Testing the Generalizability of the Event Process Model of Family Violence With an Incarcerated Sample

2020 ◽  
Vol 65 (1) ◽  
pp. 117-135
Author(s):  
Meg Stairmand ◽  
Louise Dixon ◽  
Devon L. L. Polaschek
Keyword(s):  
Grounded Theory ◽  
Family Violence ◽  
Process Model ◽  
Community Setting ◽  
Structured Interviews ◽  
Conflict Escalation ◽  
Descriptive Theory

The event process model of family violence (FVEPM) presents a descriptive theory of a family violence (FV) event from the perpetrator’s perspective. Developed in a community setting, the FVEPM is comprised of four interrelated sections and describes three pathways to FV perpetration (Pathway 1: Conflict escalation, Pathway 2: Automated violence, and Pathway 3: Compliance). This study further developed the FVEPM by testing the generalizability of the model and its pathways with an incarcerated sample of eight men with extensive histories of violent and other offending. Event narratives were gathered during individual semi-structured interviews, and were systematically analyzed using grounded theory methods. Overall, findings suggest that the FVEPM and its pathways can accommodate an incarcerated sample. However, several inconsistencies were found: Event narratives were better represented by splitting Pathway 1 into two sub-types, and no event narratives were assigned to Pathway 3. Implications for FV theories and treatment are discussed.

Pathways to Family Violence: Investigating Patterns in the Event Process of Family Violence Perpetrators

2020 ◽  
pp. 0306624X2096994
Author(s):  
Meg Stairmand ◽  
Louise Dixon ◽  
Devon L. L. Polaschek
Keyword(s):  
Family Violence ◽  
Process Model ◽  
Treatment Programs ◽  
Original Sample ◽  
Community Based ◽  
Diverse Range ◽  
Conflict Escalation ◽  
Management Processes ◽  
The Individual ◽  
The Relationship

This study is part of a larger research project that developed the event process model of family violence (FVEPM). The FVEPM was developed by applying grounded theory methods to the event narratives of 14 men and 13 women completing community-based family violence (FV) perpetrator treatment programs. The current study extends this work with the original sample, by examining the routes individual events take through the FVEPM. Three main pathways—comprising 93% of event narratives—were identified: a conflict escalation pathway ( n = 14), an automated violence pathway ( n = 6), and a compliance pathway ( n = 6). Our findings extend existing FV typologies and theories by identifying patterns of features pertaining to the individual, the relationship, and the situation that converge to result in FV perpetration during a FVE. Further validation and development of the pathways may provide FV practitioners with an organizing framework from which to identify more nuanced assessment, treatment planning, and risk management processes for the diverse range of FV perpetrators they are tasked with treating.

scholarly journals Evaluating interventions with victims of intimate partner violence: a community psychology approach

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Cinzia Albanesi ◽  
Carlo Tomasetto ◽  
Veronica Guardabassi
Keyword(s):  
Intimate Partner Violence ◽  
Social Services ◽  
Psychological Health ◽  
Partner Violence ◽  
Process Model ◽  
Professional Training ◽  
Phenomenological Approach ◽  
Intimate Partner ◽  
Structured Interviews ◽  
The Impact

Abstract Purpose Intimate Partner Violence (IPV) is one of the most common forms of domestic violence, with profound implication for women's physical and psychological health. In this text we adopted the Empowerment Process Model (EPM) by Cattaneo and Goodman (Psychol Violence 5(1):84–94) to analyse interventions provided to victims of IPV by a Support Centre for Women (SCW) in Italy, and understand its contribution to women’s empowerment. Method We conducted semi-structured interviews with ten women who had been enrolled in a program for IPV survivors at a SCW in the past three years. The interviews focused on the programs’ aims, actions undertaken to reach them, and the impact on the women’s lives, and were analysed using an interpretative phenomenological approach. Results Results showed that the interventions provided by the SWC were adapted according to women's needs. In the early phases, women’s primary aim was ending violence, and the intervention by the SCW was deemed as helpful to the extent it provided psychological support, protection and safe housing. Women’s aims subsequently moved to self-actualisation and economic and personal independence which required professional training, internships, and social support. Although satisfying the majority of the women’s expectations, other important needs (e.g., economic support or legal services) were poorly addressed, and cooperation with other services (e.g., police or social services) was sometimes deemed as critical. Conclusions By evaluating a program offered by a SCW to IPV survivors through the lens of the EPM model, we found that women deemed the program as effective when both individual resources and empowerment processes were promoted. Strengths, limitations and implications are discussed.

Patients’ Perspective on the Psychological Impact of Multiple Sclerosis on Their Life

2021 ◽  
pp. 105413732110068
Author(s):  
Chrysoula Baka ◽  
Kalliopi Chatira ◽  
Evangelos C. Karademas ◽  
Konstantinos G. Kafetsios
Keyword(s):  
Multiple Sclerosis ◽  
Grounded Theory ◽  
Psychological Impact ◽  
Autoimmune Disorder ◽  
Positive Outcomes ◽  
Structured Interviews ◽  
Psychosocial Wellbeing ◽  
Positive Meaning ◽  
Patients Perspective ◽  
The Way

Multiple sclerosis is a chronic autoimmune disorder that greatly impacts on patients’ physical and psychosocial wellbeing. The purpose of this study is to investigate the experiences of people diagnosed with multiple sclerosis in Greece (N = 30), with regard to the way they coped with the diagnosis and the symptoms, the psychological implications of the disorder and the meaning they attributed to it. Data were collected through semi-structured interviews and they were analyzed using grounded theory. The findings showed that despite the negative implications of the disorder and the difficulty in managing the diagnosis and the symptoms, half of the patients attributed positive meaning to the disorder. Taking care of oneself, re-evaluation of life and a sense of liberation were described as the positive outcomes of experiencing multiple sclerosis.

scholarly journals Overcoming the barriers of mobile health that hamper sustainability in low-resource environments

2021 ◽  
Author(s):  
Maike Greve ◽  
Alfred Benedikt Brendel ◽  
Nils van Osten ◽  
Lutz M. Kolbe
Keyword(s):  
Mobile Health ◽  
Process Model ◽  
Sustainable Use ◽  
Sub Saharan Africa ◽  
Health Coverage ◽  
Structured Interviews ◽  
Theoretical Contribution ◽  
Low Resource ◽  
Response Strategies ◽  
Sustainable Implementation

Abstract Aim This research aims to identify response strategies that non-profit organizations (NPOs) can apply to overcome the barriers that hamper the sustainable use of mobile health (mHealth) interventions in low-resource environments (LREs), such as in Sub-Saharan Africa (SSA). Subject and method A qualitative study on mHealth initiatives in SSA is conducted through semi-structured interviews with 15 key informants of NPOs that operate and manage mHealth interventions in this region. The interviews focus on identifying existing barriers and response strategies that NPOs apply to enable sustainable and long-term running interventions. Results Building on grounded theory techniques, the collected data guided us towards a process model that identifies four aggregated categories of challenging areas that require response strategies (economy, environment, technology, and user acceptance). Conclusion This study provides contributions from and implications for NPOs and researchers. Health practitioners are provided with a knowledge base of what barriers to expect and how to overcome them, to strive for sustainable implementation from the very beginning of an intervention. A process model is identified that structures the response strategies in a time-based agenda of mHealth initiatives and thus makes a theoretical contribution. Overall, this study addresses the need for a theoretical consideration of the “pilotitis” phenomenon, which currently hampers the sustainable implementation and scaling up of mHealth initiatives. While the focus is specifically on mHealth initiatives, the overall findings help prevent discontinuance of projects in the future after the pilot, and help facilitate LREs on their way to sustainable health interventions and universal health coverage.

scholarly journals Barriers to the Implementation of Green Practices in the Integrated Resort Sector

SAGE Open ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. 215824402110302
Author(s):  
Jian Ming Luo ◽  
Ka Yin Chau ◽  
Yulan Fan ◽  
Hong Chen
Keyword(s):  
Grounded Theory ◽  
Qualitative Method ◽  
Qualitative Data ◽  
Structured Interviews ◽  
Green Practices

Green practices and integrated resorts are attracting increasing attention from industry practitioners and academics. However, several barriers limit the growth of green practices, especially in the integrated resorts in Macau. The purpose of this study is to identify the major barriers of implementing green practices in integrated resorts in Macau from the managers’ perspective using qualitative method. Semi-structured interviews were conducted with 12 managers from the integrated resort sector in Macau. Grounded theory was adopted along with NVivo 12.0 to analyze the qualitative data collected from the interviews. Results revealed five major barriers to green practices in the integrated resort sector: policies and regulations, management, resources, costs, and awareness. These findings extend existing theoretical explanations for green practices and provide a guideline of implementing green practices in the integrated resort sector for policymakers and practitioners.

scholarly journals Period poverty in rural Uganda; an exploration of the challenges and the need for intervention

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
C Kennedy ◽  
J Severe
Keyword(s):  
Community Setting ◽  
Female Education ◽  
Structured Interviews ◽  
Intervention Programme ◽  
Cross Sectional ◽  
School Year ◽  
Main Challenge ◽  
The Common ◽  
Women And Girls ◽  
Academic Year

Abstract Background Period poverty refers to a lack of access to safe means of managing menstruation. It affects the education, health and dignity of millions of women and girls globally. This study aims to identify the barriers facing menstruating girls in rural Uganda, investigate the effects of period poverty in this demographic and assess the need to implement a programme to tackle challenges identified. Methods A qualitative study was undertaken in a community setting. 42 Participants were selected in Bududa, Uganda using convenience sampling. School-age girls supported by The Shelo Foundation (charity no.1155142) who had begun menstruating and adults in positions of responsibility in the community were interviewed to gain a cross sectional understanding of the questions posed. Data was collected prospectively in semi-structured interviews over a four-week period in July 2013. Questions focused on access to essential hygiene materials, challenges faced when menstruating (with a focus on accessing education) and possible solutions to the barriers reported. Interview transcripts were analysed; the common concepts were identified, and conclusions drawn from the results. Results Inability to access sanitation products, due to financial poverty and local availability, was the main challenge highlighted throughout the analysis of the interview transcripts. The other common themes included lack of suitable hygiene facilities, absence of education on menstruation and the vulnerability of menstruating girls to abuse and stigma. Analysis found that on average girls were missing three days of school a month due to their periods, equalling 18% of the academic year. Conclusions Period poverty disadvantages school-aged females in Bududa, Uganda. Financial poverty, lack of education and stigma contribute to period poverty. An intervention programme including accessible sanitation products and education is recommended to tackle this gender inequality for girls in this population. Key messages A lack of sanitation products, subpar education and stigma contribute to period poverty in Uganda and negatively impact female education with menstruating students missing up to 18% of a school year. An intervention programme incorporating access to sanitation products alongside education is recommended to tackle period poverty in this population and improve women’s health and female education.

scholarly journals Understanding Low-value Care and Associated De-implementation Processes: A Qualitative Study of Choosing Wisely Interventions Across Canadian Hospitals

2021 ◽  
Author(s):  
Gillian Parker ◽  
Monika Kastner ◽  
Karen Born ◽  
Nida Shahid ◽  
Whitney Berta
Keyword(s):  
Process Model ◽  
Healthcare Providers ◽  
Implementation Process ◽  
Choosing Wisely ◽  
Structured Interviews ◽  
Team Members ◽  
Implementation Processes ◽  
Healthcare Settings ◽  
National Campaigns ◽  
The Impact

Abstract Background:Choosing Wisely (CW) is an international movement comprised of national campaigns in more than 20 countries to reduce low-value care (LVC). Hospitals and healthcare providers are examining existing practices and putting interventions in place to reduce practices that offer little to no benefit to patients or may cause them harm. De-implementation, the reduction or removal of a healthcare practice is an emerging field of research. Little is known about the factors which (i) sustain LVC; and (ii) the magnitude of the problem of LVC. In addition, little is known about the processes of de-implementation, and if and how these processes differ from implementation endeavours. The objective of this study was to explicate the myriad factors which impact the processes and outcomes of de-implementation initiatives that are designed to address national Choosing Wisely campaign recommendations.Methods:Semi-structured interviews were conducted with individuals implementing Choosing Wisely Canada recommendations in healthcare settings in four provinces. The interview guide was developed using concepts from the literature and the Implementation Process Model (IPM) as a framework. All interviews were conducted virtually, recorded, and transcribed verbatim. Data were analysed using thematic analysis.Results:Seventeen Choosing Wisely team members were interviewed. Participants identified numerous provider factors, most notably habit, which sustain LVC. Contrary to reporting in recent studies, the majority of LVC in the sample was not ‘patient facing’; therefore, patients were not a significant driver for the LVC, nor a barrier to reducing it. Participants detailed aspects of the magnitude of the problems of LVC, specifically the impact of harm and resources. Unique factors influencing the processes of de-implementation reported were: influence of Choosing Wisely campaigns, availability of data, lack of targets and hard-coded interventions.Conclusions: This study explicates factors ranging from those which impact the maintenance of LVC to factors that impact the success of de-implementation interventions intended to reduce them. The findings draw attention to the significance of unintentional factors, highlight the importance of understanding the impact of harm and resources to reduce LVC and illuminate the overstated impact of patients in de-implementation literature. These findings illustrate the complexities of de-implementation.

scholarly journals Obesity and health care interventions: Substantiating a multi-modal challenge through the lens of grounded theory

2020 ◽  
Author(s):  
M Mandlik ◽  
JG Oetzel ◽  
Djavlonbek Kadirov
Keyword(s):  
Health Care ◽  
Grounded Theory ◽  
Intervention Program ◽  
Care Service ◽  
Health Care Service ◽  
Ecological Factors ◽  
Service Provisioning ◽  
Structured Interviews ◽  
Health Care Intervention ◽  
Care Intervention

© 2020 Australian Health Promotion Association Issue addressed: One of the biggest concerns for human health in the 21st century is the ever-increasing rate of obesity and its associated budgetary implications for publicly funded health care service provisioning. This study at the outset explores the multifaceted nature of food-related consumption choices and outcomes of obesity, and later offers suggestions to improve the existing interventional strategies to curtail the epidemic. Methods: A total of 24 participants were recruited through poster invitations placed around the greater metropolitan area of Auckland, New Zealand. Participants shared their health care intervention program experiences through in-depth, semi-structured interviews. Data were analysed in keeping with traditions of constructivist grounded theory. Findings: Analysis revealed various concurrent individually acting and ecologically mediated processes which led to obesogenic outcomes as a result of social actors’ (participants) engagement in acts of (food-related) consumption practices. Conclusions: This study helps to illustrate the underlying, multifaceted processes that lead to obese individuals feeling defeated or disempowered and categorically willing, yet unable to bring about healthy changes in their lives. We hope this study will prompt health care practitioners to take a holistic approach while conceiving and deploying health care intervention programs. So what?: Current health care interventional programs are not achieving optimum solutions for those in need. All future programs need to acknowledge the roles played by an individual, as well as ecological factors, while deploying client-centric intervention solutions. Perhaps these programs are in need of a team-based approach to offer a truly “wrap-around” service provisioning strategy, rather than the traditional one-on-one consultative approaches in use at current times.

scholarly journals Why do first and second-generation young migrants volunteer? The Migrant Volunteerism Motivation Model (MVMM)

2019 ◽  
Vol 7 (2) ◽  
pp. 1089-1107 ◽  
Author(s):  
Sara Alfieri ◽  
Daniela Marzana ◽  
Sara Martinez Damia
Keyword(s):  
Transition To Adulthood ◽  
Process Model ◽  
First Generation ◽  
Second Generation ◽  
Maintenance Phase ◽  
Structured Interviews ◽  
Sub Saharan ◽  
Italian Context ◽  
First And Second Generation ◽  
Motivation Model

The following study aims at inquiring into the motivations behind young migrants’ volunteerism in civic organizations in Italy, namely in starting and maintaining their engagement (preliminary vs. maintenance phase). The term “young migrants” refers to first and second generation of migrants who deal with two challenges: the transition to adulthood and the acquisition of a cultural identity. We conducted semi-structured interviews with 37 Sub-Saharan young migrants living in Italy (18-32 years old), 19 of first generation (1G) and 18 of second generation (2G). The Omoto and Snyder’s Volunteer Process Model (VPM, 1995) was used as an underpinning theoretical framework and a guide for the interpretations of the results. The findings indicate that a) motivations included in the VPM are also found for young migrants, b) some of these motivations take particular meaning for young migrants, c) some motivations are not included in the VPM and are specific of this sample. We named these last motivations: social norms, advocacy and ethno-cultural. In addition, some considerations may be advanced regarding the generation and the phase of motivation: 1G migrants are particularly moved by the importance of integration in the Italian context and by the promotion of their ethnic group while 2G migrants reported mostly the desire to understand their roots. The values, the concern for the community and the longing to develop relationships are the motivations for which all young migrants continue to volunteer; however, 1G migrants are also sustained by advocacy and ethno-cultural motivations. Implications and future directions are discussed.

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