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A brief counseling intervention by health professionals utilising the 'readiness to change' concept for women experiencing intimate partner abuse: The weave project
Kelsey L Hegarty
Primary Care Research Unit, Department of General Practice, University of Melbourne, VIC
Lorna J O'Doherty
Primary Care Research Unit, Department of General Practice, University of Melbourne, VIC
Jane Gunn
Primary Care Research Unit, Department of General Practice, University of Melbourne, VIC
David Pierce
Primary Care Research Unit, Department of General Practice, University of Melbourne, VIC
Angela J Taft
Senior Research and VicHealth Fellow, Mother and Child Health Research, La Trobe University, Melbourne VIC
Abstract
This paper describes a brief counselling intervention based on the 'readiness to change' concept for women experiencing intimate partner violence, and an educational program for training primary care health professionals in the delivery of such an intervention.
We present a
synthesis of the literature on the Transtheoretical Model of Behaviour and the
Psychosocial Readiness to Change Model as applied to intimate partner violence.
We describe the intervention used in the weave trial, which draws on the educational and partner violence literature, as well as integrating key theoretical insights from the field of behaviour change. Practical steps for training health professionals are outlined from the authors' experience and research.
Keywords
intimate partner violence, counselling, health professionals, education
References
Anderson C (2003) Evolving out of violence: An application of the Transtheoretical model of behavioural change. Research and Theory for Nursing Practice 17: 225-239.
Bandura A (1986) Social foundations of thought and action: a social cognitive theory. Prentice-Hall, Englewood Cliffs NJ.
Benight CC and Bandura A (2004) Social cognitive theory of post traumatic recovery: The role of perceived self efficacy. Behaviour Research & Therapy 42: 1129-1148.
Brown J (1997) Working toward freedom from violence. The process of change in battered women. Violence Against Women 3: 5-26.
Campbell J, Kub L and Nedd D (1998) Voices of strength and resistance: A contextual and longitudinal women's responses to battering. Journal of Interpersonal Violence 1: 743.
Campbell JC (2002) Health consequences of intimate partner violence. Lancet 359: 1331-1336.
Campbell JC and Sheridan DJ (1989) Emergency nursing interventions with battered women. Journal of Emergency Nursing 15: 12-17.
Chang PA, Cluss L, Ranieri L, Hawker R, Buranosky R and Dado D (2005) Healthcare interventions for intimate partner violence: What women want. Women's Health Issues 15: 21-30.
Cluss P, Chang J, Hawker L, Scholle SH, Dado D, Buranosky R and Goldstrohm S (2006) The process of change for victims of intimate partner violence. Support for a psychosocial readiness model. Women's Health Issues 16: 262-274.
Davis D, Thomson M, Oxman A and Haynes R (1995) Changing physician performance - a systematic review of the effect of continuing medical education strategies. Journal of the American Medical Association 274: 700-705.
Dienemann J, Campbell J, Landenburger K and Curry M (2002) The domestic violence survivor assessment: a tool for counseling women in intimate partner violence relationships. Patient Education & Counseling 46: 221-228.
Dobash RE and Dobash RP (1992) Women, Violence and Social Change. Routledge, London.
Feder G, Hutson M, Ramsay J and Taket A (2006) Women exposed to intimate partner violence: expectations and experiences when they encounter health care professionals: a meta-analysis of qualitative studies. Archives of Internal Medicine 166: 22-37.
Flink A, Paavilainen E and Paivi A (2005) Survival of intimate partner violence as experienced by women. Journal of Clinical Nursing 14: 383-393.
Frasier P, Slatt L, Kowlowitz V and Glowa P (2001) Using the stages of change model to counsel victims of intimate partner violence. Patient Education & Counseling 43: 211-217.
Golding J (1999) Intimate partner violence as a risk factor for mental disorders: a meta-analysis. Journal of Family Violence 14: 99-132.
Grimshaw, J, Shirran L, Thomas R, Mowatt G, Fraser C, Bero L, Grilli R, Harvey E, Oxman A and O'Brien MA (2002) Changing provider behavior: an overview of systematic reviews of interventions to promote implementation of research findings by healthcare professionals, in Haines AD (ed) Getting Research Findings into Practice, pp.29-67, BMJ Publishing Group, London.
Grol R (2001) Successes and failures in the implementation of evidence-based guidelines for clinical practice. Medical Care 39(Suppl 2): II-46-II-54.
Gunn J, Hegarty K, Nagle C, Forster D, Brown S and Lumley J (2006) Putting woman-centred care into practice: a new (ANEW) approach to psychosocial risk assessment during pregnancy. Birth 33: 46-55.
Gunn J, Southern D, Chondros P, Thompson P and Robertson K (2003) Guidelines for assessing postnatal problems: improving the health of mothers in general practice. Family Practice 20: 382-389.
Haggerty LA and Goodman LA (2003) Stages of change-based nursing interventions for victims of interpersonal violence. Journal of Obstetric, Gynecological and Neonatal Nursing 22: 68-75.
Hegarty K and Bush R (2002) Prevalence of partner abuse in women attending Australian General Practice: A cross-sectional survey. Australian and New Zealand Journal of Public Health 26: 437-442.
Hegarty K, Gunn J, Chondros P and Small R (2004) Association of depression and partner abuse in women attending general practice: A cross sectional survey. British Medical Journal 328: 621-624.
Hegarty K and Taft A (2001) Overcoming the barriers to disclosure and inquiry of partner abuse for women attending general practice. Australian and New Zealand Journal of Public Health 25: 433-438.
Hindmarsh E, Knowlden S, McMurchie M, Schofield C and Hegarty K (1998) Women and violence 2nd edn, Royal Australian College of General Practitioners, Melbourne VIC.
Kendrick T, Simons L, Mynors-Wallis L, Gray A, Lathlean J, Pickering R, Harris S, Rivero-Arias O, Gerard K and Thompson C (2005) A trial of problem-solving by community mental health nurses for anxiety, depression and life difficulties among general practice patients. The CPN-GP study. Health Technology Assessment 9: 1-104, iii.
Landenburger K (1989) Process of entrapment in and recovery from an abusive relationship. Issues in Mental Health Nursing 10: 209-227.
Loxton D, Schofield MJ and Hussain R (2004) History of domestic violence and health service use among mid-aged Australian women. Australian & New Zealand Journal of Public Health 28(4): 383-388
McFarlane J, Campbell JC, Sharps P and Watson K (2002) Abuse during pregnancy and femicide: urgent implications for women's health. Obstetrics & Gynecology 100: 27-36.
McFarlane J, Groff J, O'Brien J and Watson K (2006) Secondary prevention of intimate partner violence: a randomized controlled trial, Nursing Research 55: 52-61.
McLennan W (1996) Women's Safety Survey: Australian Bureau of Statistics, Canberra ACT.
Miller WR and Rollnick S (2002) Motivational Interviewing: Preparing people for change 2nd edn. Guilford Press, New York.
Mills T (1985) The assault on the self: Stages in coping with battering husbands. Qualitative Sociology 8: 103-123.
Mynors-Wallis LM, Gath DH, Day A and Baker F (2000) Randomised controlled trial of problem solving treatment, antidepressant medication,and combined treatment for major depression in primary care. BMJ 320(7226): 26-30.
Patzel B (2001) Women's use of resources in leaving abusive relationships: A naturalistic inquiry. Issues in Mental Health Nursing 22: 729-747.
Pierce D and Gunn J (2007) Using problem solving therapy in general practice. Australian Family Physician 36(4): 230-233.
Prochaska JO, Velicer WF, Rossi JS, Goldstein MG, Marcus BH, Rakowski W, Fiore C, Harlow LL, Redding CA, Rosenbloom D and Rossi SR (1994) Stages of change and decisional balance for twelve problem behaviors. Health Psychology 13: 39-46.
Prochaska J and Clemente C (1992) Stages of change in the modification of problem behaviors. Progress in Behaviour Modification 28: 183-218.
Ramsay J, Rivas C and Feder G (2005) Interventions to Reduce Violence and Promote the Physical and Psychosocial Well-Being of Women Who Experience Partner Violence: A Systematic Review of Controlled Evaluations. Final Report. Barts and The London Queen Mary's School of Medicine and Dentistry, London. Accessed at www.dh.gov.uk/assetRoot/04/12/74/26/04127426.pdf on 18 June 2008.
Rice V and Stead L (2004) Nursing interventions for smoking cessation. Cochrane Database Systematic Review CD001188.
Short L, Johnson D and Osattin A (1998) Recommended components of health care provider training programs on intimate partner violence. American Journal of Preventive Medicine 14: 283-288.
Short LM, Alpert E, Harris J and Surprenant Z (2006) A tool for measuring physician readiness to manage intimate partner violence. American Journal of Preventive Medicine 30: 173-180.
Stewart M, Brown J, Donner A, McWhinney I, Oates J, Weston W and Jordan J (2000) The impact of patient centred care on outcomes. Journal of Family Practice 49: 796-804.
Stewart M, Brown J, Weston W, McWhinney I, McWilliam C and Freeman T (1995) Patient-Centred Medicine Transforming the Clinical Method. Sage, Thousand Oaks CA.
Taft A, Broom D and Legge D (2004) General practitioner management of intimate partner abuse and the whole family: a qualitative study. British Medical Journal 328: 618-621.
Taft A, Hegarty K and Feder G (2006) Confronting partner violence in families: new international clinical consensus guidelines. Medical Journal of Australia 185: 535-536.
Taylor J (2004) Moving from surviving to thriving: African American women recovering from intimate male partner abuse. Research and Theory for Nursing Practice 18: 35-50.
Tiwari A, Leung W, Leung TY, Humphreys J, Parker B and Ho P (2005) A randomised controlled trial of empowerment training for Chinese abused pregnant women in Hong Kong. BJOG: An International Journal of Obstetrics and Gynaecology 112: 1249-1256.
Van den Hombergh P, Grol R, van den Hoogen HJM and van den Bosch WJHM (1999) Practice visits as a tool in quality improvement: mutual visits and feedback by peers compared with visits and feedback by non-physician observers. Quality in Health Care 8: 161-166.
Van Sluijs EM, Van Poppel MN and Van Mechelen W (2004) Stage based lifestyle interventions in primary care: Are they effective? American Journal of Preventive Medicine 26: 330-343.
Warshaw C, Taft A and McCosker-Howard H (2006) Educating health professionals: changing attitudes and overcoming barriers. In Roberts G, Feder G and Feder HK (eds) Intimate partner abuse and health professionals. New approaches to domestic violence, pp.66-77, Elsevier, London.
Zink T, Elder N, Jacobson J and Klostermann B (2004) Medical management of intimate partner violence considering the stages of change: Precontemplation and contemplation. Annals of Family Medicine 2: 231-239.

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