{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T01:12:36Z","timestamp":1783905156510,"version":"3.55.0"},"reference-count":15,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T00:00:00Z","timestamp":1783641600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Health Educ Behav"],"abstract":"<jats:p>Intimate partner violence (IPV) is a significant public health concern, affecting over 41% of women in the United States during their lifetime. IPV is particularly prevalent during reproductive years, including pregnancy and postpartum periods, and has severe adverse effects on both maternal and child health. Home visiting offers a promising context for prevention; however, persistent barriers to screening underscore the need for practical, implementation-ready tools to support home visitors in addressing IPV. This brief report describes a quality improvement initiative examining the implementation of the Futures Without Violence Connected Parents, Connected Kids (CPCK) cards within Alabama home visiting programs. Between September and December 2024, four Alabama local implementing agencies (LIAs) participated in the Home Visiting Collaborative Innovation and Improvement Network\u2019s (HV CoIIN) Sprint to Sustain Improvement in IPV (sprint). The sprint aimed to integrate CPCK cards into home visits, with a goal of educating 90% of families on healthy relationships and improving support for home visitors in discussing IPV. Data from Alabama\u2019s home visiting database were used to track IPV screening rates before and after the sprint. In addition, a survey was conducted to gather home visitors\u2019 perspectives on CPCK cards. Results showed that by the end of the sprint, all caregivers were educated about healthy relationships, and IPV screening rates improved at three LIAs and remained 100% at the fourth. Survey responses indicated that CPCK cards were valuable tools for facilitating conversations about healthy relationships and screening for IPV.<\/jats:p>","DOI":"10.1177\/10901981261464892","type":"journal-article","created":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T08:50:53Z","timestamp":1783673453000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Implementation of Healthy Relationship Educational Materials in Alabama Home Visiting Programs"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0206-5556","authenticated-orcid":false,"given":"Heather H.","family":"Johnson","sequence":"first","affiliation":[{"name":"The University of Alabama at Birmingham, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-0885-3780","authenticated-orcid":false,"given":"Margaret","family":"Enlow","sequence":"additional","affiliation":[{"name":"The University of Alabama at Birmingham, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0354-7402","authenticated-orcid":false,"given":"Julie K.","family":"Preskitt","sequence":"additional","affiliation":[{"name":"The University of Alabama at Birmingham, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kesha","family":"Whitehead","sequence":"additional","affiliation":[{"name":"Alabama Department of Early Childhood Education, Montgomery, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4720-7124","authenticated-orcid":false,"given":"Matthew","family":"Fifolt","sequence":"additional","affiliation":[{"name":"The University of Alabama at Birmingham, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,10]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"crossref","unstructured":"Agrawal A. Ickovics J. Lewis J. B. Magriples U. Kershaw T. S. (2014). Postpartum intimate partner violence and health risks among young mothers in the United States: A prospective study. Maternal and Child Health Journal 18(8) 1985\u20131992. https:\/\/doi.org\/10.1007\/s10995-014-1444-9","DOI":"10.1007\/s10995-014-1444-9"},{"key":"e_1_3_2_3_1","doi-asserted-by":"crossref","unstructured":"Alhusen J. L. Ray E. Sharps P. Bullock L. (2015). Intimate partner violence during pregnancy: Maternal and neonatal outcomes. Journal of Women\u2019s Health 24(1) 100\u2013106. https:\/\/doi.org\/10.1089\/jwh.2014.4872","DOI":"10.1089\/jwh.2014.4872"},{"key":"e_1_3_2_4_1","unstructured":"American College of Obstetricians and Gynecologists. (2022). Intimate partner violence. https:\/\/www.acog.org\/clinical\/clinical-guidance\/committee-opinion\/articles\/2012\/02\/intimate-partner-violence"},{"key":"e_1_3_2_5_1","unstructured":"Centers for Disease Control and Prevention. (2024). About intimate partner violence. https:\/\/www.cdc.gov\/intimate-partner-violence\/about\/index.html"},{"key":"e_1_3_2_6_1","doi-asserted-by":"crossref","unstructured":"Davidov D. M. Coffman J. Dyer A. Bias T. K. Kristjansson A. L. Mann M. J. Vasile E. Abildso C. G. (2018). Assessment and response to intimate partner violence in home visitation: A qualitative needs assessment with home visitors in a statewide program. Journal of Interpersonal Violence 36(3\u20134) NP1762\u20131787NP. https:\/\/doi.org\/10.1177\/0886260518754869","DOI":"10.1177\/0886260518754869"},{"key":"e_1_3_2_7_1","unstructured":"Futures Without Violence. (2014). Connected parents connected kids: ACEs safety card [Brochure]. https:\/\/ipvhealth.org\/resources\/"},{"key":"e_1_3_2_8_1","doi-asserted-by":"crossref","unstructured":"Miller E. Decker M. R. McCauley H. L. Tancredi D. J. Levenson R. R. Waldman J. Schoenwald P. Silverman J. G. (2011). A family planning clinic partner violence intervention to reduce risk associated with reproductive coercion. Contraception 83(3) 274\u2013280. https:\/\/doi.org\/10.1016\/j.contraception.2010.07.013","DOI":"10.1016\/j.contraception.2010.07.013"},{"key":"e_1_3_2_9_1","doi-asserted-by":"crossref","unstructured":"Miller E. Tancredi D. J. Decker M. R. McCauley H. L. Jones K. A. Anderson H. James L. Silverman J. G. (2016). A family planning clinic-based intervention to address reproductive coercion: A cluster randomized controlled trial. Contraception 94(1) 58\u201367. https:\/\/doi.org\/10.1016\/j.contraception.2016.02.009","DOI":"10.1016\/j.contraception.2016.02.009"},{"key":"e_1_3_2_10_1","unstructured":"Office of Planning Research and Evaluation U. S. Department of Health and Human Services. (2020). What the evidence says: Intimate partner violence and home visiting. https:\/\/homvee.acf.hhs.gov\/sites\/default\/files\/2020-08\/Home_Visiting_IPV_Research_Brief_1.pdf"},{"key":"e_1_3_2_11_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-3514.46.3.598"},{"key":"e_1_3_2_12_1","unstructured":"Qualtrics. (2005). Qualtrics\u2122. https:\/\/www.qualtrics.com"},{"key":"e_1_3_2_13_1","first-page":"195","volume-title":"Empowering survivors of abuse: Health care for battered women and their children","author":"Soeken K. L.","year":"1998","unstructured":"Soeken K. L., McFarlane J., Parker B., Lominack M. C. (1998). The Abuse Assessment Screen: A clinical instrument to measure frequency, severity, and perpetrator of abuse against women. In Campbell J. C. (Ed.), Empowering survivors of abuse: Health care for battered women and their children (pp. 195\u2013203). Sage."},{"key":"e_1_3_2_14_1","doi-asserted-by":"crossref","unstructured":"Sprague S. Madden K. Simunovic N. Godin K. Pham N. K. Bhandari M. Goslings J. C. (2012). Barriers to screening for intimate partner violence. Women & Health 52(6) 587\u2013605. https:\/\/doi.org\/10.1080\/03630242.2012.690840","DOI":"10.1080\/03630242.2012.690840"},{"key":"e_1_3_2_15_1","doi-asserted-by":"crossref","unstructured":"Tandon S. D. Mercer C. D. Saylor E. L. Duggan A. K. (2008). Paraprofessional home visitors\u2019 perspectives on addressing poor mental health substance abuse and domestic violence: A qualitative study. Early Childhood Research Quarterly 23(3) 419\u2013428. https:\/\/doi.org\/10.1016\/j.ecresq.2008.02.002","DOI":"10.1016\/j.ecresq.2008.02.002"},{"key":"e_1_3_2_16_1","doi-asserted-by":"crossref","unstructured":"Todahl J. Nekkanti A. Schnabler S. (2020). Universal screening and education: A client-centered protocol for normalizing intimate partner violence conversation in clinical practice. 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