Survivors Of Intimate Partner Violence Research Articles

Survivor Health Connection Project: Understanding Experiences of Accessing Health Care Among Those Affected by Intimate Partner Violence During the COVID-19 Pandemic.

Intimate partner violence (IPV) has short- and long-term health effects, including physical injuries and traumatic brain injury, as well as sexual, reproductive, and mental health issues. However, accessing necessary health care is often challenging for IPV survivors and became even more difficult during the COVID-19 pandemic. We examined access to health care among those affected by IPV during the COVID-19 pandemic to better connect survivors to health and social support services. The Health Resources and Services Administration's Office of Women's Health partnered with its Bureau of Primary Health Care, the Administration for Children and Families' Office of Family Violence Prevention and Services, and the National Domestic Violence Hotline (Hotline) on the 2-year Survivor Health Connection Project. The Hotline administered 2 surveys to its contacts: a 2-question postinteraction survey from March 29, 2021, through September 30, 2022, and a longer focused survey in 2021 and 2022 that measured barriers and restrictions to accessing health care, telehealth safety, and interactions with health care providers. Of 9918 respondents to the postinteraction survey, 6173 (62.2%) reported current health needs related to their abusive experience. Nearly half of 242 respondents to the 2021 survey (n = 106, 43.8%) indicated that the frequency or intensity of abuse increased during the COVID-19 pandemic, and 157 of 338 respondents to the 2022 survey (46.4%) reported that their partner had controlled and/or restricted their access to health care. Participants described barriers to accessing health care, including finances, health insurance coverage, and transportation. Findings illuminate opportunities to further support the health and social needs of those experiencing IPV, including continued coordination of efforts across health care and social service delivery partners.

Post-Traumatic Growth Promoting and Inhibiting Factors Among Intimate Partner Violence Survivors: A Systematic Review.

Intimate partner violence (IPV) is a traumatic experience that is universally present across the globe. Undeniably, there are expected adverse outcomes. However, it is also conceivable that IPV survivors might see, feel, and experience a hopeful, positive future after their IPV experience. Notably experienced by IPV survivors is post-traumatic growth (PTG). PTG is a type of positive psychological change that occurs following the struggle with a traumatic experience. The changes are then reflected across five domains. As more studies on PTG among IPV survivors continue to rise, there must be a better understanding of the process. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses protocol, this systematic review consolidated findings from existing literature guided by the research questions: (a) What areas of PTG do IPV survivors most experience positive psychological growth? (b) What factors are associated with PTG among IPV survivors? A total of 22 studies met the criteria and were included. Spiritual growth and new possibilities domains were experienced the most by adult IPV survivors. Contributing and inhibiting factors toward PTG were identified and categorized as interpersonal, contextual, or intrapersonal. Targeted interventions aiding the process toward PTG for IPV survivors were also identified, including commonly maladaptive coping strategies. This systematic review contributes to the literature by increasing knowledge that can be used for more effective support, interventions, and policies that promote PTG for adult IPV survivors.

Lessons to learn from pilot studies in clinical trials: The example of a trauma‐focused treatment for female survivors of intimate partner violence

AbstractBackgroundResearch on pilot studies is scarce, despite their importance for the development of effective clinical trials. There is a lack of work addressing the process, limitations and strategies derived from these studies. This gap is even more evident in research studying targeted populations, such as victims of intimate partner violence (IPV), who present specific difficulties, such as high dropout rates, or require the application of challenging treatments, such as trauma‐focussed exposure therapy.AimThis paper describes a pilot study (PS) implemented as a preliminary step in the development of a clinical trial (CT), in which a trauma‐focussed treatment for survivors of IPV with post‐traumatic symptomatology was applied. The problems identified in the PS and the solutions that were implemented in the CT are described. Additionally, comparisons between the PS and CT with respect to participant adherence to treatment and satisfaction, as perceived by the participants and the therapist, are analysed.ResultsResults indicate that satisfaction with the treatment was high in both studies; dropouts showed a significant decrease in the CT (25% in CT vs. 75% in the PS; p = .028), while group cohesion increased.ConclusionsIt is concluded that conducting pilot studies allows adapting treatments to the study population, which seems to increase the quality of clinical trials, subsequently improving the evidence of psychological interventions.

Feasibility Evaluation of a Parenting Group for Latina Survivors of Intimate Partner Violence.

Intimate partner violence (IPV) is a pervasive concern among Latina women that requires accessible and culturally appropriate services for survivors, including programs to support parenting in the context of IPV. Evaluations of such programs are sparse, limiting understanding of how agencies can best serve Latina survivors who are parents. We conducted a feasibility study of a parenting group for Latina IPV survivors that included an analysis of administrative data, focus groups with program participants (n = 17), and interviews with facilitators (n = 4). Findings center on demand, acceptability, implementation, and recommendations. Overall, the program was well received, and results include suggestions to enhance the program.

Moving towards transformative justice for black women survivors of intimate partner violence: an intersectional qualitative study.

Intimate partner violence (IPV) disproportionately affects Black women, yet the current IPV justice response, relying on the criminal legal system, often fails them due to racialized, sexist stereotypes that disrupt Black women's claims to survivorship. Transformative justice, a community-based approach designed to repair harm between the survivor and person who caused harm and transform the social conditions that perpetuate violence, may be a promising alternative approach to facilitate justice and accountability for IPV. However, little is known about the justice preferences of Black women IPV survivors. This qualitative study sought to understand Black women IPV survivors' experiences interacting with police and their justice preferences following IPV. Semi-structured interviews with 15 Black women IPV survivors were conducted between April 2020 and April 2022. Inductive analytic techniques derived from grounded theory were used to contextualize Black women IPV survivors' experiences. One theme was identified that aligned with Black women IPV survivors' experiences interacting with the police: 1) fear and distrust. Four themes were identified that aligned with justice preferences: (1) resolution through dialogue, (2) therapy and counseling services, (3) resource support, and (4) protection and prevention for children. Fear and distrust of the police was mainly driven by anticipated discrimination. Survivors' justice preferences encompassed solution-based dialogue between the survivor and person who caused harm mediated by family and trusted individuals in the community, therapy services, housing support, and attention to preventing the intergenerational cycle of IPV for children as part of a community-based, holistic justice response. Police interactions as part of the current justice response were counterproductive for Black women IPV survivors. Black women IPV survivors deserve alternative forms of justice and accountability for IPV. As an alternative justice response to IPV, transformative justice can encompass their justice preferences and promote equity and center Black women IPV survivors and their communities.

Help-Seeking Behaviors and Associated Factors Among Chinese Immigrant Women Experiencing Intimate Partner Violence

ABSTRACT Chinese immigrants are underrepresented in research on intimate partner violence (IPV). There is a lack of quantitative research on help-seeking behaviors and patterns among Chinese immigrant women experiencing IPV. In this study, using a cross-sectional design, we examine patterns of help-seeking behaviors among Chinese immigrant survivors of IPV, as well as associated factors. Participants were recruited through the WeChat and Prolific platforms to complete an online survey. A total of 139 women who reported IPV while residing in the U.S. participated. The survey’s questions addressed five forms of informal help and eight forms of formal help, as well as reasons for not seeking help. The survey also included measures of social isolation, loneliness, preferences for the ethnicity of people at social gatherings, depression, anxiety, sociodemographic characteristics, and immigration-related factors. Latent class analysis revealed two distinct help-seeking patterns. The majority either refrained from seeking help or solely relied on family and friends, while a smaller group sought support from a wider range of sources, but still primarily relied on family and friends. Factors associated with Chinese immigrant women’s use of broad sources for support included older age; being single, separated, divorced, or widowed; U.S. citizenship or permanent residency; attending social gatherings primarily with Americans; depression symptoms; and lower loneliness levels. The study’s findings underscore the importance of interventions to promote help-seeking behaviors among Chinese immigrant survivors by expanding social networks, fostering collaborations between mainstream IPV services and Chinese community organizations to implement community outreach, offering interventions that are empowerment-based, and training bilingual and bicultural service providers.

Best Practices in the Nursing Care of Patients With Injuries From Violence: An Integrative Review.

The number of patients who have experienced violence is increasing worldwide. These patients have specific psychosocial and forensic needs and can present unique challenges to the health care workers caring for them. To identify best practices for the care of patients with injuries from violence in the emergency department or inpatient setting. The framework for integrative reviews by Whittemore and Knafl was used to conduct a literature search in MEDLINE, CINAHL, and ProQuest Nursing and Allied Health databases. Fourteen qualitative, quantitative, and mixed-methods studies from peer-reviewed journals were included in the review. Themes included identifying patients as survivors of intimate partner violence or child abuse, the need to collect forensic evidence, the need for emotional support of patients and their loved ones, support for health care workers caring for patients with injuries from violence, prevention of further violence, and the challenges of caring for patients with injuries from violence with concurrent substance use disorders. Best practices for these aspects of care are summarized on the basis of literature analysis. Screening procedures are needed to identify survivors of intimate partner violence and child abuse. Forensic evidence preservation policies should be in place. For survivors of sexual assault, a sexual assault nurse examiner should be available. Hospital systems should provide psychosocial resources for patients' and health care workers' mental health, implement violence reduction programs, and provide bias training. More research is needed to determine efficacy of care models and best practice.

246EMF Using Design Thinking and Community Advisors to Improve Emergency Department Resources for Intimate Partner Violence Survivors

246EMF Using Design Thinking and Community Advisors to Improve Emergency Department Resources for Intimate Partner Violence Survivors

Institutional Betrayal and Race in the Civil Legal System: A Latent Class Analysis with Survivors of Intimate Partner Violence

Institutional Betrayal and Race in the Civil Legal System: A Latent Class Analysis with Survivors of Intimate Partner Violence

Patterns of Technology-Based Abuse Among Adult Intimate Partner Violence Survivors and Associations with Offline Abuse.

Research about technology-based abuse (TBA) has primarily relied on youth-focused survey research, leading to gaps in knowledge about the experiences of TBA among adult populations. However, studies among adult intimate partner violence (IPV) survivors suggest that TBA is a pervasive problem warranting attention. This study builds on the limited existing literature about adult experiences of TBA by examining patterns of TBA among adult abuse survivors (n = 377). Latent class analysis showed three distinct patterns of TBA: technology-based emotional abuse, technology-based monitoring, and technology-based control. Multinomial regression analyses demonstrated that TBA co-occurs with offline IPV. Findings reinforce the significant role of TBA in adult IPV survivors' lives and highlight the importance of assessing for TBA among survivors.

The Temporal Pattern of Repeat Intimate Partner Violence Incidents Among High-Risk Survivors in Taiwan: A Survival Analysis.

Intimate partner violence (IPV) is rarely an isolated incident, with survivors often experiencing repeat violence. Few studies, however, have been conducted to investigate the temporal pattern of IPV revictimization using a validated risk assessment instrument. In Taiwan, service professionals are mandated to report any known IPV incidents using the Taiwan Intimate Partner Violence Danger Assessment (TIPVDA), a validated risk assessment designed to assess the level of lethality faced by IPV survivors. The mandatory reporting policy and the universal use of the TIPVDA provide a unique opportunity to investigate the time course of repeat IPV victimization. This study analyzes high-risk IPV incidents (n = 18,740) reported in Taiwan from 2017 to 2019 using Cox regression analysis. Analysis results suggested three main findings: (a) The time interval between IPV victimizations shortened and the severity of violence increased; (b) the TIPVDA score was consistently associated with repeat victimization, unlike self-assessed dangerousness; (c) specific TIPVDA items, such as IPV history and financial stress, predicted the rate of repeat victimization. Those who reported ever being hurt by their partner during pregnancy, an escalation in physical violence during the past year, their partner threatening to kill them, and their partner being stressed about their financial situation were likely to have a faster rate of reporting the second and third high-risk victimization reports. These findings highlight the importance of using validated risk assessments in practice, not only for predicting reassault, severe reassault, or homicide but also for estimating the timing of revictimization. This can significantly inform intervention strategies and policy decisions.

Barriers to Help-Seeking in a Spanish Sample of Women Survivors of Intimate Partner Violence

Objective This study tests a conceptual model exploring the mediating effects of perceived severity and assessed risk in the relationship between dependency and help-seeking behaviors in psychological, physical, and sexual violence. Method The sample consisted of 266 survivors of intimate partner violence against women (IPVAW) (M age = 27.88 years; SD = 9.49), of which 23.7% reported having suffered physical violence from their partner or former partner, 83.8% psychological violence, and 54.1% sexual violence. Results Higher dependency scores were associated with lower perceived severity of violence, lower assessed levels of risk, and thus elevated difficulty in engaging in help seeking in all types of violence. Conclusions Educating on equality and raising awareness of the seriousness and risk of IPVAW will be critical in facilitating help-seeking responses.

Religious, Practical and Future-Oriented Coping Strategies to End Intimate Partner Violence: An In-Depth Examination of Ultraorthodox Israeli Women’s Narratives

Abstract Purpose Much attention has been devoted to the ways in which women have made sense of, worked through, coped with, and recovered from Intimate Partner Violence (IPV), but the insights of survivors affiliated with religious minorities are scarce. The purpose of this study is to advance understandings and practices concerning the coping experiences of Ultraorthodox women (UJW) survivors of IPV. Using descriptive phenomenological methodology, in-depth semi-structured face-to-face interviews were conducted with 15 Ultraorthodox Israeli women who identified themselves as survivors of IPV. Methods The research design and data analysis were inspired by a phenomenological approach to document, analyze, and understand these women’s subjective experiences on this heretofore under-studied topic. Shenton’s four criteria were assessed to promote the current study’s rigor and trustworthiness. Results Thematic analysis revealed three core themes and seven related sub-themes: (1) Devoting time to spiritual activities (sub-themes: daily prayers and attending Jewish classes); (2) Finding inspiration in a role model (sub-themes: a woman who survived IPV, a well-appreciated rabbi); and, (3) Planning the future (sub-themes: commitment to a new project, helping other women to cope with IPV, and commitment to the future and well-being of their children). Conclusions An integrative synthesis of the findings reveals two distinctive forms of coping: spiritual-based and practical-based coping strategies, that demonstrate the survivors’ multifaceted perceptions and coping narrative with IPV. The strengths and limitations of this study are addressed along with implications for practice and theory.

A PrEP decision aid for women survivors of intimate partner violence: Task-shifting implementation to domestic violence service settings.

Women exposed to intimate partner violence (IPV) experience multiple social and structural barriers to accessing HIV pre-exposure prophylaxis (PrEP), despite being at increased risk for HIV. In addition, few existing HIV prevention interventions address IPV. A recently developed PrEP decision aid for women has the potential to reach IPV survivors at risk for HIV if it could be integrated into existing domestic violence agencies that prioritize trust and rapport with female IPV survivors. Leveraging non-traditional service delivery mechanisms in the community could expand reach to women who are IPV survivors for PrEP. We conducted qualitative interviews and online qualitative surveys with 33 IPV survivors and 9 domestic violence agency staff at two agencies in Connecticut. We applied the Consolidated Framework for Implementation Research (CFIR) to understand barriers and facilitators to delivering a novel PrEP decision aid to IPV survivors in the context of domestic violence service agencies. Most IPV survivors and agency staff thought the PrEP decision aid intervention could be compatible with agencies' existing practices, especially if adapted to be trauma-responsive and delivered by trusted counselors and staff members. PrEP conversations could be packaged into already well-developed safety planning and wellness practices. Agency staff noted some concerns about prioritizing urgent safety needs over longer-term preventive health needs during crisis periods and expressed interest in receiving further training on PrEP to provide resources for their clients. IPV survivors and agency staff identified key intervention characteristics of a PrEP decision aid and inner setting factors of the service agencies that are compatible. Any HIV prevention intervention in this setting would need to be adapted to be trauma-responsive and staff would need to be equipped with proper training to be successful.

The 21st Century Cures Act: More Harm Than Good for Survivors of Intimate Partner Violence?

The 21st Century Cures Act requires that health organizations make all medical records rapidly available to patients through secure online portals. Referred to as "open notes," this approach is intended to improve health outcomes by facilitating easier and more transparent communication between patients and providers. For patients experiencing intimate partner violence (IPV), however, open notes can create serious safety risks to their physical and mental health when not handled carefully. This clinical note aims to raise awareness of how open notes can be harmful in IPV situations, provide a set of evidence-informed recommendations on how healthcare providers and institutions can help to mitigate this harm, and outline areas for future research.

Appraisal of the Relevant Laws, Health Care Policies, and Legal and Institutional Frameworks for the Health Care Support of Intimate Partner Violence Survivors in Nigeria

Intimate Partner Violence (IPV) remains a significant public health and human rights issue in Nigeria, yet the adequacy of existing legal frameworks to support survivors is a critical but underexplored area. This article examines the extent to which Nigerian laws address the healthcare needs of IPV survivors, evaluating both statutory and policy provisions. Through a comprehensive analysis of relevant legislation, including the Violence Against Persons Prohibition Act (VAPP), the Child Rights Act, and various state-specific laws, alongside healthcare policies and protocols, this study assesses the effectiveness and gaps in the legal infrastructure. Findings indicate that while there are progressive laws aimed at preventing and addressing IPV, substantial gaps persist in their implementation, particularly regarding the integration of healthcare support services for survivors. The article highlights the need for a more coordinated approach that aligns legal provisions with healthcare practices, ensuring that IPV survivors receive comprehensive support. Recommendations are provided to strengthen the legal framework and enhance inter-sectoral collaboration to better meet the needs of survivors in Nigeria. Keywords: Health care Support, IPV, Legal Framework, Survivors

Barriers to Care After Intimate Partner Violence Acquired Brain Injury: Current Systems Silence Survivors and Providers.

A qualitative meta-synthesis was conducted to answer the following question-What barriers are experienced by survivors of intimate partner violence and service providers when seeking or providing resources or care after experiencing brain injury (BI)? This approach was completed through 2 main phases-a systematic search and literature appraisal and reciprocal translation with interpretive triangulation of the extracted data. The databases searched were PubMed, CINAHL, and PsycInfo. The initial search yielded 559 articles. The final synthesis included 16 articles for the qualitative meta-synthesis. After data extraction, a qualitative exploratory design evaluated the experiences of survivors and service providers when connecting with resources. The findings highlight larger systemic barriers preventing smooth relationships between survivors and providers. Survivor barriers include risk-driven safety mechanisms and a lack of awareness and understanding of BI. Provider barriers are a lack of clarity within providers' scope and training limitations, diagnosis complexity, first responder's initial response to survivors, lack of open discussion, screening limitations, financial barriers, infrastructure barriers, and lack of resources. Systemic barriers include stigmatization, BI symptoms mistaken as other diagnoses like mental health, access and awareness of resources, and navigation of complex systems. This qualitative meta-synthesis demonstrates that survivors and providers face multiple individual and systemic barriers when seeking and providing resources after BI. Future research is needed to understand survivors' help-seeking behaviors and assistance needs and providers' education about BI and organizational relationships and networks. Recommendations are made for future research to understand how to reduce barriers for providers working with survivors, from trauma-informed education and communication to connecting with resources, where to concentrate, and initiatives for collaboration to increase the network of resources yet improve its accessibility.

Imposter Participants in Online Qualitative Interviews: A Protocol for Trauma-Informed and Equitable Decision-Making

Imposter participants are an emerging concern in qualitative research due to the recent increase in online recruitment and virtual interviews. Unfortunately, there is limited guidance on how to address imposter participants in an equitable, trauma-informed way. To bridge this gap, we share imposter participant red flags, challenges, and a protocol that provides questions to ask and possible activities to engage in throughout the research process from conceptualization through findings dissemination. We ground this guidance in examples from our recent study with LGBTQ+ (e.g., lesbian, gay, bisexual, transgender, queer) survivors of sexual and intimate partner violence.

An Overview of Health Care Support of Intimate Partner Violence Survivors

Intimate Partner Violence (IPV) has severe physical and psychological effects on survivors. Despite growing awareness, accessing comprehensive health care remains a challenge for many survivors. This review aims to assess the impact of IPV on the survivors, health care needs, and interventions for IPV survivors, evaluate their effectiveness, and identify areas for improvement. This paper reviewed literature and guidelines from reputable journals with a focus on studies about health care support, including interventions and outcomes for IPV survivors. The paper found there is a need for routine IPV screening in health settings, effective multidisciplinary care, and better training for healthcare providers. Barriers such as stigma, resource limitations, and inadequate referral systems were common. Survivors also face difficulties accessing the healthcare system due to fear and confidentiality issues. Quality and effective support requires universal screening, trauma-informed care, and accessible services. While some practices are beneficial, there is a need for standard and improved provider training. Policymakers should focus on overcoming systemic barriers and enhancing support services. The support system for IPV survivors is improving but still faces significant challenges. Addressing these issues through better policies, resources, and training is crucial for providing effective care and reducing the long-term impact of IPV. Keywords: Intimate Partner Violence, Health Care Support, Survivor support, Multidisciplinary Approaches, Trauma-Informed Care

Economic resilience and polystrengths: Identifying protective factors associated with economic self-sufficiency among survivors of intimate partner violence.

Economic resilience and polystrengths: Identifying protective factors associated with economic self-sufficiency among survivors of intimate partner violence.