TY - JOUR
PY - 2018//
TI - 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
JO - BMC public health
A1 - Sohal, Alex Hardip
A1 - Feder, Gene
A1 - Barbosa, Estela
A1 - Beresford, Lee
A1 - Dowrick, Anna
A1 - El-Shogri, Farah
A1 - Howell, Annie
A1 - Lewis, Natalia
A1 - Johnson, Medina
A1 - Nightingale, Claire
A1 - Boomla, Kambiz
A1 - Morris, Stephen
A1 - Eldridge, Sandra
A1 - Griffiths, Chris
SP - e971
EP - e971
VL - 18
IS - 1
N2 - 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. Language: en
LA - en
SN - 1471-2458
UR - http://dx.doi.org/10.1186/s12889-018-5865-z
ID - ref1
ER -