Evidence map›Paper›PMID 28272840›Full record

Trial reportPerspectives on sexual and reproductive health2017

Implementation of a Family Planning Clinic-Based Partner Violence and Reproductive Coercion Intervention: Provider and Patient Perspectives.

Elizabeth Miller, Heather L McCauley, Michele R Decker, Rebecca Levenson, Sarah Zelazny, Kelley A Jones, Heather Anderson, Jay G Silverman

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Perspectives on sexual and reproductive health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  4. Trauma Informed Child Welfare Systems-A Rapid Evidence Review.International journal of environmental research and public health · 2019
    Pooled it
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  14. Typology, Risk, and Protective Factors of Reproductive Coercion: A Narrative Literature Review of Studies from the US, Canada, Australia, and Europe.International journal of sexual health : official journal of the World Association for Sexual Health · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Elizabeth Millerdirector, Division of Adolescent and Young Adult Medicine, Children's Hospital of Pittsburgh, and professor of pediatrics, Department of Pediatrics, University of Pittsburgh School of Medicine.
Heather L McCauleyassistant professor, Human Development & Family Studies, Michigan State University, East Lansing, and assistant professor, Division of Adolescent and Young Adult Medicine, Department of Pediatrics, University of Pittsburgh School of Medicine.
Michele R Deckerassociate professor, Department of Population, Family and Reproductive Health, and director, Women's Health & Rights Program, Center for Public Health & Human Rights, Bloomberg School of Public Health, Johns Hopkins University, Baltimore.
Rebecca Levensonsenior policy analyst, Futures Without Violence, San Francisco.
Sarah Zelaznyclinical research assistant, Division of Adolescent and Young Adult Medicine, Department of Pediatrics, University of Pittsburgh School of Medicine.
Kelley A Jonespostdoctoral associate, Division of Adolescent and Young Adult Medicine, Department of Pediatrics, University of Pittsburgh School of Medicine.
Heather Andersonclinical research coordinator, Division of Adolescent and Young Adult Medicine, Department of Pediatrics, University of Pittsburgh School of Medicine.
Jay G Silvermandirector of research, Center on Gender Equity and Health, and professor of medicine and global public health, University of California, San Diego, La Jolla.

Funding

Family Planning-based Partner Abuse Intervention to Reduce Unintended PregnancyR01HD064407 · NICHD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI MILLER, ELIZABETH, SILVERMAN, JAY G · 2011 to 2014
$2.3M
NICHD NIH HHS R01 HD064407
6 · The paper itself

Abstract

contextDespite multiple calls for clinic-based services to identify and support women victimized by partner violence, screening remains uncommon in family planning clinics. Furthermore, traditional screening, based on disclosure of violence, may miss women who fear reporting their experiences. Strategies that are sensitive to the signs, symptoms and impact of trauma require exploration.

methodsIn 2011, as part of a cluster randomized controlled trial, staff at 11 Pennsylvania family planning clinics were trained to offer a trauma-informed intervention addressing intimate partner violence and reproductive coercion to all women seeking care, regardless of exposure to violence. The intervention sought to educate women about available resources and harm reduction strategies. In 2013, at the conclusion of the trial, 18 providers, five administrators and 49 patients completed semistructured interviews exploring acceptability of the intervention and barriers to implementation. Consensus and open coding strategies were used to analyze the data.

resultsProviders reported that the intervention increased their confidence in discussing intimate partner violence and reproductive coercion. They noted that asking patients to share the educational information with other women facilitated the conversation. Barriers to implementation included lack of time and not having routine reminders to offer the intervention. Patients described how receiving the intervention gave them important information, made them feel supported and less isolated, and empowered them to help others.

conclusionsA universal intervention may be acceptable to providers and patients. However, successful implementation in family planning settings may require attention to system-level factors that providers view as barriers.

Indexed as

Program EvaluationAdolescentAdultAttitude of Health PersonnelCluster AnalysisCoercionFamily Planning ServicesFemaleHealth PersonnelHealth Plan ImplementationHumansIntimate Partner ViolenceMalePatient Acceptance of Health CarePennsylvaniaSex Offenses

Identifiers

PMID28272840
PMCPMC5453817

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.