Cueing prenatal providers effects on discussions of intimate partner violence

Sophia H Calderón; Paul Gilbert; Rebecca Jackson; Michael A Kohn; Barbara Gerbert

doi:10.1016/j.amepre.2007.09.029

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Cueing prenatal providers effects on discussions of intimate partner violence

Journal article

Peer reviewed

Cueing prenatal providers effects on discussions of intimate partner violence

Sophia H Calderón, Paul Gilbert, Rebecca Jackson, Michael A Kohn and Barbara Gerbert

American journal of preventive medicine, Vol.34(2), pp.134-137

02/2008

DOI: 10.1016/j.amepre.2007.09.029

PMCID: PMC2242423

PMID: 18201643

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Abstract

Intimate partner violence (IPV) during pregnancy poses a significant health risk to the mother and developing fetus. Practice guidelines recommend that prenatal providers screen for and counsel their patients about IPV, yet many physicians express reluctance or discomfort regarding such discussions. The Health in Pregnancy (HIP) computer program was designed to improve prenatal providers' counseling about behavioral risks. English-speaking women 18 years or older, less than 26-weeks pregnant, and receiving prenatal care at one of the five participating clinics in the San Francisco area, were randomized in parallel groups in a controlled trial (June 2006-present; data analyzed June 2007). Participants reporting one or more risks were randomized to intervention or control in stratified blocks. Providers received summary "cueing sheets" alerting them to their patient's risk(s) and suggesting counseling statements. Thirteen percent (37/286) of the sample reported current IPV. Provider cueing resulted in 85% of the IPV-intervention group reporting discussions with their provider, compared to 23.5% of the control group (p<0.001). IPV discussions were influenced strongly by cueing providers. Provider cueing is an effective and appropriate adjunct to routine risk counseling in prenatal care.

Pregnancy

Domestic Violence

San Francisco

User-Computer Interface

Humans

Counseling - methods

Adult

Female

Male

Treatment Outcome

Prenatal Care - organization & administration

Details

Title: Subtitle: Cueing prenatal providers effects on discussions of intimate partner violence
Creators: Sophia H Calderón - Division of Behavioral Sciences, Professionalism, and Ethics, University of California San Francisco, San Francisco, California 94117, USA
Paul Gilbert
Rebecca Jackson
Michael A Kohn
Barbara Gerbert
Resource Type: Journal article
Publication Details: American journal of preventive medicine, Vol.34(2), pp.134-137
DOI: 10.1016/j.amepre.2007.09.029
PMID: 18201643
PMCID: PMC2242423
NLM abbreviation: Am J Prev Med
ISSN: 0749-3797
eISSN: 1873-2607
Publisher: Elsevier BV; Netherlands
Grant note: R01 DA015597-08 / NIDA NIH HHS R01 DA 15597 / NIDA NIH HHS R01 DA015597 / NIDA NIH HHS
Language: English
Date published: 02/2008
Academic Unit: Community and Behavioral Health
Record Identifier: 9984064196302771

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