Browsing by Author "Malcolm, Jeannie"

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    Cumulative Lifetime Violence Severity and Chronic Pain in a Community Sample of Canadian Men
    (Oxford University Press, 2021) Wuest, Judith; O’Donnell, Sue; Scott-Storey, Kelly; Malcolm, Jeannie; Vincent, Charlene, D.; Taylor, Petrea
    Objective: To create a descriptive profile of chronic pain severity in men with lifetime cumulative violence histories as target and/or perpetrator and investigate how chronic pain severity is associated with, and predicted by lifetime cumulative violence severity and known determinants of chronic pain. Methods: Analysis of variance and binary logistic regression using data collected in an online survey with a community convenience sample of 653 men who reported experiences of lifetime violence. Results: Prevalence of high intensity/high disability pain in men with lifetime violence was 35.8%. Total Cumulative Lifetime Violence Severity (CLVS)-44 scores were significantly associated with high intensity/high disability chronic pain measured by the Chronic Pain Grade Scale (OR = 8.40). In a model with 10 CLVS-44 subscales scores, only psychological workplace violence as target (aOR = 1.44) and lifetime family physical violence as target (aOR = 1.42) significantly predicted chronic pain severity. In a multivariate model, chronic pain severity was predicted by CLVS-44 total score (aOR = 2.69), age (aOR = 1.02), injury with temporary impairment (aOR = 1.99), number of chronic conditions (aOR = 1.37) and depressive symptoms ((aOR = 1.03). Conclusion: The association between lifetime cumulative violence severity and chronic pain severity in men is important new information suggesting the need for trauma- and violence-informed approaches to assessment and intervention with men. This is the first analysis using CLVS-44 subscales to understand which configurations of lifetime cumulative violence may be most predictive of chronic pain severity; further investigation is needed to confirm these findings. Keywords: cumulative lifetime violence severity, chronic pain severity, psychological workplace violence, gender, perpetration, victimization
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    The process, outcomes, and challenges of feasibility studies conducted in partnership with stakeholders: A health intervention for women survivors of intimate partner violence
    (2015) Wuest, Judith; Merritt-Grey, Marilyn; Dubé, Norma; Hodgins, Marilyn J.; Malcolm, Jeannie; Majerovich, Jo Ann; Scott-Storey, Kelly; Ford-Gilboe, Marilyn; Varcoe, Colleen
    Feasibility studies play a crucial role in determining whether complex, community-based interventions should be subject to efficacy testing. Reports of such studies often focus on efficacy potential but less often examine other elements of feasibility, such as acceptance by clients and professionals, practicality, and system integration, which are critical to decisions for proceeding with controlled efficacy testing. Although stakeholder partnership in feasibility studies is widely suggested to facilitate the research process, strengthen relevance, and increase knowledge transfer, little is written about how this occurs or its consequences and outcomes. We began to address these gaps in knowledge in a feasibility study of a health intervention for women survivors of intimate partner violence (IPV) conducted in partnership with policy, community and practitioner stakeholders. We employed a mixed-method design, combining a single-group, pre-post intervention study with 52 survivors of IPV, of whom 42 completed data collection, with chart review data and interviews of 18 purposefully sampled participants and all 9 interventionists. We assessed intervention feasibility in terms of acceptability, demand, practicality, implementation, adaptation, integration, and efficacy potential. Our findings demonstrate the scope of knowledge attainable when diverse elements of feasibility are considered, as well as the benefits and challenges of partnership. The implications of diverse perspectives on knowledge transfer are discussed. Our findings show the importance of examining elements of feasibility for complex community-based health interventions as a basis for determining whether controlled intervention efficacy testing is justified and for refining both the intervention and the research design.