{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T07:09:40Z","timestamp":1789456180445,"version":"build-2803163510"},"reference-count":41,"publisher":"SAGE Publications","issue":"19-20","license":[{"start":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T00:00:00Z","timestamp":1779148800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T00:00:00Z","timestamp":1779148800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100004359","name":"Vetenskapsr\u00e5det","doi-asserted-by":"publisher","award":["2018-05223_VR"],"award-info":[{"award-number":["2018-05223_VR"]}],"id":[{"id":"10.13039\/501100004359","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Interpers Violence"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:p>\n                    Intimate partner violence (IPV) places a considerable burden on health systems globally due to its profound effects on women\u2019s health, and women who experience violence often seek care from healthcare providers (HCPs). However, HCPs often lack the preparedness and confidence to respond effectively, resulting in missed opportunities for support and care. This study, conducted in Nepal, evaluated the impact of structured training intervention on HCPs\u2019 perceived preparedness, knowledge, and attitudes toward managing IPV and its mental health consequences, including self-harm and suicidal tendencies. The study was nested within a larger cluster randomized trial. A convergent mixed-methods design with a comparison group was conducted among 46 female HCPs in all public hospitals (except one) and 17 primary healthcare centers in Madhesh Province, Nepal. The intervention group (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    = 24) received a 10-day intensive IPV and mental health training, while the control group (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    = 22) completed 3-day training. Quantitative data were collected using a validated self-administered Physician\u2019s Readiness to Manage IPV questionnaire and IPV consequences scale. Paired and independent\n                    <jats:italic toggle=\"yes\">t<\/jats:italic>\n                    -tests were applied to assess changes. Insights from key informant interviews were thematically analyzed to explore participant experiences and perceived impacts. At baseline, over 80% of participants had not received IPV management training. Post-intervention, significant improvements were observed in HCPs perceived preparedness (median change 2.1; 95% confidence interval (CI): 1.1\u2013 2.9), knowledge (median change 2.7; 95% CI: 2.0\u20133.1), and awareness of IPV consequences (mean difference 1.2; 95% CI: 0.5\u20132.0), with greater gains in the intervention group. Qualitative findings revealed enhanced confidence in identifying IPV, addressing psychological impacts, and supporting survivors through safety planning and referral. The training significantly improved HCPs\u2019 knowledge, preparedness, and confidence to manage IPV and related mental health issues, underscoring the need to scale similar programs to frontline providers, particularly in rural and underserved settings, to strengthen health system\u2019s response to IPV.\n                  <\/jats:p>","DOI":"10.1177\/08862605261444014","type":"journal-article","created":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T13:16:22Z","timestamp":1779196582000},"page":"7949-7975","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Evaluating the Effectiveness of an Intimate Partner Violence Training Intervention on Healthcare Providers\u2019 Preparedness, Knowledge, and Experiences: A Mixed-Methods Study From Nepal"],"prefix":"10.1177","volume":"41","author":[{"given":"Reena","family":"Koju","sequence":"first","affiliation":[{"name":"Public Health and Environment Research Centre (PERC), Lalitpur, Bagmati, Nepal"},{"name":"Knowledge to Action (K2A), Lalitpur, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachana","family":"Shrestha","sequence":"additional","affiliation":[{"name":"Public Health and Environment Research Centre (PERC), Lalitpur, Bagmati, Nepal"},{"name":"Knowledge to Action (K2A), Lalitpur, Nepal"},{"name":"Karolinska Institutet, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jayanti","family":"Dhungana","sequence":"additional","affiliation":[{"name":"Nepal Police Hospital, Kathmandu, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Achyut","family":"Lamichhane","sequence":"additional","affiliation":[{"name":"Public Health and Environment Research Centre (PERC), Lalitpur, Bagmati, Nepal"},{"name":"Knowledge to Action (K2A), Lalitpur, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amit","family":"Misra","sequence":"additional","affiliation":[{"name":"Public Health and Environment Research Centre (PERC), Lalitpur, Bagmati, Nepal"},{"name":"Knowledge to Action (K2A), Lalitpur, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna Mia","family":"Ekstr\u00f6m","sequence":"additional","affiliation":[{"name":"Karolinska Institutet, Stockholm, Sweden"},{"name":"S\u00f6dersjukhuset, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9933-2210","authenticated-orcid":false,"given":"Keshab","family":"Deuba","sequence":"additional","affiliation":[{"name":"Public Health and Environment Research Centre (PERC), Lalitpur, Bagmati, Nepal"},{"name":"Knowledge to Action (K2A), Lalitpur, Nepal"},{"name":"Karolinska Institutet, Stockholm, Sweden"},{"name":"Global Health Epidemiology Group, Centre for International Health (CIH), University of Bergen, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,5,19]]},"reference":[{"key":"e_1_3_4_2_1","doi-asserted-by":"crossref","unstructured":"Abeid M. 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