Lyle S. Hallman Faculty of Social Work, Wilfrid Laurier University, Waterloo, Ontario, Canada (Mss Haag and Moore); KITE-Toronto Rehabilitation Institute, University Health Network, Toronto, Ontario, Canada (Ms Haag and Dr Colantonio); Institute of Health Policy, Management and Evaluation (Ms Toccalino and Dr Colantonio), Rehabilitation Sciences Institute (Ms Estrella and Dr Colantonio), Department of Occupational Science & Occupational Therapy (Dr Colantonio), and Dalla Lana School of Public Health (Dr Colantonio), University of Toronto, Toronto, Ontario, Canada.
J Head Trauma Rehabil. 2022;37(1):43-52. doi: 10.1097/HTR.0000000000000751.
Intimate partner violence (IPV) affects up to 1 in 3 women over their lifetime and has intensified during the COVID-19 pandemic. Although most injuries are to the head, face, and neck, the intersection of IPV and brain injury (BI) remains largely unrecognized. This article reports on unexplored COVID-19-related impacts on service providers and women survivors of IPV/BI.
To explore the impact of the COVID-19 pandemic on survivors and service providers.
Purposeful sampling through the team's national Knowledge-to-Practice (K2P) network and snowball sampling were used to recruit 24 participants across 4 categories: survivors, executive directors/managers of organizations serving survivors, direct service providers, and employer/union representatives.
This project used a qualitative, participatory approach using semistructured individual or group interviews. Interviews were conducted via videoconferencing, audio-recorded, and transcribed. Transcripts were thematically analyzed by the research team to identify themes.
COVID-19 has increased rates and severity of IPV and barriers to services in terms of both provision and uptake. Three main themes emerged: (1) implications for women survivors of IPV/BI; (2) implications for service delivery and service providers supporting women survivors of IPV/BI; and (3) key priorities. Increased risk, complex challenges to mental health, and the impact on employment were discussed. Adaptability and flexibility of service delivery were identified as significant issues, and increased outreach and adaptation of technology-based services were noted as key priorities.
The COVID-19 pandemic has intensified IPV/BI, increased challenges for women survivors and service providers, and accentuated the continued lack of IPV/BI awareness. Recommendations for service delivery and uptake are discussed.
亲密伴侣暴力（IPV）影响了多达三分之一的女性，且在 COVID-19 大流行期间加剧。尽管大多数伤害发生在头部、面部和颈部，但 IPV 和脑损伤（BI）的交叉仍然很大程度上未被认识到。本文报告了关于 COVID-19 对服务提供者和 IPV/BI 女性幸存者的未被探索的影响。
探讨 COVID-19 大流行对幸存者和服务提供者的影响。
通过团队的国家知识转化（K2P）网络和滚雪球抽样进行有目的的抽样，招募了来自 4 个类别的 24 名参与者：幸存者、为幸存者服务的组织的执行董事/经理、直接服务提供者和雇主/工会代表。
本项目使用了一种定性、参与性的方法，使用半结构化的个人或小组访谈。访谈通过视频会议进行，录音并转录。研究团队对转录本进行主题分析，以确定主题。
COVID-19 增加了 IPV 的发生率和严重程度，以及服务的提供和采用方面的障碍。出现了三个主要主题：（1）对 IPV/BI 女性幸存者的影响；（2）对服务提供和支持 IPV/BI 女性幸存者的服务提供者的影响；（3）主要优先事项。讨论了风险增加、心理健康的复杂挑战以及对就业的影响。服务提供的适应性和灵活性被确定为重要问题，并指出增加基于技术的服务的外展和适应性是主要优先事项。
COVID-19 大流行加剧了 IPV/BI，增加了女性幸存者和服务提供者的挑战，并突显了持续缺乏对 IPV/BI 的认识。讨论了服务提供和采用的建议。
