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
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,...
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| Format: | Article |
| Language: | English |
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BMC
2018-08-01
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| Series: | BMC Public Health |
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| Online Access: | http://link.springer.com/article/10.1186/s12889-018-5865-z |
| _version_ | 1818986118879641600 |
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| author | 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 |
| author_facet | 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 |
| author_sort | Alex Hardip Sohal |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-20T18:45:43Z |
| format | Article |
| id | doaj.art-1b067f9f0fe742f3ab558877f66275ac |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-12-20T18:45:43Z |
| publishDate | 2018-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-1b067f9f0fe742f3ab558877f66275ac2022-12-21T19:29:43ZengBMCBMC Public Health1471-24582018-08-011811710.1186/s12889-018-5865-zImproving the healthcare response to domestic violence and abuse in primary care: protocol for a mixed method evaluation of the implementation of a complex interventionAlex Hardip Sohal0Gene Feder1Estela Barbosa2Lee Beresford3Anna Dowrick4Farah El-Shogri5Annie Howell6Natalia Lewis7Medina Johnson8Claire Nightingale9Kambiz Boomla10Stephen Morris11Sandra Eldridge12Chris Griffiths13Queen Mary University of London, Centre for Primary Care and Public Health, Barts and The London School of Medicine and DentistrySchool of Social and Community Medicine, University of BristolDepartment of Applied Health Research, University College LondonQueen Mary University of London, Centre for Primary Care and Public Health, Barts and The London School of Medicine and DentistryQueen Mary University of London, Centre for Primary Care and Public Health, Barts and The London School of Medicine and DentistryQueen Mary University of London, Centre for Primary Care and Public Health, Barts and The London School of Medicine and DentistryIRISiQueen Mary University of London, Centre for Primary Care and Public Health, Barts and The London School of Medicine and DentistryIRISiQueen Mary University of London, Centre for Primary Care and Public Health, Barts and The London School of Medicine and DentistryQueen Mary University of London, Centre for Primary Care and Public Health, Barts and The London School of Medicine and DentistryDepartment of Applied Health Research, University College LondonQueen Mary University of London, Centre for Primary Care and Public Health, Barts and The London School of Medicine and DentistryQueen Mary University of London, Centre for Primary Care and Public Health, Barts and The London School of Medicine and DentistryAbstract 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.http://link.springer.com/article/10.1186/s12889-018-5865-zDomestic violence abuse complex intervention implementation evaluation |
| spellingShingle | 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 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 BMC Public Health Domestic violence abuse complex intervention implementation evaluation |
| 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 |
| title_full | 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 |
| title_fullStr | 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 |
| title_full_unstemmed | 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 |
| title_short | 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 |
| title_sort | 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 |
| topic | Domestic violence abuse complex intervention implementation evaluation |
| url | http://link.springer.com/article/10.1186/s12889-018-5865-z |
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