Background: Intimate partner violence (IPV) during pregnancy is a public health issue with wide-ranging consequences for both the mother and fetus, and interventions are needed. Therefore, the Stop Intimate Partner Violence in Pregnancy (STOP) cohort was established with the overall aim to identify pregnant women exposed to IPV through digital screening and offer women screening positive for IPV a digital supportive intervention. Objective: The aim of this study was to (1) introduce the design and profile of the STOP cohort study, (2) assess the feasibility of implementing digital IPV screening among pregnant women, and (3) assess the feasibility of implementing a digital supportive intervention targeting pregnant women exposed to IPV. Methods: Pregnant women attending antenatal care in the Region of Southern Denmark and in Andalucía, Spain were offered digital screening for IPV using validated scales (Abuse Assessment Screen and Women Abuse Screening Tool). Women who screened positive were eligible to receive a digital supportive intervention. The intervention consisted of 3-6 video consultations with an IPV counselor and a safety planning app. In Denmark, IPV counselors were antenatal care midwives trained by a psychologist specialized in IPV, whereas in Spain, the counselor was a psychologist. Results: Data collection started in February 2021 and was completed in October 2022. Across Denmark and Spain, a total of 19,442 pregnant women were invited for IPV screening and 16,068 women (82.65%) completed the screening. More women in Spain screened positive for exposure to IPV (350/2055, 17.03%) than in Denmark (1195/14,013, 8.53%). Among the women who screened positive, only 31.39% (485/1545) were eligible to receive the intervention with only 104 (21.4%) of these women ultimately receiving it. Conclusions: Digital screening for IPV among pregnant women is feasible in an antenatal care context in Denmark and Spain; however, a digital supportive intervention during pregnancy appears to have limited feasibility as only a minor subgroup of women who screened positive for eligibility received the intervention. More research is needed on how to best support pregnant women exposed to IPV if universal IPV screening is to be implemented in antenatal care.
Bibliografisk noteFunding Information:
This project was funded by the European Commission’s Rights, Equality and Citizenship program (REC-RDAP-GBV-AG-2019, grant agreement number 881648). The funder had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. We would like to thank the Advisory board, comprised of Dr. Mirjam Lukasse (Norway), Dr. Tine Gammeltoft (Denmark), Dr. Carmen Vives Cases (Spain), and the two participant representatives from Denmark and Spain who prefer to remain anonymous. Further, we would like to thank all project intimate partner violence counselors as well as all participating women.
©Karen Andreasen, Antonella Ludmila Zapata-Calvente, Stella Martín-de-las-Heras, Aurora Bueno-Cavanillas, Berit Schei, Sarah Dokkedahl, Sabina de León de León, Rodrigo Fernandez Lopez, Alba Oviedo-Gutiérrez, Lea Bo Sønderlund Ankerstjerne, Jesús L Megías, Khalid Saeed Khan, Vibeke Rasch, Ditte S Linde. Originally published in JMIR Formative Research (https://formative.jmir.org), 20.03.2023. This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Formative Research, is properly cited. The complete bibliographic information, a link to the original publication on https://formative.jmir.org, as well as this copyright and license information must be included.