A new screening tool developed by researchers at Boston University School of Medicine (BUSM) has managed to accurately detect over 78 percent of females in the VA Boston Healthcare System as having been abused over the past year, a new study published in the Journal of General Internal Medicine reveals.
IPV is a major public health issue, particularly among women receiving medical care at VA facilities. The researchers cite "lifetime reports of IPV as high as 74 percent among this population," reinforcing the critical need for both brief and accurate screening tools. The four-item screening tool studied is named HITS (Hurt/Insult/Threaten/Scream) and can be used in under four minutes. HITS is unique in that it assesses psychological IPV in addition to physical aggression.
The study used a sample of 700 women with data extracted from the Veterans Health Administration electronic health records, with 63.5 percent of those contacted participating. The subjects completed two surveys by mail: the HITS screening test, as well as the Conflict Tactics Scale (CTS-2), considered the gold-standard for measuring IPV. The final study sample included 160 women who reported involvement in an intimate relationship within the prior year.
"Further research is needed to validate questionnaire answers by mail with in-person clinical assessment, however HITS has the potential to effectively and efficiently identify a high proportion of female VHA patients who have experienced past-year IPV," explained lead author Katherine Iverson, PhD, assistant professor of psychiatry at BUSM and clinical research psychologist at the VA Boston Healthcare System.
According to Iverson the screening tool has the benefit to quickly identify high-risk patients, and coordinate referrals to more comprehensive support services.