In the 144 general practices in the four implementation boroughs, there was a significant increase in referrals received by DVA workers-global incidence rate ratio of 30.24 (95% CI 20.55 to 44.77, p < 0.001).
#THE ELDER SIGN OMENS TRAINER SERIES#
Data was analysed using an interrupted time series with a mixed effects Poisson regression model. The secondary outcome was recorded new DVA cases in the electronic medical record in two boroughs. The primary outcome was the daily number of referrals received by DVA workers per 1000 women registered in a general practice, from 205 general practices, in all five northeast London boroughs.
The fifth comparator borough had only a session delivered by a local DVA specialist agency at community venues conveying information to clinicians. In four implementation boroughs' general practices, there was face-to-face, practice-based, clinically relevant DVA training, a prompt in the electronic medical record, reminding clinicians to consider DVA, a simple referral pathway to a named advocate, ensuring direct access for women to specialist services, overseen by a national, health-focused DVA organisation, fostering best practice. All registered women aged 16 and above were eligible for inclusion. It is unknown whether interventions known to improve the healthcare response to domestic violence and abuse (DVA)-a global health concern-are effective outside of a trial.Īn observational interrupted time series study in general practice. The focus group on its own doubled the awareness of partner abuse. Active questioning increased, especially where there were non-obvious signs. Training was the most significant determinant to improve awareness and identification of intimate partner abuse. Comparison of the fulltraining group with the untrained groups for awareness of partner abuse in case of non-obvious signs resulted in: odds ratio 5.92 (95% CI = 2.25 to 15.62, P <0.01) all corrected for sex, district, practice setting, working part/full-time, experience, and age of the doctor. The primary outcome measure was the number of reported patients the secondary outcome measure was the number of patients with whom the GP had non-obvious reasons to suspect/discuss abuse.Ĭomparison of the full-training group (n = 87 patients) versus the control group (n = 14 patients) resulted in a rate ratio of 4.54 (95% confidence interval = 2.55 to 8.09, P <0.001) the focus group only group (n = 30 cases) versus control group: rate ratio of 2.2 (95% CI = 1.14 to 4.26, P = 0.019) full-training versus the focus group only group: rate ratio of 2.19 (95% CI = 1.36 to 3.52, P = 0.001). Data were collected with incident reporting of every female patient (aged >18 years) that was suspected of, or presented, partner abuse during a period of 6 months.
#THE ELDER SIGN OMENS TRAINER TRIAL#
Randomised controlled trial in a stratified sample.Setting:Family practices in Rotterdam and surrounding areas.Ī full-training group (n = 23), a group attending focus group discussions alone (n = 14), and a control group (n = 17) were formed. To investigate whether awareness of intimate partner abuse, as well as active questioning, increase after attending focus group and training, or focus group only. In general, doctors overlook the possibility of partner abuse. Intimate partner abuse is very common among female patients in family practice.
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