AP-HP has recently opened five hospital-based care units dedicated to supporting women who are victims of violence. Referrals of women to these units rely mainly on healthcare professionals. Despite the recommendations of the French National Authority for Health (HAS), screening for Intimate Partner Violence (IPV) is not systematically performed.
Moreover, although women tend to disclose experiences of violence preferentially to healthcare professionals, these professionals report feeling insufficiently trained to address this issue.
In France, only one national survey assessing knowledge and screening capacities regarding domestic violence has been conducted, and it was limited to midwives. No study has evaluated screening practices and the ability to manage women experiencing IPV.
One questionnaire is available: the PREMIS questionnaire (Physician Readiness to Manage Intimate Partner Violence Survey). This self-administered questionnaire includes 67 items and was developed and validated in a population of healthcare professionals in the United States. It demonstrated good internal consistency, with a Cronbach's alpha coefficient greater than 0.65 for all validated subscales. Its external validity was also tested by comparing questionnaire responses with a field-based observational survey of professional practices, showing good correlation. Stability of responses over time (12 months) was also demonstrated. The questionnaire is able to discriminate between respondents who have received training and those who have not, with a positive correlation between knowledge acquired through experience and the number of hours of personal training. To our knowledge, it is the only validated tool to assess healthcare professionals' preparedness to screen for and manage intimate partner violence. Its French transcultural adaptation was scientifically validated in 2021.
Licensed perinatal healthcare professionals, including midwives, physicians and residents in obstetrics/gynecology, pediatrics, general practice, psychiatry, psychologists, nurses, and pediatric nurses.
Currently working in a maternity unit at AP-HP.
Actively involved in clinical care.
Willing to participate in the online questionnaire.
None
Licensed perinatal healthcare professionals (midwives, nurses, psychologists, physicians, and residents in obstetrics/gynecology, pediatrics, general practice, or psychiatry) currently working in a maternity unit within AP-HP.
Cohort
Prospective
PREMIS Questionnaire
Other interventionParticipants, consisting of perinatal healthcare professionals (midwives, obstetricians, nurses, and related staff) at AP-HP, will complete the PREMIS (Physician Readiness to Manage Intimate Partner Violence Survey) self-administered questionnaire. The questionnaire evaluates their preparedness to screen for, identify, and manage women experiencing intimate partner violence during the perinatal period.
Conducting routine screening by healthcare professionals.
Based on the responses to the questionnaires, determine the number of healthcare professionals at the APHP who screen pregnant women for domestic violence and the potential impact on this practice of having a specialized care unit for women who are victims of domestic violence.
Ability of Healthcare Professionals to provide care to women who Are victims of domestic violence during the perinatal period
Questionnaires on professional, social, and demographic characteristics, as well as resources related to the systematic screening for domestic violence by healthcare professionals during the perinatal period
Analysis of Healthcare Professionals' Capacity to Care for Women Who Are Victims of Domestic Violence During the Perinatal Period
Questionnaires on the determinants of routine screening for domestic violence by perinatal health care professionals
Identification of professional practices that could be improved through targeted training.
Questionnaires to identify the training needs of healthcare professionals working in the perinatal Period
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Assistance Publique - Hôpitaux de Paris
Lead sponsor
URC-CIC Paris Descartes Necker Cochin
Collaborator
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