A brief counselling intervention by health professionals utilising the ‘readiness to change’ concept for women experiencing intimate partner abuse: The weave project

Abstract This paper describes a brief counselling intervention based on the ‘readiness to change’ concept for women experiencing intimate partner violence, and an educational program for training primary care health professionals in the delivery of such an intervention. We present a synthesis of the literature on the Transtheoretical Model of Behaviour and the Psychosocial Readiness to Change Model as applied to intimate partner violence. We describe the intervention used in the weave trial, which draws on the educational and partner violence literature, as well as integrating key theoretical insights from the field of behaviour change. Practical steps for training health professionals are outlined from the authors’ experience and research.

[1]  Janette Y Taylor Moving From Surviving to Thriving: African American Women Recovering From Intimate Male Partner Abuse , 2004, Research and Theory for Nursing Practice.

[2]  K. Hegarty,et al.  Putting woman-centered care into practice: a new (ANEW) approach to psychosocial risk assessment during pregnancy. , 2006, Birth.

[3]  A. Oxman,et al.  Changing Provider Behaviour: An Overview of Systematic Reviews of Interventions to Promote Implementation of Research Findings by Healthcare Professionals , 2008 .

[4]  J. Mcfarlane,et al.  Secondary Prevention of Intimate Partner Violence: A Randomized Controlled Trial , 2006, Nursing research.

[5]  R. Grol Successes and Failures in the Implementation of Evidence-Based Guidelines for Clinical Practice , 2001, Medical care.

[6]  B. Patzel WOMEN'S USE OF RESOURCES IN LEAVING ABUSIVE RELATIONSHIPS: A NATURALISTIC INQUIRY , 2001, Issues in mental health nursing.

[7]  D. Broom,et al.  General practitioner management of intimate partner abuse and the whole family: qualitative study , 2004, BMJ : British Medical Journal.

[8]  D. Sheridan,et al.  Emergency nursing interventions with battered women. , 1989, Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association.

[9]  L. Short,et al.  Recommended components of health care provider training programs on intimate partner violence. , 1998, American Journal of Preventive Medicine.

[10]  S. Dabbo,et al.  Motivational Interviewing: Preparing People to Change Addictive Behavior , 1993 .

[11]  Jacquelyn C. Campbell,et al.  Abuse During Pregnancy and Femicide: Urgent Implications for Women's Health , 2002, Obstetrics and Gynecology.

[12]  Judy C. Chang,et al.  The process of change for victims of intimate partner violence: support for a psychosocial readiness model. , 2006, Women's health issues : official publication of the Jacobs Institute of Women's Health.

[13]  K Landenburger,et al.  A process of entrapment in and recovery from an abusive relationship. , 1989, Issues in mental health nursing.

[14]  A. Taft,et al.  Educating health professionals: changing attitudes and overcoming barriers , 2006 .

[15]  Stephen Rollnick,et al.  Motivational Interviewing: Preparing People for Change, 2nd Edition , 2002 .

[16]  T. Mills The assault on the self: Stages in coping with battering husbands , 1985 .

[17]  L. Goodman,et al.  Stages of change-based nursing interventions for victims of interpersonal violence. , 2003, Journal of obstetric, gynecologic, and neonatal nursing : JOGNN.

[18]  A. Bandura Social Foundations of Thought and Action: A Social Cognitive Theory , 1985 .

[19]  J. Golding Intimate Partner Violence as a Risk Factor for Mental Disorders: A Meta-Analysis , 1999, Journal of Family Violence.

[20]  R. Grol,et al.  Practice visits as a tool in quality improvement: mutual visits and feedback by peers compared with visits and feedback by non-physician observers. , 1999, Quality in Health Care.

[21]  B. Parker,et al.  A randomised controlled trial of empowerment training for Chinese abused pregnant women in Hong Kong , 2005, BJOG : an international journal of obstetrics and gynaecology.

[22]  David Brian Abrams,et al.  Commentary on stages of change and decisional balance for twelve problem behaviors. , 1992 .

[23]  A. Taket,et al.  Women exposed to intimate partner violence: expectations and experiences when they encounter health care professionals: a meta-analysis of qualitative studies. , 2006, Archives of internal medicine.

[24]  J Brown,et al.  Working Toward Freedom from Violence , 1997, Violence against women.

[25]  C. Anderson Evolving Out of Violence: An Application of the Transtheoretical Model of Behavioral Change , 2003, Research and Theory for Nursing Practice.

[26]  L. Mynors-Wallis,et al.  A trial of problem-solving by community mental health nurses for anxiety, depression and life difficulties among general practice patients. The CPN-GP study. , 2005, Health technology assessment.

[27]  L. Mynors-Wallis,et al.  Randomised controlled trial of problem solving treatment, antidepressant medication, and combined treatment for major depression in primary care , 2000, BMJ : British Medical Journal.

[28]  Jeremy M. Grimshaw,et al.  Changing Provider Behavior: An Overview of Systematic Reviews of Interventions , 2001, Medical care.

[29]  A D Oxman,et al.  Changing physician performance. A systematic review of the effect of continuing medical education strategies. , 1995, JAMA.

[30]  F M Farrar,et al.  ROYAL AUSTRALIAN COLLEGE OF GENERAL PRACTITIONERS , 1973, Canadian family physician Medecin de famille canadien.

[31]  Albert Bandura,et al.  Social cognitive theory of posttraumatic recovery: the role of perceived self-efficacy. , 2004, Behaviour research and therapy.

[32]  Jacquelyn C. Campbell,et al.  The domestic violence survivor assessment: a tool for counseling women in intimate partner violence relationships. , 2002, Patient education and counseling.

[33]  J O Prochaska,et al.  Stages of change in the modification of problem behaviors. , 1992, Progress in behavior modification.

[34]  H. ten Napel,et al.  [Nursing interventions]. , 1994, TVZ : het vakblad voor de verpleging.

[35]  P. Åstedt‐Kurki,et al.  Survival of intimate partner violence as experienced by women. , 2005, Journal of clinical nursing.

[36]  M. McNeil,et al.  Health care interventions for intimate partner violence: what women want. , 2005, Women's health issues : official publication of the Jacobs Institute of Women's Health.

[37]  V. Kowlowitz,et al.  Using the stages of change model to counsel victims of intimate partner violence. , 2001, Patient education and counseling.

[38]  J. Brown Patient-centred medicine: Transforming the clinical method , 1998 .

[39]  D. Pierce,et al.  Using problem solving therapy in general practice. , 2007, Australian Family Physician.

[40]  Jacquelyn C Campbell,et al.  Health consequences of intimate partner violence , 2002, The Lancet.

[41]  R. Hussain,et al.  History of domestic violence and health service use among mid‐aged Australian women , 2004, Australian and New Zealand journal of public health.

[42]  K. Hegarty,et al.  Overcoming the barriers to disclosure and inquiry of partner abuse for women attending general practice , 2001, Australian and New Zealand journal of public health.

[43]  L. Short,et al.  A tool for measuring physician readiness to manage intimate partner violence. , 2006, American journal of preventive medicine.