Improving the healthcare response to domestic violence and abuse in UK primary care: interrupted time series evaluation of a system-level training and support programme

BMC Medicine
Alex Hardip SohalChris Griffiths

Abstract

It is unknown whether interventions known to improve the healthcare response to domestic violence and abuse (DVA)-a global health concern-are effective outside of a trial. An observational interrupted time series study in general practice. All registered women aged 16 and above were eligible for inclusion. In four implementation boroughs' general practices, there was face-to-face, practice-based, clinically relevant DVA training, a prompt in the electronic medical record, reminding clinicians to consider DVA, a simple referral pathway to a named advocate, ensuring direct access for women to specialist services, overseen by a national, health-focused DVA organisation, fostering best practice. The fifth comparator borough had only a session delivered by a local DVA specialist agency at community venues conveying information to clinicians. The primary outcome was the daily number of referrals received by DVA workers per 1000 women registered in a general practice, from 205 general practices, in all five northeast London boroughs. The secondary outcome was recorded new DVA cases in the electronic medical record in two boroughs. Data was analysed using an interrupted time series with a mixed effects Poisson regression model. In the ...Continue Reading

References

Apr 20, 2002·Lancet·Jacquelyn C Campbell
Jul 12, 2002·Statistics in Medicine·Julian P T Higgins, Simon G Thompson
Oct 1, 2008·BMJ : British Medical Journal·Peter CraigUNKNOWN Medical Research Council Guidance
Jun 22, 2013·BMJ : British Medical Journal·Alex Hardip Sohal, Davina James-Hanman
Feb 26, 2014·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Alice MalpassGene Feder
Dec 4, 2014·Lancet·Claudia García-MorenoGene Feder
Jun 11, 2015·BMJ : British Medical Journal·Evangelos KontopantelisDavid Reeves
Feb 6, 2018·Health Affairs·Tim J HortonWill H P Warburton

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Citations

May 14, 2020·BMJ : British Medical Journal·Abi Rimmer
Oct 12, 2021·Trauma, Violence & Abuse·Bijaya PokharelAngela Taft

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Software Mentioned

TIDieR
Humiliation , Afraid , Rape , Kick ( HARK )
Stata
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