Authors
1 Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Isfahan University of Medical Sciences
2 Department of Medical Education, Medical Education Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
Abstract
BACKGROUND: Training the health personnel about domestic violence would cause them to
investigate and evaluate this issue more than before. Considering the new educational approaches
for transferring knowledge, the goal of this research was to compare the effect of group‑based and
compact disk (CD)‑based training on midwives’ knowledge and attitude toward domestic violence.
METHODS: In this clinical experiment, seventy midwives working at health centers and hospitals
of Isfahan were randomly allocated into two classes of group‑based and CD‑based trainings and
were trained in the fields of recognition, prevention, and management of domestic violence. Data
were collected by questionnaires which were completed by the midwives for evaluation of their
knowledge and attitude.
RESULTS: The mean score of midwives’ knowledge and attitude toward domestic violence had
a meaningful increase after the training (16.1, 46.9) compared to the score of before the training
(12.1, 39.1) in both of the classes (group‑based training: 17.7, 45.4) (CD‑based training: 11.7, 38.6).
No meaningful difference was observed between the two groups regarding midwives’ attitude toward
domestic violence after the intervention; however, regarding their knowledge level, the difference
was statistically meaningful (P = 0.001), and this knowledge increase was more in the CD‑based
training group.
CONCLUSIONS: In spite of the effectiveness of both of the training methods in promoting midwives’
knowledge and attitude about domestic violence, training with CD was more effective in increasing
their knowledge; as a result, considering the benefits of CD‑based training such as cost‑effectiveness
and possibility of use at any time, it is advised to be used in training programs for the health personnel.
Keywords
violence against women with pre‑invasive and invasive
cervical lesions: A review study. Iran J Obstet Gynecol Infertil
2015;18:1‑10.
2. Torkashwand F, Rezaeean M, Sheikhfathollahi M, Mehrabian M,
Bidaki R, Garousi B, et al. The prevalence of the types of domestic
violence on women referred to health care centers in Rafsanjan
in 2012. J Rafsanjan Univ Med Sci 2013;12:695‑708.
3. Zaher E, Keogh K, Ratnapalan S. Effect of domestic violence
training: Systematic review of randomized controlled trials. Can
Fam Physician 2014;60:618‑24
4. Taherkhani S, Mirmohammadali M, Kazemnegad A, Arbabi M.
Prevalence of domestic violence and its association with
depression in women. J Shahroud Univ Med Sci 2010;5:99‑108.
5. Flury M, Nyberg E, Riecher‑Rössler A. Domestic violence against
women: Definitions, epidemiology, risk factors and consequences.
Swiss Med Wkly 2010;140:w13099.
6. Mohammadbeigi A, Seyedi S, Behdari M, Brojerdi R, Rezakhoo A.
The effect of life skills training on decreasing on domestic violence
and general health promotion on women. JUrmia Nurs Midwifery
Fac 2016;13:903‑11.
7. Ahmadi B, Ekhtiari Y. A review of studies about efficacy of public
health interventions for prevention of domestic violence against
women. Soc Welfare Q 2011;40:237‑57.
8. Dolatian M, Hesami K, Shams J, Alavi Majd H, Moafi F. Barriers
to screening for domestic violence from the perspective of health
care workers. J Forensic Med 2012;17:225‑32.
9. Khodadadi E, Mohammadzadeh S, Hekmatpou D, Zohoor A.
A comparison between the effectiveness of pacemaker care
education through compact disc and group education on nurses’
knowledge and performance in educational hospitals of Arak
University of Medical Sciences. Mod Care J Sci Q Birjand Nurs
Midwifery Fac 2013;10:10‑8.
10. Khorami Rad A, Heidari A, Ahmari Tehran H. Comparison of
two self‑learning methods (CD‑Rom or booklet) for physician
education about reporting diseases cases. Iran J Med Educ
2011;11:149‑58.
11. Jayatilleke AC, Yoshikawa K, Yasuoka J, Poudel KC, Fernando N,
Jayatilleke AU, et al. Training Sri Lankan public health midwives
on intimate partner violence: A pre‑and post‑intervention study.
BMC Public Health 2015;15:331.
12. Walker LE. The Battered Woman Syndrome. 3rd ed. USA: Springer;
2009.
13. World Health Organization. Responding to Intimate Partner
Violence and Sexual Violence against Women: Who Clinical and
Policy Guidelines. Geneva: World Health Organization; 2013.
14. World Bank. Gender‑Based Violence, Health and the Role of the
Health Sector. Washington DC: World Bank; 2011.
15. Kalmeghani N, Azmoodeh E. Domestic violence in pregnancy,
outcomes and strategies: A review article. Iran J Obstet Gynecol
Infertil 2013;15:13‑22.
16. Papadakaki M, Petridou E, Kogevinas M, Lionis C. Measuring
the effectiveness of an intensive IPV training program offered
to Greek general practitioners and residents of general practice.
BMC Med Educ 2013;13:46.17. Hugenholtz NI, de Croon EM, Smits PB, van Dijk FJ,
Nieuwenhuijsen K. Effectiveness of e‑learning in continuing
medical education for occupational physicians. Occup Med(Lond)
2008;58:370‑2.
18. George PP, Papachristou N, Belisario JM, Wang W, Wark PA,
Cotic Z, et al. Online eLearning for undergraduates in health
professions: A systematic review of the impact on knowledge,
skills, attitudes and satisfaction. J Glob Health 2014;4:010406
)