Abstract
:Background:Many organizations have conducted Intimate Partner Violence (IPV) informational campaigns, but the extent to which such cost-effective, simple changes to the clinic environment can improve patient perceptions about IPV is largely unknown. Our primary objective was to determine how an IPV informational program affects patients’ perceptions about discussing IPV in a fracture clinic setting. Methods:We conducted a pre-post intervention study to evaluate the impacts of an IPV informational program on patients’ perceptions and willingness to discuss IPV in an orthopaedic fracture clinic setting. During the intervention phase, there were posters and brochures in each bed area and several places in the waiting area, and the surgeons received a button to wear on their lab coat stating their openness to discuss IPV and a set of instructions on how to ask patients about IPV and refer them to resources. Results:A total of 160 patients (80 pre-intervention and 80 post-intervention) have participated in this study. Overall perception of the clinic as an open place in which to discuss IPV did not change as a result of the informational program compared to the control setting. However, more patients exposed to posters and information about IPV believed the clinic staff possessed resources to help IPV victims compared to the control group; however, this difference did not reach statistical significance (62% vs. 53%, respectively, p=0.29).Conclusions:Passive interventions may serve an adjunctive role in facilitating active interventions in a clinic environment, but should not be considered in isolation as an effective approach.
Highlights
Intimate Partner Violence (IPV), known as spouse abuse or domestic violence, has emerged as one of the predominant forms of violence affecting North American women today.[1]
A recent global prevalence study found that 1 in 6 women attending orthopaedic fracture clinics had experienced IPV in the past year and 1 in 50 women presented to clinic for treatment of an IPV-related injury.[3]
A controlled study has not previously been performed to demonstrate the efficacy of a poster and brochure-based intervention alone, this study evaluated the potential for an inexpensive way to improve perceptions of the fracture clinic as an appropriate setting to discuss IPV
Summary
Intimate Partner Violence (IPV), known as spouse abuse or domestic violence, has emerged as one of the predominant forms of violence affecting North American women today.[1]. Organizations have implemented similar informational campaigns with posters and/or brochures as their central focus. Such interventions have been used, for example, for smoking cessation,[4] hand hygiene,[5] catheter compliance[6] and many other public health issues with varying degrees of success. Many organizations have conducted Intimate Partner Violence (IPV) informational campaigns, but the extent to which such cost-effective, simple changes to the clinic environment can improve patient perceptions about IPV is largely unknown. Methods: We conducted a pre-post intervention study to evaluate the impacts of an IPV informational program on patients’ perceptions and willingness to discuss IPV in an orthopaedic fracture clinic setting. Overall perception of the clinic as an open place in which to discuss IPV did not change as a result of the informational program compared to the control setting. Conclusions: Passive interventions may serve an adjunctive role in facilitating active interventions in a clinic environment, but should not be considered in isolation as an effective approach
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