D190 - Development and Feasibility of a Conversation Tool to Garner Mental Health and Intimate Partner Violence History from Patients Seeking Pelvic Healthcare: A Trauma Informed Approach
Time: 11:00 AM - 11:50 AMTopics: Women's Health, Education, Training, and Career Development
Poster Number: D190
Introduction: 1 in 4 women suffer from pelvic floor dysfunction in their lifetime. The incidence and severity of pelvic floor dysfunction can be influenced by trauma histories. Specifically, delay in pelvic healthcare has been associated with a history of intimate partner violence and there is a significant association between women with a history of sexual abuse and chronic pelvic pain. In our research team’s previous investigations, we identified high rates of mental health distress among postpartum women with moderate pelvic floor dysfunction. Women also reported shame and embarrassment related to their pelvic health and avoided seeking healthcare until severe symptoms occurred. Due to the influence of trauma histories on accessing pelvic healthcare and high rates of mental health distress among women with pelvic floor dysfunction, providers require more support to engage with patients seeking pelvic healthcare in a trauma informed way. Therefore, a research team comprised of clinical experts (e.g., pelvic health physical therapists) and victim service experts have developed a conversation tool for healthcare providers to use when discussing patient’s experiences with intimate partner violence and mental health symptomology prior to the patient’s receipt of pelvic healthcare. Methods: This tool was developed via a three-stage process. Stage 1 focused on instrument design including content domain determination, content item generation, and instrument construction. Stage II involved healthcare practitioners and community health advocates with sexual violence expertise (n = 17) reviewing the conversation tool and completing a mixed- measures Qualtrics survey regarding the tool’s feasibility and content validity. Stage 3 comprised semi-structured telephonic interviews with healthcare professionals (n = 13) to discuss the tool’s utility and feasibility. The tool was then re-reviewed, further revised, and finalized by the research team. Results: The finalized conversation tool was found to have satisfactory face and content validity as well as to be feasible to implement in clinical settings based on constructs related to acceptability, practicality, demand and implementation. Discussion: Next steps will focus on pilot testing the tool through workshops targeting health professional students interested in providing pelvic healthcare.
Keywords: Trauma, ViolenceAuthors and Affliiates
Co-Presenter: Kailey Snyder, PhD, MS, PhD, MS, University of Nebraska at OmahaCo-Presenter: Tara Richards, PhD, University of Nebraska at Omaha
Author: Kari Bargstadt-Wilson, MPT, Creighton University
Author: Julie Peterson, DPT, EdD, Creighton University
Author: Madeline Jelacic, DPT, Creighton University
D190 - Development and Feasibility of a Conversation Tool to Garner Mental Health and Intimate Partner Violence History from Patients Seeking Pelvic Healthcare: A Trauma Informed Approach
Category
Scientific > Poster/Paper/Live Research Spotlight