title: Comparison of screening and referral strategies for exposure to partner violence.
abstract: BACKGROUND
  Although under debate, routine screening for intimate partner violence (IPV) is recommended in health care settings. This study explored the utility of different screening and referral strategies for women exposed to IPV in primary health care.
  
  
  METHODS
  Using a randomized controlled trial design we compared two screening strategies (health care providers [HCP] versus audio computer-assisted self-interviews [A-CASI]) and three referral strategies (HCP alone, A-CASI referral with HCP endorsement, and A-CASI alone). English-speaking women who were 18 years and older and were attending women's health clinics at a public hospital were eligible to participate. Participants were randomly assigned to one of three study groups (HCP screen and referral, A-CASI screen and referral with HCP referral endorsement, and A-CASI screen and referral). Women were reinterviewed by telephone 1 week later. The primary outcome was rate of IPV disclosure; secondary outcomes were screening mode preference, reactions to IPV screening, and use of referral resources.
  
  
  RESULTS
  Of the 129 eligible women, 126 women were enrolled (98%); 102 women (81% of those enrolled) completed the follow-up telephone interview. Disclosure rates were higher for women screened with A-CASI compared with HCP-screened women (21% vs. 9%; p = .07). Screening mode preference, impact of screening (positive and negative reactions), and rates of use of referral resources were similar between study groups.
  
  
  CONCLUSIONS
  A-CASI tended to yield higher rates of IPV disclosure and similar rates of use of referral resources. A-CASI technology may be a practical way to screen for IPV.
authors.affiliation: Centers for Disease Control and Prevention, Division of Violence Prevention, Atlanta, GA 30341, USA. jklevens@cdc.gov
authors.forename: Joanne
authors.initials: J
authors.lastname: Klevens
authors.forename: Laura
authors.initials: L
authors.lastname: Sadowski
authors.forename: Romina
authors.initials: R
authors.lastname: Kee
authors.forename: William
authors.initials: W
authors.lastname: Trick
authors.forename: Diana
authors.initials: D
authors.lastname: Garcia
mesh_terms: D000328:Adult; D002641:Chicago; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008403:Mass Screening / Q000379:methods*; D010044:Outpatient Clinics, Hospital; D011320:Primary Health Care; D012017:Referral and Consultation; D013179:Spouse Abuse / Q000175:diagnosis*; D011795:Surveys and Questionnaires; D016387:Women's Health