Trauma-Informed Decision-Making Among Providers and Victims of Intimate Partner Violence During HIV Testing: A Qualitative Study.

Journal Article (Journal Article)

We explored the process of implementing an HIV testing program at an intimate partner violence (IPV) service agency from the client and provider perspectives. A qualitative descriptive approach was used wherein semi-structured interviews were conducted with 19 key informants (i.e., women with a history of IPV, HIV service providers, IPV service providers). Interviews focused on facilitators and barriers to HIV testing implementation, the decision-making process during HIV testing, and support needs. All interviews were recorded and transcribed. The text of the interviews was analyzed using directed content analysis. Unique factors were found to influence HIV testing in victims of IPV including potential for re-traumatization, readiness for testing, competing priorities, and the influence of children. The results provided important information that can be used to improve the implementation of HIV testing, tailoring processes so they are more trauma-informed; and better support individuals with a history of IPV.

Full Text

Duke Authors

Cited Authors

  • Williams, JR; Gonzalez-Guarda, RM; Ilias, V

Published Date

  • September 2017

Published In

Volume / Issue

  • 28 / 5

Start / End Page

  • 819 - 831

PubMed ID

  • 28526332

Pubmed Central ID

  • PMC5572475

Electronic International Standard Serial Number (EISSN)

  • 1552-6917

International Standard Serial Number (ISSN)

  • 1055-3290

Digital Object Identifier (DOI)

  • 10.1016/j.jana.2017.04.010


  • eng