巴西针对受虐妇女的女性杀人风险评估工具分析
: Analysis of a Femicide Risk Assessment Tool for Abused Women in Brazil.
作者信息
Evans Dabney P, Xavier Hall Casey D, da Rocha Raiza Wallace Guimarães, Prado Sandra Marques, Signorelli Marcos C
机构信息
Hubert Department of Global Health, Rollins School of Public Health, Emory University, 1518 Clifton Road, NE, Atlanta, GA 30322 USA.
Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University Chicago, Chicago, IL USA.
出版信息
J Fam Violence. 2022;37(4):547-557. doi: 10.1007/s10896-021-00313-1. Epub 2021 Sep 3.
PURPOSE
The purpose of this mixed-methods triangulation study was to assess the face validity and comprehension of a femicide risk assessment tool, the Danger Assessment-Brazil (DA-Brazil) among women seeking care in a one stop center for abused women in Curitiba, Brazil. Our secondary aim was to assess professionals' perceptions of feasibility for using the DA-Brazil in the same setting.
METHOD
Fifty-five women experiencing relationship violence completed the instrument and participated in cognitive interviews about their experience; professionals attending survivors were also interviewed.
RESULTS
The vast majority of women described the DA-Brazil instrument as being easy to comprehend ( = 41, 73.2%). Nearly half of participants ( = 26, 46.4%) had some kind of question regarding the DA-Brazil calendar, a tool to visualize abuse frequency and severity. Queries aligned with five categories: recollection of dates, scale, relationship status, terminology, and discomfort. Professionals reported that the DA-Brazil instrument would support referral decision-making.
CONCLUSION
The overall face validity and comprehension of the DA-Brazil appears to be high. The majority of challenges were around the calendar activity. Professional perceptions of the DA-Brazil suggest a high degree of feasibility for its use in Brazilian healthcare settings. In order for the DA-Brazil to effectively be administered with facilitated support there is a need for training on the best use of the instrument. Accurate assessment of femicide risk is critical in a country like Brazil with high rates of femicide. The DA-Brazil provides a valid assessment of femicide risk and has the potential to trigger early intervention for those at risk.
SUPPLEMENTARY INFORMATION
The online version contains supplementary material available at 10.1007/s10896-021-00313-1.
目的
本混合方法三角验证研究旨在评估杀妻风险评估工具——巴西危险评估量表（DA - Brazil）在巴西库里蒂巴一家受虐妇女一站式服务中心寻求护理的女性中的表面效度和可理解性。我们的次要目的是评估专业人员对在同一环境中使用DA - Brazil可行性的看法。
方法
55名遭受亲密关系暴力的女性完成了该工具的填写，并参与了关于她们经历的认知访谈；照顾幸存者的专业人员也接受了访谈。
结果
绝大多数女性表示DA - Brazil工具易于理解（n = 41，73.2%）。近一半的参与者（n = 26，46.4%）对DA - Brazil日历（一种用于直观显示虐待频率和严重程度的工具）存在某种疑问。问题可归为五类：日期回忆、量表、关系状态、术语和不适感。专业人员报告称，DA - Brazil工具将有助于转诊决策。
结论
DA - Brazil的整体表面效度和可理解性似乎较高。大多数挑战围绕日历活动。专业人员对DA - Brazil的看法表明其在巴西医疗环境中具有高度可行性。为了在有便利支持的情况下有效使用DA - Brazil，需要对该工具的最佳使用方法进行培训。在巴西这样杀妻率高的国家，准确评估杀妻风险至关重要。DA - Brazil提供了对杀妻风险的有效评估，并有潜力对处于风险中的人触发早期干预。
补充信息
在线版本包含可在10.1007/s10896 - 021 - 00313 - 1获取的补充材料。
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