ArticleBMJ open2018
Cost-effectiveness of a domestic violence and abuse training and support programme in primary care in the real world: updated modelling based on an MRC phase IV observational pragmatic implementation study.
Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled 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.
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
17 citing papers in PubMed, 3 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
- 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
- Economic Evaluation of an Intervention to Prevent Adolescent Dating Violence (Me & You).Journal of interpersonal violence · 2023Trial
- Cost-effectiveness and equity impact of complex primary care interventions for disadvantaged populations.BJGP open · 2026Article
- What Interventions are Cost Effective in Reducing Violence Against Women? A Scoping Review.Applied health economics and health policy · 2024Article
- Feasibility of a reconfigured domestic violence and abuse training and support intervention responding to affected women, men, children and young people through primary care.BMC primary care · 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
- General practice wide adaptations to support patients affected by DVA during the COVID-19 pandemic: a rapid qualitative study.BMC primary care · 2023Article
- Economic evaluation of CPD activities for healthcare professionals: A scoping review.Medical education · 2022Article
- Impact of the first national COVID-19 lockdown on referral of women experiencing domestic violence and abuse in England and Wales.BMC public health · 2022Article
- PRimary care rEsponse to domestic violence and abuse in the COvid-19 panDEmic (PRECODE): protocol of a rapid mixed-methods study in the UK.BMC family practice · 2021Article
- 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
- Implementation of the Identification and Referral to Improve Safety programme for patients with experience of domestic violence and abuse: A theory-based mixed-method process evaluation.Health & social care in the community · 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
15 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo evaluate the cost-effectiveness of the implementation of the Identification and Referral to Improve Safety (IRIS) programme using up-to-date real-world information on costs and effectiveness from routine clinical practice. A Markov model was constructed to estimate mean costs and quality-adjusted life-years (QALYs) of IRIS versus usual care per woman registered at a general practice from a societal and health service perspective with a 10-year time horizon. DESIGN AND
settingCost-utility analysis in UK general practices, including data from six sites which have been running IRIS for at least 2 years across England.
participantsBased on the Markov model, which uses health states to represent possible outcomes of the intervention, we stipulated a hypothetical cohort of 10 000 women aged 16 years or older.
interventionsThe IRIS trial was a randomised controlled trial that tested the effectiveness of a primary care training and support intervention to improve the response to women experiencing domestic violence and abuse, and found it to be cost-effective. As a result, the IRIS programme has been implemented across the UK, generating data on costs and effectiveness outside a trial context.
resultsThe IRIS programme saved £14 per woman aged 16 years or older registered in general practice (95% uncertainty interval -£151 to £37) and produced QALY gains of 0.001 per woman (95% uncertainty interval -0.005 to 0.006). The incremental net monetary benefit was positive both from a societal and National Health Service perspective (£42 and £22, respectively) and the IRIS programme was cost-effective in 61% of simulations using real-life data when the cost-effectiveness threshold was £20 000 per QALY gained as advised by National Institute for Health and Care Excellence.
conclusionThe IRIS programme is likely to be cost-effective and cost-saving from a societal perspective in the UK and cost-effective from a health service perspective, although there is considerable uncertainty surrounding these results, reflected in the large uncertainty intervals.
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