Evidence map›Paper›PMID 33303427›Full record

Trial reportBMJ open2020

Two-year follow up of a cluster randomised controlled trial for women experiencing intimate partner violence: effect of screening and family doctor-delivered counselling on quality of life, mental and physical health and abuse exposure.

Kelsey Hegarty, Jodie Valpied, Angela Taft, Stephanie Janne Brown, Lisa Gold, Jane Gunn, Lorna O'Doherty

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2020. 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
0.8field-weighted citation impact, top 20% 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, 13 citations in OpenAlex.

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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

7 authors at 5 institutions in 2 countries.

Kelsey HegartyDepartment of General Practice, The University of Melbourne, Melbourne, Victoria, Australia k.hegarty@unimelb.edu.au.
Jodie ValpiedDepartment of General Practice, The University of Melbourne, Melbourne, Victoria, Australia.ORCID 0000-0001-8793-0427
Angela TaftJudith Lumley Centre, La Trobe University, Melbourne, Victoria, Australia.ORCID 0000-0002-6350-843X
Stephanie Janne BrownDepartment of General Practice, The University of Melbourne, Melbourne, Victoria, Australia.ORCID 0000-0001-9812-0067
Lisa GoldSchool of Health and Social Development, Deakin University, Geelong, Victoria, Australia.
Jane GunnDepartment of General Practice, The University of Melbourne, Melbourne, Victoria, Australia.
Lorna O'DohertyFaculty of Health and Life Sciences, Coventry University, Coventry, West Midlands, UK.
The University of Melbourne · AUCoventry University · GBDeakin University · AULa Trobe University · AURoyal Women's Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis was a 2-year follow-up study of a primary care-based counselling intervention (weave) for women experiencing intimate partner violence (IPV). We aimed to assess whether differences in depression found at 12 months (lower depression for intervention than control participants) would be sustained at 24 months and differences in quality in life, general mental and physical health and IPV would emerge.

designCluster randomised controlled trial. Researchers blinded to allocation. Unit of randomisation: family doctors.

settingFifty-two primary care clinics, Victoria, Australia.

participantsBaseline: 272 English-speaking, female patients (intervention n=137, doctors=35; control n=135, doctors=37), who screened positive for fear of partner in past 12 months. Twenty-four-month response rates: intervention 59% (81/137), control 63% (85/135).

interventionsIntervention doctors received training to deliver brief, woman-centred counselling. Intervention patients were invited to receive this counselling (uptake rate: 49%). Control doctors received standard IPV information; delivered usual care. PRIMARY AND SECONDARY OUTCOME MEASURES: Twenty-four months primary outcomes: WHO Quality of Life-Bref dimensions, Short-Form Health Survey (SF-12) mental health. SECONDARY OUTCOMES: SF-12 physical health and caseness for depression and anxiety (Hospital Anxiety Depression Scale), post-traumatic stress disorder (Check List-Civilian), IPV (Composite Abuse Scale), physical symptoms (≥6 in last month). Data collected through postal survey. Mixed-effects regressions adjusted for location (rural/urban) and clustering.

resultsNo differences detected between groups on quality of life (physical: 1.5, 95% CI -2.9 to 5.9; psychological: -0.2, 95% CI -4.8 to 4.4,; social: -1.4, 95% CI -8.2 to 5.4; environmental: -0.8, 95% CI -4.0 to 2.5), mental health status (-1.6, 95% CI -5.3 to 2.1) or secondary outcomes. Both groups improved on primary outcomes, IPV, anxiety.

conclusionsIntervention was no more effective than usual care in improving 2-year quality of life, mental and physical health and IPV, despite differences in depression at 12 months. Future refinement and testing of type, duration and intensity of primary care IPV interventions is needed. TRIAL REGISTRATION NUMBER: ACTRN12608000032358.

Indexed as

Intimate Partner ViolenceQuality of LifeCounselingFemaleFollow-Up StudiesHumansVictoriaclinical trialsgeneral medicine (see internal medicine)medical education & trainingmental healthprimary care

Identifiers

PMID33303427
PMCPMC7733186
OpenAlexW3111519519

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.