Browsing by Author "Wuest, Judith"

Now showing 1 - 6 of 6
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    A brighter tomorrow: insight into abusive relationships
    (2004) Merritt-Gray, Marilyn; Wuest, Judith
    The purpose of this pamphlet is to provide information that can be used to help people who have experienced partner abuse.
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    A theory-based primary health care intervention for women who have left abusive partners.
    (2011) Ford-Gilboe, Marilyn; Merritt-Gray, Marilyn; Varcoe, Colleen; Wuest, Judith
    Although intimate partner violence is a significant global health problem, few tested interventions have been designed to improve women's health and quality of life, particularly beyond the crisis of leaving. The Intervention for Health Enhancement After Leaving is a comprehensive, trauma informed, primary health care intervention, which builds on the grounded theory Strengthening Capacity to Limit Intrusion and other research findings. Delivered by a nurse and a domestic violence advocate working collaboratively with women through 6 components (safeguarding, managing basics, managing symptoms, cautious connecting, renewing self, and regenerating family), this promising intervention is in the early phases of testing.
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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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    Help-seeking for suicidality in women who have experienced intimate partner violence: a feminist grounded theory & photovoice study
    (University of New Brunswick, 2018) Taylor, Petrea; Wuest, Judith; Weed, Ronald
    Intimate partner violence (IPV) has been found to contribute to suicide thoughts and behaviours in women (Lamis et al., 2017). Seeking help for suicidality with a history of violent trauma is difficult within a society that stigmatizes these experiences. This study sought to discover the process of women’s help-seeking for suicidality in the wake of IPV. Feminist ethical theory, the philosophical underpinning for this multiple method qualitative design of grounded theory (GT) and photovoice (PV), provided a lens in understanding women’s journey. Transcripts from individual interviews with 32 women, seven of whom participated in the PV portion of the study, were analyzed using the constant comparative method of GT. The PV approach aligned with the philosophical underpinning of the study, feminist ethical theory, as the self-generated images and consciousness raising within the meetings helped to broaden the scope of the study. The multiple method qualitative design rendered socio-political constructs of women’s helpseeking. "Hunting to Feel Human" emerged as the basic socio-psychological process that manages the basic socio-psychological problem, "System Entrapment". To "Feel Human" is a sense of personal value and belonging, an aim that is sought in overcoming "System Entrapment", feeling stuck within dehumanization as a result of feeling invalidated within the health care system. "System Entrapment" exists within the context of past "Abuser Entrapment", being stuck within IPV, and "Trauma Entrapment", feeling stuck within suicidality. "Feeling Human" is attained through "Hunting" and several sub-processes, including "Distancing", "Grasping for Help", "Applying Counter-Pressure", "Enduring System Entrapment", "Soaking in Validation", and "Letting Go". The sub-processes are a way of "Taking the Path of Least Disempowerment", a journey that is guided by "Gauging Validation" opportunities. Depending upon the ratio of "System" and "Trauma Entrapment" that is "Gauged", the "Hunt" will retreat or move toward the system. This substantive theory helps to fill in the gaps on understanding chronic suicidality and trauma in women. Implications of this study involve a movement toward a Recovery Model through which services are adapted to clients’ needs. Ultimately, health care providers’ ability to validate suicidality by sharing their mutual humanity is the most powerful contributor to "Feeling Human".
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    Pour un avenir meilleur : un aperçu des relations de violence
    (2004) Merritt-Gray, Marilyn; Wuest, Judith
    Cette brochure se veut une source d’information pour aider les personnes victimes de violence conjugale.
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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.