背景:亲密伴侣暴力(IPV)是一个重要的公共卫生问题,具有深远的影响。卫生保健系统在IPV的检测和反应中起着不可或缺的作用。历史上,大多数IPV筛查计划都针对育龄妇女,对男性的IPV筛查经验或筛查对男性医疗保健的影响知之甚少。退伍军人健康管理局(VHA)呼吁扩大IPV筛查,为大规模评估所有患者人群的IPV筛查和反应提供了独特的机会。
目的:在本协议文件中,我们描述了最近资助的通过混合方法的关系健康创新和服务的合作伙伴评估(PRISM)倡议,旨在评估VHAIPV筛查和反应扩展的实施和影响,特别注重识别潜在的性别差异。
方法:PRISM计划由Reach指导,有效性,收养,实施,和维护(RE-AIM)和实施研究综合框架(CFIR2.0)框架。我们将使用来自139个VHA设施的混合方法数据来评估IPV筛查扩展,包括电子健康记录数据和对患者的定性访谈,临床医生,和国家IPV计划领导。定量数据将使用纵向观察设计进行分析,在基线(T0)重复测量期间,第一年(T1),第2年(T2)。定性访谈将侧重于识别多层次因素,包括对IPV筛查和响应扩展至关重要的潜在实施障碍和促进者,并检查筛查对患者和临床医生的影响。
结果:PRISM计划于2023年10月获得资助。我们开发了定性面试指南,获得机构审查委员会的批准,提取定量数据进行基线分析,并开始招聘定性面试。进展和成果报告将通过季度报告和年终报告提供给评价伙伴和资助者。所有时间点的数据收集和分析预计将于2026年6月完成。
结论:这种混合方法评估的结果将全面了解VHA的IPV筛查扩展,包括筛查的实施和影响以及在VHA患者人群中检测到的IPV的范围。此外,该计划产生的数据在国家医疗保健系统中具有重要的政策和临床实践意义.
■PRR1-10.2196/59918。
BACKGROUND: Intimate partner violence (IPV) is a significant public health problem with far-reaching consequences. The health care system plays an integral role in the detection of and response to IPV. Historically, the majority of IPV screening initiatives have targeted women of reproductive age, with little known about men\'s IPV screening experiences or the impact of screening on men\'s health care. The Veterans Health Administration (VHA) has called for an expansion of IPV screening, providing a unique opportunity for a large-scale evaluation of IPV screening and response across all patient populations.
OBJECTIVE: In this protocol paper, we describe the recently funded Partnered Evaluation of Relationship Health Innovations and Services through Mixed Methods (PRISM) initiative, aiming to evaluate the implementation and impact of the VHA\'s IPV screening and response expansion, with a particular focus on identifying potential gender differences.
METHODS: The PRISM Initiative is guided by the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) and Consolidated Framework for Implementation Research (CFIR 2.0) frameworks. We will use mixed methods data from 139 VHA facilities to evaluate the IPV screening expansion, including electronic health record data and qualitative interviews with patients, clinicians, and national IPV program leadership. Quantitative data will be analyzed using a longitudinal observational design with repeated measurement periods at baseline (T0), year 1 (T1), and year 2 (T2). Qualitative interviews will focus on identifying multilevel factors, including potential implementation barriers and facilitators critical to IPV screening and response expansion, and examining the impact of screening on patients and clinicians.
RESULTS: The PRISM initiative was funded in October 2023. We have developed the qualitative interview guides, obtained institutional review board approval, extracted quantitative data for baseline analyses, and began recruitment for qualitative interviews. Reports of progress and results will be made available to evaluation partners and funders through quarterly and end-of-year reports. All data collection and analyses across time points are expected to be completed in June 2026.
CONCLUSIONS: Findings from this mixed methods evaluation will provide a comprehensive understanding of IPV screening expansion at the VHA, including the implementation and impact of screening and the scope of IPV detected in the VHA patient population. Moreover, data generated by this initiative have critical policy and clinical practice implications in a national health care system.
UNASSIGNED: PRR1-10.2196/59918.