Determining the effectiveness of the the transtheoretical model based education and counseling program on intimate partner violence victims

This study was conducted in a single group pre-test post-test quasi-experimental design in order to examine the effect of Transtheoretical Model based education and counseling program on women affected by violence on relationship change stages, decision-making balances and self-efficacy. The sample of the study consisted of 40 women who applied to the Bureau for the Protection of Family and Violent Crimes Against Women in a courthouse in March-September 2018, who met the criteria for inclusion and exclusion for the study. Written ethical informed consent was obtained from women victims of violence, the Ministry of Justice, the local ethics committee and the owner of the scales. Prior to the education and counseling program based on the theories Transtheoretical Model; Data were collected by face-to-face interviews with the individual identification form, the instrument for determining the type of spousal violence, Processes of Change in Abused Women Scales (PROCAWS), telephone interview form and semi-structured interview form. The Turkish validity and reliability studies of the Processes of Change in Abused Women Scales (PROCAWS) were conducted by Uysal Toraman and Yıldırım (2018). The Turkish validity and reliability studies of the PROCAWS were conducted by Uysal Toraman and Yildirim (2018). Women who were victims of violence were given four informative and informative education sessions on violence for 45 minutes each session. After the educations (1st month, 3rd month and 6th month) follow-up was performed. However, in the 4th and 5th months following the training program, motivational interviews were conducted by the researcher by telephone after education to empower women. Based on the fact that the effect of the intervention appeared at least six months later in the studies using the Transtheoretical model, the last follow-up was performed at 6th months. At the beginning of the program, at the end of the first month and at the end of the third month at the end of the sixth month, the stages of changes, decisional balance and self-efficacy of women were evaluated. At the end of the sixth month, a focus group meeting was planned with eight women who participated in the education and counseling program and the opinions about the program were collected as qualitative data. Written informed consent was obtained from women victims of intimate partner violence, the Ministry of Justice, the local ethics committee and the owner of the scale. In the follow-up at four different times for the women who were victims of intimate partner violence, the follow-up was determined in the 2nd follow-up (1st month), 3rd follow-up (3rd month) and 4th follow-up (6th month) (final follow-up). The difference between the determined stages of change was statistically significant (p <0.05). None of the victims of intimate partner violence women regression who experienced a change in the stage of change, 97.10% of them showed progress in the change phase and 2.9% did not change. Stage of changes between preoperative follow-up and six-month follow-up were statistically significant (p <0.01). Before and after the education and counseling program of the victims of intimate partner violence, the pros and cons scales, the Temptations and Confidence Scales difference between the mean scores was found to be significant (p <0.01). As a result, this study improved the protection behaviors, relationship stages of changes, decisional balance perception and self-efficacy of intimate partner violence victim women. In institutions where victims of intimate partner violence apply, nurses can use a model training and counseling model. Key words: Transtheoretical model; intimate partner violence; nurse; education; counseling