Development and integration of IPV-4, a patient-reported screening instrument of intimate partner violence for primary and HIV care

Fredericksen, Rob and Fitzsimmons, Emma and Avendano-Soto, Sonia and Brown, Sharon and Christopoulos, Katerina and Dougherty, Sarah Dougherty and Eron, Joseph Eron and Kitahata, Mari and Loo, Stephanie and Mayer, Kenneth and Mugavero, Michael and Napravnik, Sonia and O’Cleirigh, Conall and Potter, Jennifer and Ruderman, Stephanie and Smith, Laurie and Crane, Paul and Crane, Heidi (2022) Development and integration of IPV-4, a patient-reported screening instrument of intimate partner violence for primary and HIV care. Journal of AIDS and HIV Research, 14 (2). pp. 41-49.

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Abstract

Intimate partner violence (IPV) is a significant and under-reported health problem. Legacy measures of IPV lack brevity and/or are relevant only to specific populations, which limit their usefulness for routine clinical care. We developed a brief patient-reported screening instrument of past-year intimate partner violence (IPV). We developed an item pool from validated IPV screening instruments, dimensionalized and winnowed its content to select candidate items. We conducted interviews with English and Spanish-speaking persons in HIV care in six U.S. primary care clinics to assess their comprehensibility, which informed the development of the four-item instrument (IPV-4). After integration into care we performed chart review for indication of IPV in the past 5 years to assess impact. We identified 68 items from 12 instruments and winnowed content within dimensions of physical, sexual, and psychological violence. We then presented 11 candidate items to PWH in interviews (n=45, 49% Spanish-language; mean age 45 years; 62% cisgender male, 33% cisgender female, 5% transgender female; 71% nonwhite). The resulting instrument was well-understood in English and Spanish and relevant across gender and sexual orientation. PWH (n=6415) completed the IPV-4 in clinical care settings; 9% reported any type of IPV and 5% reported physical and/or sexual violence. In chart notes of a single-site subset of PWH (n=1756), of those indicating physical and/or sexual violence on the IPV-4 with medical records available from the past five years (n=63), only 19% of PWH had prior notes indicating IPV in that time period. The IPV-4 is a brief, gender/sexual orientation-neutral, clinically relevant screening instrumentthat identifies and dimensionalizes past-year IPV present in 9% of PWH in routine care.

Item Type: Article
Subjects: East India Archive > Medical Science
Depositing User: Unnamed user with email support@eastindiaarchive.com
Date Deposited: 27 Feb 2023 10:05
Last Modified: 26 Oct 2024 04:05
URI: http://ebooks.keeplibrary.com/id/eprint/368

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