title: A randomized trial of screening for relationship violence in young women.
abstract: OBJECTIVE
  We conducted a randomized controlled trial of three screening approaches to assess relationship violence disclosure among young women as well as patient and provider satisfaction.
  
  
  METHODS
  Reproductive healthcare patients (n=699) aged 15 to 24 years completed one of three approaches to violence screening, that is, basic, healthy relationship, and bidirectional. Screening was embedded in a comprehensive health history using an audio-assisted computer interview (ACASI). Afterward, the patient met with the provider, who reviewed screening results. The patient and provider independently completed an assessment of the process.
  
  
  RESULTS
  Medical and violence screening took about 8 minutes with those in the basic screening finishing significantly more quickly. We did detect a significant difference by screening approach for recent physical violence victimization, but no other significant differences emerged between screening approaches. Although patients' or providers' satisfaction and comfort with the screening process were positive, no differences were detected.
  
  
  CONCLUSIONS
  An approach that frames questioning within a birectional context enhances detection of recent physical victimization, and can be completed in busy reproductive healthcare setting. All screens were equally and highly regarded by participants and adequately rated by providers.
authors.affiliation: Mailman School of Public Health at Columbia University, New York, New York 10032, USA.
authors.forename: Vaughn I
authors.initials: VI
authors.lastname: Rickert
authors.forename: Leslie L
authors.initials: LL
authors.lastname: Davison
authors.forename: Vicki
authors.initials: V
authors.lastname: Breitbart
authors.forename: Kathleen
authors.initials: K
authors.lastname: Jones
authors.forename: Niki P
authors.initials: NP
authors.lastname: Palmetto
authors.forename: Leslie
authors.initials: L
authors.lastname: Rottenberg
authors.forename: Jini
authors.initials: J
authors.lastname: Tanenhaus
authors.forename: Lynne
authors.initials: L
authors.lastname: Stevens
mesh_terms: D000293:Adolescent; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D008403:Mass Screening / Q000379:methods*; D014754:Violence; D055815:Young Adult