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Community Health Worker Knowledge, Attitudes, Practices and Readiness to Manage Intimate Partner Violence

Intimate partner violence (IPV) is an important public health concern with higher prevalence among women. Community health workers (CHWs) are trusted frontline public health workers that bridge gaps between communities and healthcare services. Despite their effectiveness in delivering services and i... Full description

Journal Title: Journal of community health 2021-07-09, Vol.47 (1), p.17-27
Main Author: Saboori, Zahra
Other Authors: Gold, Robert S , Green, Kerry M , Wang, Min Qi
Format: Electronic Article Electronic Article
Language: English
Subjects:
Publisher: New York: Springer US
ID: ISSN: 0094-5145
Link: https://www.ncbi.nlm.nih.gov/pubmed/34244918
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title: Community Health Worker Knowledge, Attitudes, Practices and Readiness to Manage Intimate Partner Violence
format: Article
creator:
  • Saboori, Zahra
  • Gold, Robert S
  • Green, Kerry M
  • Wang, Min Qi
subjects:
  • Aggression
  • Attitudes
  • Beliefs, opinions and attitudes
  • Chronic conditions
  • Community and Environmental Psychology
  • Community health aides
  • Community Health Workers
  • Domestic violence
  • Employees
  • Ethics
  • Family violence
  • Female
  • Health care
  • Health care reform
  • Health Knowledge, Attitudes, Practice
  • Health Promotion and Disease Prevention
  • Health services
  • Humans
  • Intimate Partner Violence
  • Knowledge
  • Medical personnel
  • Medicine
  • Medicine & Public Health
  • Multiple regression models
  • Original Paper
  • Psychometrics
  • Public health
  • Public health personnel
  • Regression analysis
  • Reliability
  • Reproducibility of Results
  • Surveys and Questionnaires
  • Training
  • Violence
ispartof: Journal of community health, 2021-07-09, Vol.47 (1), p.17-27
description: Intimate partner violence (IPV) is an important public health concern with higher prevalence among women. Community health workers (CHWs) are trusted frontline public health workers that bridge gaps between communities and healthcare services. Despite their effectiveness in delivering services and improving outcomes for different chronic conditions, there is a dearth of understanding regarding CHW management of IPV. The purpose of this study is to examine knowledge, attitudes, practices, and readiness to manage IPV among a sample of CHWs (n = 152). Participants completed an online version of the Physician Readiness to Manage Intimate Partner Violence Survey (PREMIS), which was modified for CHW practice. Psychometrics of the newly adapted tool, along with empirical relationships between knowledge, attitudes, and readiness to manage IPV were examined. Most sub-scales yielded moderate to high reliability (0.70 
language: eng
source:
identifier: ISSN: 0094-5145
fulltext: no_fulltext
issn:
  • 0094-5145
  • 1573-3610
url: Link


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descriptionIntimate partner violence (IPV) is an important public health concern with higher prevalence among women. Community health workers (CHWs) are trusted frontline public health workers that bridge gaps between communities and healthcare services. Despite their effectiveness in delivering services and improving outcomes for different chronic conditions, there is a dearth of understanding regarding CHW management of IPV. The purpose of this study is to examine knowledge, attitudes, practices, and readiness to manage IPV among a sample of CHWs (n = 152). Participants completed an online version of the Physician Readiness to Manage Intimate Partner Violence Survey (PREMIS), which was modified for CHW practice. Psychometrics of the newly adapted tool, along with empirical relationships between knowledge, attitudes, and readiness to manage IPV were examined. Most sub-scales yielded moderate to high reliability (0.70 < α’s < 0.97), some sub-scales had low reliability (0.57 < α’s < 0.64), and construct validity was established for several of the subscales. On average, many CHWs had low scores on objective knowledge of IPV (mean = 15.4 out of 26), perceived preparation to manage IPV (mean = 3.8 out of 7), and perceived knowledge of IPV (mean = 3.7 out of 7). About 56% of CHWs indicated having no previous IPV training, 34% did not screen for IPV, and 65% were in the contemplation stage of behavior change. Multiple regression models indicated that knowledge, staff capabilities and staff preparation were significant predictors of perceived preparedness to manage IPV (all p ’s < 0.05). Results can inform future credentialing requirements and training programs for CHWs to better assist their clients who are victims of IPV.
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subjectAggression ; Attitudes ; Beliefs, opinions and attitudes ; Chronic conditions ; Community and Environmental Psychology ; Community health aides ; Community Health Workers ; Domestic violence ; Employees ; Ethics ; Family violence ; Female ; Health care ; Health care reform ; Health Knowledge, Attitudes, Practice ; Health Promotion and Disease Prevention ; Health services ; Humans ; Intimate Partner Violence ; Knowledge ; Medical personnel ; Medicine ; Medicine & Public Health ; Multiple regression models ; Original Paper ; Psychometrics ; Public health ; Public health personnel ; Regression analysis ; Reliability ; Reproducibility of Results ; Surveys and Questionnaires ; Training ; Violence
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descriptionIntimate partner violence (IPV) is an important public health concern with higher prevalence among women. Community health workers (CHWs) are trusted frontline public health workers that bridge gaps between communities and healthcare services. Despite their effectiveness in delivering services and improving outcomes for different chronic conditions, there is a dearth of understanding regarding CHW management of IPV. The purpose of this study is to examine knowledge, attitudes, practices, and readiness to manage IPV among a sample of CHWs (n = 152). Participants completed an online version of the Physician Readiness to Manage Intimate Partner Violence Survey (PREMIS), which was modified for CHW practice. Psychometrics of the newly adapted tool, along with empirical relationships between knowledge, attitudes, and readiness to manage IPV were examined. Most sub-scales yielded moderate to high reliability (0.70 < α’s < 0.97), some sub-scales had low reliability (0.57 < α’s < 0.64), and construct validity was established for several of the subscales. On average, many CHWs had low scores on objective knowledge of IPV (mean = 15.4 out of 26), perceived preparation to manage IPV (mean = 3.8 out of 7), and perceived knowledge of IPV (mean = 3.7 out of 7). About 56% of CHWs indicated having no previous IPV training, 34% did not screen for IPV, and 65% were in the contemplation stage of behavior change. Multiple regression models indicated that knowledge, staff capabilities and staff preparation were significant predictors of perceived preparedness to manage IPV (all p ’s < 0.05). Results can inform future credentialing requirements and training programs for CHWs to better assist their clients who are victims of IPV.
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1Attitudes
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4Community and Environmental Psychology
5Community health aides
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7Domestic violence
8Employees
9Ethics
10Family violence
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12Health care
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15Health Promotion and Disease Prevention
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23Multiple regression models
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25Psychometrics
26Public health
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28Regression analysis
29Reliability
30Reproducibility of Results
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abstractIntimate partner violence (IPV) is an important public health concern with higher prevalence among women. Community health workers (CHWs) are trusted frontline public health workers that bridge gaps between communities and healthcare services. Despite their effectiveness in delivering services and improving outcomes for different chronic conditions, there is a dearth of understanding regarding CHW management of IPV. The purpose of this study is to examine knowledge, attitudes, practices, and readiness to manage IPV among a sample of CHWs (n = 152). Participants completed an online version of the Physician Readiness to Manage Intimate Partner Violence Survey (PREMIS), which was modified for CHW practice. Psychometrics of the newly adapted tool, along with empirical relationships between knowledge, attitudes, and readiness to manage IPV were examined. Most sub-scales yielded moderate to high reliability (0.70 < α’s < 0.97), some sub-scales had low reliability (0.57 < α’s < 0.64), and construct validity was established for several of the subscales. On average, many CHWs had low scores on objective knowledge of IPV (mean = 15.4 out of 26), perceived preparation to manage IPV (mean = 3.8 out of 7), and perceived knowledge of IPV (mean = 3.7 out of 7). About 56% of CHWs indicated having no previous IPV training, 34% did not screen for IPV, and 65% were in the contemplation stage of behavior change. Multiple regression models indicated that knowledge, staff capabilities and staff preparation were significant predictors of perceived preparedness to manage IPV (all p ’s < 0.05). Results can inform future credentialing requirements and training programs for CHWs to better assist their clients who are victims of IPV.
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