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| ID | Type | Description | Link |
|---|---|---|---|
| 5R18HS025654-03 | U.S. AHRQ Grant/Contract | View source |
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| Name | Class |
|---|---|
| Agency for Healthcare Research and Quality (AHRQ) | FED |
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Intimate partner violence (IPV) against women in the US is a serious public health problem and a human rights issue. Our research team has developed confidential screening tools using exam-room computer for intimate partner violence to be used in primary care.
The objective of this study was to develop and evaluate an integrated suite of electronic health record (EHR) tools that automates "best practices" from Northern California Kaiser Permanente for screening and intervention for IPV identified within clinical settings. The goal of the intervention goes beyond mere screening of patients for IPV and includes tools for assessment of IPV risk, for documentation of IPV care, and support for a warm hand-off during the primary care visit to a national IPV hotline resource. Importantly, the study includes work to keep notes documenting IPV and billing for IPV care confidential, segmenting this care in a secure segment of the electronic health record.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Sequence 1 | Other | 5 clinics. In stepped wedge design study, this was the sequence with shortest control (run-in) period. All sequences have a run-in period and intervention period. In control period participants were screened using existing nurse-led oral screening, in intervention period both - nurse-led and our new confidential screen were used at the same time. |
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| Sequence 2 | Other | 5 clinics. |
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| Sequence 3 | Other | 5 clinics. This was the sequence with longest control (run-in) period. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Screening for intimate partner violence | Diagnostic Test | confidential screening using exam computer |
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| Measure | Description | Time Frame |
|---|---|---|
| IPV positive (Yes/No) | Depending on patient's answers to screening questions, they are flagged as either IPV positive or negative | 29 months |
| Screening completed (Yes/No) | Whether the assigned screening was completed during patient visit | 29 months |
| Measure | Description | Time Frame |
|---|---|---|
| Severity of risk | using Danger 5 risk assessment, ranging from 0 to 5 | 29 months |
| Physician compliance with IPV management tools | Measured as the rate of completion of follow-up decision templates, and the rate of referrals for post-visit counseling to a national hotline (a share from screened positive patients |
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Inclusion Criteria:
Exclusion Criteria:
All patients who identified as women were eligible
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Biomedical Informatics Center | Charleston | South Carolina | 29403 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39088215 | Derived | Lenert L, Rheingold AA, Simpson KN, Scherbakov D, Aiken M, Hahn C, McCauley JL, Ennis N, Diaz VA. Electronic Health Record-Based Screening for Intimate Partner Violence: A Cluster Randomized Clinical Trial. JAMA Netw Open. 2024 Aug 1;7(8):e2425070. doi: 10.1001/jamanetworkopen.2024.25070. |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Dec 1, 2023 | Feb 20, 2024 | Prot_SAP_000.pdf |
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| ID | Term |
|---|---|
| D008403 | Mass Screening |
| D012149 | Restraint, Physical |
| D012017 | Referral and Consultation |
| ID | Term |
|---|---|
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
| D006306 | Health Surveys |
| D011795 | Surveys and Questionnaires |
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This is a stepped wedge cluster randomized trial which has 3 sequences starting intervention in randomized order.
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| Assessment and referral | Other | confidential assessment and referral of high-risk patients using decision-support templates |
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| 29 months |
| D003625 | Data Collection |
| D004812 | Epidemiologic Methods |
| D008919 | Investigative Techniques |
| D003954 | Diagnostic Services |
| D011314 | Preventive Health Services |
| D006296 | Health Services |
| D005159 | Health Care Facilities Workforce and Services |
| D017531 | Health Care Evaluation Mechanisms |
| D011787 | Quality of Health Care |
| D017530 | Health Care Quality, Access, and Evaluation |
| D011634 | Public Health |
| D004778 | Environment and Public Health |
| D015980 | Public Health Practice |
| D032763 | Behavior Control |
| D013812 | Therapeutics |
| D007103 | Immobilization |
| D011364 | Professional Practice |
| D009934 | Organization and Administration |
| D006298 | Health Services Administration |