Women's journey to safety – The Transtheoretical model in clinical practice when working with women experiencing Intimate Partner Violence: A scientific review and clinical guidance

2013 ◽  
Vol 93 (3) ◽  
pp. 536-548 ◽  
Author(s):  
Sonia Reisenhofer ◽  
Angela Taft
Keyword(s):  
Intimate Partner Violence ◽  
Clinical Practice ◽  
Transtheoretical Model ◽  
Partner Violence ◽  
Intimate Partner ◽  
Scientific Review ◽  
Clinical Guidance

The Transtheoretical Model in Intimate Partner Violence Victimization: Stage Changes Over Time

2008 ◽  
Vol 23 (4) ◽  
pp. 411-431 ◽  
Author(s):  
Kelly H. Burkitt ◽  
Gregory L. Larkin
Keyword(s):  
Intimate Partner Violence ◽  
Transtheoretical Model ◽  
Partner Violence ◽  
Intimate Partner ◽  
Cluster Solution ◽  
Community Resources ◽  
Process Of Change ◽  
Cluster Membership ◽  
Changes Over Time ◽  
Over Time

The transtheoretical model of behavior change (TTM) has been extended to describe the process of change in victims of intimate partner violence (IPV); however, it has not been validated over time or in a population of women experiencing IPV who are not currently in shelter. This article examines the process of change in IPV victims longitudinally and identifies factors that may relate to staging and stage progression. Fifty-three women were enrolled on presentation to an emergency department for health care treatment and completed follow-up at 3 to 4 months. Measures of TTM staging, use of community resources, ongoing abuse, mental health, and social support were collected. Cluster analyses were conducted, and descriptive summaries of clusters and significant demographic, abuse, and outcome variables related to cluster membership are presented. A five-cluster solution was selected on the basis of parsimony, theory, and overall coherence with the data. Forward progression through the stages over time was related to both the use of community resources and ending the IPV relationship.

Clinical Practice Guideline: Intimate Partner Violence

2019 ◽  
Vol 45 (2) ◽  
pp. 191.e1-191.e29
Author(s):  
Stephen J. Stapleton ◽  
Judith Young Bradford ◽  
Annie Horigan ◽  
Susan Barnason ◽  
Andi Foley ◽  
...  
Keyword(s):  
Intimate Partner Violence ◽  
Clinical Practice ◽  
Clinical Practice Guideline ◽  
Practice Guideline ◽  
Partner Violence ◽  
Intimate Partner

scholarly journals Identifying the Turning Point: Using the Transtheoretical Model of Change to Map Intimate Partner Violence Disclosure in Emergency Department Settings

ISRN Nursing ◽  
2012 ◽  
Vol 2012 ◽  
pp. 1-10 ◽  
Author(s):  
Cristina Catallo ◽  
Susan M. Jack ◽  
Donna Ciliska ◽  
Harriet L. MacMillan
Keyword(s):  
Emergency Department ◽  
Intimate Partner Violence ◽  
Transtheoretical Model ◽  
Partner Violence ◽  
Turning Point ◽  
Secondary Analysis ◽  
Intimate Partner ◽  
Transtheoretical Model Of Change ◽  
Significant Life ◽  
Chaotic Nature

Background. The transtheoretical model of change (TTM) was used as a framework to examine the steps that women took to disclose intimate partner violence (IPV) in urban emergency departments. Methods. Mapping methods portrayed the evolving nature of decisions that facilitated or inhibited disclosure. This paper is a secondary analysis of qualitative data from a mixed methods study that explored abused women’s decision making process about IPV disclosure. Findings. Change maps were created for 19 participants with movement from the precontemplation to the maintenance stages of the model. Disclosure often occurred after a significant “turning point event” combined with a series of smaller events over a period of time. The significant life event often involved a weighing of options where participants considered the perceived risks against the potential benefits of disclosure. Conclusions. Abused women experienced intrusion from the chaotic nature of the emergency department. IPV disclosure was perceived as a positive experience when participants trusted the health care provider and felt control over their decisions to disclose IPV. Practice Implications. Nurses can use these findings to gauge the readiness of women to disclose IPV in the emergency department setting.

Ending Intimate Partner Violence: An Application of the Transtheoretical Model

2004 ◽  
Vol 28 (2) ◽  
pp. 122-133 ◽  
Author(s):  
Jessica G. Burke ◽  
Julie A. Denison ◽  
Andrea Carlson Gielen ◽  
Karen A. McDonnell ◽  
Patricia O'Campo
Keyword(s):  
Intimate Partner Violence ◽  
Transtheoretical Model ◽  
Partner Violence ◽  
Intimate Partner

Defining Appropriate Stages of Change for Intimate Partner Violence Survivors

2009 ◽  
Vol 24 (1) ◽  
pp. 36-51 ◽  
Author(s):  
Jessica Griffin Burke ◽  
Patricia Mahoney ◽  
Andrea Gielen ◽  
Karen A. McDonnell ◽  
Patricia O’Campo
Keyword(s):  
Intimate Partner Violence ◽  
Stages Of Change ◽  
Low Income ◽  
Transtheoretical Model ◽  
Partner Violence ◽  
Intimate Partner ◽  
Abused Women ◽  
Single Action ◽  
Health Care Clinics ◽  
The Relationship

Recent research suggests that the transtheoretical model of behavior change is a promising approach for interventions addressing women’s experiences of intimate partner violence. This study explores the distribution of abused women across the stages of change for (a) staying safe from intimate partner violence and (b) leaving an abusive relationship. It explores the relationship between stage assignment and other indicators of a woman’s stage (i.e., safety behaviors and desire for services). Quantitative surveys were conducted with 96 low-income, urban abused women recruited from six health care clinics. The findings call into question the appropriateness of using a staging algorithm that uses one “global” question about keeping safe and suggest that staging questions focused on a single action stage (e.g., leaving) are also problematic. In conclusion, additional work remains to be done to develop and validate quantitative measures of stages of change for survivors of intimate partner violence and to design, implement, and evaluated stage-based, tailored intimate partner violence interventions.

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