Abstract
Purpose
Healthcare providers’ (HCPs) readiness to respond to intimate partner violence (IPV) is crucial for early detection and management of patients experiencing IPV. This systematic review aims to identify currently available tools for assessing HCPs’ readiness to respond to IPV, evaluate their measurement properties, and summarize the quality of evidence to facilitate the selection of appropriate instrument.
Methods
A systematic search was performed in PubMed, CINAHL, Ovid, Web of Science, Scopus, and the Cochrane Library from inception to October 2022, supplemented by hand searching and gray literature searches. Two authors independently screened studies based on predefined criteria and completed data extraction. The Consensus-based Standards for the Selection of Health Measurement Instruments (COSMIN) checklist was used for methodological quality assessment.
Results
Of 34 studies included in this review, nine measurement tools were identified for the evaluation of measurement properties and overall quality ratings. Internal consistency (31 studies), content validity (29 studies), and structural validity (21 studies) were the most reported psychometric properties. The Physician Readiness to Manage Intimate Partner Violence Survey (PREMIS) tool is the most widely used instrument for assessing HCPs’ readiness to respond to IPV, with moderate to high evidence for sound psychometric quality.
Conclusions
The identified tools vary in psychometric properties depending on the assessment’s context, target population, and study setting. The PREMIS is the most cross-culturally adapted instrument across various countries and is promising for assessing HCPs’ readiness to respond to IPV. However, further psychometric evaluation prior to utilization in different healthcare populations and settings is recommended.
Similar content being viewed by others
Data Availability
All relevant data are within the paper and its Supplementary Information files.
References
*Reference marked with an asterisk indicate the study was included in the systematic review.
*Adeyemi, A., Irinoye, O., Oladimeji, B. Y., Fatusi, A., Fatoye, F., Mosaku, K., & Ola, B. A. (2008). Preparedness for Management and Prevention of Violence Against Women by Nigerian Health Professionals. Journal of Family Violence, 23, 719–725.https://doi.org/10.1007/s10896-008-9197-0
Ajzen, I. (1991). The Theory of Planned Behavior. Organizational Behavior and Human Decision Processes, 50, 179–211. https://doi.org/10.1016/0749-5978(91)90020-T
*Alhalal, E. (2020). Nurses' knowledge, attitudes and preparedness to manage women with intimate partner violence. International Nursing Review, 67(2), 265–274.https://doi.org/10.1111/inr.12584
*Baird, K. M., Saito, A. S., Eustace, J., & Creedy, D. K. (2018). Effectiveness of training to promote routine enquiry for domestic violence by midwives and nurses: A pre-post evaluation study. Women Birth, 31(4), 285–291. https://doi.org/10.1016/j.wombi.2017.10.014
*Barnard, M., West-Strum, D., Yang, Y., & Holmes, E. (2018). Evaluation of a Tool to Measure Pharmacists' Readiness to Manage Intimate Partner Violence. Pharmacy (Basel), 6(3). https://doi.org/10.3390/pharmacy6030066
Beccaria, G., Beccaria, L., Dawson, R., Gorman, D., Harris, J. A., & Hossain, D. (2013). Nursing student’s perceptions and understanding of intimate partner violence. Nurse Education Today, 33(8), 907–911. https://doi.org/10.1016/j.nedt.2012.08.004
*Ben Natan, M., Khater, M., Ighbariyea, R., & Herbet, H. (2016). Readiness of nursing students to screen women for domestic violence. Nurse Education Today, 44, 98–102. https://doi.org/10.1016/j.nedt.2016.05.006
Beynon, C. E., Gutmanis, I. A., Tutty, L. M., Wathen, C. N., & MacMillan, H. L. (2012). Why physicians and nurses ask (or don’t) about partner violence: A qualitative analysis. BMC Public Health, 12, 473. https://doi.org/10.1186/1471-2458-12-473
Black, M. C. (2011). Intimate partner violence and adverse health consequences: Implications for clinicians. American Journal of Lifestyle Medicine, 5(5), 428–439. https://doi.org/10.1177/1559827611410265
*Blumling, A., Kameg, K., Cline, T., Szpak, J., & Koller, C. (2018). Evaluation of a Standardized Patient Simulation on Undergraduate Nursing Students' Knowledge and Confidence Pertaining to Intimate Partner Violence. Journal of Forensic Nursing, 14(3), 174–179.https://doi.org/10.1097/jfn.0000000000000212
Campbell, J. C. (2002). Health consequences of intimate partner violence. Lancet, 359(9314), 1331–1336. https://doi.org/10.1016/S0140-6736(02)08336-8
Coker, A. L., Smith, P. H., Bethea, L., King, M. R., & McKeown, R. E. (2000). Physical health consequences of physical and psychological intimate partner violence. Archives of Family Medicine, 9(5), 451–457. https://doi.org/10.1001/archfami.9.5.451
*Connor, P. D., Nouer, S. S., Mackey, S. T., Tipton, N. G., & Lloyd, A. K. (2011). Psychometric properties of an intimate partner violence tool for health care students. Journal of Interpersonal Violence, 26(5), 1012–1035. https://doi.org/10.1177/0886260510365872
*Çürük, G. N., Özgül, E., & Alkanat, H. (2022). Psychometric properties of the Turkish version of the Readiness to Encounter Partner Abuse Patients Scale. Journal of Advanced Nursing, 78(11), 3860–3867.https://doi.org/10.1111/jan.15349
*Djikanovic, B., Lo Fo Wong, S., Simic, S., Marinkovic, J., Van Weel, C., & Lagro-Janssen, A. (2015). Physicians’ Attitudes and Preparedness to Deal with Intimate Partner Violence Against Women in Serbia. Journal of Family Violence, 30(4), 445–452. https://doi.org/10.1007/s10896-015-9708-8
EDUCATE Investigators. (2018). Novel educational program improves readiness to manage intimate partner violence within the fracture clinic: A pretest-posttest study. CMAJ Open, 6(4), E628–E636. https://doi.org/10.9778/cmajo.20180150
*Ei, A., & Chuemchit, M. (2021). How prepared are Myanmar's health care professionals in their response to gender-based violence? Journal of Health Research, 35(2), 147-159.https://doi.org/10.1108/JHR-08-2019-0188
*Gandhi, S., Poreddi, V., Nikhil, R. S., Palaniappan, M., & Math, S. B. (2018). Indian novice nurses' perceptions of their role in caring for women who have experienced intimate partner violence. British Journal of Nursing, 27(10), 559–564. https://doi.org/10.12968/bjon.2018.27.10.559
Garcia-Moreno, C., Hegarty, K., d’Oliveira, A. F., Koziol-McLain, J., Colombini, M., & Feder, G. (2015). The health-systems response to violence against women. Lancet, 385(9977), 1567–1579. https://doi.org/10.1016/S0140-6736(14)61837-7
Garcia-Moreno, C., Jansen, H. A., Ellsberg, M., Heise, L., Watts, C. H., Health, W. H. O. M.-c. S. o. W. s., & Domestic Violence against Women Study, T. (2006). Prevalence of intimate partner violence: findings from the WHO multi-country study on women's health and domestic violence. Lancet, 368(9543), 1260–1269.https://doi.org/10.1016/S0140-6736(06)69523-8
*Gharaibeh, M. K., Abu-Baker, N. N., & Aji, S. (2012). Attitudes toward and justification for wife abuse among Syrian medical and nursing students. Journal of Transcultural Nursing, 23(3), 297–305.https://doi.org/10.1177/1043659612441022
*Guiguet-Auclair, C., Debost-Legrand, A., Lémery, D., Barasinski, C., Mulin, B., & Vendittelli, F. (2021). Measuring the readiness to screen and manage intimate partner violence: Cross-cultural adaptation and psychometric evaluation of the PREMIS tool for perinatal care providers. PLoS One, 16(11), e0258943. https://doi.org/10.1371/journal.pone.0258943
*Gutmanis, I., Beynon, C., Tutty, L., Wathen, C. N., & MacMillan, H. L. (2007). Factors influencing identification of and response to intimate partner violence: a survey of physicians and nurses. BMC Public Health, 7, 12. https://doi.org/10.1186/1471-2458-7-12
*Häggblom, A. M., Hallberg, L. R., & Möller, A. R. (2005). Nurses' attitudes and practices towards abused women. Nursing & Health Sciences, 7(4), 235–242. https://doi.org/10.1111/j.1442-2018.2005.00242.x
Hegarty, K., McKibbin, G., Hameed, M., Koziol-McLain, J., Feder, G., Tarzia, L., & Hooker, L. (2020). Health practitioners’ readiness to address domestic violence and abuse: A qualitative meta-synthesis. PLoS One, 15(6), e0234067. https://doi.org/10.1371/journal.pone.0234067
Hooker, L., Versteegh, L., Lindgren, H., & Taft, A. (2020). Differences in help-seeking behaviours and perceived helpfulness of services between abused and non-abused women: A cross-sectional survey of Australian postpartum women. Health and Social Care in the Community, 28(3), 958–968. https://doi.org/10.1111/hsc.12927
Husum, T., Ruud, T., Lickiewicz, J., & Siqveland, J. (2022). Measurement properties of the staff attitude to coercion scale: A systematic review. Frontiers in Psychiatry, 13, 744661. https://doi.org/10.3389/fpsyt.2022.744661
*Ibrahim, E., Hamed, N., & Ahmed, L. (2021). Views of primary health care providers of the challenges to screening for intimate partner violence, Egypt. Eastern Mediterranean Health Journal 27(3), 233–241. https://doi.org/10.26719/emhj.20.125
Iwarson-Sporrong, E. S., Johanson, E., Landström-Hedin, I., & Ryö, L. (1998). Våld Mot Kvinnor och Omhändertagande av Dessa Brottsoffer en Kartläggning. I Örebro Län. Örebro Läns Landsting: Samhällsmedicinska Enheten.
*John, I. A., & Lawoko, S. (2010). Assessment of the structural validity of the domestic violence healthcare providers' survey questionnaire using a Nigerian sample. Journal of Injury and Violence Research, 2(2), 75–83. https://doi.org/10.5249/jivr.v2i2.41
Kalra, N., Hooker, L., Reisenhofer, S., Di Tanna, G. L., & García-Moreno, C. (2021). Training healthcare providers to respond to intimate partner violence against women. The Cochrane Database of Systematic Reviews, 5(5), CD012423. https://doi.org/10.1002/14651858.CD012423.pub2
Krumpal, I. (2013). Determinants of social desirability bias in sensitive surveys: A literature review. Quality & Quantity, 47(4), 2025–2047. https://doi.org/10.1007/s11135-011-9640-9
*Lawoko, S., Sanz, S., Helström, L., & Castrén, M. (2012). Assessing the structural and concurrent validity of a shortened version of the domestic violence healthcare providers' survey questionnaire for use in Sweden. Psychology, 3(2), 183–191. https://doi.org/10.4236/PSYCH.2012.32027
Leung, T. P., Phillips, L., Bryant, C., & Hegarty, K. (2018). How family doctors perceived their “readiness” and “preparedness” to identify and respond to intimate partner abuse: A qualitative study. Family Practice, 35(4), 517–523. https://doi.org/10.1093/fampra/cmx109
*Leung, T. P., Bryant, C., Phillips, L., & Hegarty, K. (2017). GPs' perceived readiness to identify and respond to intimate partner abuse: development and preliminary validation of a multidimensional scale. Australian and New Zealand Journal of Public Health, 41(5), 512–517. https://doi.org/10.1111/1753-6405.12683
*Li, Q., Zeng, J., Zhao, B., Perrin, N., & Campbell, J. (2022). Chinese nurses' preparedness and opinions in responding to intimate partner violence: An adaptation and validation study. Journal of Advanced Nursing, 78(11), 3847–3859. https://doi.org/10.1111/jan.15415
*Maiuro, R. D., Vitaliano, P. P., Sugg, N. K., Thompson, D. C., Rivara, F. P., & Thompson, R. S. (2000). Development of a health care provider survey for domestic violence: psychometric properties. American Journal of Preventive Medicine 19(4), 245–252. https://doi.org/10.1016/s0749-3797(00)00230-0
*Majumdar, B. (2004). Medical and nursing students' knowledge and attitudes toward violence against women in India. Education for Health (Abingdon), 17(3), 354–364.https://doi.org/10.1080/13576280400002627
*McAndrew, M., Pierre, G. C., & Kojanis, L. C. (2014). Effectiveness of an online tutorial on intimate partner violence for dental students: a pilot study. Journal of Dental Education, 78(8), 1176–1181.
*McCauley, J., Jenckes, M. W., & McNutt, L. A. (2003). ASSERT: the effectiveness of a continuing medical education video on knowledge and attitudes about interpersonal violence. Academic Medicine 78(5), 518–524. https://doi.org/10.1097/00001888-200305000-00017
Mokkink, L. B., de Vet, H. C. W., Prinsen, C. A. C., Patrick, D. L., Alonso, J., Bouter, L. M., & Terwee, C. B. (2018a). COSMIN risk of bias checklist for systematic reviews of patient-reported outcome measures. Quality of Life Research, 27(5), 1171–1179. https://doi.org/10.1007/s11136-017-1765-4
Mokkink, L., Terwee, C., & de Vet, H. (2021). Key concepts in clinical epidemiology: Responsiveness, the longitudinal aspect of validity. Journal of Clinical Epidemiology, 140, 159–162. https://doi.org/10.1016/j.jclinepi.2021.06.002
Mokkink, L. B., Prinsen, C., Patrick, D. L., Alonso, J., Bouter, L. M., de Vet, H. C., & Terwee, C. B. (2018b). COSMIN methodology for systematic reviews of Patient-Reported Outcome Measures (PROMs). User manual [1](pp. 78). https://cosmin.nl/wp-content/uploads/COSMIN-syst-review-for-PROMs-manual_version-1_feb-2018b.pdf
Moore, M. L., Zaccaro, D., & Parsons, L. H. (1998). Attitudes and practices of registered nurses toward women who have experienced abuse/domestic violence. Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN, 27(2), 175–182. https://doi.org/10.1111/j.1552-6909.1998.tb02608.x
*Nicolaidis, C., Curry, M., & Gerrity, M. (2005). Measuring the impact of the Voices of Survivors program on health care workers' attitudes toward survivors of intimate partner violence. Journal of General Internal Medicine, 20(8), 731–737. https://doi.org/10.1111/j.1525-1497.2005.0141.x
Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., McGuinness, L. A., …, Moher, D. (2021). The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ (Clinical research ed.), 372, n71. https://doi.org/10.1136/bmj.n71
*Papadakaki, M., Prokopiadou, D., Petridou, E., Kogevinas, M., & Lionis, C. (2012). Defining physicians' readiness to screen and manage intimate partner violence in Greek primary care settings. Evaluation & the Health Professions, 35(2), 199–220. https://doi.org/10.1177/0163278711423937
Prinsen, C. A. C., Mokkink, L. B., Bouter, L. M., Alonso, J., Patrick, D. L., de Vet, H. C. W., & Terwee, C. B. (2018). COSMIN guideline for systematic reviews of patient-reported outcome measures. Quality of Life Research, 27(5), 1147–1157. https://doi.org/10.1007/s11136-018-1798-3
*Saboori, Z., Gold, R. S., Green, K. M., & Wang, M. Q. (2022). Community health worker knowledge, attitudes, practices and readiness to manage intimate partner violence. Journal of Community Health, 47(1), 17–27. https://doi.org/10.1007/s10900-021-01012-0
Saletti-Cuesta, L., Aizenberg, L., & Ricci-Cabello, I. (2018). Opinions and experiences of primary healthcare providers regarding violence against women: A systematic review of qualitative studies. Journal of Family Violence, 33, 1–16. https://doi.org/10.1007/s10896-018-9971-6
*Saunders, D. G., Lynch, A. B., Grayson, M., & Linz, D. (1987). The inventory of beliefs about wife beating: the construction and initial validation of a measure of beliefs and attitudes. Violence and Victims, 2(1), 39–57.
*Sawyer, S., Coles, J., Williams, A., & Williams, B. (2019). The psychometric properties of an intimate partner violence education outcome measure. Nurse Education Today, 76, 148–153. https://doi.org/10.1016/j.nedt.2018.12.009
*Sawyer, S., Melvin, G., Williams, A, & Williams, B. (2022a). A new scale of readiness for health care students to encounter partner abuse. Journal of Interpersonal Violence, 37(15–16), NP14877–NP14897. https://doi.org/10.1177/0886260520981131
Sawyer, S., Schneider, M., Western, D., Bourke-Taylor, H., Farnworth, L., Lawerence, K., Lentin, P., …, Williams, B. (2022b). the readiness of australian health care students to encounter patients experiencing partner abuse. Journal of Interpersonal Violence, 37(11–12), NP9575–NP9590. https://doi.org/10.1177/0886260520981136
Seymour, R. J., & Jack, S. M. (2022). Intimate partner violence educational programmes may improve healthcare professionals’ knowledge of and readiness to respond to women’s experiences of violence. Evidence Based Nursing, 25(2), 72. https://doi.org/10.1136/ebnurs-2021-103457
*Short, L. M., Alpert, E., Harris, J. M., Jr., & Surprenant, Z. J. (2006). A tool for measuring physician readiness to manage intimate partner violence. American Journal of Preventive Medicine 30(2), 173–180.https://doi.org/10.1016/j.amepre.2005.10.009
Sprague, S., Madden, K., Simunovic, N., Godin, K., Pham, N. K., Bhandari, M., & Goslings, J. C. (2012). Barriers to screening for intimate partner violence. Women and Health, 52(6), 587–605. https://doi.org/10.1080/03630242.2012.690840
Sprague, S., Goslings, J. C., Hogentoren, C., de Milliano, S., Simunovic, N., Madden, K., & Bhandari, M. (2014). Prevalence of intimate partner violence across medical and surgical health care settings: A systematic review. Violence Against Women, 20(1), 118–136. https://doi.org/10.1177/1077801213520574
Sugg, N. (2015). Intimate partner violence: Prevalence, health consequences, and intervention. Medical Clinics of North America, 99(3), 629–649. https://doi.org/10.1016/j.mcna.2015.01.012
*Sundborg, E., Alinaghizadeh, H., Törnkvist, L., Saleh-Stattin, N., Michelsen, H., & Wändell, P. (2018). Psychometric testing of an instrument about intimate partner violence. Clinical Nursing Research, 27(4), 497–515.https://doi.org/10.1177/1054773816652085
Tarzia, L., Cameron, J., Watson, J., Fiolet, R., Baloch, S., Robertson, R., Kyei-Onanjiri, M., McKibbin, G., & Hegarty, K. (2021). Personal barriers to addressing intimate partner abuse: A qualitative meta-synthesis of healthcare practitioners’ experiences. BMC Health Services Research, 21(1), 567. https://doi.org/10.1186/s12913-021-06582-2
Terwee, C. B., Bot, S. D. M., de Boer, M. R., van der Windt, D. A. W. M., Knol, D. L., Dekker, J., Bouter, L. M., & de Vet, H. C. W. (2007). Quality criteria were proposed for measurement properties of health status questionnaires. Journal of Clinical Epidemiology, 60(1), 34–42. https://doi.org/10.1016/j.jclinepi.2006.03.012
Terwee, C. B., Prinsen, C. A. C., Chiarotto, A., Westerman, M. J., Patrick, D. L., Alonso, J., Bouter, L. M., de Vet, H. C. W., & Mokkink, L. B. (2018). COSMIN methodology for evaluating the content validity of patient-reported outcome measures: A Delphi study. Quality of Life Research, 27(5), 1159–1170. https://doi.org/10.1007/s11136-018-1829-0
*Thongkaew, P. (2020). Health Care Professionals' Roles and Experiences of Identifying and Responding to Intimate Partner Violence among Pregnant Women in Thailand. PhD thesis, University of Sheffield.
Vives Cases, C., Torrubiano Domínguez, J., Carrasco Portiño, M., Espinar-Ruiz, E., Gil-González, D., & Goicolea, I. (2015). Validation of the Spanish version of physician readiness to manage intimate partner violence survey (PREMIS). Revista Espanola De Salud Publica, 89(2), 173–190. https://doi.org/10.4321/s1135-57272015000200006
World Health Organization. (2021). Violence Against Women Prevalence Estimates, 2018: Global, regional and national prevalence estimates for intimate partner violence against women and global and regional prevalence estimates for non-partner sexual violence against women. Retrived January 5, 2023, from https://www.who.int/publications/i/item/9789240022256
Yick, A. G. (1997). Chinese-Americans’ perceptions of and experiences with domestic violence and factors related to their psychological well-being. PhD thesis, University of California.
*Zaher, E. A., Alromain, W. R., Alotaibi, A. S., Almughairy, A. A., Alqarfan, A. A., & Alheji, Z. A. (2022). Healthcare providers readiness to response to Spousal Abuse in Saudi Arabia: survey among medical and dental graduates. Middle East Journal of Family Medicine, 20(7), 43–50.https://doi.org/10.5742/MEWFM.2022.9525095
Acknowledgements
This study was part of a PhD project registered under the National Medical Research Register (NMRR), Ministry of Health Malaysia (NMRR ID-22-01067-HDU). We would like to thank the Ministry of Higher Education for the Fundamental Research Grant Scheme (FRGS/1/2022/SKK08/UM/01/1) awarded to the Principal Investigator, Prof. Dr. Noran Naqiah Hairi. The authors also wish to extend their gratitude to the Director General of Health Malaysia for his permission to publish this review.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of Interests
The authors declared no potential conflict of interest with respect to the research, authorships, and/or publication of this article.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Supplementary Information
Below is the link to the electronic supplementary material.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Ying Ying, C., Hairi, N.N. & Othman, S. Tools for Assessing Healthcare Providers’ Readiness to Respond to Intimate Partner Violence: A Systematic Review. J Fam Viol (2023). https://doi.org/10.1007/s10896-023-00491-0
Accepted:
Published:
DOI: https://doi.org/10.1007/s10896-023-00491-0