Domestic and Family Violence Video Interventions Designed for Women in Healthcare Settings: A Systematic Review

Domestic and family violence (DFV) is a profound health concern, placing women at a disproportionate risk of injury or death. Research shows that women who experience DFV have higher rates of physical illness than women who do not, resulting in more frequent contact with healthcare providers, which creates an opportunity for intervention. Video-based interventions may provide a beneficial, accessible, and cost-effective method to increase awareness and help-seeking behaviours in women who may be experiencing DFV. This review evaluated the effectiveness of video interventions targeted at women within healthcare settings and assessed the characteristics of these videos to inform future developments. We conducted a systematic review of key databases (MEDLINE, Embase, CINAHL, PsycINFO, Scopus, Web of Science). Twelve articles describing seven trials underwent quality appraisal (QuADS) and were included in the review. Interventions were either standalone videos or embedded within DFV screening processes. Findings suggest that video interventions have the potential to improve help-seeking behaviours related to DFV; however, no effect was observed on quantitative measures of knowledge or quality of life. Although findings were mixed, feedback from women and healthcare staff was favourable. Video interventions appeared to be most effective when shown in private settings prior to appointments with healthcare providers, when videos could prompt further discussion with healthcare staff. Further research is recommended to identify the optimal format of delivery that aligns with women's needs for discretion and safety.