Intimate Partner Violence, Health, and Health Care Among Female Veterans

女性退伍军人的亲密伴侣暴力、健康和医疗保健

• 批准号: 8272987
• 负责人: Katherine M Iverson
• 金额: --
• 依托单位: VA BOSTON HEALTH CARE SYSTEM
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-01-01 至 2016-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8272987
• 关键词: Address; Adoption; Affect; Belief; Boston; Caring; Clinical; Clinical Psychology; Clinical Research; Collaborations; Commit; Comorbidity; Complex; Consultations; Detection; Development; Doctor of Philosophy; Documentation; Education; Educational process of instructing; Ensure; Evaluation; FarGo; Feedback; Female; Foundations; Funding; Future; Gender; Goals; Health; Health Sciences; Health Services; Health Services Research; Healthcare; Healthcare Systems; Hospitals; Individual; Interview; Knowledge; Lead; Leadership; Letters; Mails; Measurement; Mental Health; Mentorship; Methods; Modeling; New England; Online Systems; Outcome; Participant; Patients; Pilot Projects; Play; Policies; Policy Research; Post-Traumatic Stress Disorders; Preparation; Primary Health Care; Process; Protocols documentation; Provider; Psychologist; Public Health; Quality of Care; Reporting; Research; Research Methodology; Research Personnel; Research Proposals; Research Training; Resources; Role; Screening procedure; Self Efficacy; Services; Sexual abuse; Suggestion; Survey Methodology; Surveys; Survivors; Time; Training; Training Programs; Validity and Reliability; Veterans; Victimization; Wages; Woman; Women' s Health; Women' s Health Services; Work; administrative database; base; career; career development; cost effective; demographics; emotional abuse; evidence base; experience; health care delivery; health care quality; implementation research; improved; innovation; intimate partner violence; meetings; physical abuse; physical conditioning; programs; public health relevance; response; satisfaction; screening; service intervention; skills; theories; tool; usability

DESCRIPTION (provided by applicant): This is the third submission of a HSR&D CDA-2 proposal to provide five years of salary support to Katherine Iverson, Ph.D. toward her goal of developing an independent VA health services research career. Dr. Iverson is a Clinical Research Psychologist at the Women's Health Sciences Division of the National Center for Posttraumatic Stress Disorder (WHSD-NCPTSD) and investigator at the HSR&D Center of Excellence (Center for Organization, Leadership, and Management Research; COLMR) at the VA Boston Healthcare System. This proposal outlines research and training plans that will result in Dr. Iverson's efficient and successful transition fom clinical research elucidating health outcomes from intimate partner violence (IPV) among civilian women to health services research to develop, evaluate, and implement effective IPV-related health services for women Veterans. Although her clinical research has benefited many individual women, Dr. Iverson has not yet had the opportunity to conduct health services research that can result in large-scale improvements in women's health care and health. Knowledge of health services research methods and theories are critical to her development as a health services researcher specializing in IPV and women's health. Therefore, Dr. Iverson proposes a comprehensive training program in these methods, including qualitative/mixed-methods and survey research, VA administrative databases, and implementation theory and processes. This training will give her a strong foundation from which to achieve independence as a health services researcher. Additionally, Dr. Iverson has carefully chosen a mentorship team of top women's health and health services researchers (Drs. Patricia Resick, Ann Hendricks, Dawn Vogt and Rachel Kimerling). This mentorship, along with the rich resources available at the WHSD-NCPTSD and COLMR, will ensure that Dr. Iverson has all the support necessary to meet her research and training aims. Both WHSD-NCPTSD and COLMR are committed to her career development and protected research time, as described in the attached letters. She will have access to facilities, resources, and collaborations with HSR&D-funded investigators at both centers. This proposal will provide the necessary foundation for the development, evaluation and implementation of IPV-related health services within VA to improve women's health and health care. Dr. Iverson uses an implementation research framework to guide three proposed studies. First, starting in Year 1, she will conduct a mail survey of women patients in VISN 1 to evaluate the reliability and validity of previously developed IPV screening tool in female VA patients. Second, in Years 1 and 2, she will adapt an existing, but lengthy, evidence-based IPV screening and response training program for Primary Care providers (PCPs) for implementation with VA staff, using information derived from consultation with screening and education experts and interviews with VA PCPs. Finally, in Years 2 and 3, she will conduct a preliminary evaluation of the newly adapted IPV screening and response training with VA PCPs to assess provider knowledge, self-efficacy, and IPV screening practices. Findings from these studies will result in feasible, efficient, and cost-effective methods and protocols for intervening with women Veterans affected by IPV. The proposed research will also lead to future HSR&D research proposals, resulting in significant improvements in women's health care quality, health, and satisfaction with VA care. PUBLIC HEALTH RELEVANCE: Intimate partner violence (IPV) is a substantial women's health issue, affecting large numbers of women and resulting in complex and costly public health problems. Rates of lifetime IPV exceeding 70%1 among women VA patients, along with adverse mental and physical health effects, makes research concerning IPV one of the most critical directions for VA health services research at this time. Research is needed to determine best practices for caring for women Veterans who experience IPV. The proposed research will address this gap in VA research by evaluating specific methods for identifying and responding to IPV among VA patients. The findings from this study will lead to improvements in women's health care quality and health.

描述（由申请人提供）： 这是 HSR&D CDA-2 提案的第三次提交，旨在为凯瑟琳·艾弗森博士提供五年的薪资支持。实现她发展独立的退伍军人事务部健康服务研究事业的目标。艾弗森博士是国家创伤后应激障碍中心 (WHSD-NCPTSD) 妇女健康科学部的临床研究心理学家，也是 HSR&D 卓越中心（组织、领导力和管理研究中心；COLMR）的研究员。 VA 波士顿医疗系统。该提案概述了研究和培训计划，这些计划将使艾弗森博士从阐明平民妇女亲密伴侣暴力 (IPV) 健康结果的临床研究高效、成功地过渡到卫生服务研究，以开发、评估和实施有效的 IPV 相关健康为女性退伍军人提供服务。尽管她的临床研究使许多女性个体受益，但艾弗森博士还没有机会进行能够大规模改善女性医疗保健和健康的健康服务研究。卫生服务研究方法和理论的知识对于她作为专门研究 IPV 和妇女健康的卫生服务研究员的发展至关重要。因此，艾弗森博士提出了这些方法的综合培训计划，包括定性/混合方法和调查研究、VA 管理数据库以及实施理论和流程。此次培训将为她成为一名独立的卫生服务研究员奠定坚实的基础。此外，艾弗森博士精心挑选了一支由顶尖女性健康和健康服务研究人员组成的导师团队（Patricia Resick 博士、Ann Hendricks、Dawn Vogt 和 Rachel Kimerling 博士）。这种指导，加上 WHSD-NCPTSD 和 COLMR 提供的丰富资源，将确保艾弗森博士获得实现她的研究和培训目标所需的所有支持。 WHSD-NCPTSD 和 COLMR 都致力于她的职业发展并保护她的研究时间，如所附信件中所述。她将能够使用两个中心的设施、资源并与 HSR&D 资助的研究人员进行合作。该提案将为 VA 内 IPV 相关卫生服务的开发、评估和实施提供必要的基础，以改善妇女的健康和保健。艾弗森博士使用实施研究框架来指导三项拟议的研究。首先，从第一年开始，她将对 VISN 1 中的女性患者进行邮件调查，以评估先前开发的 IPV 筛查工具在女性 VA 患者中的可靠性和有效性。其次，在第一年和第二年，她将利用与筛查和教育专家协商获得的信息，调整针对初级保健提供者 (PCP) 的现有但冗长的循证 IPV 筛查和应对培训计划，以便与 VA 工作人员一起实施。与 VA PCP 的访谈。最后，在第 2 年和第 3 年，她将对新调整的 IPV 筛查和 VA PCP 的应对培训进行初步评估，以评估提供者的知识、自我效能和 IPV 筛查实践。这些研究的结果将产生可行、高效且具有成本效益的方法和方案，对受 IPV 影响的女性退伍军人进行干预。拟议的研究还将引导未来的 HSR&D 研究提案，从而显着改善妇女的医疗保健质量、健康状况以及对 VA 护理的满意度。 公共卫生相关性： 亲密伴侣暴力（IPV）是一个严重的妇女健康问题，影响大量妇女并导致复杂且代价高昂的公共卫生问题。女性 VA 患者的终生 IPV 率超过 70%1，加上对精神和身体健康的不利影响，使得 IPV 研究成为目前 VA 卫生服务研究最关键的方向之一。需要进行研究以确定护理遭受 IPV 的女性退伍军人的最佳做法。拟议的研究将通过评估在 VA 患者中识别和应对 IPV 的具体方法来弥补 VA 研究中的这一空白。这项研究的结果将改善妇女的医疗保健质量和健康。