Understanding behavior change for women experiencing intimate partner violence: Mapping the ups and downs using the stages of change

被引:76
作者
Chang, Judy C.
Dado, Diane
Ashton, Susan
Hawker, Lynn
Cluss, Patricia A.
Buranosky, Raquel
Scholle, Sarah Hudson
机构
[1] Univ Pittsburgh, Magee Womens Hosp, UPMC, Pittsburgh, PA 15213 USA
[2] Palmetto Hlth Care, Family Med, Columbia, SC USA
[3] Womens Ctr & Shelter Greater Pittsburgh, Pittsburgh, PA USA
[4] Univ Pittsburgh, Western Psychiat Inst & Clin, Pittsburgh, PA 15213 USA
[5] Natl Comm Qual Assurance, Washington, DC USA
关键词
domestic violence; intimate partner violence; transtheoretical model; readiness; change;
D O I
10.1016/j.pec.2006.06.009
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objective: For women who are experiencing intimate partner violence (IPV), making changes toward safety is often a gradual process. When providing counseling and support, health care providers may benefit from better understanding of where women are in their readiness to change. Our objective was to apply the transtheoretical model's stages of change to the experiences of women who experienced IPV and map their experiences of change as they moved toward increased safety. Methods: A multi-disciplinary team designed a qualitative interview process with 20 women who had current or past histories of IPV in order to explore their experiences. Results: The women in our study (1) moved through stages of readiness generally in a nonlinear fashion, with varying rates of progression between safe and nonsafe situations, (2) were able to identify a "turning-point" in their situations, (3) attempted multiple "action" steps and (4) were influenced by internal and external factors. Conclusions: Our study suggests that focusing on the transtheoretical model to develop stage-based interventions for IPV may not be the most appropriate given the nonsequential movement between stages and influence of external factors. Practice implications: The "change mapping" technique can be used as an educational and counseling tool with patients, as well as a training tool for health care providers. (c) 2006 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:330 / 339
页数:10
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