, 2012 State of the Science Congress on Nursing Research, Washington, DC

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1 School of Nursing and Health Studies, 2 School of Education and Human Development, University of Miami , 2012 State of the Science Congress on Nursing Research, Washington, DC Center of Excellence for Health Disparities Research Research reported in this presentation was supported by the National Institute On Minority Health and Health Disparities of the National Institutes of Health under Award Number P60MD002266. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. Supplemental funding was obtained from the School of Nursing and the School of Education and Human Development at the University of Miami. The research team would also like to thank the support of the Coordinated Victim Assistance Center and the Community Advisory Board A Community Forum to Assess the Needs and Preferences for Domestic Violence Prevention Targeting Hispanics 1 Gonzalez-Guarda, R.M., 1 Lipman Diaz, E.G. & 2 Cummings, A.M.

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A Community Forum to Assess the Needs and Preferences for Domestic Violence Prevention Targeting Hispanics 1 Gonzalez-Guarda, R.M., 1 Lipman Diaz, E.G. & 2 Cummings, A.M. 1 School of Nursing and Health Studies, 2 School of Education and Human Development, University of Miami. - PowerPoint PPT Presentation

Transcript of , 2012 State of the Science Congress on Nursing Research, Washington, DC

Page 1: ,  2012 State of the Science Congress on Nursing Research, Washington, DC

1School of Nursing and Health Studies, 2School of Education and Human Development, University of Miami

, 2012 State of the Science Congress on Nursing Research, Washington, DC

Center of Excellence for Health Disparities Research

Research reported in this presentation was supported by the National Institute On Minority Health and Health Disparities of the National Institutes of Health under Award Number P60MD002266. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. Supplemental funding was obtained from the School of Nursing and the School of Education and Human Development at the University of Miami. The research team would also like to thank the support of the Coordinated Victim Assistance Center and the Community Advisory Board

A Community Forum to Assess the Needs and Preferences for Domestic Violence Prevention

Targeting Hispanics

1Gonzalez-Guarda, R.M., 1Lipman Diaz, E.G. & 2Cummings, A.M.

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Purpose

• Describe how a community forum was used to accomplish study aims for the Partnership for Domestic Violence Prevention (PDVP)

• Summarize the data that was generated through this method

• Discuss the utility of this approach in prevention development research

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Hispanics experience health disparities relating to Domestic Violence (DV)2 times more likely to report DVMore negative psychological outcomesMore severe forms of abuseObstacles in accessing DV services

• Preliminary studies signaled DV as a priority

• Few evidence-based prevention programs specifically tailored for Hispanic

Background & Significance

(Bloom et al., 2009; Bonomi et al., 2009; Caetano et al., 2005; Gonzalez-Guarda et al., 2008, 2011; Tjaden & Thoennes, 2000)

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Coordinated Victim Assistance Center (CVAC),

Miami Dade Community Action and Human Services Department

School of Nursing & Health Studies,University of Miami

The Partnership For Domestic Violence Prevention (PDVP)

School of Education and Human Development,

University of Miami

Preventing domestic violence in Miami-Dade County through evidence-based solutions

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1. Develop infrastructure for the study of DV prevention at the community level

2. To assess specific needs and preferences for prevention with regard to domestic violence among Hispanics in MDC

Specific Aims of the PDVP

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Uses of Community Forums in CBPR

Dulin, Tapp, Smith, Urquieta de Hernandez, & Furuseth, 2011; National Institutes of Health, National Institute of Environmental Health Sciences [NIH, NIEHS], 2011

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Community Forum Methods

• Sample and Setting• Community conference held in local

youth center (N ≈ 100, n = 43- 53)• Procedures

• Preliminary results of focus groups presented

• TurningPoint Technologies Clickers• Measures

• Demographic questions• Questions eliciting feedback on findings

• Analysis• Real time descriptive statistics

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Respondent Characteristics (n = 43 – 53)

• 90% Hispanic• 72% Women• 73% Completed High School• 85% were between the ages of 20 and 59• More than half had been personally affected by

domestic violence (69%) – victims (52%)

– witnesses of partner abuse (18%)

– perpetrators (11%)

– witnesses of child abuse (11%)

– victims of child abuse (4%)

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Of the high priority groups within the Hispanic community found in this study, which of these would be your first priority for a successful domestic violence prevention program?

a. Immigrants

b. Youth

c. Low Income Families

d. Men Hombres

e. Gay & Transgendered community

f. Other Vulnerable Adults (e.g., pregnant women, disabled, elderly)

Example Question & Response

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Theme: Priority Subgroups to Target

First Priority Subgroup to Address through DV Prevention

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Percentage of participants that strongly agreed (SA) or strongly disagreed (SD) that specific cultural factors should be included in a prevention program for youth

SA (%) SD (%)Family (n=44) 86 0Gender Roles (n=49) 82 0Faith (n=46) 57 12Adapting to American culture (n=44)

70 5

Community Ties (n=44) 94 9

Theme: Culture as a Double-Edge Sword

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Theme: The System that Helps and Hurts the Victim

System Related Factors of First Priority to Address

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The Community Forum as a Method to Address DV Prevention

• Disseminating findings in a timely manner• Creating community awareness and support• Engaging community in discussion• TurningPont provided quantitative data to support,

interpret and prioritize qualitative data• Media exposure

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Limitations

• Small, convenience sample• Difficult to engage all participants• Variation to number of participants who respond each

question• Difficult to capture open discussion

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Implications

• CBPR can be used to engage community and develop culturally tailored interventions for Hispanic community

• DV prevention for Hispanic youth and immigrant women is urgently needed

• Programs should promote the positive aspects of the Hispanic culture

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Thank you!

Contact Information:Rosa Maria Gonzalez-Guarda, PhD, MPH, RN, CPH

Assistant Professor

School of Nursing & Health Studies

University of Miami

5030 Brunson Drive

Coral Gables, FL 33146

Office: (305) 284-8374

Mobile: (305) 803-9608

[email protected]