Intimate Partner Abuse The Importance of the Health Service as a Site for Intervention

来源 :BIT`s 1st International Congress of Gynaecology and Obstetri | 被引量 : 0次 | 上传用户:alex851123
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  Intimate partner abuse (IPA) is a common hidden problem for one in ten women attending general practice.IPA is the leading cause of death and disability for women of childbearing age.This presentation will focus on results of recent research that contribute importantly to understanding the different options for evidence-based practice in health service settings.In particular the results from the first ever randomised trial in general practice to test the effect and cost of screening and intervention on abused womens quality of life, safety, and mental health are presented.A cluster randomised controlled trial involving 55 GPs from urban and rural Victoria, Australia was carried out.For each GP, 400 women (16-50 years) who attended in the last year were sent a mailed out survey that screened for health issues including fear of (ex) partner in last year.Women who reported fear of partner and who agreed to be in the trial were eligible to be mailed a baseline survey.GPs were randomly assigned to usual care;or to the intervention comprising (i) Healthy Relationship training (6 hours distance education and 2 x 1 hour individual interactive sessions);AND (ii) to invite eligible women for 3-6 sessions of women-centred counselling, (using safety planning, motivational interviewing and non-directive problem solving techniques).Primary outcomes were quality of life (WHOQOL Bref), safety planning and behaviors, and mental health (SF 12 score);secondary outcomes were inquiry by GP about safety, comfort to discuss fear and depression (HADS).All outcomes were assessed by mailout survey at 6 and 12 months.Based on the positive results obtained, implementation of the intervention into policy and practice is suggested.
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