Featured Publications
Accuracy and Acceptability of a Screening Tool for Identifying Intimate Partner Violence Perpetration among Women Veterans: A Pre-Implementation Evaluation
Portnoy GA, Haskell SG, King MW, Maskin R, Gerber MR, Iverson KM. Accuracy and Acceptability of a Screening Tool for Identifying Intimate Partner Violence Perpetration among Women Veterans: A Pre-Implementation Evaluation. Women's Health Issues 2018, 28: 439-445. PMID: 29885901, DOI: 10.1016/j.whi.2018.04.003.Peer-Reviewed Original ResearchConceptsWomen veteransLow-burden toolVeterans Health AdministrationIntimate partner violenceHealth care providersMajority of womenAppropriate referralIPV perpetrationCare providersPre-implementation evaluationHealth AdministrationWeb-based surveyHealthcare settingsScreening toolLimited evidenceVeteransWomen's perceptionsPrimary measureReference standardIntimate Partner Violence PerpetrationWomenNational samplePresent studyPartner violencePartner violence perpetrationIntimate Partner Violence Programs for Veterans: Future Directions for Research and Clinical Practice
Portnoy G, Bruce L, Buckholdt K. Intimate Partner Violence Programs for Veterans: Future Directions for Research and Clinical Practice. Journal Of Aggression Maltreatment & Trauma 2023, 32: 1170-1179. DOI: 10.1080/10926771.2023.2214098.Peer-Reviewed Original ResearchVeterans Health AdministrationIntimate partner violenceClinical practiceHealthcare systemIntegrated healthcare systemComplex public health crisisIntimate partner violence programsTreatment of IPVPublic health crisisHealth AdministrationHealthcare responseHealth crisisPartner violenceIntegral roleFuture directionsViolence programsEnhancement of servicesAdministration
2024
Implementation and Impact of Intimate Partner Violence Screening Expansion in the Veterans Health Administration: Protocol for a Mixed Methods Evaluation
Portnoy G, Relyea M, Dichter M, Iverson K, Presseau C, Brandt C, Skanderson M, Bruce L, Martino S. Implementation and Impact of Intimate Partner Violence Screening Expansion in the Veterans Health Administration: Protocol for a Mixed Methods Evaluation. JMIR Research Protocols 2024, 13: e59918. PMID: 39194059, PMCID: PMC11391160, DOI: 10.2196/59918.Peer-Reviewed Original ResearchConceptsVeterans Health AdministrationImpact of screeningINTERNATIONAL REGISTERED REPORT IDENTIFIERHealth care systemIntimate partner violenceIPV screeningQualitative interviewsCare systemHealth AdministrationConsolidated Framework for Implementation ResearchVeterans Health Administration facilitiesElectronic health record dataIntimate partner violence screeningMixed methods evaluationHealth record dataNational health care systemLongitudinal observational designPotential implementation barriersSignificant public health problemMen's health careClinical practice implicationsPatient populationMethod evaluationRE-AIMPublic health problemTwelve-Month Sustainment of IPV Screening and Response Programs in Primary Care: Contextual Factors Impacting Implementation Success
Iverson K, Brady J, Adjognon O, Stolzmann K, Dichter M, Bruce L, Portnoy G, Iqbal S, Gerber M, Haskell S, Miller C. Twelve-Month Sustainment of IPV Screening and Response Programs in Primary Care: Contextual Factors Impacting Implementation Success. Women's Health Issues 2024 PMID: 39174417, DOI: 10.1016/j.whi.2024.07.001.Peer-Reviewed Original ResearchIntimate partner violence screeningImplementation facilitatorsVeterans Health AdministrationPrimary careIPV screeningIntimate partner violenceIntimate partner violence screening ratesFactors affecting screeningMixed-methods evaluationHealth care systemImpact implementation successScreening ratesReferral optionsStaffing shortagesHost of barriersCare systemHealth AdministrationPositive screenScreening programBoost uptakeQualitative findingsImplementation strategiesInconsistent messagesInformant interviewsImplementation success
2023
Using the Matrixed Multiple Case Study approach to identify factors affecting the uptake of IPV screening programs following the use of implementation facilitation
Adjognon O, Brady J, Iverson K, Stolzmann K, Dichter M, Lew R, Gerber M, Portnoy G, Iqbal S, Haskell S, Bruce L, Miller C. Using the Matrixed Multiple Case Study approach to identify factors affecting the uptake of IPV screening programs following the use of implementation facilitation. Implementation Science Communications 2023, 4: 145. PMID: 37990345, PMCID: PMC10664531, DOI: 10.1186/s43058-023-00528-x.Peer-Reviewed Original ResearchVeterans Health AdministrationImplementation facilitationUS Preventive Services Task ForceBackgroundIntimate partner violenceMethodsThis mixed-methods studyRoutine IPV screeningIntegrated Promoting ActionPrimary care clinicsHealth Services frameworkInternal facilitatorsVHA OfficeCare clinicsLarge trialsPrimary careMedical recordsPositive screenClinic staffPromoting ActionIPV screeningExternal facilitatorsWomen's healthHealth AdministrationSocial determinantsLarger studyHigh/mediumScreening for Intimate Partner Violence Experience and Use in the Veterans Health Administration
Portnoy G, Relyea M, Presseau C, Orazietti S, Bruce L, Brandt C, Martino S. Screening for Intimate Partner Violence Experience and Use in the Veterans Health Administration. JAMA Network Open 2023, 6: e2337685. PMID: 37831451, PMCID: PMC10576210, DOI: 10.1001/jamanetworkopen.2023.37685.Peer-Reviewed Original ResearchConceptsVeterans Health AdministrationCross-sectional studyStress disorder diagnosisPosttraumatic stress disorder (PTSD) diagnosisMental health servicesIPV useIntimate partner violenceHealth AdministrationVeterans Health Administration medical centersHealth servicesMental health care visitsClinical diagnosisMajor public health problemDisorder diagnosisElectronic medical record dataHealth care visitsIPV experiencesMedical record dataPublic health problemMental health cliniciansMental health careQuality improvement initiativesHealth care settingsOutcomes of interestPast-year prevalenceUnderstanding Veterans' intimate partner violence use and patterns of healthcare utilization
Relyea M, Presseau C, Runels T, Humbert M, Martino S, Brandt C, Haskell S, Portnoy G. Understanding Veterans' intimate partner violence use and patterns of healthcare utilization. Health Services Research 2023, 58: 1198-1208. PMID: 37452496, PMCID: PMC10622301, DOI: 10.1111/1475-6773.14201.Peer-Reviewed Original ResearchConceptsVeterans Health AdministrationHealthcare utilizationIPV useChronic painMedical treatmentSevere chronic painNon-VA providersChronic sleep problemsNon-VA servicesPost-traumatic stress disorderChi-square testRisk factorsOperation New Dawn veteransProvider trainingSleep problemsVA healthcareNew Dawn veteransOperation Enduring FreedomDATA SOURCESWomen veteransOutpatient healthcareHealth AdministrationOperation Iraqi FreedomClinical settingStudy settingIntegrating Intimate Partner Violence Screening Programs in Primary Care: Results from a Hybrid-II Implementation-Effectiveness RCT
Iverson K, Stolzmann K, Brady J, Adjognon O, Dichter M, Lew R, Gerber M, Portnoy G, Iqbal S, Haskell S, Bruce L, Miller C. Integrating Intimate Partner Violence Screening Programs in Primary Care: Results from a Hybrid-II Implementation-Effectiveness RCT. American Journal Of Preventive Medicine 2023, 65: 251-260. PMID: 37031032, PMCID: PMC10568536, DOI: 10.1016/j.amepre.2023.02.013.Peer-Reviewed Original ResearchConceptsIntimate partner violence screening programsVeterans Health AdministrationImplementation facilitationPrimary careEligible womenSecondary outcomesPrimary outcomeScreening programHealth AdministrationVeterans Health Administration facilitiesClinic 3 monthsClinical effectiveness outcomesPsychosocial service useImplementation-effectiveness trialDisclosure ratesIPV detectionPatient populationEffectiveness outcomesService usePsychosocial servicesAdministration facilitiesWomenCareMonthsOutcomes
2022
Intimate Partner Violence Screening for Women in the Veterans Health Administration: Temporal Trends from the Early Years of Implementation 2014-2020
Miller C, Stolzmann K, Dichter M, Adjognon O, Brady J, Portnoy G, Gerber M, Iqbal S, Iverson K. Intimate Partner Violence Screening for Women in the Veterans Health Administration: Temporal Trends from the Early Years of Implementation 2014-2020. Journal Of Aggression Maltreatment & Trauma 2022, 32: 960-978. PMID: 36713478, PMCID: PMC9881187, DOI: 10.1080/10926771.2021.2019160.Peer-Reviewed Original ResearchVeterans Affairs Medical CenterVeterans Health AdministrationScreen-positive rateIntimate partner violenceHealth AdministrationIntimate partner violence screeningPrimary care patientsVHA administrative dataPartner violence screeningImplementation outcomesCare patientsRetrospective analysisMedical CenterFiscal year 2014IPV screeningWomen veteransViolence screeningLinear regression analysisWomenRegression analysisAdministrative dataOngoing evaluationAdministrationAgeOutcomes
2020
A Multisite Quality Improvement Initiative to Enhance the Adoption of Screening Practices for Intimate Partner Violence Into Routine Primary Care for Women Veterans
Portnoy GA, Iverson KM, Haskell SG, Czarnogorski M, Gerber MR. A Multisite Quality Improvement Initiative to Enhance the Adoption of Screening Practices for Intimate Partner Violence Into Routine Primary Care for Women Veterans. Public Health Reports 2020, 136: 52-60. PMID: 33207128, PMCID: PMC7856383, DOI: 10.1177/0033354920966022.Peer-Reviewed Original ResearchConceptsMultisite Quality Improvement InitiativeQuality improvement initiativesVeterans Health AdministrationPrimary careIntimate partner violenceHealth clinicsScreening practicesWomen veteransImprovement initiativesHealth AdministrationEvidence-based implementation strategiesHigh-quality primary careRoutine primary careWomen's health clinicImplementation supportImplementation support strategiesModifiable barriersPartner violenceBaseline surveyUnique facilitatorsCareWomenClinicRespondersAdministrationEvaluating Bystander Intervention Training to Address Patient Harassment at the Veterans Health Administration
Relyea MR, Portnoy GA, Klap R, Yano EM, Fodor A, Keith JA, Driver JA, Brandt CA, Haskell SG, Adams L. Evaluating Bystander Intervention Training to Address Patient Harassment at the Veterans Health Administration. Women's Health Issues 2020, 30: 320-329. PMID: 32830008, DOI: 10.1016/j.whi.2020.06.006.Peer-Reviewed Original ResearchConceptsBystander intervention trainingWomen veteran patientsBystander approachGender harassmentBystander interventionCommunity membersHarassmentIntervention trainingCare staffGroup discussionsHealth care staffVeterans Health AdministrationStaff experiencesEffective facilitationMajority of staffAdministrative staffMost staffStaffStates health care systemVeteran patientsAttitudinal outcomesVA staffHealth Administration
2019
Trauma and Sexual Risk: Do Men and Women Veterans Differ?
Combellick JL, Dziura J, Portnoy GA, Mattocks KM, Brandt CA, Haskell SG. Trauma and Sexual Risk: Do Men and Women Veterans Differ? Women's Health Issues 2019, 29: s74-s82. PMID: 31253246, DOI: 10.1016/j.whi.2019.04.014.Peer-Reviewed Original ResearchMeSH KeywordsAdultAdult Survivors of Child AbuseAgedBullyingChildCohort StudiesCrime VictimsFemaleHumansIntimate Partner ViolenceMaleMiddle AgedMilitary PersonnelRisk FactorsRisk-TakingSexual BehaviorSurveys and QuestionnairesUnited StatesUnited States Department of Veterans AffairsVeteransVeterans HealthConceptsRisky sexual behaviorWomen veteransSexual behaviorSingle significant risk factorSignificant risk factorsWomen Veterans Cohort StudyVeterans Health AdministrationHistory of traumaRelated health outcomesCohort studyPredictive factorsRisk factorsMilitary-related traumaBinge drinkingMen veteransMilitary exposureHealth AdministrationHealth outcomesTrauma-related experiencesHealth servicesMultivariate analysisProtective factorsSexual riskTraumaAdditional risk