title: In person versus computer screening for intimate partner violence among pregnant patients.
abstract: OBJECTIVE
  To compare in person versus computerized screening for intimate partner violence (IPV) in a hospital-based prenatal clinic and explore women's assessment of the screening methods.
  
  
  METHODS
  We compared patient IPV disclosures on a computerized questionnaire to audio-taped first obstetric visits with an obstetric care provider and performed semi-structured interviews with patient participants who reported experiencing IPV.
  
  
  RESULTS
  Two-hundred and fifty patient participants and 52 provider participants were in the study. Ninety-one (36%) patients disclosed IPV either via computer or in person. Of those who disclosed IPV, 60 (66%) disclosed via both methods, but 31 (34%) disclosed IPV via only one of the two methods. Twenty-three women returned for interviews. They recommended using both types together. While computerized screening was felt to be non-judgmental and more anonymous, in person screening allowed for tailored questioning and more emotional connection with the provider.
  
  
  CONCLUSIONS
  Computerized screening allowed disclosure without fear of immediate judgment. In person screening allows more flexibility in wording of questions regarding IPV and opportunity for interpersonal rapport.
  
  
  CONCLUSIONS
  Both computerized or self-completed screening and in person screening is recommended. Providers should address IPV using non-judgmental, descriptive language, include assessments for psychological IPV, and repeat screening in person, even if no patient disclosure occurs via computer.
authors: Department of Obstetrics, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA. jchang@mail.magee.edu
authors: Judy C
authors: JC
authors: Chang
authors: Diane
authors: D
authors: Dado
authors: Sara
authors: S
authors: Schussler
authors: Lynn
authors: L
authors: Hawker
authors: Cynthia L
authors: CL
authors: Holland
authors: Jessica G
authors: JG
authors: Burke
authors: Patricia A
authors: PA
authors: Cluss
mesh_terms: D000328:Adult; D003142:Communication; D003201:Computers; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007398:Interpersonal Relations; D007407:Interviews as Topic; D008297:Male; D008403:Mass Screening / Q000379:methods*; D008875:Middle Aged; D010817:Physician-Patient Relations; D011247:Pregnancy; D011248:Pregnancy Complications / Q000523:psychology*; D011295:Prenatal Care; D012650:Self Disclosure; D012747:Sexual Partners; D012959:Socioeconomic Factors; D013179:Spouse Abuse / Q000175:diagnosis* / Q000523:psychology* / Q000706:statistics & numerical data; D013315:Stress, Psychological; D011795:Surveys and Questionnaires; D013637:Tape Recording; D055815:Young Adult