A Multi-Center Structural Equation Modeling Approach to Investigate Interpersonal Violence Screening for Public Health Promotion.

Melissa A Sutherland,M Katherine Hutchinson,Lan Jiang,Bing Si

doi:10.3389/fpubh.2021.637222

Melissa A Sutherland, M Katherine Hutchinson + Show 2 more

Open Access

https://doi.org/10.3389/fpubh.2021.637222

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Abstract

Background: Interpersonal violence is a significant public health issue. Routine health screening is a cost-effective strategy that may reduce harmful physical and mental consequences. However, existing research finds consistently low rates of violence screening offered by healthcare providers, e.g., nurses, nurse practitioners, physicians. There is a critical need for research that helps understand how providers' screening behaviors are impacted by individual-level and organizational-level factors to promote the uptake of routine screening for interpersonal violence. Two recent studies, i.e., The Health Care Providers study and Nurse Practitioners Violence Screening study, involved quantitative data collected to measure providers' screening behavior and multi-level factors impacting violence screening.Methods: The current analysis includes a combination of multi-center data collected from The Health Care Providers and Nurse Practitioners Violence Screening studies, respectively. The total sample is 389 providers across the United States. The proposed research develops a system-level multi-center structural equation model framework to rigorously integrate data from the two studies and examine providers' screening behavior for interpersonal violence based upon Theory of Planned Behavior from a quantitative perspective.Results & Conclusions: We successfully examine the efficacy of the Theory of Planned Behavior proposed by Ajzen to predict healthcare providers' screening behavior for interpersonal violence. Organizational factors, e.g., availability of policy for interpersonal violence screening, organizational priority given to violence screening relative to other priorities, and if providers within the health center are interested in improving care quality, were significantly associated with providers' screening behavior. The knowledge and insights generated from our study may facilitate the design and optimization of health professional training and practice environment, and lead to improved women's health and quality of care.

Highlights

Healthcare screenings are vitally important and cost-effective prevention strategies to promote health for people of all ages.Preventative health screenings can identify disease or other health problems at an early stage so proactive treatments can be offered to lower the risk for the disease, inhibit its progression, or reduce other harmful health consequences [1, 2]
Prior to the structural equation modeling, the Health Care Providers (HCP) and Nurse Practitioners Violence Screening (NPVS) data are tested for validity, consistency and reliability
Existing literature proposed a list of potential organizational factors that impact the healthcare provider’s behavior, among which we identify three common factors collected by both HCP and NPVS to further verify the organizational expansion of Theory of Planned Behavior (TPB)

Summary

Introduction

Healthcare screenings are vitally important and cost-effective prevention strategies to promote health for people of all ages.Preventative health screenings can identify disease or other health problems at an early stage so proactive treatments can be offered to lower the risk for the disease, inhibit its progression, or reduce other harmful health consequences [1, 2]. Healthcare screenings are vitally important and cost-effective prevention strategies to promote health for people of all ages. The American Diabetes Association recommends all adults be screened for diabetes starting at age 45 by evaluating the blood sugar levels through blood tests [3]. Routine health screening is a cost-effective strategy that may reduce harmful physical and mental consequences. Existing research finds consistently low rates of violence screening offered by healthcare providers, e.g., nurses, nurse practitioners, physicians. There is a critical need for research that helps understand how providers’ screening behaviors are impacted by individual-level and organizational-level factors to promote the uptake of routine screening for interpersonal violence. I.e., The Health Care Providers study and Nurse Practitioners Violence Screening study, involved quantitative data collected to measure providers’ screening behavior and multi-level factors impacting violence screening

Methods

Results

Conclusion