1 West Virginia University, Morgantown, WV, USA.
Health Educ Behav. 2019 Feb;46(1):72-78. doi: 10.1177/1090198118796882. Epub 2018 Aug 31.
The aims of this study were to (1) evaluate the effects of a statewide intimate partner violence (IPV) training on home visitors' perceived knowledge, skills, and abilities to address IPV experienced by their clients and (2) examine home visitors' perceived barriers to addressing IPV during client home visits.
In 2015, five equivalent, daylong IPV trainings were held throughout West Virginia. Attendance was mandatory for all home visitors in the state. Pre- and posttraining surveys were administered to every attendee ( N = 125). The surveys assessed home visitors' perceived knowledge, skills, and abilities to address IPV experienced by their clients and perceived barriers to addressing IPV during a client home visit.
The results showed (1) home visitors' knowledge, skills, and abilities significantly improved from pre- to posttraining (all p < .05) and (2) the most commonly reported barriers to addressing IPV were "the partner is present for the visit" (86.2%), "worried that asking may risk my relationship with my client" (30.2%), "not sure how to ask questions without seeming too intrusive" (25.9%), and "worried about upsetting the client" (21.6%).
Our findings highlight the immediate positive effects of an IPV training on home visitors' professional capabilities to address IPV experienced by clients and the most prevalent barriers home visitors face when addressing IPV that should be targeted in future health education interventions.
本研究旨在:(1)评估全州范围内亲密伴侣暴力 (IPV) 培训对家访员感知知识、技能和能力的影响,以解决客户经历的 IPV;(2) 考察家访员在客户家访期间解决 IPV 时遇到的感知障碍。
2015 年,在西弗吉尼亚州各地举行了五次相同的为期一天的 IPV 培训。全州所有家访员都必须参加。在每次培训前后都对每位参加者(N=125)进行调查。调查评估了家访员对客户经历的 IPV 的感知知识、技能和能力,以及在客户家访期间解决 IPV 的感知障碍。
结果表明:(1) 家访员的知识、技能和能力从培训前到培训后显著提高(均 p<0.05);(2) 解决 IPV 时最常报告的障碍是“伴侣在访问期间在场”(86.2%)、“担心提问可能会危及我与客户的关系”(30.2%)、“不确定如何提问而不显得过于干涉”(25.9%)和“担心让客户不安”(21.6%)。
我们的发现强调了 IPV 培训对家访员解决客户经历的 IPV 的专业能力的即时积极影响,以及家访员在解决 IPV 时面临的最普遍障碍,这些障碍应该成为未来健康教育干预的目标。