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BMC Public Health
Published in: BMC Public Health 1/2018

Open Access 01-12-2018 | Study protocol

Improving the healthcare response to domestic violence and abuse in primary care: protocol for a mixed method evaluation of the implementation of a complex intervention

Authors: Alex Hardip Sohal, Gene Feder, Estela Barbosa, Lee Beresford, Anna Dowrick, Farah El-Shogri, Annie Howell, Natalia Lewis, Medina Johnson, Claire Nightingale, Kambiz Boomla, Stephen Morris, Sandra Eldridge, Chris Griffiths

Published in: BMC Public Health | Issue 1/2018

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Abstract

Background

Domestic violence and abuse remains a major health concern. It is unknown whether the improved healthcare response to domestic violence and abuse demonstrated in a cluster randomised controlled trial of IRIS (Identification and Referral to Improve Safety), a complex intervention, including general practice based training, support and referral programme, can be achieved outside a trial setting. Aim: To evaluate the impact over four years of a system wide implementation of IRIS, sequentially into multiple areas, outside the setting of a trial.

Methods

An interrupted time series analysis of referrals received by domestic violence and abuse workers from 201 general practices, in five northeast London boroughs; alongside a mixed methods process evaluation and qualitative analysis. Segmented regression interrupted time series analysis to estimate impact of the IRIS intervention over a 53-month period. A secondary analysis compares the segmented regression analysis in each of the four implementation boroughs, with a fifth comparator borough.

Discussion

This is the first interrupted time series analysis of an intervention to improve the health care response to domestic violence. The findings will characterise the impact of IRIS implementation outside a trial setting and its suitability for national implementation in the United Kingdom.
Appendix
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Footnotes
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Metadata
Title
Improving the healthcare response to domestic violence and abuse in primary care: protocol for a mixed method evaluation of the implementation of a complex intervention
Authors
Alex Hardip Sohal
Gene Feder
Estela Barbosa
Lee Beresford
Anna Dowrick
Farah El-Shogri
Annie Howell
Natalia Lewis
Medina Johnson
Claire Nightingale
Kambiz Boomla
Stephen Morris
Sandra Eldridge
Chris Griffiths
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2018
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-018-5865-z

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