@article{ref1,
title="Reaching everyone in general practice? Feasibility of an integrated domestic violence training and support intervention in primary care",
journal="BMC family practice",
year="2021",
author="Feder, Gene and Man, Mei-See and Pitt, Katherine and Williamson, Emma and Roy, Jessica and Szilassy, Eszter",
volume="22",
number="1",
pages="e19-e19",
abstract="BACKGROUND: Primary care needs to respond effectively to patients experiencing or perpetrating domestic violence and abuse (DVA) and their children, but there is  uncertainty about the value of integrated programmes. The aim of the study was to  develop and test the feasibility of an integrated primary care system-level training  and support intervention, called IRIS+ (Enhanced Identification and Referral to  Improve Safety), for all patients affected by DVA. IRIS+ was an adaptation of the  original IRIS (Identification and Referral to Improve Safety) model designed to  reach female survivors of DVA. <br><br>METHODS: Observation of training; pre/post  intervention questionnaires with clinicians and patients; data extracted from  medical records and DVA agency; semi-structured interviews with clinicians, service  providers and referred adults and children. Data collection took place between May  2017 and April 2018. Mixed method analysis was undertaken to triangulate data from  various sources to assess the feasibility and acceptability of the intervention. <br><br>RESULTS: Clinicians and service providers believed that the IRIS+ intervention had  filled a service gap and was a valuable resource in identifying and referring women,  men and children affected by DVA. Despite increased levels of preparedness reported  by clinicians after training in managing the complexity of DVA in their practice,  the intervention proved to be insufficient to catalyse identification and specialist  referral of men and direct identification and referral (without their non-abusive  parents) of children and young people. The study also revealed that reports provided  to general practice by other agencies are important sources of information about  adult and children patients affected by DVA. However, in the absence of guidance  about how to use this information in patient care, there are uncertainties and  variation in practice. <br><br>CONCLUSIONS: The study demonstrates that the IRIS+  intervention is not feasible in the form and timeframe we evaluated. Further  adaptation is required to achieve identification and referral of men and children in  primary care: an enhanced focus on engagement with men, direct engagement with  children, and improved guidance and training on responding to reports of DVA  received from other agencies.<p /> <p>Language: en</p>",
language="en",
issn="1471-2296",
doi="10.1186/s12875-020-01297-5",
url="http://dx.doi.org/10.1186/s12875-020-01297-5"
}