcoe, C., Ford-Gilboe, M., & Wathen, C. N. (2015) · International Journal for Equity in Health · doi:10.1186/s12939-015-0271-y · Cited by 152 · see citing works
Self-citationPost‐separation abuse: A concept analysis
Spearman, K. J., Hardesty, J. L., & Campbell, J. (2023) · Journal of Advanced Nursing · doi:10.1111/jan.15310 · Cited by 100 · see citing works
Rivas, C., Vigurs, C., Cameron, J., & Yeo, L. (2019) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd013135.pub2 · Cited by 65 · see citing works
Ford-Gilboe, M., Varcoe, C., Scott-Storey, K., Wuest, J., Case, J., Currie, L. M., Glass, N., Hodgins, M., MacMillan, H., Perrin, N., et al. (2017) · BMC Public Health · doi:10.1186/s12889-017-4143-9 · Cited by 61 · see citing works
Self-citationThe Efficacy of a Health Promotion Intervention for Indigenous Women: Reclaiming Our Spirits
Varcoe, C., Ford-Gilboe, M., Browne, A. J., Perrin, N., Bungay, V., McKenzie, H., Smye, V., Price (Elder), R., Inyallie, J., Khan, K., et al. (2021) · Journal of Interpersonal Violence · doi:10.1177/0886260518820818 · Cited by 51 · see citing works
Self-citationIdentifying Factors that Predict Women's Inability to Maintain Separation from an Abusive Partner
Abdulmohsen Alhalal, E., Ford-Gilboe, M., Kerr, M., & Davies, L. (2012) · Issues in Mental Health Nursing · doi:10.3109/01612840.2012.714054 · Cited by 20 · see citing works
Self-citation
- Authors
- Ford-Gilboe, M., Merritt-Gray, M., Varcoe, C., & Wuest, J.
- Affiliations
- University of New Brunswick (CA)
- Venue
- Advances in Nursing Science
- Published
- 2011-07
- Volume
- 34
- Issue
- 3
- Pages
- 198-214
- ISSN
- 0161-9268 (ISSN-L)
- OpenAlex
- W2043629677
- Cited by
- 52
- References
- 10
- Citations by year
- 2026: 1 · 2025: 9 · 2024: 3 · 2023: 2 · 2022: 4 · 2021: 2 · 2019: 4 · 2018: 1 · 2017: 2 · 2016: 7 · 2015: 6 · 2014: 2 · 2013: 3 · 2012: 4
- FWCI
- 3.14
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Advances in Nursing Science (publishedVersion)
- PubMed (publishedVersion)
- Scholarship@Western (Western University) (submittedVersion)
- Funders
- Canadian Institutes of Health Research
- Topics
- Social Sciences › Health › Intimate Partner and Family Violence
- Social Sciences › Demography › Elder Abuse and Neglect
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Keywords
- intimate partner violence, leaving abusive relationships, women's health, primary health care intervention, trauma-informed care, symptom management, family reintegration, quality of life
- MeSH terms
- Adult, Female, Humans, New Brunswick, Ontario, Primary Health Care, Sexual Partners, Spouse Abuse, Stress Disorders, Post-Traumatic, Women's Health, Battered Women
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