Evidence map›Paper›PMID 28724743›Full record

ArticleSexually transmitted infections2018

Improving the healthcare response to domestic violence and abuse in sexual health clinics: feasibility study of a training, support and referral intervention.

Alex Hardip Sohal, Neha Pathak, Sarah Blake, Vanessa Apea, Judith Berry, Jayne Bailey, Chris Griffiths, Gene Feder

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Sexually transmitted infections, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
3.2field-weighted citation impact, top 8% of its field
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

7 citing papers in PubMed, 17 citations in OpenAlex.

  1. Trial
  2. Article
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  5. Article
  6. Exposure to domestic violence and abuse and consultations for emergency contraception: nested case-control study in a UK primary care dataset.The British journal of general practice : the journal of the Royal College of General Practitioners · 2019
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 1 country.

Alex Hardip SohalQueen Mary University of London, Centre for Primary Care and Public Health, Barts and The London School of Medicine and Dentistry, London, UK.
Neha PathakWomen's Health Research Unit, Queen Mary University of London, University of Bristol School of Social and Community Medicine, Bristol, UK.
Sarah BlakeUniversity of Bristol, School of Social and Community Medicine, Bristol, UK.
Vanessa ApeaBarts Health NHS Trust, Sexual Health, London, UK.
Judith BerryUniversity Hospitals Bristol NHS Foundation Trust, Bristol Sexual Health Centre, Bristol, UK.
Jayne BaileyUniversity Hospitals Bristol NHS Foundation Trust, Bristol Sexual Health Centre, Bristol, UK.
Chris GriffithsQueen Mary University of London, Centre for Primary Care and Public Health, London, UK.
Gene FederUniversity of Bristol, Centre for Academic Primary Care, Bristol, UK.
University of Bristol · GBQueen Mary University of London · GBBarts Health NHS Trust · GBUniversity College London · GBUniversity Hospitals Bristol NHS Foundation Trust · GB

Funding

Wellcome Trust
6 · The paper itself

Abstract

objectivesSexual health and gynaecological problems are the most consistent and largest physical health differences between abused and non-abused female populations. Sexual health services are well placed to identify and support patients experiencing domestic violence and abuse (DVA). Most sexual health professionals have had minimal DVA training despite English National Institute for Health and Care Excellence recommendations. We sought to determine the feasibility of an evidence-based complex DVA training intervention in female sexual health walk-in services (IRIS ADViSE: Identification and Referral to Improve Safety whilst Assessing Domestic Violence in Sexual Health Environments).

methodsAn adaptive mixed method pilot study in the female walk-in service of two sexual health clinics. Following implementation and evaluation at site 1, the intervention was refined before implementation at site 2. The intervention comprised electronic prompts, multidisciplinary training sessions, clinic materials and simple referral pathways to IRIS ADViSE advocate-educators (AEs). The pilot lasted 7 weeks at site 1 and 12 weeks at site 2. Feasibility outcomes were to assign a supportive DVA clinical lead, an IRIS ADViSE AE employed by a local DVA service provider, adapt electronic records, develop local referral pathways, assess whether enquiry, identification and referral rates were measurable.

resultsBoth sites achieved all feasibility outcomes: appointing a supportive DVA clinical lead and IRIS ADViSE AE, establishing links with a local DVA provider, adapting electronic records, developing local referral pathways and rates of enquiry, identification and referral were found to be measurable. Site 1: 10% enquiry rate (n=267), 4% identification rate (n=16) and eight AE referrals. Site 2: 61% enquiry rate (n=1090), a 7% identification rate (n=79) and eight AE referrals.

conclusionsIRIS ADViSE can be successfully developed and implemented in sexual health clinics. It fulfils the unmet need for DVA training. Longer-term evaluation is recommended.

Indexed as

Referral and ConsultationSexual HealthWomen's HealthAmbulatory Care FacilitiesCrime VictimsDomestic ViolenceFeasibility StudiesFemaleHealth PersonnelHumansMalePilot ProjectsSocial SupportSurveys and QuestionnairesUnited KingdomComplex interventionsEvidence based medicineHealth serv researchPublic healthWomen

Identifiers

PMID28724743
PMCPMC5870455
OpenAlexW2737459975

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.