ArticleBMJ open2012
Cost-effectiveness of Identification and Referral to Improve Safety (IRIS), a domestic violence training and support programme for primary care: a modelling study based on a randomised controlled trial.
Article in BMJ open, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 6 of them syntheses that pooled it.
What it found
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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.
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.
Who cites it
30 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Modelling in economic evaluation of mental health prevention: current status and quality of studies.BMC health services research · 2022Pooled it
- Training healthcare providers to respond to intimate partner violence against women.The Cochrane database of systematic reviews · 2021Pooled it
- The Identification and Referral to Improve Safety Programme and the Prevention of Intimate Partner Violence.International journal of environmental research and public health · 2021Pooled it
- Systematic Review of Violence Prevention Economic Evaluations, 2000-2019.American journal of preventive medicine · 2021Pooled it
- Effect of domestic violence training: systematic review of randomized controlled trials.Canadian family physician Medecin de famille canadien · 2014Pooled it
- Screening women for intimate partner violence in healthcare settings: abridged Cochrane systematic review and meta-analysis.BMJ (Clinical research ed.) · 2014Pooled it
- Economic Evaluation of an Intervention to Prevent Adolescent Dating Violence (Me & You).Journal of interpersonal violence · 2023Trial
- Economic evaluation of a complex intervention (Engager) for prisoners with common mental health problems, near to and after release: a cost-utility and cost-consequences analysis.The European journal of health economics : HEPAC : health economics in prevention and care · 2022Trial
- Trial
- Article
- What Interventions are Cost Effective in Reducing Violence Against Women? A Scoping Review.Applied health economics and health policy · 2024Article
- COVID-19 adaptations to a training and support programme to improve primary care response to domestic abuse: a mixed methods rapid study.BMC primary care · 2024Article
- Article
- Beyond bruises: the lifelong toll of violence on women's health.Nature medicine · 2023Article
- Dentistry responding in domestic violence and abuse (DRiDVA) feasibility study: a qualitative evaluation of the implementation experiences of dental professionals.BMC oral health · 2023Article
- Reaching everyone in general practice? Feasibility of an integrated domestic violence training and support intervention in primary care.BMC family practice · 2021Article
- Disruption of a primary health care domestic violence and abuse service in two London boroughs: interrupted time series evaluation.BMC health services research · 2020Article
- Improving the healthcare response to domestic violence and abuse in UK primary care: interrupted time series evaluation of a system-level training and support programme.BMC medicine · 2020Article
- Healthcare Professionals' Perceptions and Concerns towards Domestic Violence during Pregnancy in Southern Italy.International journal of environmental research and public health · 2019Article
- Linking partner violence survivors to supportive services: impact of the M Health Community Network project on healthcare utilization.BMC health services research · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe Identification and Referral to Improve Safety (IRIS) cluster randomised controlled trial tested the effectiveness of a training and support intervention to improve the response of primary care to women experiencing domestic violence (DV). The aim of this study is to estimate the cost-effectiveness of this intervention.
designMarkov model-based cost-effectiveness analysis.
settingGeneral practices in two urban areas in the UK.
participantsSimulated female individuals from the general UK population who were registered at general practices, aged 16 years and older.
interventionGeneral practices received staff training, prompts to ask women about DV embedded in the electronic medical record, a care pathway including referral to a specialist DV agency and continuing contact from that agency. The trial compared the rate of referrals of women with specialist DV agencies from 24 general practices that received the IRIS programme with 24 general practices not receiving the programme. The trial did not measure outcomes for women beyond the intermediate outcome of referral to specialist agencies. The Markov model extrapolated the trial results to estimate the long-term healthcare and societal costs and benefits using data from other trials and epidemiological studies.
resultsThe intervention would produce societal cost savings per woman registered in the general practice of UK£37 (95% CI £178 saved to a cost of £136) over 1 year. The incremental quality-adjusted life-year was estimated to be 0.0010 (95% CI -0.0157 to 0.0101) per woman. Probabilistic sensitivity analysis found 78% of model replications under a willingness to pay threshold of £20 000 per quality-adjusted life-year.
conclusionsThe IRIS programme is likely to be cost-effective and possibly cost saving from a societal perspective. Better data on the trajectory of abuse and the effect of advocacy are needed for a more robust model.
trial registrationCurrent Controlled Trials, ISRCTN74012786.
Identifiers
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Registered trials
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