Evidence map›Paper›PMID 39332141›Full record

ArticleChild abuse & neglect2024

Acceptability and feasibility of trauma- and violence-informed care for intimate partner violence.

Gunjan Tiyyagura, John M Leventhal, Paula Schaeffer, Marcie Gawel, Destanee Crawley, Ashley Frechette, Sakina Reames, Cindy Carlson, Tami Sullivan, Andrea Asnes

Abstract read
In one paragraph

Article in Child abuse & neglect, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Impact of Intimate Partner Violence on Children.Pediatric clinics of North America · 2025
    Review
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

10 authors.

Gunjan TiyyaguraYale University School of Medicine, United States of America; Department of Emergency Medicine, Yale University School of Medicine, United States of America. Electronic address: gunjan.tiyyagura@yale.edu.
John M LeventhalYale University School of Medicine, United States of America.
Paula SchaefferYale University School of Medicine, United States of America.
Marcie GawelYale University School of Medicine, United States of America.
Destanee CrawleyYale University School of Medicine, United States of America.
Ashley FrechetteConnecticut Coalition against Domestic Violence, Glastonbury, CT, United States of America.
Sakina ReamesYale University School of Medicine, United States of America.
Cindy CarlsonUmbrella Center for Domestic Violence Services, New Haven, CT, United States of America.
Tami SullivanDepartment of Psychiatry, Yale School of Medicine, New Haven, Connecticut, United States of America.
Andrea AsnesYale University School of Medicine, United States of America.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
A Family Centered Approach to Intimate Partner ViolenceK23HD107178 · NICHD · YALE UNIVERSITY · PI TIYYAGURA, GUNJAN · 2022 to 2025
$664k
NCATS NIH HHS UL1 TR001863NICHD NIH HHS K23 HD107178
6 · The paper itself

Abstract

BACKGROUND/

objectivesIntimate partner violence (IPV) and child physical abuse frequently co-occur, yet IPV-exposed children are not routinely evaluated for abuse. Furthermore, IPV survivors often seek care for their children but not for themselves, making pediatric visits an opportunity to address IPV. We developed a trauma- and violence-informed care (TVIC)-based model that 1) evaluated IPV-exposed children and 2) linked survivor-caregivers to an IPV advocate. We aimed to assess the feasibility and acceptability of the model.

participantsChildren < 3 who were reported to Child Protective Services (CPS) for exposure to IPV and their survivor-caregiver.

methodsTo examine feasibility, we calculated the percentage of 1) eligible children evaluated and 2) caregivers who met with an IPV advocate during the child's visit and followed up with the advocate. To assess acceptability, we conducted qualitative interviews with 30/41 caregivers about their perceptions of the model.

resultsFrom 7/1/20-6/30/22, 49 (22.7 %) of 216 eligible children were evaluated. Of 41 caregivers, six already were receiving IPV services; Of the remaining 35, 24 (68.6 %) met with an IPV advocate, and 22 (91.7 %) had ≥1 follow-up visit with an advocate. We identified three themes: 1) Motivations for the visit, 2) Engagement with the model, and 3) Benefits. Caregivers attended the visit due to behavioral concerns about the child and a desire to comply with CPS. Engagement occurred as medical providers established rapport and provided support without judgment. Benefits included recognizing the impact of IPV on the child and immediate linkage to advocacy services.

conclusionA TVIC-based model is feasible and acceptable and could improve caregivers' engagement with the evaluation of IPV-exposed children for abuse and with IPV services, which have the potential to improve safety and promote well-being.

Indexed as

CaregiversChild AbuseFeasibility StudiesIntimate Partner ViolencePatient Acceptance of Health CareAdultChild, PreschoolChild Protective ServicesFemaleHumansInfantMaleQualitative ResearchSurvivorsIntimate partner violenceTrauma- and violence-informed care

Identifiers

PMID39332141
PMCPMC11512670

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Registered trials

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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.