Teaching preventive medicineA Tool for Measuring Physician Readiness to Manage Intimate Partner Violence
Section snippets
Background
Intimate partner (domestic) violence, IPV, is a common problem in medical practice that is associated with a number of adverse health outcomes.1, 2, 3, 4, 5 Many believe that these poor outcomes could be improved with better physician education,6, 7, 8, 9 but, despite ongoing educational efforts, field studies continue to show that physicians rarely screen for IPV, are not aware of community resources, and are not confident in their abilities to manage IPV patients.10, 11, 12 Importantly,
Item Development
Existing IPV physician survey tools were reviewed and initial survey items were adapted from previous work, particularly items from scales developed for the CDC (LMS) and the Massachusetts Medical Society (EA). To establish content validity, the proposed survey items were reviewed by an outside group of IPV educators (see acknowledgments). These reviewers were charged with selecting existing items or developing new ones that reflected key theoretical constructs and measured important IPV
Item Development
The draft instrument developed in conjunction with the expert reviewers contained an 11-question respondent profile (used for tracking and group demographics) and 90 proposed survey questions, some of which had multiple components. Survey questions were grouped into four major sections: (1) background (four items/scales dealing with type of previous IPV training, amount in hours of previous IPV training, perceived [felt] IPV knowledge, and perceived [felt] IPV preparation); (2) actual knowledge
Discussion
This IPV survey has been named the PREMIS (Physician Readiness to Manage Intimate Partner Violence Survey) tool. In its final form (minus the constraints and victim autonomy scales), it comprises 67 individual items and requires approximately 15 minutes to complete. The PREMIS tool has a high level of consistency with constructs that theoretically contribute to effective healthcare provider response to victims of IPV and a high level of consistency with earlier instruments. PREMIS is more
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