Provider and Survivor Perspectives on Screening for Intimate Partner Violence During Pregnancy and Postpartum

NIH RePORTER · NIH · R03 · $169,726 · view on reporter.nih.gov ↗

Abstract

ABSTRACT/SUMMARY Homicide is a leading cause of death among women who are pregnant and within 1 year postpartum in the US. A majority of cases involve intimate partner violence (IPV), which is known to escalate during pregnancy. Our overall objective is to understand, from the perspective of health care providers and survivors of violence, barriers and preferences for increasing IPV screening and supports in maternity care settings. This information will inform the future development and implementation of a multi-level intervention to build capacity and improve provider and system-level responses in the care of pregnant and postpartum women experiencing IPV. Our specific aims are (1) To identify specific barriers to and preferences for IPV screening and responding as perceived by health care providers, and (2) To obtain in-depth understanding of the preferences around screening and responses to IPV as perceived survivors of violence during pregnancy and postpartum. Our approach involves the convening of focus groups comprised of health care providers who may come in contact with pregnant and postpartum patients (including OB/GYNs, advanced practice registered nurses, pediatricians, midwives, doulas, lactation consultants, and emergency department practitioners) as well as women who experienced violence during pregnancy or the postpartum period. We will use Nominal Group Technique, a structured idea-generating process that produces quantitative weights to a breadth of issues that were obtained through a qualitative, discussion-based approach. Findings from this work will include a comprehensive view of reasons underlying the consistently low rates of identification and responding to IPV among pregnant and partum women among providers who are mostly likely to encounter this population. Of critical importance, this work will center the voice of those with lived experience and provide a detailed characterization of how best to identify and support pregnant IPV survivors in health care settings, by their own account.

Key facts

NIH application ID
10789555
Project number
1R03HD113968-01
Recipient
UNIVERSITY OF ARIZONA
Principal Investigator
Margaret Mary Bissember Downey
Activity code
R03
Funding institute
NIH
Fiscal year
2024
Award amount
$169,726
Award type
1
Project period
2024-09-06 → 2026-08-31