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Balancing safety and retention: strategies to reduce attrition in ipc research

Anderson, Heather (2016) Balancing safety and retention: strategies to reduce attrition in ipc research. Master Essay, University of Pittsburgh.

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In the United States (U.S.) and globally, 30% of women experience intimate partner violence (IPV) at the hands of a partner, frequently resulting in negative outcomes for those directly involved as well as children who witness such violence. The societal and health care costs are estimated to be in the billions of dollars each year. Negative health outcomes, resulting from IPV, can affect a person’s physical, mental and emotional health and range from anxiety and depression to broken bones and lacerations. Thus, research on strategies to assist IPV survivors are critical for strengthening the health sector response to this devastating public health problem. In 2005, the World Health Organization (WHO) conducted a multi-country study on IPV and women’s health that facilitated the release of guidelines for both clinicians and researchers and was intended to strengthen the health care and societal response to IPV globally. The Centers for Disease Control and Prevention (CDC) published the summary for the National Intimate Partner and Sexual Violence Survey (NISVS) in 2011 which reports prevalence of IPV in the U.S. As the library of IPV-related material increases, it is evident that health care settings are important areas for engaging survivors of IPV since women seeing exposure is high at these sites. The ARCHES study investigated the short (four months) and long-term (12 months) effects of an intervention on IPV, reproductive coercion (RC) and unintended pregnancies as outcomes in 25 family planning clinics in western Pennsylvania. Of 4,009 women approached, 92% participated in the baseline portion of the study. Low attrition was achieved with 3017 completed surveys at T2 (12-20 weeks post baseline) and 2926 at T3 (12 months post baseline). The ARCHES longitudinal study was unable to reduce partner violence, but retained almost 80% of a lower income, younger female population for a year while maintaining high ethical and safety standards. While the ARCHES study had an overall high retention rate, the most vulnerable subset of participants, those completing only the baseline survey who were more likely to be younger and more likely to be exposed to IPV at baseline, were lost to follow-up. The ARCHES study’s detailed guidelines on safe and ethical ways for recruiting and retaining vulnerable populations add to the growing research literature on the health care response to IPV. This study is also a call to action for future public health practitioners to publish detailed accounts of strategies used to engage vulnerable populations ultimately to help alleviate negative health outcomes for this significant public health problem.


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Item Type: Other Thesis, Dissertation, or Long Paper (Master Essay)
Status: Unpublished
CreatorsEmailPitt UsernameORCID
Anderson, Heather
ContributionContributors NameEmailPitt UsernameORCID
Committee ChairTerry, Martha Annmaterry@pitt.eduUNSPECIFIEDUNSPECIFIED
Committee MemberMiller, Elizabethelm114@pitt.eduUNSPECIFIEDUNSPECIFIED
Date: 1 December 2016
Date Type: Submission
Publisher: University of Pittsburgh
Institution: University of Pittsburgh
Schools and Programs: School of Public Health > Behavioral and Community Health Sciences
Degree: MPH - Master of Public Health
Thesis Type: Master Essay
Refereed: Yes
Date Deposited: 22 May 2017 16:22
Last Modified: 20 Dec 2018 00:56

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