Clinic-based videos for domestic violence and human trafficking screening: What messages could persuade immigrant women to self-reveal?

INTRODUCTION: Immigrant women experiencing domestic violence (DV) or human trafficking (HT) may be reluctant, unable, or uninformed about how to access help. PSA-type videos in exam rooms of healthcare clinics can help inform them privately about services available and may convince them to disclose now or in the future. However, video messages must be culturally-appropriate and persuasive. METHODS: We conducted 4 focus groups and 10 interviews with DV and HT survivors, therapists and others working with survivors to create scripts for three-minute screening videos in multiple languages. Scripts were based on actual survivors’ stories.  RESULTS: Victims need to be able to relate to both the message and the “survivor” who appears in the video. “Survivors” should be similar to the victim in terms of age and ethnicity.  Various types of violence--physical, sexual, emotional, financial--should be described. Videos should stress that victims who disclose won’t be arrested, deported or forced to leave their abusers unless they choose.  The content should be upbeat, highlighting the positive outcomes of escaping violence.  Messages like “you’re worth it” or “you deserve happiness” were most powerful. For Latinas, focusing on how children are affected by DV was persuasive.  For Asians, addressing shame and embarrassment were most important. Victims must also be convinced that providers are trustworthy, want to help and will maintain confidentiality. DISCUSSION: To assist immigrant populations to disclose DV or HT to a health provider, messages need to be culturally-relevant, explain various types of violence, allay fears and show a positive outcome.