@article{ref1,
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",
journal="BMC public health",
year="2018",
author="Sohal, Alex Hardip and Feder, Gene and Barbosa, Estela and Beresford, Lee and Dowrick, Anna and El-Shogri, Farah and Howell, Annie and Lewis, Natalia and Johnson, Medina and Nightingale, Claire and Boomla, Kambiz and Morris, Stephen and Eldridge, Sandra and Griffiths, Chris",
volume="18",
number="1",
pages="e971-e971",
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. <br><br>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. <br><br>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. <br><br>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.<p /> <p>Language: en</p>",
language="en",
issn="1471-2458",
doi="10.1186/s12889-018-5865-z",
url="http://dx.doi.org/10.1186/s12889-018-5865-z"
}