University of Virginia, Charlottesville, VA, USA.
London School of Hygiene & Tropical Medicine, UK.
J Interpers Violence. 2021 Jul;36(13-14):NP7488-NP7515. doi: 10.1177/0886260519827161. Epub 2019 Feb 10.
The Domestic Violence Enhanced Home Visitation (DOVE) intervention used in the Perinatal Nurse Home Visiting Intervention Enhanced With mHealth Technology (RCT: R01HD071771) is a nurse-lead evidenced-based intervention that has been shown to decrease violence overtime. This summative mixed-methods impact evaluation is intended to provide insight to enhance the DOVE IPV protocol for screening and intervention by (a) identifying which core aspects of DOVE facilitated or inhibited its success and what was most critical to optimal IPV (intimate partner violence) screening and intervention practices, (b) informing how DOVE IPV screening and intervention were influenced by the experiences of home visitor (HV), and (c) identifying policy considerations and best practice recommendations for the DOVE protocol. Participants were HVs and managers ( = 13) in rural/urban home visiting programs delivering DOVE across three states. The sample had a mean age of 48.76. Three fourths were baccalaureate-prepared nurses with an average of 10.5 years of home visiting experience. The method used in this study was one-to-one qualitative in-depth interviews with HVs. Data were interpretively analyzed using Nvivo 10 to generate three themes. Participants endorsed screening women for IPV with DOVE being the approach of choice to facilitate IPV screening and intervening with women. HVs found DOVE helped enhance their IPV knowledge, screening, and intervening capabilities while filling an existing void in this type of preparation of HV nurses. Establishing a relationship with the women before initiating screening was an important aspect in delivering DOVE as was the training, support, and increased comfort level in addressing IPV. The evidence offers an understanding of which core aspects of DOVE contributed to its success and what was most critical to optimal IPV screening and intervention practices. Furthermore, this evaluation provided multilevel insights into how best to advance home visiting practices and policies when screening and intervening with perinatal women exposed to IPV.
国内家庭暴力强化家庭探视（DOVE）干预措施已被用于围产期护士家访干预增强移动健康技术（RCT：R01HD071771），这是一种基于证据的护士主导的干预措施，已被证明可以随着时间的推移减少暴力。本总结性混合方法影响评估旨在提供深入了解，以增强 DOVE 暴力侵害妇女行为（IPV）筛查和干预协议，具体方式为：(a) 确定 DOVE 的哪些核心方面促进或阻碍了其成功，以及对最佳 IPV（亲密伴侣暴力）筛查和干预实践最重要的因素；(b) 了解家访者（HV）的经验如何影响 DOVE IPV 筛查和干预；以及 (c) 确定 DOVE 协议的政策考虑因素和最佳实践建议。参与者是在三个州提供 DOVE 的农村/城市家访计划中的 HV 和经理（=13 人）。该样本的平均年龄为 48.76 岁。四分之三的人是本科准备护士，平均有 10.5 年的家访经验。本研究采用的方法是对 HV 进行一对一的深入定性访谈。使用 Nvivo 10 对数据进行解释性分析，生成三个主题。参与者支持使用 DOVE 对妇女进行 IPV 筛查，认为这是促进 IPV 筛查和干预妇女的首选方法。HV 发现 DOVE 有助于增强他们的 IPV 知识、筛查和干预能力，同时填补了 HV 护士此类培训中的空白。在开始筛查之前与妇女建立关系是提供 DOVE 的一个重要方面，培训、支持和提高处理 IPV 的舒适度也很重要。该证据使我们能够了解 DOVE 的哪些核心方面促成了其成功，以及对最佳 IPV 筛查和干预实践最重要的因素。此外，本评估提供了多层次的见解，了解在筛查和干预遭受 IPV 暴露的围产期妇女时，如何最好地推进家访实践和政策。
