Published online January 4, 2006
PEDIATRICS Vol. 117 No. 1 January 2006, pp. 110-116 (doi:10.1542/10.1542/peds.2004-2714)

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ARTICLE

Evaluation of a Curriculum for Intimate Partner Violence Screening in a Pediatric Emergency Department

Jane F. Knapp, MD^a, M. Denise Dowd, MD, MPH^a, Christopher S. Kennedy, MD^a, Jennifer Stallbaumer-Rouyer, MSW^a and Deborah P. Henderson, RN, PhD^b

^a Division of Emergency Medicine, Department of Pediatrics, Children's Mercy Hospital, University of Missouri-Kansas City School of Medicine, Kansas City, Missouri
^b Harbor-UCLA Medical Center, University of California Los Angeles School of Medicine, Torrance, California

OBJECTIVE. We sought to describe the assessment of course participant changes in attitudes, self-efficacy, and behaviors after completion of the Its Time to Ask training curriculum for screening for intimate partner violence (IPV) in a pediatric emergency department (PED).

METHODS. A 22-item Likert scale questionnaire was administered at baseline (before training), after training, and at 6-month follow-up to PED employee participants in a 2-hour IPV education program. Mean participant responses were compared between baseline/posttraining and baseline/6-month follow-up. Participants also completed a course-satisfaction survey.

RESULTS. A total of 79 PED staff completed the baseline questionnaire before the training. Eighty-seven participants completed the posttraining questionnaire, and 48 completed the 6-month follow-up questionnaire. Participants had consistent, positive changes in attitudes after training that persisted at the 6-month follow-up for 5 items on the questionnaire. Attitudes that did not change showed baseline means already in disagreement with questionnaire statements. Participants reported significant, positive changes for all 7 self-efficacy statements at 1 or both of the posttraining evaluations. The only changes in behavior were observed at 6 months. The majority of participants were satisfied with the training and would recommend it to colleagues.

CONCLUSIONS. Significant, self-reported changes in attitudes, self-efficacy, and behaviors/clinical practice regarding screening for IPV in a PED can be achieved through participation in a brief training curriculum.

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Key Words: intimate partner violence • family violence • pediatric emergency department • screening • training • evaluation

Abbreviations: FV—family violence • IPV—intimate partner violence • IOM—Institute of Medicine • PED—pediatric emergency department

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Accepted Mar 16, 2005.

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