Evidence map›Paper›PMID 14766719›Full record

ReviewBMJ (Clinical research ed.)2004

General practitioner management of intimate partner abuse and the whole family: qualitative study.

Angela Taft, Dorothy H Broom, David Legge

Abstract readReview
In one paragraph

Review in BMJ (Clinical research ed.), 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Increased awareness of intimate partner abuse after training: a randomised controlled trial.The British journal of general practice : the journal of the Royal College of General Practitioners · 2006
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  17. Domestic violence: knowledge, attitudes, and clinical practice of selected UK primary healthcare clinicians.The British journal of general practice : the journal of the Royal College of General Practitioners · 2012
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors.

Angela TaftCentre for the Study of Mothers' and Children's Health, La Trobe University, 251 Faraday Street, Carlton, Vic 3053, Australia. a.taft@latrobe.edu.au
Dorothy H Broom
David Legge

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo explore management by general practitioners of victimised female patients, male partners who abuse, and children in the family.

designTriangulated qualitative study comparing doctors' reported management with current recommendations in the literature.

participants28 general practitioners attending continuing medical education about management of domestic violence.

resultsDoctors perceived partner abuse in diverse ways. Their gender, perceptions, and attitudes could all affect identification and management of this difficult problem. A few doctors practised in recommended ways, but many showed stress and aversion, difficulties in resolving the tensions involved in managing all family members, and neglect of the risks to children. Some doctors used contraindicated practices, such as breaking confidentiality and undertaking or referring for couple counselling. Doctors who were not familiar with community based agencies were reluctant to use them. A lack of expertise and support could have a negative impact on doctors themselves.

conclusionsGeneral practitioners managing partner abuse need to be more familiar with and apply the central principles of confidentiality and safety of women and children. Recommended guidelines for managing the whole family should be developed. Doctors should consider referring one partner elsewhere and avoid couple counselling; always ask about and act on the children's welfare; refer to specialist family violence agencies; and seek training, supervision, and support for the inherent stress. Medical education and administration should ensure comprehensive training and support for doctors undertaking this difficult work.

Indexed as

Family PracticeChildChild WelfareCounselingDomestic ViolenceFamily HealthFemaleHumansMalePhysician-Patient RelationsReferral and ConsultationSex FactorsStress, Psychological

Identifiers

PMID14766719
PMCPMC381135

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.