Domestic Violence Health Care Provider Training Evaluation Toolkit

Since 1993, the Pennsylvania Coalition Against Domestic Violence has provided support and funding for healthcare-based programs designed to improve the screening, identification, and response to victims of domestic violence. One consistent feature of these programs, and similar programs being implemented across the nation, is the provision of training for healthcare providers on the topic of domestic violence.

In response to the desire by trainers to evaluate their training, PCADV developed the Domestic Violence Health Care Provider Training Evaluation Toolkit. Trainers can use the toolkit to evaluate a range of healthcare trainings on domestic violence. The toolkit contains a total of 7 different instruments. Information about the toolkit and each instrument can be selected and downloaded by clicking on the links below.

DOMESTIC VIOLENCE HEALTH CARE PROVIDER SURVEY DESCRIPTION

The Domestic Violence Health Care Provider Survey, which was developed by Roland Maiuro, provides a method to conduct an assessment of training needs in the area of domestic violence for health care providers. It can also be used to refine a training program already in existence or to verify its success. This survey is a measure of providers domestic violence-related knowledge, attitudes, and beliefs, and their perceived ability and readiness to act and use this information in practice. Administration takes about ten minutes to complete.

This instrument has a high level of consistency with factors that will theoretically contribute to effective health care provider response to victims of IPV. In addition, this instrument can assess and quantify these domains in a reliable manner.

Items are distributed over six domains. The domains include: perceived self sufficiency, system support, tendency to blame the victim, professional role resistance/fear of offending the patient, concerns about victim and provider safety, system support and self reported frequency of domestic violence inquiry. Domestic Violence Health Care Provider Survey scales and scoring instructions are provided.

DOMESTIC VIOLENCE HEALTH CARE PROVIDER SURVEY SCALES AND SCORING INSTRUCTIONS

Scoring: This instrument consists of 6 scales, which are noted below. Each question or item that begins with a Q is scored 1=1, 2=2, 3=3, 4=4, 5=5. Each question or item that begins with an R is reverse scored (1=5, 2=4, 3=3, 4=2, 5=1). To obtain a total score for the entire instrument, add the points for all items on the instrument. To obtain a scale score, add the points for all those items in the scale

Scale: Perceived Self-Efficacy

• R01 I dont have the time to ask about DV in my practice.
• Q02 There are strategies I can use to encourage batterers to seek help.
• Q03 There are strategies I can use to help victims of DV change their situation.
• Q04 I feel confident that I can make appropriate referrals for batterers.
• Q05 I feel confident that I can make the appropriate referrals for abused patients.
• Q06 I have ready access to information detailing management of DV.
• Q07 There are ways I can ask batterers about their behavior that will minimize risk to the potential victim.

Scale: System Support Items

• Q08 I have ready access to medical social workers or community advocates to assist in the management of DV.
• Q09 I feel that medical social work personnel can help manage DV patients.
• Q10 I have ready access to mental health services should our patients need referrals.
• Q11 I feel that the mental health services at my clinic or agency can meet the needs to DV victims in cases where they are needed.

Scale: Blame Victim Items

• Q12 A victim must be getting something out of the abusive relationship, or else he/she would leave.
• Q13 People are only victims if they choose to be.
• Q14 When it comes to domestic violence victimization, it usually takes two to tango.
• Q15 I have patients whose personalities cause them to be abused.
• Q16 Women who choose to step out of traditional roles are a major cause of DV.
• Q17 The victims passive-dependent personality often leads to abuse.
• Q18 The victim has often done something to bring about violence in the relationship.

Scale: Professional Role Resistance/Fear of Offending the patient

• Q19 I am afraid of offending the patient if I ask about DV.
• Q20 Asking patients about DV is an invasion of their privacy.
• Q21 It is demeaning to patients to question them about abuse.
• Q22 If I ask non-abused patients about DV, they will get very angry.
• Q23 It is not my place to interfere with how a couple chooses to resolve conflicts.
• Q24 I think that investigating the underlying cause of a patients injury is not part of medical care.
• HEALTH CARE PROVIDER SURVEY ON INTIMATE PARTNER VIOLENCE DESCRIPTION

Health Care Provider Survey On Intimate Partner Violence Survey Scales and Scoring Instructions

The Health Care Provider Survey on Intimate Partner Violence was designed by Lynn Short to measure health care provider knowledge, attitudes, beliefs, and intended behaviors associated with intimate partner violence. Possible uses for this instrument include: (1) a pre-test and needs assessment to measure health care provider knowledge, attitudes, beliefs and behaviors that may need to be specifically targeted during subsequent training or other on-site intervention; (2) an adjunct to training, which may orient the health care provider to the topic and expose the complexity of IPV issues; (3) a post-test to determine changes in health care provider knowledge, attitudes, beliefs and behaviors over time or as the result of training; and (4) a comparative instrument to assess differences in knowledge, attitudes, beliefs and behaviors between health care providers who have received training and those who have not. Administration time is about ten minutes.

This instrument has a very high degree of association between constructs that are theoretically important to effective health care provider response and the empirical scales that were derived through factor analysis. The items are distributed over 14 sub-scales: self-efficacy, referral, health care role, workplace support, screening, staff constraints, staff preparation, legal requirements, perceived ability to identify without training, victim understanding, identify and document, victim autonomy, limitations and relationship of alcohol and other drugs. Health Care Provider Survey on Intimate Partner Violence scales and scoring instructions are available.

Scoring: This instrument consists of 14 scales, which are noted below. Each question or item that begins with a Q is scored 1=1, 2=2, 3=3, 4=4, 5=5 6=6, 7=7. Each question or item that begins with an R is reverse scored (1=7, 2=6, 3=5, 4=4, 5=3, 6=2, 7=1). To obtain a total score for the entire instrument, add the points for all items on the instrument. To obtain a scale score, add the points for all those items in the scale

Scale: Self-Efficacy

• Q07 I am capable of identifying victims of intimate partner violence.
• Q15 I feel comfortable discussing intimate partner violence with my patients.
• R17 I dont have the necessary skills to discuss abuse with a victim.
• Q22 I am able to gather the necessary information to identify IPV as the underlying cause of patient illnesses (e.g., depression, migraines).

Scale: Referral

• Q05 I can make appropriate referrals for victims of intimate partner violence.
• Q10 I contact services within the community to establish personal referrals for victims of intimate partner violence.
• Q31 I can make appropriate referrals to services within the community for victims of intimate partner violence.

Scale: Health Care Role

• Q13 Medical and hospital staff may need to make repeated attempts to help patients acknowledge an abusive relationship.
• R16 Medical and hospital staff should not be responsible for identifying cases of intimate partner violence.
• Q24 Medical and hospital staff have an important role in addressing situations of intimate partner violence.
• Q27 The physical, emotional and economic costs of IPV justify a stronger prevention effort by health car professionals.
• Q32 Working as a member of a multidisciplinary team is important in assessing and caring for victims of intimate partner violence.
• Q45 By intervening with victims of intimate partner violence I can send a message that violence is not acceptable in my community.

Scale: Workplace

• R04 My workplace does not adequately support me in responding to intimate partner violence.
• Q19 There are resources at my workplace for staff who are victims of intimate partner violence.
• Q30 My supervisors help me make the time to respond to victims of intimate partner violence.
• Q40 There is adequate private space for me to provide care for victims of intimate