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Reproductive health patient and provider preferences regarding a clinic-based intimate partner violence and reproductive coercion intervention

      Objectives: We aimed to identify intimate partner violence (IPV) and reproductive coercion intervention design preferences, barriers to treatment uptake and issues in implementation that may be unique to women.
      Methods: Family planning and abortion clinic patients and providers at two Michigan locations were eligible to participate. Ten patients who had experienced IPV or reproductive coercion each completed a semistructured interview covering their experiences, as well as intervention preferences and barriers. Two focus groups with 15 providers were also conducted, addressing issues covered in patient interviews from the provider perspective.
      Results: Patients stated that control over their reproductive health decisions was important, but all expressed a desire to discuss this with their partners and indicated that providers should ask about their needs and preferences, especially concerning their relationships. In terms of interventions, patients had concerns about anonymity due to feelings of distrust and shame; they wanted a “human connection,” a feeling of empowerment to utilize resources; and suggested Web-based counseling or group therapy. Providers felt that their setting is safe and nonjudgmental, suitable for IPV and reproductive coercion screening and building strong bonds of trust with their patients. However, providers also noted that many patients may not disclose IPV or reproductive coercion; thus, repeated screening is important. Providers stressed transportation and childcare as major barriers and suggested a brief intervention during the visit with online follow-up for relationship skill building and recognition of signs of unhealthy relationships.
      Conclusions: This provides vital information to develop, implement and evaluate an IPV and reproductive coercion intervention within a reproductive health setting.