Professional Documents
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To cite this article: Sandra M. Stith PhD (2006) Future Directions in Intimate Partner Violence
Prevention Research, Journal of Aggression, Maltreatment & Trauma, 13:3-4, 229-244, DOI:
10.1300/J146v13n03_09
Address correspondence to: Sandra M. Stith, PhD, 7054 Haycock Road, Falls
Church, VA 22043 (E-mail: sstith@vt.edu).
[Haworth co-indexing entry note]: “Future Directions in Intimate Partner Violence Prevention Re-
search.” Stith, Sandra M. Co-published simultaneously in Journal of Aggression, Maltreatment & Trauma
(The Haworth Maltreatment & Trauma Press, an imprint of The Haworth Press, Inc.) Vol. 13, No. 3/4, 2006,
pp. 229-244; and: Prevention of Intimate Partner Violence (ed: Sandra M. Stith) The Haworth Maltreatment &
Trauma Press, an imprint of The Haworth Press, Inc., 2006, pp. 229-244. Single or multiple copies of this arti-
cle are available for a fee from The Haworth Document Delivery Service [1-800-HAWORTH, 9:00 a.m. -
5:00 p.m. (EST). E-mail address: docdelivery@haworthpress.com].
One goal of this book is to foster more and better research into pre-
venting intimate partner violence (IPV). Each of the preceding manu-
scripts has made it clear that IPV has serious long-term impact on
individuals, families, and society in general. In addition, each of the au-
thors has reviewed the state-of the art in research and offered implica-
tions for individuals who work to prevent IPV and suggestions for
future research. In this manuscript, these ideas will be summarized,
along with some of the ideas developed by working groups of research-
ers who participated in the Department of Defense (DOD) sponsored
symposium on the prevention of IPV.
In 1988, David Finkelhor, Gerald Hotaling, and Kersti Yllo pub-
lished a book, Stopping Family Violence: Research Priorities in the
Coming Decade. In this book, the authors invited some of the leading
domestic violence researchers, practitioners, and activists to think of
research projects that would be of importance to stopping family vio-
lence. These experts developed one proposal in the area of spouse
abuse prevention. The study they proposed was designed to “evaluate
the effectiveness of a variety of approaches to spouse abuse preven-
tion” and “to contrast various modes of presenting spouse abuse edu-
cation materials to students” (p. 91). They proposed that the study be
longitudinal (from 6 to 10 years). They wanted to randomly assign a
variety of prevention programs to a large group of students aged 10 to
17, and planned to assess the impact of the prevention program in both
the short and long term. In the short term, they wanted to see if the con-
cepts were learned and retained. In the long term, they wanted to see if
the students receiving the preventive programs were less likely to be
involved in violent dating or marital relationships. Sixteen years later,
this study has still not been conducted and we still do not have any data
about the real effectiveness of dating violence prevention program-
ming in the schools. It is our hope that research proposals generated at
the Department of Defense Symposium and contributed by the authors
in this volume will not wait sixteen years to be conducted.
Sandra M. Stith 231
Rationale
Goals
Description
Target Population
The study population would include active duty men and male mili-
tary spouses aged 18 to 30 and, indirectly, their sons and the youth in
their lives. The sample would be drawn from four target installations
(three stateside and one overseas) and four comparison installations.
Sandra M. Stith 233
Sample
The project is expected to last five years. Year 1 would focus in Inter-
nal Review Board (IRB) approval, collaborative team formation, pre-
liminary survey, and focus groups. Year 2 would involve public
education campaign and dissemination plan formulation, and as well as
piloting. Year 3 through 5 would see the campaign launched and fully
evaluated.
Estimated Costs
Costs are estimated at $500,000 per year for a total of $2.5 million.
This reflects an estimate of $500,000 for the campaign and $2 million
for the evaluation.
Pros
Cons
Rationale
This project will evaluate outcomes to women experiencing IPV who re-
ceive a targeted IPV intervention with their medical care versus those who
receive standard care. No data currently exist to show that identification and
intervention in the medical setting is effective in prevention of IPV.
Sandra M. Stith 235
Goals
Sample
The sample would consist of women, both active duty service mem-
bers and civilian wives of male active duty service members from three
236 PREVENTION OF INTIMATE PARTNER VIOLENCE
Rationale
Sample
Length of Project
Estimated Costs
Pros
that physicians would be much more likely to use a one or two item
scale for universal screening than the longer scales currently available.
Next, she suggests that qualitative studies using focus groups and key
informants are needed to develop culturally appropriate interventions
the provider can use when a partner violence victim is identified. She
also suggests that once the intervention is formulated and outcomes de-
fined, longitudinal, randomized control trials of the intervention need to
occur. We need evidence that screening tools and health care provider
interventions are effective in reducing future violence. She also advo-
cates for research to determine how to teach medical providers about
partner violence and partner violence screening. She suggests we need
research to determine the most cost effective, efficient, and efficacious
intervention that improves providers’ practices with partner violence.
Hamberger and Phelan, in their examination of research on overcom-
ing barriers to screening, identifying, and helping partner violence vic-
tims, suggest that more large, representative sample surveys need to be
conducted with specific medical specialties and disciplines and work
settings. They suggest that conclusions drawn from studying family
physicians may not generalize to obstetricians, and so on. They also
make a case for better survey research and more research to identify
mechanisms by which various barriers inhibit screening. They also em-
phasize the importance of culturally relevant research when attempting
to identify barriers to screening and intervening with abuse victims in
medical settings because of racial disparities in health care access. They
advocate for experimental studies to assist us in developing conclusions
about the impact and value of written protocols and chart prompts for
increasing screening behavior and identification of abuse in medical
settings. Hamberger and Phelan echo the concern expressed by Suggs
that no data exists that documents how health care screening and inter-
ventions developed by medical personnel impact the lives of abuse vic-
tims who are identified in medical settings. Clearly, the impact of health
care interventions with abused women is one of the major research gaps
in this area.
Campbell and Manganello suggest that a large research agenda also
exists in the area of changing public attitudes to prevent IPV. There are
few studies that even address interventions aimed to influence public
perceptions about the issue. While campaigns to change public attitudes
have been effective in a number of health-related areas, such as seat-belt
campaigns and encouraging health care screening, we know very little
about the effectiveness of public awareness campaigns in preventing
partner violence. The studies that have been conducted in the area have
Sandra M. Stith 241
REFERENCES
Finkelhor, D., Hotaling, G. T., & Yllo, K. (1988). Stopping family violence: Research
priorities in the coming decade. Newbury Park, CA: Sage.
Hornik, R. (Ed). (2002). Public health communication: Evidence for behavior change.
Mahwah, NJ: Lawrence Erlbaum.
doi:10.1300/J146v13n03_09
Sandra M. Stith 243
APPENDIX
APPENDIX (continued)
Floaters:
David Lloyd, Director, Family Advocacy Program, ODASD (MC&FP)
LtCol Dari Tritt USAF, Research Director, Family Advocacy Program, USAF Medival Op-
erations Agency
Sandra M. Stith, PhD, Program Director, Family and Child Development, Department of
Human Development, Virginia Tech