Defining physicians' readiness to screen and manage intimate partner violence in Greek primary care settings

Eval Health Prof. 2012 Jun;35(2):199-220. doi: 10.1177/0163278711423937. Epub 2011 Dec 7.


The current article aims to translate the PREMIS (Physician Readiness to Manage Intimate Partner Violence) survey into the Greek language and test its validity and reliability in a sample of primary care physicians. The validation study was conducted in 2010 and involved all the general practitioners serving two adjacent prefectures of Greece (n = 80). Maximum-likelihood factor analysis (MLF) was used to extract key survey factors. The instrument was further assessed for the following psychometric properties: (a) scale reliability, (b) item-specific reliability, (c) test-retest reliability, (d) scale construct validity, and (e) internal predictive validity. The MLF analysis of 23 opinion items revealed a seven-factor solution (preparation, constraint, workplace issues, screening, self-efficacy, alcohol/drugs, victim understanding), which was statistically sound (p = .293). Most of the newly derived scales displayed satisfactory internal consistency (α ≥ .60), high item-specific reliability, strong construct, and internal predictive validity (F = 2.82; p = .004), and high repeatability when retested with 20 individuals (intraclass correlation coefficient [ICC] > .70). The tool was found appropriate to facilitate the identification of competence deficits and the evaluation of training initiatives.

Publication types

  • Research Support, Non-U.S. Gov't
  • Validation Study

MeSH terms

  • Adult
  • Attitude of Health Personnel*
  • Chi-Square Distribution
  • Confidence Intervals
  • Culture
  • Factor Analysis, Statistical
  • Female
  • Greece / epidemiology
  • Health Care Surveys
  • Humans
  • Likelihood Functions
  • Male
  • Mass Screening / methods
  • Mass Screening / psychology*
  • Physicians / psychology*
  • Predictive Value of Tests
  • Primary Health Care / methods*
  • Primary Health Care / statistics & numerical data
  • Psychometrics
  • Reproducibility of Results
  • Spouse Abuse / psychology*
  • Spouse Abuse / statistics & numerical data
  • Spouses / psychology*
  • Spouses / statistics & numerical data
  • Statistics as Topic