Receiving care for intimate partner violence in primary care: barriers and enablers for women participating in the weave randomised controlled trial

O'Doherty, Lorna, Taket, Ann, Valpied, Jodie and Hegarty, Kelsey 2016, Receiving care for intimate partner violence in primary care: barriers and enablers for women participating in the weave randomised controlled trial, Social science & medicine, vol. 160, pp. 35-42, doi: 10.1016/j.socscimed.2016.05.017.

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Title Receiving care for intimate partner violence in primary care: barriers and enablers for women participating in the weave randomised controlled trial
Author(s) O'Doherty, Lorna
Taket, AnnORCID iD for Taket, Ann
Valpied, Jodie
Hegarty, Kelsey
Journal name Social science & medicine
Volume number 160
Start page 35
End page 42
Total pages 8
Publisher Elsevier
Place of publication Amsterdam, The Netherlands
Publication date 2016-07
ISSN 0277-9536
Keyword(s) process evaluation
intimate partner violence
theory of planned behaviour
brief intervention
Summary BACKGROUND: Interventions in health settings for intimate partner violence (IPV) are being increasingly recognised as part of a response to addressing this global public health problem. However, interventions targeting this sensitive social phenomenon are complex and highly susceptible to context. This study aimed to elucidate factors involved in women's uptake of a counselling intervention delivered by family doctors in the weave primary care trial (Victoria, Australia).

METHODS: We analysed associations between women's and doctors' baseline characteristics and uptake of the intervention. We interviewed a random selection of 20 women from an intervention group women to explore cognitions relating to intervention uptake. Interviews were audio-recorded, transcribed, coded in NVivo 10 and analysed using the theory of planned behaviour (TPB).

RESULTS: Abuse severity and socio-demographic characteristics (apart from current relationship status) were unrelated to uptake of counselling (67/137 attended sessions). Favourable doctor communication was strongly associated with attendance. Eight themes emerged, including four sets of beliefs that influenced attitudes to uptake: (i) awareness of the abuse and readiness for help; (ii) weave as an avenue to help; (iii) doctor's communication; and (iv) role in providing care for IPV; and four sets of beliefs regarding women's control over uptake: (v) emotional health, (vi) doctors' time, (vii) managing the disclosure process and (viii) viewing primary care as a safe option.

CONCLUSIONS: This study has identified factors that can promote the implementation and evaluation of primary care-based IPV interventions, which are relevant across health research settings, for example, ensuring fit between implementation strategies and characteristics of the target group (such as range in readiness for intervention). On practice implications, providers' communication remains a key issue for engaging women. A key message arising from this work concerns the critical role of primary care and health services more broadly in reaching victims of domestic violence, and providing immediate and ongoing support (depending on the healthcare context).
Language eng
DOI 10.1016/j.socscimed.2016.05.017
Field of Research 111799 Public Health and Health Services not elsewhere classified
111717 Primary Health Care
1117 Public Health And Health Services
1601 Anthropology
1608 Sociology
Socio Economic Objective 920499 Public Health (excl. Specific Population Health) not elsewhere classified
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Grant ID NHMRC 1007687
Copyright notice ©2016, Elsevier
Free to Read? No
Free to Read Start Date 2019-08-01
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Document type: Journal Article
Collection: School of Health and Social Development
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Created: Fri, 27 May 2016, 09:31:59 EST

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