[Skip to Content]
[Skip to Content Landing]
Views 117
Citations 0
Comment & Response
September 17, 2019

Incorporating Intimate Partner Violence Interventions in Nurse Home Visitation Programs—Reply

Author Affiliations
  • 1School of Nursing, McMaster University, Hamilton, Ontario, Canada
  • 2Department of Pediatrics, University of Colorado School of Medicine, Denver
  • 3Offord Centre for Child Studies, McMaster University, Hamilton, Ontario, Canada
JAMA. 2019;322(11):1103-1104. doi:10.1001/jama.2019.10602

In Reply The IPV intervention evaluated1 was complex; it combined multiple evidence-informed IPV strategies, followed by guidance for nurse home visitors to implement individually tailored plans of care that were informed by women’s health needs and that took into consideration their level of danger and readiness to address safety. As noted by Drs Hooker and Taft, adherence to this complex intervention was low; qualitative data collected provide insights into factors that limited nurses’ abilities to deliver the intervention consistently. While nurses received intensive education about IPV and its health effects, time to develop mastery in delivering and integrating this innovation into their practice before testing was limited. Researchers evaluating complex IPV interventions may want to invest even more resources than we did in assisting nurses to develop a high degree of competency before testing innovations.