Health Service and Population Research, King's College London, London, UK
Violence and Society Centre, City University of London, London, UK.
BMJ Open. 2024 Apr 30;14(4):e074452. doi: 10.1136/bmjopen-2023-074452.
In the UK, a range of support services and interventions are available to people who have experienced or perpetrated domestic and sexual violence and abuse (DSVA). However, it is currently not clear which outcomes and outcome measures are used to assess their effectiveness. The objective of this review is to summarise, map and identify trends in outcome measures in evaluations of DSVA services and interventions in the UK.
Scoping review.
MEDLINE, EMBASE, PsycINFO, Social Policy and Practice, ASSIA, IBSS, Sociological abstracts and SSCI electronic databases were searched from inception until 21 June 2022. Grey literature sources were identified and searched.
We included randomised controlled trials, non-randomised comparative studies, pre-post studies and service evaluations, with at least one outcome relating to the effectiveness of the support intervention or service for people who have experienced and/or perpetrated DSVA. Outcomes had to be assessed at baseline and at least one more time point, or compared with a comparison group.
Outcome measures were extracted, iteratively thematically grouped into categories, domains and subdomains, and trends were explored.
80 studies reporting 87 DSVA interventions or services were included. A total of 426 outcome measures were extracted, of which 200 were used more than once. The most commonly reported outcome subdomain was DSVA perpetration. Cessation of abuse according to the Severity of Abuse Grid was the most common individual outcome. Analysis of temporal trends showed that the number of studies and outcomes used has increased since the 1990s.
Our findings highlight inconsistencies between studies in outcome measurement. The increase in the number of studies and variety of measures suggests that as evaluation of DSVA services and interventions matures, there is an increased need for a core of common, reliable metrics to aid comparability.
在英国，为经历过或实施过家庭暴力和性暴力及虐待（DSVA）的人提供了一系列支持服务和干预措施。然而，目前尚不清楚使用哪些结果和结果衡量标准来评估其有效性。本研究的目的是总结、映射和确定英国 DSVA 服务和干预措施评估中使用的结果衡量标准的趋势。
范围审查。
从建库开始到 2022 年 6 月 21 日，我们在 MEDLINE、EMBASE、PsycINFO、Social Policy and Practice、ASSIA、IBSS、Sociological abstracts 和 SSCI 电子数据库中进行了搜索。还确定并搜索了灰色文献来源。
我们纳入了随机对照试验、非随机对照研究、前后研究和服务评估，其中至少有一个结果与经历过和/或实施过 DSVA 的人的支持干预或服务的有效性有关。结果必须在基线和至少一个以上时间点进行评估，或与对照组进行比较。
提取结果衡量标准，迭代地将其主题分组为类别、域和子域，并探讨趋势。
纳入了 80 项研究，共报告了 87 项 DSVA 干预措施或服务。共提取了 426 项结果衡量标准，其中 200 项被多次使用。报告最多的结果子域是 DSVA 实施。根据严重虐待网格，停止虐待是最常见的单一结果。对时间趋势的分析表明，自 20 世纪 90 年代以来，研究数量和使用的结果都有所增加。
我们的研究结果强调了研究之间在结果测量上的不一致性。研究数量和测量方法的增加表明，随着对 DSVA 服务和干预措施的评估不断成熟，越来越需要一套核心的通用、可靠的指标来提高可比性。
