Department of General Practice, University of Melbourne 200 Berkeley St, Carlton, Melbourne, Australia.
BMC Public Health. 2010 Jan 2;10:2. doi: 10.1186/1471-2458-10-2.
Intimate partner abuse (IPA) is a major public health problem with serious implications for the physical and psychosocial wellbeing of women, particularly women of child-bearing age. It is a common, hidden problem in general practice and has been under-researched in this setting. Opportunities for early intervention and support in primary care need to be investigated given the frequency of contact women have with general practice. Despite the high prevalence and health consequences of abuse, there is insufficient evidence for screening in primary care settings. Furthermore, there is little rigorous evidence to guide general practitioners (GPs) in responding to women identified as experiencing partner abuse. This paper describes the design of a trial of a general practice-based intervention consisting of screening for fear of partner with feedback to GPs, training for GPs, brief counselling for women and minimal practice organisational change. It examines the effect on women's quality of life, mental health and safety behaviours.
METHODS/DESIGN: weave is a cluster randomised controlled trial involving 40 general practices in Victoria, Australia. Approximately 500 women (16-50 years) seen by the GP in the previous year are mailed a short lifestyle survey containing an item to screen for IPA. Women who indicate that they were afraid of a partner/ex-partner in the last year and provide contact details are invited to participate. Once baseline data are collected, GPs are randomly assigned to either a group involving healthy relationship and responding to IPA training plus inviting women for up to 6 sessions of counselling or to a group involving basic education and usual care for women. Outcomes will be evaluated by postal survey at 6 and 12 months following delivery of the intervention. There will be an economic evaluation, and process evaluation involving interviews with women and GPs, to inform understanding about implementation and outcomes.
The weave trial responds to an urgent need for more evidence on what can be achieved in primary care with regard to responding to women who experience IPA. It will provide important knowledge about the effectiveness of a brief method of screening, professional IPA training program and brief counselling for women.
[ACTRN12608000032358].
亲密伴侣虐待（IPA）是一个严重影响妇女身心健康的主要公共卫生问题，尤其是处于生育年龄的妇女。IPA 是一般实践中的一个常见且隐藏的问题，在这种环境下研究不足。鉴于妇女与一般实践的接触频率，需要调查初级保健中早期干预和支持的机会。尽管虐待的普遍性和健康后果很高，但在初级保健环境中进行筛查的证据不足。此外，几乎没有严格的证据来指导全科医生（GP）回应被确定为经历伴侣虐待的女性。本文介绍了一项基于一般实践的干预试验的设计，该试验包括对伴侣恐惧进行筛查并向 GP 提供反馈、对 GP 进行培训、对女性进行简短咨询以及最小化实践组织变革。它研究了对女性生活质量、心理健康和安全行为的影响。
方法/设计：Weave 是一项在澳大利亚维多利亚州的 40 个一般实践中进行的集群随机对照试验。大约 500 名在过去一年中由 GP 看过的女性（16-50 岁）会收到一份简短的生活方式调查，其中包含一个筛查 IPA 的项目。那些在过去一年中表示害怕伴侣/前伴侣的女性，并提供联系方式，将被邀请参加。一旦收集到基线数据，GP 将被随机分配到一个涉及健康关系和 IPA 培训以及邀请女性参加多达 6 次咨询的小组，或一个涉及基本教育和女性常规护理的小组。在干预措施实施后 6 个月和 12 个月将通过邮寄调查评估结果。将进行经济评估和过程评估，包括对女性和 GP 进行访谈，以了解实施和结果方面的情况。
Weave 试验满足了在初级保健方面应对经历 IPA 的女性方面取得更多证据的迫切需要。它将提供有关筛查、专业 IPA 培训计划和女性简短咨询的有效性的重要知识。
[ACTRN12608000032358]。
