- 作者：Megan H. Bair-Merritt ; Annie Lewis-O鈥機onnor ; Swati Goel ; Paula Amato ; Tasneem Ismailji ; Martina Jelley ; Patricia Lenahan ; Peter Cronholm
- 刊名：American Journal of Preventive Medicine
- 出版年：February, 2014
- 年：2014
- 卷：46
- 期：2
- 页码：188-194
- 全文大小：199 K
Context
Primary care providers are uniquely positioned to respond to patients鈥?disclosure of intimate partner violence (IPV). However, the research on primary care-based IPV interventions has not been systematically synthesized, making it difficult for providers, policymakers, and researchers to understand how to effectively intervene in the primary care setting. This systematic review summarizes primary care-based interventions for patients experiencing IPV.Evidence acquisition
PubMed, PsycINFO, and CINAHL were searched from their start through September 2012; this search was augmented by bibliographic review and consultation with experts. Eligible studies included English-language, peer-reviewed articles that assessed patient-level impact of IPV interventions that originated from patients鈥?visits to a primary care provider.
Evidence synthesis
Of 80 potentially eligible studies, 17 met eligibility criteria. The majority of interventions recruited women from reproductive care sites. Interventions tended to be brief, delivered by nonphysicians, and focused on empowerment, empathetic listening, discussion of the cycle of violence and safety, and referral to community-based resources. Thirteen studies demonstrated at least one intervention-related benefit. Six of 11 articles measuring IPV persistence found reductions in future violence; two of five measuring safety-promoting behaviors found increases; and six of ten measuring IPV/community resource referrals found enhanced use. Some studies also documented health improvements.
Conclusions
The majority of studies demonstrated patient-level benefit subsequent to primary care IPV interventions, with IPV/community referrals the most common positively affected outcome.