量身定制家庭力量的实施策略：临床医生和医院结果的初步检验

IF 1.6 4区医学 Q2 CRIMINOLOGY & PENOLOGY

Journal of Aggression Maltreatment & Trauma Pub Date : 2023-01-24 DOI:10.1080/10926771.2023.2171826

S. Creech, Evelyn G. Hamilton, A. Garza, Justin K Benzer, C. Taft

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引用次数: 3

摘要

退伍军人事务部(VA)最近实施了家庭力量(SAH)计划，以防止和终止退伍军人使用IPV。SAH是针对使用或有使用IPV风险的退伍军人的循证、创伤知情、认知行为干预。先前对10家退伍军人管理局医院实施结果的试点评估表明，医院和临床医生的采用率较低。然后修订了实施战略，以解决及时实施的几个障碍，包括确保机构支持、培训前准备和建立关系。本研究使用来自27家VA医院的项目评估指标来检查实施策略的改变是否改善了SAH干预措施的采用。结果表明，医院和临床医生的收养率和医院到收养的时间显著改善，但临床医生到收养的时间没有改善。

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Tailoring the Implementation Strategy of Strength at Home: An Initial Examination of Clinician and Hospital Outcomes

ABSTRACT The Department of Veterans Affairs (VA) recently implemented the Strength at Home (SAH) program to prevent and end use of IPV in Veterans. SAH is an evidence-based, trauma-informed, cognitive-behavioral intervention for Veterans who use, or are at risk for using, IPV. A previous pilot evaluation of implementation outcomes at 10 VA hospitals indicated slow hospital and clinician adoption rates. The implementation strategy was then revised to address several barriers to timely implementation including securing institutional support, pre-training preparation, and relationship building. The present study used program evaluation metrics from 27 VA hospitals to examine whether the change in implementation strategy improved adoption of the SAH intervention. Results indicated significantly improved hospital and clinician adoption rates and hospital-time-to adoption, but not clinician time-to-adoption.

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来源期刊

Journal of Aggression Maltreatment & Trauma Multiple-

CiteScore

3.30

自引率

5.60%

发文量

期刊介绍： In this important publication, you"ll find crucial information on vital issues surrounding aggression, maltreatment, and trauma. You"ll learn how to prevent these behaviors, how to help victims, and how to intervene in abusive situations using the latest research in these areas. The Journal of Aggression, Maltreatment & Trauma accepts individual submissions in any of the relevant topic areas and also publishes thematic issues featuring guest editors who focus on a particular aspect of these topics.