Annexes
ANNEX 1
Overview of the project
Development of a Screening Tool for the Identification of Intimate Partner Violence
SI2.325058 (2001CVG3-315)
Project team
Project leader:
Eleni Petridou, M.D., MPH, Associate Professor of Epidemiology Department of Epidemiology, Athens University Medical School, Athens, Greece
Researcher Assistants:
Delia Marina Alexe, M.D., Athens University Medical School, Athens
Themis Spyridopoulos, M.D., Athens University Medical School, Athens
Nick Dessypris, Biostatistician, Athens University Medical School Stellina Kiosse, Evi Pappa, and the other health visitors of the Center for Research and Prevention of Injuries, Athens, Greece
Reference group:
· Karin Helweg-Larsen, National Institute of Public Health, Cophenhagen, Denmark
· Leena Ruusuvuori, The National Research and Development Center for Welfare and Health (STAKES), Helsinki, Finland
· Marc Nectoux, PSYTEL, Paris, France
· Francesco Bruno, Universita Degli Studi Di Roma “LA SAPIENZA”, Rome, Italy
· Johannes Wiik, National Institute of Public Health, Oslo, Norway
· Per- Olof Bylund R.N., Emergency and Disaster Medical Center, Umea, Sweden
1. Overview of the problem
Violence, in general and intimate partner abuse in particular, has been traditionally considered as a criminal act rather than a public health issue. During the last decade however, the public health significance of intimate partner abuse or violence has been recognized and strategies for its prevention are being developed. However, an accurate assessment and a proper illustration of physical and emotional consequences of intimate partner violence are necessary prerequisites for the successful application of any intervention programs.
Physical injuries resulting from spousal abuse represent an important window into abnormal family dynamics and the issue of violence against women. A critical problem is that there has been a discrete difficulty to correctly attribute injuries to spousal abuse. This is due, in part, to the reluctance of both men and women to report spousal abuse as the direct or indirect cause of their physical injuries. Moreover, most investigators have tacitly accepted the inherent difficulty and have not been taught any methodology to identify spousal violence in suspicious cases of people who visit the health care services for physical injuries.
The spectrum of information deriving from large injury databases, as well as public health officials and experts in the collaborating countries, is expected to support our efforts to construct a simple questionnaire aiming to work as a screening tool to identify partner abuse as the cause of many currently misdiagnosed physical injuries.
2. Project aims
The primary objective is to develop a screening tool (in a form of a short questionnaire) aimed to identify intimate partner violence, which will be applied for a six-month period to patients attending the Emergency Departments of the selected hospitals in the countries participating in this project.
Specific aims:
· To critically review published references concerning frequency, underlying causes and health consequences of intimate partner violence.
· To assess strengths and weaknesses of the existing tools and respective research methodologies in use in EU Countries in capturing the magnitude of the problem separately in women and separately in men.
· To develop a short questionnaire to be applied for a six-month period to patients visiting the Emergency Departments of the selected hospitals in the countries participating in this project. This questionnaire will aim to identify physical injuries due to intimate partner violence in a way that works effectively according to cultural issues in the collaborative countries.
· To compare the percentage of intimate violence victims identified through this methodology with that derived from the standard notations made by the former EHLASS in the Emergency Departments of the same health setting during the proceeding six-months; this process aims to assess the effectiveness of the protocol as well as strengths and weaknesses in identifying possible underestimation of the problem.
· To contrast the results of this pilot effort against findings from protocols administrated in other social settings or in better-organized and fully computerized health care systems.
3. Tasks
The duration of the project life is planned to be 22 months.
1. Extensive and critical review of the literature on identification techniques, magnitude and underlying causes as well as health consequences of intimate partner violence. To this end, experts in the field will be contacted for unpublished data.
2. Identification of the existing screening tools and respective research methodologies in capturing the magnitude of the problem in both genders and assessment of their strength and weakness.
3. Development and first phase of pilot testing of a short questionnaire to be used as a screening tool for interviews with individuals who contact Accident and Emergency Departments of the participating hospitals. The questionnaire will aim to effectively identify physical injuries due to intimate partner violence in the collaborating countries.
4. Piloting, evaluation and eventually application of the screening tool to physically injured persons who contact the Accident and Emergency Departments of the participating hospitals. In Greece data will be collected from three hospitals in the context of the currently running Emergency Department Injury Surveillance System -EDISS-.
5. Data collection for intimate partner violence cases identified through standard notations by the former EHLASS in the Accident and Emergency Departments personnel of the same hospitals during the same period of time of the preceding year.
6. Data analysis and preparation of the final report to be submitted to the EU officials upon completion of the project.
7. Dissemination of the results via information exchange on the magnitude and the impact of intimate partner violence as well as prevention strategies in the context of scientific forums and web site address.
4. Meetings:
Two meetings:
1. Plenary meeting in Rome;
2. Management Team Meeting in Athens.
5. Tasks for the reference group
· to contribute to identifying and evaluating of existent screening tools and research methodologies for intimate partner violence in their countries; also to identify and list the referrals for domestic violence support services in their country;
· to provide comments and advice on the screening tool (questionnaire) which is going to be developed;
· to manage the feasibility study in their countries; where feasible, coordination of the pilot study of the IPV screening tool, data collection, as well as resource training (where necessary);
· to provide the project team with relevant references, experiences and contacts with relevant people.
ANNEX 2
Timetable/ Tasks of the project
Development of a screening tool for the identification of Intimate Partner Violence
SI2.325058 (2001CVG3-315)
Month / Tasks / Manager1-2 / 1. Work plan preparation and distribution to all participants
/ Coordinating center
2. Critical review of published references concerning frequency, gender occurrence, underlying causes and health consequences of IPV. Review of existing screening tools and research methodologies for IPV / Coordinating center
3 / 3. Development of the questionnaire for identification of the existing screening tools and research methodologies in use by the EU participating countries for the identification of IPV victims, type of abuse committed against the patient or other family members and for obtaining a history of abuse.
Questionnaire to be commented and completed by
partners / Coordinating center
EU partners
4. Development of an inventory of referral centers for IPV in every participating country
Questionnaire to be commented and completed by
partners / Coordinating center
EU partners
4 / 5. Distribution of the review to the partners for comments/suggestions/advice / Coordinating center, EU partners
5-6 / 6. Development of a screening tool for identification of IPV in a form of a short questionnaire, aiming to be tested after a six-month period application to patients admitted to the Accident and Emergency Departments of selected hospitals.
a. Developing the questionnaire –first draft
b. Developing and providing the training package for the personnel, who are going to apply the screening tool
c. Developing and providing the coding manual and instructions for data entry
d. Development of the database
e. Incorporating comments and suggestions
f. Finalizing the questionnaire / Coordinating center
g. Review of the questionnaire, coding manual and database / comments and suggestions;
h. Translation of the final questionnaire
i. Comments for the training package for the personnel, who is going to apply the screening tool / EU partners
7. Feasibility study of the screening tool: field testing
a. Evaluating the possibility of distribution of the questionnaire in the participating countries
b. Establishing the setting of implementation, namely hospital departments and persons (preferably as an additional tool to EHLASS)
Questionnaire to be commented and completed by partners / Coordinating center,
EU partners
6 / 8. Meeting in Rome, where the above issues will be approached along with the progress of the project / Organized by coordinating center,
EU partners
7 / 9. Resource training:
a. training the personnel
b. provision of the referral services list for domestic violence support services;
For every participating country, a short report covering the above issues should be provided. / Coordinating center, EU partners
8-13 / 10. Pilot study and implementation
a. Piloting, evaluation and eventual application of the screening tool to physically injured persons who attend A& E Departments
b. Data collection, coding and data entry / Coordinating center, EU partners
14-18 / 11. Data analysis
a. Data cleaning and planning of the analysis Assessing the screening tool effectiveness by contrasting the results obtained through this methodology with those derived from the standard notations made by EHLASS in the A& E Department of the same hospitals during the same period of the following year.
b. Assessing strengths and weaknesses of this screening tool in identifying possible underestimation of the problem.
c. Contrasting the results of this pilot effort against IPV rates from protocols administrated in other social settings or in better-organized and fully computerized health care systems.
d. Comments/suggestions by partners / Coordinating center, EU partners
12. Meeting of the management team: Athens / Organized by coordinating center,
EU partners
19-22 / 13. Elaborating the final report.
14. Disseminating the results via information exchange in the context of media, scientific forums, and web site pages.
15. Preparation of a manuscript describing the project and its results.
16. Comments/suggestions by partners / Coordinating center
EU partners
* The European Commission only finances 70% of the expenses. That means that the project team and the reference group all have to pay 30% of their expenses from local resources.
Annexes
Annex 3
Development of a screening tool for the identification of Intimate Partner Violence - SI2.325058 (2001CVG3-315)
PROJECT PARTICIPANTS
Country / Name /Organization
/ Address / Telephone / Fax / E-mailProject leader
Greece
/ Eleni Petridouproject leader
Delia Alexe, MD, Themis Spyridopoulos, MD, research assistants
Stellina Kiosse, Evi Pappa
Nick Dessypris,
biostatistician / Center for Research and Prevention of Injuries among the Young, Dept. of Hygiene and Epidemiology, School of Medicine, National and Kapodistrian University of Athens
Center for Research and Prevention of Injuries among the Young
Dept. of Hygiene and Epidemiology, School of Medicine, National and Kapodistrian University of Athens / 75 M.Asias Str., Goudi, 11527
Athens, Greece
75 M.Asias Str., Goudi, 11527
Athens, Greece
75 M.Asias Str., Goudi, 11527
Athens, Greece / +30-210-7462187
+30-210-7462077
+30-210-7462202
+30-210-7462113 / +30-210-7462105 /
Reference group
Denmark
/ Karin Helweg-Larsen / National Institute of Public Health / Svanemollevej 252100 Cophenhagen, Denmark / +45 3920 7777 / + 45 3920 8010 /
Finland
/ Leena Ruusuvuori / The National Research and DevelopmentCenter for Welfare and Health (STAKES) / SILTASAARENKATU 18A
P.O. BOX 220
Fin 00531, Helsinki, Finland / + 358 939672122 / +358 503507616 /
France
/ Marc Nectoux / PSYTEL / 36, Rue Irenee Blanc, 75020Paris, France / +33 144 502616 / + 33 1 43645824 /
Annex 3 (2)
Development of a screening tool for the identification of Intimate Partner Violence - SI2.325058 (2001CVG3-315)
PROJECT PARTICIPANTS
Country / Name /Organization
/ Address / Telephone / Fax / E-mailReference group
Italy
/ Francesco Bruno / Universita Degli Studi Di Roma “LA SAPIENZA”Dipartimento Di Scienze Psichitriche E Medicina Psicologica
Insegnamento Di Psicopatologia Forense / 00185 Roma, P. le a Moro 5, Italy / + 49912282 / + 49912268 /
Norway
/ Johannes Wiik / National Institute of Public Health / Postboks 4404 TorshovN-0403 Oslo / +47-22042200 / +47 22353605 /
Sweden
/ Per- Olof Bylund R.N. / Emergency and Disaster Medical CenterDepartment of Surgery / SE-901 85 Umea, Sweden / +46-90-785 18 31 / +46 90 771755 /
Annexes
Annex 4 (1)
Development of a Sscreening Tool for the Identification of Intimate Partner Violence
SI2.325058 (2001CVG3-315)
1st meeting of the Reference Group
Rome, Italy
Place: University of Rome "La Sapienza" Department of Psychiatric Sciences and Psychological
Medicine
Pzale Aldo Moro, 5
Starting time: 9.00
AGENDA
Participants
Finland / Leena Ruusuvuori
Anne Lounamaa
France: / Mark NectouxItaly / Francesco Bruno
Sweden / Per-Olof Bylund
Greece: / Eleni Petridou, Delia Alexe, Fotis Papadopoulos
Norway / Johannes Wiik *
* Mr. Johannes Wiik won’t be able to attend our meeting
Annexes
9.00 - 9.15
Welcome – Introduction by Eleni Petridou
Main topics
9.15 – 9.30
Overview of the project and its first tasks by Delia Alexe
9.30 – 11.00
Strengths and weaknesses of the existing screening tools for IPV as shown in the literature by Delia Alexe
Existent procedures concerning the identification of IPV in the participating member states: short presentations by each Member State participant.
11.00- 11.30
Coffee break
11.30- 12.00
A proposal for an EU screening tool for IPV to be used in the Accident and Emergency Departments by Delia Alexe
· presentation of the draft questionnaire
· comments by the participants
· finalization of the questionnaire
12.00- 13.00