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.
Language: en
LA - en SN - 0098-7484 UR - http://dx.doi.org/10.1001/jama.2019.10602 ID - ref1 ER -