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10.2196/22790

http://scihub22266oqcxt.onion/10.2196/22790
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33605898!7899202!33605898
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suck abstract from ncbi


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pmid33605898      J+Med+Internet+Res 2021 ; 23 (2): e22790
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  • Mobile Remote Monitoring of Intimate Partner Violence Among Pregnant Patients During the COVID-19 Shelter-In-Place Order: Quality Improvement Pilot Study #MMPMID33605898
  • Krishnamurti T; Davis AL; Quinn B; Castillo AF; Martin KL; Simhan HN
  • J Med Internet Res 2021[Feb]; 23 (2): e22790 PMID33605898show ga
  • BACKGROUND: Intimate partner violence (IPV) is one of the leading causes of pregnancy-related death. Prenatal health care providers can offer critical screening and support to pregnant people who experience IPV. During the COVID-19 shelter-in-place order, mobile apps may offer such people the opportunity to continue receiving screening and support services. OBJECTIVE: We aimed to examine cases of IPV that were reported on a prenatal care app before and during the implementation of COVID-19 shelter-in-place mandates. METHODS: The number of patients who underwent voluntary IPV screening and the incidence rate of IPV were determined by using a prenatal care app that was disseminated to patients from a single, large health care system. We compared the IPV screening frequencies and IPV incidence rates of patients who started using the app before the COVID-19 shelter-in-place order, to those of patients who started using the app during the shelter-in-place order. RESULTS: We found 552 patients who started using the app within 60 days prior to the enforcement of the shelter-in-place order, and 407 patients who used the app at the start of shelter-in-place enforcement until the order was lifted. The incidence rates of voluntary IPV screening for new app users during the two time periods were similar (before sheltering in place: 252/552, 46%; during sheltering in place: 163/407, 40%). The overall use of the IPV screening tool increased during the shelter-in-place order. A slight, nonsignificant increase in the incidence of physical, sexual, and psychological violence during the shelter-in-place order was found across all app users (P=.56). Notably, none of the patients who screened positively for IPV had mentions of IPV in their medical charts. CONCLUSIONS: App-based screening for IPV is feasible during times when in-person access to health care providers is limited. Our results suggest that the incidence of IPV slightly increased during the shelter-in-place order. App-based screening may also address the needs of those who are unwilling or unable to share their IPV experiences with their health care provider.
  • |Adult[MESH]
  • |COVID-19/*psychology[MESH]
  • |Emergency Shelter/*methods[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Intimate Partner Violence/*psychology[MESH]
  • |Male[MESH]
  • |Pilot Projects[MESH]
  • |Pregnancy[MESH]
  • |Quality Improvement/*standards[MESH]
  • |Remote Consultation/*methods[MESH]
  • |SARS-CoV-2[MESH]


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