Effect of an in-clinic IPV advocate intervention to increase help seeking, reduce violence, and improve well-being
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This quasi-experimental study investigated the efficacy of clinic-based advocacy for intimate partner violence (IPV) to increase help seeking, reduce violence, and improve women's well-being. Eligible and consenting women attending one of six selected clinics in the rural Southern United States were assessed for IPV. Consenting women disclosing IPV were offered either an in-clinic advocate intervention or usual care, depending on the clinic they attended and were followed for up to 24 months. Over follow-up time both IPV scores and depressive symptoms trended toward greater decline among women in the advocate intervention clinics relative to the usual care (business card referral only).
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Survivor-focused advocacy/case management interventions showed good to moderate evidence of positive impact on mental health outcomes and access to social support, and in a few studies a reduction in partner aggression or experience of IPV.
“The studies showed good to moderate evidence of the positive impact of these interventions on mental health outcomes and also access to social support for the IPV survivors included in the study, and in a few studies, a reduction in partner aggression or experience of IPV (IPV scores) [15–23].”
From A systematic review of intimate partner violence interventions focused on improving social support and/ mental health outcomes of survivors (2020) · cites this paper as [23]
The Outcome Evaluation (page unavailable) reports significantly lower depressive symptoms and suicidal ideation over time in the advocate clinics, with IPV scores trending toward greater decline than in usual care. The Discussion (page unavailable) says the intervention did not improve help-seeking beyond contact with the advocate, so this study does not support a broader improvement in access to social support. It also does not grade the evidence across studies as ‘good to moderate.’ (LLM, conf=0.88)
Experimental — accuracy not yet measuredOnly few advocate-based studies and 1 community-focused intervention reported an impact on IPV with good level of evidence.
“However, it must be noted that only few of the advocate-based studies and 1 of the community-focused interventions reported an impact on IPV, with good level of evidence [15, 20–23, 34], similar to what has been found in other reviews of advocate-based interventions on intimate partner violence [45].”
From A systematic review of intimate partner violence interventions focused on improving social support and/ mental health outcomes of survivors (2020) · cites this paper as [23]
The Discussion (page unavailable) says few clinic-based IPV interventions had been evaluated and reports that the in-clinic advocate intervention reduced IPV scores. This supports the general comparison, but this paper is a primary intervention study, not one of the “other reviews” the citing sentence attributes to [45]. It does not assess the number or evidence quality of community-focused interventions. (LLM, conf=0.84)
Experimental — accuracy not yet measuredTwo studies, an in-clinic advocacy intervention by Coker et al and a home-based advocate intervention by Sharps et al, resulted in a significant reduction in the experience of intimate partner violence by the survivors.
“Two of the studies, an in-clinic advocacy intervention by Coker et al [23] and a home-based advocate intervention by Sharps et al [20] resulted in a significant reduction in the experience of intimate partner violence by the survivors”
From A systematic review of intimate partner violence interventions focused on improving social support and/ mental health outcomes of survivors (2020) · cites this paper as [23]
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“Two of the studies, an in-clinic advocacy intervention by Coker et al [23] and a home-based advocate intervention by Sharps et al [20] resulted in a significant reduction in the experience of intimate partner violence by the survivors (decrease in experience of IPV in the intervention arm compared to the control group…”
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- Authors
- Coker, A. L., Smith, P. H., Whitaker, D. J., Le, B., Crawford, T. N., & Flerx, V. C.
- Affiliations
- University of Kentucky (US)
- University of North Carolina at Greensboro (US)
- Georgia State University (US)
- Centers for Disease Control and Prevention (US)
- Clemson University (US)
- Venue
- Violence Against Women
- Publisher
- SAGE Publications
- Published
- 2012-01
- Volume
- 18
- Issue
- 1
- Pages
- 118-131
- ISSN
- 1077-8012 (ISSN-L)
- 1552-8448
- OpenAlex
- W2171237416
- Cited by
- 72
- References
- 34
- Citations by year
- 2026: 5 · 2025: 2 · 2024: 1 · 2023: 6 · 2022: 2 · 2021: 8 · 2020: 5 · 2019: 11 · 2018: 3 · 2017: 7 · 2016: 7 · 2015: 6 · 2014: 6 · 2013: 1 · 2012: 2
- FWCI
- 5.49
- Type
- journal article
- Language
- en
- Open access
- green
- libres.uncg.edu
- Locations
- Violence Against Women (publishedVersion)
- PubMed (publishedVersion)
- NC Digital Online Collection of Knowledge and Scholarship (The University of North Carolina at Greensboro) (submittedVersion)
- Journal of Bioresource Management (submittedVersion)
- Journal of Bioresource Management (submittedVersion, cc-by)
- Funders
- U.S. Public Health Service (US4CCU419014)
- 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, help-seeking, violence reduction, women's well-being, depressive symptoms, rural women, referral services
- MeSH terms
- Adult, Ambulatory Care Facilities, Depression, Female, Follow-Up Studies, Health, Humans, Male, Patient Acceptance of Health Care, Patient Advocacy, Referral and Consultation, Sexual Partners, Social Support, Spouse Abuse, United States, Women's Health Services, Treatment Outcome, Battered Women, Standard of Care
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