• Factors Influencing Family Medicine Residents’ Screening for Intimate Partner Violence

      Bruder, Melissa (2014-03-18)
      Intimate partner violence among adolescents is a serious and widespread problem. It is apparent that victims of intimate partner violence experience physical and psychological consequences. These adverse health effects can result in adolescents seeking care from healthcare professionals. However, intimate partner violence victims do not always receive the care and response they need. Because adolescents are reporting that not all healthcare professionals are screening for intimate partner violence, one must come to understand the factors that are hindering this occurrence. Although previous research has provided a foundation for understanding factors that influence intimate partner violence screening, researchers have not specifically examined factors related to family medicine residents’ screening adolescent patients. The present study examined responses from 118 family medicine residents across the United States. Data were collected through an online survey and were analyzed using a multiple regression, a repeated measures ANOVA, and a one-way ANOVA. The multiple regression analysis revealed that together, year in residency, previous identification of victims of intimate partner violence, and self-efficacy significantly predicted intimate partner violence screening among adolescent patients. The repeated measures ANOVA had a statistically significant interaction effect for patient’s gender and presenting medical concern on screening adolescent patients for intimate partner violence. The one-way ANOVA revealed that the frequency of family medicine residents’ screening adolescent patients for intimate partner violence did not significantly differ among the regional locations of residency programs in the United States.
    • Women's Use of Violence: An Ecological Systems Model

      Byczek, Sara (2013-01-30)
      Women’s use of violence within intimate relationships is an important area of which both researchers and clinicians can benefit from gaining a better understanding. In the current literature on women’s use of violence, two main perspectives dominate, including the family violence perspective and the feminist perspective. The main goal of the present study was to gain a better understanding of women’s use of violence. Specifically, qualitative methodology was utilized to explore the possibility that typologies may exist within women’s use of violence that may help to explain the discrepant findings within the literature. Twelve women completed an online questionnaire that included interview-style questions developed utilizing Bronfenbrenner’s ecological systems model, the Conflict Tactics Scale-2, and a measure created by the main researcher called the Contextual Relationship Measure. Key findings included (a) development of four typologies, (b) identification of characteristics associated with women who have used violence in their relationship, and (c) development of a grounded theory on women’s use of violence. Limitations and suggestions for future research are also discussed, including (a) issues related to the methodology utilized, (b) issues related to the population being studied, and (c) suggestions on how to build from the current findings.