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Nicol B, Adhikari SP, Shwed A, Ashton S, Mriduraj A, Mason K, Gainforth HL, Babul S, van Donkelaar P. The Concussion Awareness Training Tool for Women's Support Workers Improves Knowledge of Intimate Partner Violence-Caused Brain Injury. INQUIRY : A JOURNAL OF MEDICAL CARE ORGANIZATION, PROVISION AND FINANCING 2023; 60:469580231169335. [PMID: 37096824 PMCID: PMC10134117 DOI: 10.1177/00469580231169335] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 04/26/2023]
Abstract
Women who experience physical intimate partner violence (IPV) are at high risk of suffering a brain injury (BI) due to head impacts and/or strangulation. Currently, most staff at women's shelters tend not to be aware of IPV-caused BIs. The objective of this study was to address this by developing a new online module within the Concussion Awareness Training Tool (cattonline.com) specifically focused on IPV-caused BI, and measuring its effectiveness in increasing BI awareness and knowledge among staff members at women's shelters. A mixed-methods approach was used which included (i) a survey to measure participant knowledge before and after completing the module; (ii) a 1-on-1 interview 6 months post-training to better understand participants' perceptions of what effect the training had on how they worked with women in their job; and (iii) an evaluation of the content of the module using behavior change techniques. About 81 participants recruited from staff at women's shelters completed the pre/post survey. The average BI knowledge score increased significantly from the pre-survey (M = 8.12/12, SD = 1.05) to the post-survey (M = 9.72/12, SD = 1.62), t(80) = 9.12, P < .001, d = 1.01). Analysis of the interviews with 9 participants highlighted 3 main themes arising from the module: knowledge, mindfulness, and advocacy. All participants felt their knowledge of IPV-caused BIs had increased and said they would recommend the training to their co-workers. Analysis of the module content revealed the most frequent behavior change techniques were related to instructions on how to perform screening and accommodation for IPV-caused BI. The results showed the module was effective in increasing knowledge of IPV-caused BIs amongst women's shelter staff as well as improving how they advocate for, and are mindful of, their clients with BIs. This online training may help improve the care women with IPV-caused BIs receive, and ultimately improve their quality of life.
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Affiliation(s)
- Blake Nicol
- University of British Columbia Okanagan, Kelowna, BC, Canada
| | | | - Alanna Shwed
- University of British Columbia Okanagan, Kelowna, BC, Canada
- ICORD (International Collaboration of Repair Discoveries), Vancouver, BC, Canada
| | | | | | - Karen Mason
- Supporting Survivors of Abuse and Brain Injury through Research (SOAR) Project, Kelowna, BC, Canada
| | - Heather L Gainforth
- University of British Columbia Okanagan, Kelowna, BC, Canada
- ICORD (International Collaboration of Repair Discoveries), Vancouver, BC, Canada
| | - Shelina Babul
- BC Children's Hospital, Kelowna, BC, Canada
- University of British Columbia, Kelowna, BC, Canada
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Oakey M, Evans DC, Copley TT, Karbakhsh M, Samarakkody D, Brubacher JR, Pawer S, Zheng A, Rajabali F, Fyfe M, Pike I. Development of Policy-Relevant Indicators for Injury Prevention in British Columbia by the Key Decision-Makers. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182211837. [PMID: 34831591 PMCID: PMC8621597 DOI: 10.3390/ijerph182211837] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/24/2021] [Revised: 11/03/2021] [Accepted: 11/04/2021] [Indexed: 11/16/2022]
Abstract
Indicators can help decision-makers evaluate interventions in a complex, multi-sectoral injury system. We aimed to create indicators for road safety, seniors falls, and ‘all-injuries’ to inform and evaluate injury prevention initiatives in British Columbia, Canada. The indicator development process involved a five-stage mixed methodology approach, including an environmental scan of existing indicators, generating expert consensus, selection of decision-makers and conducting a survey, selection of final indicators, and specification of indicators. An Indicator Reference Group (IRG) reviewed the list of indicators retrieved in the environmental scan and selected candidate indicators through expert consensus based on importance, modifiability, acceptance, and practicality. Key decision-makers (n = 561) were invited to rank each indicator in terms of importance and actionability (online survey). The IRG applied inclusion criteria and thresholds to survey responses from decision-makers, which resulted in the selection of 47 road safety, 18 seniors falls, and 33 all-injury indicators. After grouping “like” indicators, a final list of 23 road safety, 8 seniors falls, and 13 all-injury indicators were specified. By considering both decision-maker ranking and expert opinion, we anticipate improved injury system performance through advocacy, accountability, and evidence-based resource allocation in priority areas. Our indicators will inform a data management framework for whole-system reporting to drive policy and funding for provincial injury prevention improvement.
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Affiliation(s)
- Megan Oakey
- BC Injury Research and Prevention Unit, BC Children’s Hospital Research Institute, Vancouver, BC V6H 3V4, Canada; (M.K.); (D.S.); (S.P.); (A.Z.); (F.R.); (I.P.)
- BC Centre for Disease Control, Provincial Health Services Authority, Vancouver, BC V5Z 4R4, Canada
- Correspondence:
| | - David C. Evans
- Trauma Services BC, 1770 West 7th Ave., Vancouver, BC V5Z 1M9, Canada;
| | - Tobin T. Copley
- Fraser Health Authority, 13450 102 Ave., Surrey, BC V3T 5X3, Canada;
| | - Mojgan Karbakhsh
- BC Injury Research and Prevention Unit, BC Children’s Hospital Research Institute, Vancouver, BC V6H 3V4, Canada; (M.K.); (D.S.); (S.P.); (A.Z.); (F.R.); (I.P.)
| | - Diana Samarakkody
- BC Injury Research and Prevention Unit, BC Children’s Hospital Research Institute, Vancouver, BC V6H 3V4, Canada; (M.K.); (D.S.); (S.P.); (A.Z.); (F.R.); (I.P.)
| | - Jeff R. Brubacher
- Department of Emergency Medicine, Faculty of Medicine, The University of British Columbia, Vancouver, BC V5Z 1M9, Canada;
| | - Samantha Pawer
- BC Injury Research and Prevention Unit, BC Children’s Hospital Research Institute, Vancouver, BC V6H 3V4, Canada; (M.K.); (D.S.); (S.P.); (A.Z.); (F.R.); (I.P.)
| | - Alex Zheng
- BC Injury Research and Prevention Unit, BC Children’s Hospital Research Institute, Vancouver, BC V6H 3V4, Canada; (M.K.); (D.S.); (S.P.); (A.Z.); (F.R.); (I.P.)
| | - Fahra Rajabali
- BC Injury Research and Prevention Unit, BC Children’s Hospital Research Institute, Vancouver, BC V6H 3V4, Canada; (M.K.); (D.S.); (S.P.); (A.Z.); (F.R.); (I.P.)
| | - Murray Fyfe
- Vancouver Island Coastal Health Authority, 430-1900 Richmond Ave., Victoria, BC V8R 4R2, Canada;
| | - Ian Pike
- BC Injury Research and Prevention Unit, BC Children’s Hospital Research Institute, Vancouver, BC V6H 3V4, Canada; (M.K.); (D.S.); (S.P.); (A.Z.); (F.R.); (I.P.)
- Department of Pediatrics, The University of British Columbia, Vancouver, BC V6H 3V4, Canada
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