School of Nursing and Midwifery, Griffith University, Brisbane, Australia.
Kathmandu University School of Medical Sciences, Dhulikhel, Nepal.
Syst Rev. 2017 Dec 12;6(1):254. doi: 10.1186/s13643-017-0657-6.
Violence during pregnancy is a global problem, associated with serious health risks for both the mother and baby. Evaluation of interventions targeted for reducing or controlling domestic violence (DV) is still in its infancy, and the majority of findings are primarily from high-income countries (HICs). Therefore, there is an urgent need for generating evidence of DV interventions among pregnant women in low- and middle-income countries (LMICs).
Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines will be employed to structure the review. A comprehensive search will be carried out via electronic databases including MEDLINE, CINAHL, Scopus, Embase, Web of Science, PsycINFO, and The Cochrane library. Gray literature will also be scrutinized for potential articles. An optimal search strategy has been developed following consultations with subject-matter experts and librarians. This search strategy will be adapted to the different databases. Experimental studies evaluating DV interventions among pregnant women from LMICs will be included in the review. The review will only include literature written in English. Two reviewers will independently screen and assess studies for inclusion in the review. A third author will resolve any discrepancies between the reviewers. Risk of bias will be assessed based on the Cochrane risk of bias assessment tool, and overall quality of the evidence will be judged using Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) criteria. Findings will be presented with the narrative synthesis, and if applicable, they will be further quantified using random-effects meta-analysis. Effect size, risk ratio for dichotomous variables, and standardized mean differences for continuous variables will be calculated for each outcome using Review Manager 5.3.
Systematic reviews to evaluate the efficacy of interventions to address DV within the perinatal context have been limited. Hence, no one intervention has emerged as substantially effective towards addressing perinatal DV and associated health consequences. The evidence generated from this systematic review will inform researchers and policy makers about the effectiveness of existing DV interventions among pregnant women in LMICs and provide recommendations for future research in this area. This in turn will contribute towards violence prevention in LMICs.
PROSPERO CRD42017073938.
怀孕期间的暴力是一个全球性问题，会给母婴双方带来严重的健康风险。针对减少或控制家庭暴力（DV）的干预措施的评估仍处于起步阶段，大多数研究结果主要来自高收入国家（HICs）。因此，迫切需要在中低收入国家（LMICs）的孕妇中生成有关 DV 干预措施的证据。
将采用系统评价和荟萃分析的首选报告项目（PRISMA）指南来构建审查。通过电子数据库（包括 MEDLINE、CINAHL、Scopus、Embase、Web of Science、PsycINFO 和 Cochrane 图书馆）进行全面搜索。还将仔细审查灰色文献以寻找潜在的文章。在与主题专家和图书馆员协商后，制定了最佳搜索策略。将根据不同的数据库调整此搜索策略。将包括评估中低收入国家孕妇中 DV 干预措施的实验研究。本综述仅包括英文文献。两位评审员将独立筛选和评估纳入研究的标准。如有分歧，将由第三位评审员解决。将根据 Cochrane 偏倚风险评估工具评估偏倚风险，并使用推荐评估、发展和评估（GRADE）标准判断证据的总体质量。将使用叙述性综合呈现研究结果，如果适用，将使用随机效应荟萃分析进一步量化。使用 Review Manager 5.3 计算每个结局的效应量、二分类变量的风险比和连续变量的标准化均数差。
评估围产期内干预措施对 DV 有效性的系统评价有限。因此，没有一种干预措施被证明对解决围产期 DV 和相关健康后果具有明显效果。本系统评价产生的证据将为研究人员和决策者提供有关中低收入国家孕妇中现有 DV 干预措施的有效性信息，并为该领域的未来研究提供建议。这反过来将有助于在中低收入国家预防暴力。
PROSPERO CRD42017073938。
