title: Longitudinal Changes in Self-Efficacy, Mental Health, Abuse, and Stages of Change, for Women Fearful of a Partner: Findings From a Primary Care Trial (WEAVE).
abstract: Women seeking healthcare while experiencing intimate partner violence (IPV) often report a mismatch between healthcare received and desired. An increase in detection of women experiencing IPV through routine screening has not consistently shown a parallel increase in uptake of referrals or decreased abuse. This study investigates relationships between women's stage of change (SOC), mental health, abuse, social support, and self-efficacy. This study used data from a randomized-controlled trial (RCT) of an intervention to improve outcomes for women afraid of their partners ( n = 225; WEAVE). Women's progress toward change was categorized into pre-contemplation/contemplation (pre-change SOC) or preparation/action/maintenance of change (change-related SOC). Characteristics of women ending the 2-year study in pre-change SOC were compared with those always in change-related and those ending in change-related SOC. Variables were analyzed using multinomial logistic regressions at baseline, 6, 12, and 24 months. Compared with women in pre-change SOC, women always in change-related SOC or ending in change-related SOC are significantly more likely to have higher levels of self-efficacy at 6 (AdjOR = 1.19, confidence interval [CI] = [1.08, 1.30]) and 24 months (AdjOR = 1.21, CI = [1.04, 1.40]). Women always in change-related SOC are always significantly less likely to live with an intimate partner. Women ending in change-related SOC are less likely to live with a partner at 12 (AdjOR = 0.30, CI = [0.12, 0.75]) and 24 (AdjOR = 0.22, CI = [0.06, 0.80]) months. Clinicians should focus on enhancing abused women's self-efficacy, supporting them to create and maintain positive changes.
authors.affiliation: 1 La Trobe University, Bundoora, Victoria, Australia.
authors.forename: Sonia A
authors.initials: SA
authors.lastname: Reisenhofer
authors.affiliation: 2 The University of Melbourne, Victoria, Australia.
authors.forename: Kelsey
authors.initials: K
authors.lastname: Hegarty
authors.affiliation: 2 The University of Melbourne, Victoria, Australia.
authors.forename: Jodie
authors.initials: J
authors.lastname: Valpied
authors.affiliation: 1 La Trobe University, Bundoora, Victoria, Australia.
authors.forename: Lyndsey F
authors.initials: LF
authors.lastname: Watson
authors.affiliation: 1 La Trobe University, Bundoora, Victoria, Australia.
authors.forename: Mary-Ann
authors.initials: MA
authors.lastname: Davey
authors.affiliation: 1 La Trobe University, Bundoora, Victoria, Australia.
authors.forename: Angela
authors.initials: A
authors.lastname: Taft
mesh_terms: D000328:Adult; D018585:Battered Women / Q000523:psychology* / Q000706:statistics & numerical data; D005239:Fear / Q000523:psychology*; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D000066511:Intimate Partner Violence / Q000523:psychology*; D001523:Mental Disorders / Q000523:psychology*; D008875:Middle Aged; D011320:Primary Health Care; D020377:Self Efficacy; D012747:Sexual Partners / Q000523:psychology*; D012944:Social Support; D014739:Victoria; D055815:Young Adult
keywords: depression; domestic violence; intimate partner violence; mental health and Stages of Change; self-efficacy