Reaching everyone in general practice? Feasibility of an integrated domestic violence training and support intervention in primary care

Szilassy, Eszter; Roy, Jessica; Williamson, Emma; Pitt, Katherine; Man, Mei-See; Feder, Gene

doi:10.1186/s12875-020-01297-5

Cited by 11 publications

(11 citation statements)

References 46 publications

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“…The ndings from this research are in line with and supported by other studies regarding online and phone consultations, presentations by survivors of DA in healthcare settings, and provision of remote support [22,29]. A report by the Health Foundation highlighted that many healthcare services had to adapt as a result of the pandemic and move towards a remote mode of working and that, in general, services that managed to adapt well relied on quickness and responsiveness as enablers of change [30].…”

Section: Discussionsupporting

confidence: 82%

COVID-19 adaptations to a training and support programme to improve primary care response to domestic abuse: a mixed methods rapid study

Downes¹,

Barbosa

2023

Preprint

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Background Increased incidence and/or reporting of domestic abuse (DA) accompanied the COVID-19 pandemic. National lockdowns and enforced social isolation necessitated new ways of supporting victims of DA remotely. Identification and Referral to Improve Safety (IRIS) is a training and support programme to improve the response to domestic abuse in general practice, which has previously been proven effective and cost-effective. The COVID-19 pandemic required the adaptation of the programme to remote training and support. Methods This study is a mixed methods rapid research, which aimed to gather evidence around the relevance, desirability and acceptability of IRIS operating remotely. Quantitative IRIS referral data were triangulated with data from four surveys and 15 interviews. Participants were local IRIS teams, IRIS-trained clinicians, and victim-survivors supported by IRIS services. The study was designed using the Lean Impact approach, allowing quick evaluation of innovation and the impact of social interventions. We carried out a Framework analysis of the interviews. Results We found that the adaptation to online training and support of IRIS was acceptable and desirable. Most clinicians feel confident addressing DA over the phone and online, although most were more confident face-to-face. While referrals to IRIS services initially declined in March 2020, numbers of referrals increased to pre-pandemic levels by July 2020. Patients felt well supported remotely, although patients who had previously experienced face-to-face support preferred it. Technology was the most frequently mentioned barrier to the change from face-to-face training and support to online training and remote support. Conclusions This study contributes to practice by asserting the desirability and acceptability of training clinicians to be able to identify, ask about DA and refer to the IRIS programme during telephone/online consultations. This is of relevance to health and public health commissioners when making commissioning decisions to improve the general practice response to domestic abuse.

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Section: Discussionsupporting

confidence: 82%

COVID-19 adaptations to a training and support programme to improve primary care response to domestic abuse: a mixed methods rapid study

Downes¹,

Barbosa

2023

Preprint

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“…Regarding the gap in knowledge and the lack of mandatory DV training, there is no major difference between dentists and medical doctors. Studies have shown that there is also a lack of training for medical doctors and a lack of knowledge on how to deal with victims [ 36 ]. In addition, many physicians do not know how to interact with special victim groups or have often overlooked males [ 37 ] and/or children [ 38 ] as victims and do not know how to support them well.…”

Section: Discussionmentioning

confidence: 99%

Dentists’ Competence and Knowledge on Domestic Violence and How to Improve It—A Review

Bregulla

Hanisch

Pfleiderer

2022

IJERPH

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Domestic violence (DV) is an important public health topic with a high prevalence in society. Dentists are also frontline responders to DV, as they not only treat victims of DV with dental injuries, but they can also screen for the presence of DV because they see patients for regular check-ups. Using the WHO definition, which describes domestic violence as intimate partner violence, 17 papers could be included in our analyses. The results of this review clearly indicated that although dentists, as members of the health care sector, are important frontline responders to DV, they are neither trained adequately at medical school nor do most feel competent enough to ask victims about DV or support them as needed. DV is often not taught at dentistry schools at all. The aims of this review were to provide an overview of existing literature on dentists’ knowledge and beliefs regarding DV, whether and how DV is taught in medical education and to give recommendations on how to improve the education of dentists on this topic. Based on our findings, we recommend that DV education should be mandatory at dentistry schools and in further training for dentists with a focus on communication with victims, how DV can be identified and how to support victims well.

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“…The availability of integrated intervention increased preparedness after training in managing the complexity of DV in clinical practice; however, it was insufficient to catalyse identification and specialist referral. The lack of guidance in the usage of information about DV also has been reported as a barrier in practice [ 49 ].…”

Section: Discussionmentioning

confidence: 99%

Screening for and Disclosure of Domestic Violence during the COVID-19 Pandemic: Results of the PRICOV-19 Cross-Sectional Study in 33 Countries

Fomenko

Keygnaert

Poel

et al. 2023

IJERPH

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The COVID-19 pandemic left no one untouched, and reports of domestic violence (DV) increased during the crisis. DV victims rarely seek professional help, yet when they do so, they often disclose it to their general practitioner (GP), with whom they have a trusting relationship. GPs rarely screen and hence rarely take the initiative to discuss DV with patients, although victims indicate that offering this opportunity would facilitate their disclosure. This paper aims to describe the frequency of screening for DV by GPs and disclosure of DV by patients to the GP during the COVID-19 pandemic, and to identify key elements that could potentially explain differences in screening for and disclosure of DV. The PRICOV-19 data of 4295 GP practices from 33 countries were included in the analyses, with practices nested in countries. Two stepwise forward clustered ordinal logistic regressions were performed. Only 11% of the GPs reported (much) more disclosure of DV by patients during COVID-19, and 12% reported having screened for DV (much). Most significant associations with screening for and disclosure of DV concerned general (pro)active communication. However, (pro)active communication was performed less frequently for DV than for health conditions, which might indicate that GPs are insufficiently aware of the general magnitude of DV and its impact on patients and society, and its approach/management. Thus, professional education and training for GPs about DV seems highly and urgently needed.

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Reaching everyone in general practice? Feasibility of an integrated domestic violence training and support intervention in primary care

Cited by 11 publications

References 46 publications

COVID-19 adaptations to a training and support programme to improve primary care response to domestic abuse: a mixed methods rapid study

COVID-19 adaptations to a training and support programme to improve primary care response to domestic abuse: a mixed methods rapid study

Dentists’ Competence and Knowledge on Domestic Violence and How to Improve It—A Review

Screening for and Disclosure of Domestic Violence during the COVID-19 Pandemic: Results of the PRICOV-19 Cross-Sectional Study in 33 Countries

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