Table 2 Clusters: statements and ratings

Technological aspects of HRA for implementation

Tool’s equitable availability (9 items)

4.2 (.55)

3.9 (.78)

… available to both men and women

… available to persons in opposite-sex and same-sex relationships

… location accessible to all, including people in wheelchair

Tool’s ease and appropriateness (9 items) *

4.5 (.47)

4.1 (.78)

… questions should be worded in a culturally sensitive manner

… easy to use for patients with no previous use of computers

… have grade 4–6 reading level

Content of computer survey (9 items)

4.0 (.43)

4.1 (.74)

… ask about physical and psychological abuse and threats

… ask about mental health issues

… ask about risks for which interventions/resources are available

Social (Patient) aspects of HRA for implementation

Patient confidentiality and choice (19 items)

4.5 (.32)

4.3 (.62)

… explicitly inform patient about the purpose of the screening tool

… inform patients about clinician's legal duty to report

… provided patient with a private, safe, and quiet area to complete

… allow patients to skip items they do not want to answer

Patient comfort through humanistic touch (6 items) *

4.1 (.54)

3.7 (.79)

… should motivate patients to seek help

… should encourage patients to discuss their risks with providers

… offer assistance and referral in a safe and confidential way

Social (Provider) aspects of HRA implementation

Professional development, care & workload (22 items) **

4.2 (.37)

3.4 (.92)

… department specific guidelines on screening inclusion

… prepare clinicians how to respond empathetically

… clearly define the role of all staff

… social workers need to be available 24 h, 7 days

Clinical management protocol (11 items)

4.0 (.48)

3.8 (.77)

… clinician's direct immediate contact with patient after disclosure

… make resources ( e.g. posters, brochures, support staff) available

In family practice, a follow-up visit should be also scheduled