Identification and Referral to Improve Safety (IRIS) of women experiencing domestic violence with a primary care training and support programme: a cluster randomised controlled trial

Feder, Gene; Davies, Roxane Agnew; Baird, Kathleen; Dunne, Danielle; Eldridge, Sandra; Griffiths, Chris; Gregory, Alison; Howell, Annie; Johnson, Maree; Ramsay, Jean; Rutterford, Clare; Sharp, Deborah

doi:10.1016/s0140-6736(11)61179-3

Cited by 303 publications

(356 citation statements)

References 25 publications

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“…Overall, the rate of publication has remained constant since the year 2000, suggesting a continuing interest in exploring the topic. The majority of studies were published in non-top-five medical journals, with only one study (Feder et al 2011) published in a top-five medical journal. This may be reflective of either the methodological quality of IPV studies or a lack of interest amongst top-five medical journals in the topic.…”

Section: Discussionmentioning

confidence: 99%

“…The publishing rate has been relatively consistent over the past 15 years, with an average of 4.3 studies published annually on the topic. Over half of the studies (55.4%, n = 36) were published in medical journals, with only one article published in a top-five medical journal (Feder et al 2011). The studies were also published less frequently in nursing journals (9.2%, n = 6) and women's health or IPV journals (9.2%, n = 6).…”

Section: Study Characteristicsmentioning

confidence: 99%

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A scoping review of intimate partner violence educational programs for health care professionals

et al. 2018

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Background: Multiple intimate partner violence (IPV) educational programs have been developed for health care professionals (HCPs); however, program content and effectiveness vary substantially. The purpose of this scoping review was to identify and synthesize the literature evaluating IPV education programs for HCPs to identify key areas for potential evidence-based recommendations and focus future research priorities. Methods: We conducted a systematic literature search using broad eligibility criteria to identify studies published between January 2000 and July 2015 that evaluated the effectiveness of IPV education programs in health care settings. All potentially eligible references were screened independently by two reviewers. Data extraction was completed independently by two reviewers for all eligible studies. Descriptive statistics were used to summarize all data. Results: We identified 65 eligible studies, 55% of which reported positive program effectiveness. Effective programs often reported the use of online training components, delivery by an IPV educator/ expert or physician/surgeon, the inclusion of a treatment protocol and resources for patients and HCPs, and included more than five training sessions lasting no more than one hours each.Conclusions: Our results demonstrate that IPV educational programs are heterogeneous and that a wide variety of methodologies have been used to evaluate their effectiveness.

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Section: Discussionmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

A scoping review of intimate partner violence educational programs for health care professionals

et al. 2018

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“…Evidence suggests that when healthcare providers facilitate the connection for their patients to an advocate (e.g., assist with making a phone call or connecting to an advocate)-called a warm referral in practice-patients are more likely to use an intervention. 16,63,64 Health providers report, however, that they often are unfamiliar with resources and do not know what to do if a patient discloses IPV to them. 12,28,51,[65][66][67][68] Unfortunately, little guidance exists on how to build these connections with victim-advocacy services, how to strengthen local connections, and how to nurture a collaborative relationship.…”

Section: Health Information Technology and Ipv Screening And Counselingmentioning

confidence: 99%

Integrating Intimate Partner Violence Assessment and Intervention into Healthcare in the United States: A Systems Approach

Miller

McCaw

Humphreys

et al. 2015

Journal of Women's Health

147

116

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The Institute of Medicine, United States Preventive Services Task Force (USPSTF), and national healthcare organizations recommend screening and counseling for intimate partner violence (IPV) within the US healthcare setting. The Affordable Care Act includes screening and brief counseling for IPV as part of required free preventive services for women. Thus, IPV screening and counseling must be implemented safely and effectively throughout the healthcare delivery system. Health professional education is one strategy for increasing screening and counseling in healthcare settings, but studies on improving screening and counseling for other health conditions highlight the critical role of making changes within the healthcare delivery system to drive desired improvements in clinician screening practices and health outcomes.This article outlines a systems approach to the implementation of IPV screening and counseling, with a focus on integrated health and advocacy service delivery to support identification and interventions, use of electronic health record (EHR) tools, and cross-sector partnerships. Practice and policy recommendations include (1) ensuring staff and clinician training in effective, client-centered IPV assessment that connects patients to support and services regardless of disclosure; (2) supporting enhancement of EHRs to prompt appropriate clinical care for IPV and facilitate capturing more detailed and standardized IPV data; and (3) integrating IPV care into quality and meaningful use measures. Research directions include studies across various health settings and populations, development of quality measures and patient-centered outcomes, and tests of multilevel approaches to improve the uptake and consistent implementation of evidence-informed IPV screening and counseling guidelines.

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“…Recruited practices had a similar proportion of female doctors to those who declined to take part, but they were larger, with a higher proportion of patients on low incomes, and a higher proportion of postgraduate teaching. 34 …”

Section: Designmentioning

confidence: 99%

Domestic violence: knowledge, attitudes, and clinical practice of selected UK primary healthcare clinicians

Ramsay¹,

Rutterford²,

Gregory³

et al. 2012

Br J Gen Pract

Self Cite

137

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BackgroundDomestic violence affects one in four women and has significant health consequences. Women experiencing abuse identify doctors and other health professionals as potential sources of support. Primary care clinicians agree that domestic violence is a healthcare issue but have been reluctant to ask women if they are experiencing abuse. AimTo measure selected UK primary care clinicians' current levels of knowledge, attitudes, and clinical skills in this area. Design and settingProspective observational cohort in 48 general practices from Hackney in London and Bristol, UK. MethodAdministration of the Physician Readiness to Manage Intimate Partner Violence Survey (PREMIS), comprising five sections: responder profile, background (perceived preparation and knowledge), actual knowledge, opinions, and practice issues. ResultsTwo hundred and seventy-two (59%) clinicians responded. Minimal previous domestic violence training was reported by participants. Clinicians only had basic knowledge about domestic violence but expressed a positive attitude towards engaging with women experiencing abuse. Many clinicians felt poorly prepared to ask relevant questions about domestic violence or to make appropriate referrals if abuse was disclosed. Forty per cent of participants never or seldom asked about abuse when a woman presented with injuries. Eighty per cent said that they did not have an adequate knowledge of local domestic violence resources. GPs were better prepared and more knowledgeable than practice nurses; they also identified a higher number of domestic violence cases. ConclusionPrimary care clinicians' attitudes towards women experiencing domestic violence are generally positive but they only have basic knowledge of the area. Both GPs and practice nurses need more comprehensive training on assessment and intervention, including the availability of local domestic violence services.

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Identification and Referral to Improve Safety (IRIS) of women experiencing domestic violence with a primary care training and support programme: a cluster randomised controlled trial

Cited by 303 publications

References 25 publications

A scoping review of intimate partner violence educational programs for health care professionals

A scoping review of intimate partner violence educational programs for health care professionals

Integrating Intimate Partner Violence Assessment and Intervention into Healthcare in the United States: A Systems Approach

Domestic violence: knowledge, attitudes, and clinical practice of selected UK primary healthcare clinicians

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