Accepted for/Published in: JMIR Research Protocols
Date Submitted: Apr 25, 2024
Date Accepted: Jul 13, 2024
Implementation and Impact of Intimate Partner Violence Screening Expansion in the Veterans Health Administration: Protocol for the PRISM Initiative, a Mixed‑Methods Evaluation
ABSTRACT
Background:
Intimate partner violence (IPV) is a significant public health problem with far-reaching consequences. The healthcare system plays an integral role in the detection and response of IPV. Historically, the majority of IPV screening initiatives have targeted women of reproductive age, with little known about men’s IPV screening experiences or impact of screening on men’s healthcare. 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 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, providers, 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 impact of screening on patients and providers.
Results:
null
Conclusions:
null
Citation
Request queued. Please wait while the file is being generated. It may take some time.
Copyright
© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.