care or unplanned health care utilisation. 9. NR. Sharps et al. (2013). 1. NR 4. Abused pregnant women 8. Retention rates of abused 10. Training to deliver 13. Findings suggest that (n=239), randomised to pregnant women in perinatal intervention (4-hour many abused pregnant USA. 2. Domestic Violence DOVE (n=124), or usual HV programs. training included women who are screened Enhanced Home Visitation care (n=115). information about IPV, for IPV will disclose their RCT Program (DOVE) vs usual Retention of women in particularly in abuse histories and will care 5. Pregnancy, intimate program: retention rates from pregnancy, importance remain in perinatal HV To “test the effectiveness of partner violence. baseline for DOVE women were of screening and programs and a structured Intimate 3. DOVE: Based on an 91% at delivery, 77% at 3 intervening research programs that Partner Violence (IPV) empowerment model, 6. Home visiting. months, 75% at 6 months, and + DOVE intervention specifically address IPV. intervention integrated into combining 2 70% of 4-hour training health department perinatal interventions: a 7. Home visitors.- women at 12 months compared including use of the Results indicate that home home visiting (HV) brochure-based IPV discipline to UC 84% of women at screening and visitors’ confidence in programs” (p134). intervention and nurse unspecified. delivery, 75% at 3 assessment screening for IPV increased home visitation- 3 DOVE months, 72% at 6 months, instruments, delivering with additional training and prenatal and 3 postnatal and 70% retained at 12 months. the brochure-based opportunities to observe visits. Usual care: standard DOVE intervention, health care professionals home visiting and IPV 9. Screening for IPV appeared to developing screen women for IPV and protocols. promote a beneficial individualized safety educate women on IPV. relationship with the home plan, strategies for visitor. revisiting and 14. DOVE strategies reinforcing safety plan for engaging and retaining at each home visit, and abused pregnant women appropriate should be integrated documentation). into HV programs’ federal government mandates for 11. Home visitors were the appropriate persistent in identification and maintaining contact intervention of women and with participants, and children exposed to IPV. strategies to increase retention rates included sending birthday and holiday cards to every participant,
care or unplanned health care utilisation. 9. NR. Sharps et al. (2013). USA. RCT To “test the effectiveness of a structured Intimate Partner Violence (IPV) intervention integrated into health department perinatal home visiting (HV) programs” (p134). 1. NR 2. Domestic Violence Enhanced Home Visitation Program (DOVE) vs usual care 3. DOVE: Based on an empowerment model, combining 2 interventions: a brochure-based IPV intervention and nurse home visitation- 3 DOVE prenatal and 3 postnatal visits. Usual care: standard home visiting and IPV protocols. 4. Abused pregnant women (n=239), randomised to DOVE (n=124), or usual care (n=115). 5. Pregnancy, intimate partner violence. 6. Home visiting. 7. Home visitors.- discipline unspecified. 8. Retention rates of abused pregnant women in perinatal HV programs. Retention of women in program: retention rates from baseline for DOVE women were 91% at delivery, 77% at 3 months, 75% at 6 months, and 70% of women at 12 months compared to UC 84% of women at delivery, 75% at 3 months, 72% at 6 months, and 70% retained at 12 months. 9. Screening for IPV appeared to promote a beneficial relationship with the home visitor. 10. Training to deliver intervention (4-hour training included information about IPV, particularly in pregnancy, importance of screening and intervening + DOVE intervention 4-hour training including use of the screening and assessment instruments, delivering the brochure-based DOVE intervention, developing individualized safety plan, strategies for revisiting and reinforcing safety plan at each home visit, and appropriate documentation). 11. Home visitors were persistent in maintaining contact with participants, and strategies to increase retention rates included sending birthday and holiday cards to every participant, 13. Findings suggest that many abused pregnant women who are screened for IPV will disclose their abuse histories and will remain in perinatal HV programs and research programs that specifically address IPV. Results indicate that home visitors’ confidence in screening for IPV increased with additional training and opportunities to observe health care professionals screen women for IPV and educate women on IPV. 14. DOVE strategies for engaging and retaining abused pregnant women should be integrated into HV programs’ federal government mandates for the appropriate identification and intervention of women and children exposed to IPV.
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