# Multi-level Influences of Violence Screening in College Health Centers

> **NIH AHRQ R01** · UNIVERSITY OF RHODE ISLAND · 2021 · $273,062

## Abstract

Abstract
Intimate partner violence (IPV) and sexual violence (SV) are significant public health issues for women,
particularly female college students. Twenty percent of women are sexually assaulted in their lifetime and
1.3 to 5 million women experience IPV each year. Female college students experience some of the
highest rates of IPV/SV of all groups, including older women and same age women who are not on
college campuses. IPV and SV can result in immediate and long-term adverse physical and
psychological health effects. Seven “Healthy People 2020” objectives focus on reducing IPV and SV.
The National Academy of Medicine and other national organizations recommend that health care
providers (HCPs) screen and counsel all women for current and past IPV/SV. College health centers
represent unique opportunities to screen college women, and mitigate their risk for further violence and
sequelae. However, college health centers have some of the lowest IPV/SV screening rates (10-20%) of
all health care settings. Studies demonstrate that scientific evidence does not translate consistently or
rapidly into clinical practice, particularly when recommendations go beyond what has been considered
usual practice. In order to promote the uptake of routine IPV/SV screening in college health centers, it is
vitally important to undertake formative implementation research to identify individual- and organization-
level factors that act as facilitators and barriers of screening. The proposed study will use an explanatory
sequential mixed-methods (QUAN+qual) design, framed within an organizational expansion of the
Theory of Planned Behavior (TPB) and the Consolidated Framework for Implementation Research
(CFIR), to survey and conduct in-depth interviews with a national sample of college HCPs. The specific
aims are to: (1) (Quant) Explore potential bivariate and multivariate associations between individual- and
organization-level variables and college HCPs’ IPV/SV screening rates, using disaggregated data; (2)
(Quant) Examine random effects and fixed effects of individual- and organization-level variables on
college HCPs’ IPV/SV screening rates, using multi-level modeling; (3) (Qual) Obtain in-depth
understanding of college HCPs’ beliefs, organizational perceptions, experiences with IPV/SV screening
and intervention preferences; and (4) (Mixed Methods) Integrate qualitative and quantitative findings to
elucidate an explanatory model for HCP screening behavior that will aid in the development of a multi-
level intervention. The study findings will have high impact by elucidating how to effectively implement
IPV/SV screening recommendations and informing the development of a multi-level intervention to
promote screening in college health centers. Implementing routine IPV/SV screening in college health
centers can capitalize on missed opportunities for early detection, referral and amelioration of the short
and long-term sequelae of violence.

## Key facts

- **NIH application ID:** 10572042
- **Project number:** 7R01HS027154-03
- **Recipient organization:** UNIVERSITY OF RHODE ISLAND
- **Principal Investigator:** MARY KATHERINE HUTCHINSON
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** AHRQ
- **Fiscal year:** 2021
- **Award amount:** $273,062
- **Award type:** 7
- **Project period:** 2020-09-01 → 2024-07-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10572042

## Citation

> US National Institutes of Health, RePORTER application 10572042, Multi-level Influences of Violence Screening in College Health Centers (7R01HS027154-03). Retrieved via AI Analytics 2026-06-02 from https://api.ai-analytics.org/grant/nih/10572042. Licensed CC0.

---

*[NIH grants dataset](/datasets/nih-grants) · CC0 1.0*