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Validation of a client progress measure for use in healthcare-based domestic violence programs

Jeanne E. Hathaway, MD, MPH1, Bonnie Zimmer, LICSW2, Sue Chandler, MPH, MSW3, Lisa Hartwick, LICSW4, Jennifer Robertson5, Lisa Tieszen, LICSW4, and Jay G. Silverman, PhD6. (1) Division of Public Health Practice, Harvard School of Public Health, 1637 Tremont Street, Room 106, Boston, MA 02120, 617-432-4694, jhathawa@hsph.harvard.edu, (2) HAVEN Program, Massachusetts General Hospital, 15 Parkman Street, ACC-027, Boston, MA 02114, (3) Community Advocacy Program, Center for Health Education, Research, and Service, Inc., 716 Columbus Avenue, #398, Roxbury, MA 02120, (4) Center for Violence Prevention and Recovery, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Rose 200, Boston, MA 02215, (5) AWAKE Project, Children's Hospital, Boston, 300 Longwood Avenue, Boston, MA 02115, (6) Division of Public Health Practice/Department of Society, Human Development & Health, Harvard University, 677 Huntington Ave., Kresge 705, Boston, MA 02115

Background: Despite the increasing number of domestic violence (DV) programs located in health care settings over the past twenty years, few of these programs have been evaluated for their impact on participants. This is partly due to a lack of appropriate outcome measures. To address this gap, the Coalition of Boston Teaching Hospitals DV Advisory Council is developing the DV Program Client Feedback Form as a client progress measure for healthcare-based DV programs.

Objective: To assess the reliability and validity of specific constructs on English and Spanish versions of the DV Program Client Feedback Form (CFF).

Methods: We conducted surveys with English (n = 98) and Spanish-speaking (n = 57) participants from four healthcare-based DV programs to assess the internal consistency, concurrent validity, and response bias of the CFF. Main analytic tests conducted were Cronbach's alpha, Spearman correlation coefficients, and linear regression.

Results: Cronbach's alpha for the Current Situation section of the CFF was high in both English and Spanish versions (.86). There was no significant response bias on Current Situation or Program Impact sections of CFFs completed with a DV advocate compared to those completed independently of a DV advocate. The concurrent validity of CFF items covering partner abuse and quality of life was good, but was low for items covering physical and mental health on the Spanish version and self-efficacy on both versions.

Conclusion: Findings support the use of the DV Program Client Feedback Form to measure client progress in healthcare-based DV programs following minor revisions.

Learning Objectives: At the conclusion of the session, the participant will be able to

Keywords: Domestic Violence, Outcome Measures

Presenting author's disclosure statement:

Not Answered

Handout (.ppt format, 137.5 kb)

Handout (.ppt format, 1243.5 kb)

Perspectives on Violence Against Women

The 134th Annual Meeting & Exposition (November 4-8, 2006) of APHA