RT Journal Article
SR Electronic
T1 Getting Routine Intimate Partner Violence Screening Right: Implementation Strategies Used in Veterans Health Administration (VHA) Primary Care
JF The Journal of the American Board of Family
                Medicine
JO J Am Board Fam Med
FD American Board of Family Medicine
SP 346
OP 356
DO 10.3122/jabfm.2021.02.200311
VO 34
IS 2
A1 Omonyêlé L. Adjognon
A1 Julianne E. Brady
A1 Megan R. Gerber
A1 Melissa E. Dichter
A1 Alessandra R. Grillo
A1 Alison B. Hamilton
A1 Shannon Wiltsey Stirman
A1 Katherine M. Iverson
YR 2021
UL http://www.jabfm.org/content/34/2/346.abstract
AB Background: Evidence supports the clinical effectiveness of intimate partner violence (IPV) screening programs, but less is known about implementing and sustaining them. This qualitative study identified implementation strategies used to integrate IPV screening programs within Veterans Health Administration (VHA) women's health primary care.Methods: Thirty-two administrators and clinician key informants from 11 VHA facilities participated in semistructured interviews. Implementation strategies were identified using established definitions from implementation science literature, through multistep content analysis, involving site comparisons by implementation status.Results: We identified 8 implementation strategies. Three were present across all sites: (1) conduct ongoing IPV trainings, (2) conduct educational meetings and outreach visits, and (3) develop and distribute educational materials. Five strategies were unique to early adopting sites: (4) identify and prepare champions, (5) change record systems to remind clinicians, (6) create a learning collaborative through advisory boards or workgroups, (7) audit and provide feedback with relay of clinical data to providers, and (8) access new funding.Discussion: Strategies align with and extend literature addressing barriers to screening. Evidence shows that effective IPV screening implementation in primary care requires a bundle of well-defined, carefully selected strategies.Conclusions: Implementation strategies used collectively can enable integration of IPV screening programs in primary care.