33% of all female fracture clinic patients have experienced IPV at some point in their lives and 17% have experienced it in the past year. As a consequence of abuse, IPV victims suffer from more physical and mental health problems and use health care resources more frequently than non-victims leading to an estimated annual IPV cost of $7.4 billion in Canada. With the desire to help victims of IPV, the CEO is dedicated to developing and evaluating programs that optimize the fracture clinics to provide the best possible care to victims of IPV.
EDUCATE is a prospective mixed-methods study that evaluates the implementation and impact of an intimate partner violence (IPV) educational program for orthopaedic surgeons, surgical trainees, and allied health care professionals who treat patients in fracture clinics. The study uses both quantitative and qualitative research methodology to assess: (1) Champions’ (i.e. local trainers’) experiences with implementing the IPV educational program; (2) Trainees level of comfort and knowledge about IPV; (3) Trainees’ level of readiness to assist IPV victims; and (4) Trainees’ knowledge utilization. The program has been implemented at six fracture clinics in Canada and one fracture clinic in the US. Participant enrolment is complete and follow-up will be completed in the spring of 2018. Study completion is expected for June 2018 and planning for widespread implementation of the EDUCATE program is underway in collaboration with the Canadian Orthopaedic Association. Please click here for protocol.
Principal Investigators: Dr. Sheila Sprague
PRAISE-2 is a pilot prospective cohort study of 250 women with fractures that aims to determine the feasibility of a large multinational cohort study that will examine surgical outcomes (time to fracture healing, fracture-related adverse events, and return to pre-injury function) among those injured women who report, or do not report, a history of abuse. This will be the first study to evaluate differences in orthopaedic outcomes between abused and non-abused women and preliminarily assess whether an injury can lead to worsening abuse by an intimate partner.
Principal Investigators: Dr. Brad Petrisor, Dr. Sheila Sprague, and Dr. Mohit Bhandari, as well as PhD Student & Project Manager Kim Madden
PRAISE Investigators, Sprague S, Bhandari M, Della Rocca GJ, Goslings JC, Poolman RW, Madden K, Simunovic N, Dosanjh S, Schemisch EH. Prevalence of Abuse and Intimate partner violence Surgical Evaluation (PRAISE) in orthopaedic fracture clinics: A multi-national prevalence study. The Lancet. 2013;382(9895):866-876.
Sprague S, Scott T, Garibaldi A, Bzovsky S, Slobogean GP, McKay P, Spurr H, Arseneau E, Memon M, Bhandari M, Swaminathan A. A scoping review of intimate partner violence assistance programmes within health care settings. Eur J Psychotraumatol. 2017 May 5;8(1):1314159. doi: 10.1080/20008198.2017.1314159. eCollection 2017.
Sprague S, Slobogean GP, Spurr H, McKay P, Scott T, Arseneau E, Memon M, Bhandari M, Swaminathan A. A Scoping Review of Intimate Partner Violence Screening Programs for Health Care Professionals. PLoS One. 2016 Dec 15;11(12):e0168502. doi: 10.1371/journal.pone.0168502. eCollection 2016.
Sprague S, Swaminathan A, Slobogean G, Spurr H, Arseneau E, Raveendran L, Memon M, Scott T, Agarwal G, Bhandari M. A Scoping Review of Intimate Partner Violence Educational Programs for Health Care Professionals. Women & Health. 2017 Dec 18:1-15. doi: 10.1080/03630242.2017.1388334. [Epub ahead of print]
Madden K, Evaniew N, Scott T, Domazetoska E, Dosanjh P, Li CS, Thabane L, Bhandari M, Sprague S. Knowledge Dissemination of Intimate Partner Violence Intervention Studies Measured Using Alternative Metrics: Results From a Scoping Review. J Interpers Violence. 2016 Jul 4. pii: 0886260516657914. [Epub ahead of print].