Zachor H, Chang J C, Zelazny S, Jones K A, Miller E
University of Pittsburgh School of Medicine, 3550 Terrace St, Pittsburgh, PA 15213, USA.
Department of Obstetrics, Gynecology, and Reproductive Sciences and the Magee-Women's Research Institute, Department of Medicine, University of Pittsburgh, 3380 Boulevard of the Allies, suite 309, Pittsburgh, PA 15213, USA.
Health Educ Res. 2018 Apr 1;33(2):175-185. doi: 10.1093/her/cyy007.
To explore the effect of provider communication-skills training on frequency of intimate partner violence (IPV) and reproductive coercion (RC) assessment, four family planning clinics were randomized to IPV/RC communication-skills building workshop or standard knowledge-based IPV/RC training and compared to historical controls from the same clinics (before any training). Female patients aged 16-29 completed after-visit surveys. Primary outcomes included provider discussion about IPV/RC, receipt of safety card with IPV/RC resources and patient disclosure of IPV/RC. Chi-square tests were used to compare groups that received training and historical controls. Participants (training: n = 103; historical control: n = 576) were predominantly white with mean age of 22. More patients reported discussion about healthy relationships in both training groups (78-90%) compared to historical controls (49-52%, P < 0.001 for both). Discussion on birth control sabotage and pregnancy coercion was infrequent with patient-participants in both groups (6-17 and 4-13%, respectively). More patients in the clinics that received training reported receiving a safety card (72-84%) as compared to historical controls (9%, P < 0.001 for both). Overall, in this exploratory study, both communication-skills and standard training improved frequency of IPV communication when compared to historical controls but with few differences when compared to each other.
为探讨提供者沟通技能培训对亲密伴侣暴力（IPV）和生殖胁迫（RC）评估频率的影响，四家计划生育诊所被随机分为IPV/RC沟通技能建设工作坊组或基于标准知识的IPV/RC培训组，并与来自同一诊所的历史对照组（在任何培训之前）进行比较。年龄在16 - 29岁的女性患者完成了随访调查。主要结果包括提供者对IPV/RC的讨论、收到包含IPV/RC资源的安全卡以及患者对IPV/RC的披露。使用卡方检验来比较接受培训的组和历史对照组。参与者（培训组：n = 103；历史对照组：n = 576）主要为白人，平均年龄为22岁。与历史对照组（49 - 52%）相比，两个培训组中更多患者报告了关于健康关系的讨论（78 - 90%，两者P < 0.001）。两组患者参与者中关于节育破坏和怀孕胁迫的讨论都很少（分别为6 - 17%和4 - 13%）。与历史对照组（9%）相比，接受培训的诊所中更多患者报告收到了安全卡（72 - 84%，两者P < 0.001）。总体而言，在这项探索性研究中，与历史对照组相比，沟通技能培训和标准培训均提高了IPV沟通的频率，但两组之间差异不大。
