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Screening for Intimate Partner Violence in a Pediatric Surgery Outpatient Clinic

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Screening for Intimate Partner Violence in a Pediatric Surgery Outpatient Clinic
Ashira Anderson, Owen Jarmoc, Susan DiVietro, PhD, Garry Lapidus, PA-C, MPH and Brendan T. Campbell, MD, MPH, Trinity College, Chicago IL

Objective: Objectives: Intimate Partner Violence (IPV) is a preventable public health issue that affects nearly 12 million people annually. Previous research has shown that the coexistence of child abuse and intimate partner violence can be as high as 77%. The purpose of this study was to evaluate whether a tablet-based approach to screen for intimate partner violence is feasible in a pediatric surgery outpatient clinic.
Methods: A convenience sample caregivers was recruited from March 11th through April 22nd, 2015 to complete a short, confidential questionnaire, using an iPad with the survey software Qualtrics. The study population was female caregivers that brought their children into to the pediatric surgery clinic for outpatient care. The questionnaire is a modified version of the previously validated HITS (Hurt, Insult, Threaten, Scream) screening tool.
Results: During the study period, 40 caregivers were successfully screened. None of the sample screened positive for IPV. The mean score of the HITS questions was a 4.601.13 out of 20 (positive screen > 10) and a range of 4-9. No significant disruption of patient flow in the outpatient clinic was observed. Challenges to successful screening included the presence of a potential abuser at the clinic visit and having only a single iPad available for screening. Conclusion: This study demonstrates the feasibility of using a tablet-based screening tool to screen for intimate partner violence in a pediatric surgery outpatient clinic. Future studies will screen a larger sample of caregivers, and focus on higher risk populations.
Objective: Demonstrate the feasibility of screening for intimate partner violence.Objective Content: Describe the epidemiology of intimate partner violence, and explain the validated HITS screening tool for intimate partner violence.


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