Online Program

Evaluation of project connect training and outcomes in a sample of family planning and public health care providers

Monday, November 4, 2013

Kellie Carlyle, Ph.D., M.P.H., Department of Social and Behavioral Health, Virginia Commonwealth University, Richmond, VA
Candace Burton, PhD, RN, FNE, Department of Family and Community Health Nursing, Virginia Commonwealth University, Richmond, VA
Elizabeth Miller, MD, PhD, Division of Adolescent and Young Adult Medicine, Children's Hospital of Pittsburgh, University of Pittsburgh Medical Center, Pittsburgh, PA
Laurie Crawford, MPA, Division of Prevention and Health Promotion, Office of Family Health Services, Virginia Department of Health, Richmond, VA
Over $4 billion in annual physical and mental health service costs result from intimate partner violence (IPV) in the United States. Many victims of IPV thus visit health care providers, yet only about 10% of providers routinely screen for IPV. Reasons cited include lacking appropriate tools, fear of disclosure, fear of offending patients, lacking appropriate referrals, and endangering patients. Project Connect is a national initiative to change how adolescent health, reproductive health, and home visiting programs identify and respond to sexual and domestic violence. Research suggests that women in these programs are at high risk for abuse, and that evidence-based interventions improve outcomes. This qualitative evaluation research explored outcomes of Project Connect training among Virginia clinic-based and home care providers. Semi-structured focus groups and individual interviews were conducted with trained providers. Questions covered satisfaction with training, knowledge gained, implementation, cultural competency, and barriers to implementation. Thematic analysis of data identified common provider themes. Providers expressed satisfaction with training, and overall screenings were increased. Providers cited ongoing rapport with patients as helpful to implementation, but noted issues with cultural relevance and available intervention resources. Links between providers and community resources were not always adequate for intervention and follow-through.

Learning Areas:

Conduct evaluation related to programs, research, and other areas of practice
Implementation of health education strategies, interventions and programs
Public health or related nursing
Social and behavioral sciences

Learning Objectives:
Identify at least two barriers to implementation of Project Connect intimate partner violence screening and intervention protocols as reported by clinic-based and home visiting providers. Explain the role of self-efficacy among Project Connect trained providers in implementing screening and intervention protocols.

Keyword(s): Violence Prevention, Women

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been the PI on several grants investigating training programs related to violence prevention and have published in the areas of program implementation and evaluation.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.