ArticleHealth & social care in the community2019
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.
Article in Health & social care in the community, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Supporting translation of research evidence into practice-the use of Normalisation Process Theory to assess and inform implementation within randomised controlled trials: a systematic review.Implementation science : IS · 2023Pooled 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
- Pathways to Safety: A qualitative evaluation of an Australian domestic violence training program for primary care.BMC primary care · 2026Article
- Enhancing professional nurses' preparedness and collaborative practices in managing gender-based violence: Insights from selected South African university campus health clinics.Health SA = SA Gesondheid · 2026Article
- 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
- Dentistry responding in domestic violence and abuse (DRiDVA) feasibility study: a qualitative evaluation of the implementation experiences of dental professionals.BMC oral health · 2023Article
- Implementation and evaluation of crowdsourcing in global health education.Global health research and policy · 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
- Article
- Reaching everyone in general practice? Feasibility of an integrated domestic violence training and support intervention in primary care.BMC family practice · 2021Article
- Adaptive work in the primary health care response to domestic violence in occupied Palestinian territory: a qualitative evaluation using Extended Normalisation Process Theory.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
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Authors and funding
5 authors.
Funding
Abstract
Identification and Referral to Improve Safety (IRIS) is a training and support programme to improve the response to domestic violence and abuse (DVA) in general practice. Following a pragmatic cluster-randomised trial, IRIS has been implemented in over 30 administrative localities in the UK. The trial and local evaluations of the IRIS implementation showed an increase in referrals from general practice to third sector DVA services with a variation in the referral rates within and across practices. Using Normalisation Process Theory (NPT), we aimed to understand the reasons for such variability by identifying factors that influenced the implementation of IRIS in the National Health Service (NHS). We conducted a mixed-method process evaluation which included: (a) a case study (100 hr of participant observation, 19 interviews); (b) a survey (n = 118); (c) qualitative analysis of free-text comments from the survey; (d) qualitative interviews (n = 8); (e) document review (n = 44). Data were collected from NHS and third sector staff across five London boroughs from August 2015 to December 2017, analysed descriptively and thematically and triangulated using the NPT constructs coherence, cognitive participation, collection action and reflexive monitoring. The survey showed wide variation in the extent to which practice staff saw IRIS as a normal part of their daily work. Qualitative data and documents illuminated drivers of DVA work, implementation barriers and suggested solutions. The drivers were related to individual professional's characteristics and relationships. The barriers were linked to the differing sense-making and legitimisation of DVA work and differing contexts between the NHS and third sector. Solutions were adaptations to IRIS relative to these contextual differences. The suggested solutions can be used to update IRIS commissioning guidance, training for trainers and training for general practice. The updates should reflect the importance of ongoing support of IRIS from practice leads and commissioners, extended funding periods for IRIS and continuity of the IRIS team.
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