{"id":34455,"date":"2024-11-26T16:32:48","date_gmt":"2024-11-26T16:32:48","guid":{"rendered":"https:\/\/bnssghealthiertogether.org.uk\/?page_id=34455"},"modified":"2025-01-16T10:00:33","modified_gmt":"2025-01-16T10:00:33","slug":"a-primary-care-system-level-training-and-support-programme-for-the-secondary-prevention-of-domestic-violence-and-abuse-a-multicentre-cluster-randomised-trial-with-economic-and-process-evaluation","status":"publish","type":"page","link":"https:\/\/bnssghealthiertogether.org.uk\/fr\/integrated-care-board\/research-and-evidence\/our-research-portfolio\/nihr-funded-projects\/a-primary-care-system-level-training-and-support-programme-for-the-secondary-prevention-of-domestic-violence-and-abuse-a-multicentre-cluster-randomised-trial-with-economic-and-process-evaluation\/","title":{"rendered":"A primary care system-level training and support programme for the secondary prevention of domestic violence and abuse: a multicentre cluster randomised trial with economic and process evaluation"},"content":{"rendered":"<div class=\"assembler_default-group assembler_module_group assembler_default-group_1 assembler_module_group_1\"><div class=\"assembler_module_area assembler_module_area_1\"><div class=\"assembler_text-module assembler_module assembler_text-module_1 assembler_module_1  transparent\"><a tabindex=\"-1\" title=\"Section intitul\u00e9e module-1\" id=\"module-1\" href=\"https:\/\/bnssghealthiertogether.org.uk\/fr\/wp-json\/wp\/v2\/pages\/34455\/#module-1\" class=\"anchor\"><span class=\"hidden\">Section intitul\u00e9e module-1<\/span><\/a><!-- Template found for text-module - Template: template-text - Matched: _only --><section class=\"w-full mx-auto max-w-content pt-12 sm:pt-24 pb-12 sm:pb-24\">\r\n  <div class=\"entry-content w-full !px-0 max-w-small\">\r\n        <h1>A primary care system-level training and support programme for the secondary prevention of domestic violence and abuse: a multicentre cluster randomised trial with economic and process evaluation. <a href=\"https:\/\/www.bristol.ac.uk\/primaryhealthcare\/news\/2024\/22m-for-clinical-trial-.html\" rel=\"noopener\">IRIS+ RCT<\/a><\/h1>\n<h2>Financement<\/h2>\n<p>This project is funded by the National Institute for Health and care Research (NIHR) &#8211; Public Health Research (PHR) funding stream: NIHR153788.<\/p>\n<h2>What\u2019s the research question?<\/h2>\n<p>Is the IRIS+ intervention effective, cost-effective and scalable with regards to referring adults and children affected by domestic abuse from primary care for specialist advocacy support?<\/p>\n<h2>Quel est le probl\u00e8me ?<\/h2>\n<p>Domestic abuse affects nine million adults in England and Wales. It damages health with societal costs over \u00a366 billion a year.<\/p>\n<p>A large minority of adults and children consulting general practice are experiencing domestic abuse. Survivors are more likely to tell GPs than other professionals.<\/p>\n<p>Getting specialist domestic abuse support can improve survivors\u2019 health, quality of life, and safety.<\/p>\n<h2>Quel est l&#039;objectif de la recherche ?<\/h2>\n<p>We will assess whether the IRIS+ general practice training and support programme works for women, men, and children. We will review whether it provides good value for money and can be delivered at scale in different areas in England and Wales.<\/p>\n<p>If IRIS+ is effective and cost-effective, the study will inform the commissioning of IRIS+ as a new service. Future implementation of a successful intervention could significantly improve the safety, wellbeing, and health of domestic abuse survivors and their children. This could create large downstream economic benefits for the NHS and society.<\/p>\n<h2>Comment cela sera-t-il r\u00e9alis\u00e9 ?<\/h2>\n<p>IRIS (Identification &amp; Referral to Improve Safety) is an effective and cost-effective training and support programme for GP staff. It helps them to understand the signs of domestic abuse among women, to ask them if they are experiencing it, and to refer them to specialist support.<\/p>\n<p>In our patient and public advisory groups, women domestic abuse survivors have said that IRIS should also support children affected by domestic abuse. Men survivors said that IRIS should support men.<\/p>\n<p>In our previous research, GPs told us they wanted to better respond to everyone affected. In response, we developed IRIS+ which adds to IRIS by broadening the focus to men and children, without diminishing the responses to women.<\/p>\n<p>In IRIS+, an advocate educator and a clinical lead train GP staff. Training covers the signs of domestic abuse and how to refer people for support.<\/p>\n<p>Advocate educators advise GP staff, receive patient referrals, support survivors, and signpost perpetrators to local programmes. Dedicated children\u2019s workers support affected children and young people.<\/p>\n<p>In our new study, we will deliver IRIS+ in many general practices in 3 areas.<\/p>\n<p>In all areas, we will assign practices by chance to take part in IRIS+ or IRIS. We will then test whether IRIS+, compared to IRIS, is effective and cost-effective for men and children and whether delivering it on a large scale is possible.<\/p>\n<h2>Qui dirige la recherche ?<\/h2>\n<p><a href=\"https:\/\/research-information.bris.ac.uk\/en\/persons\/eszter-szilassy\" rel=\"noopener\">Dr Eszter Szilassy,<\/a> Senior Research Fellow, Centre for Academic Primary Care, University of Bristol.<\/p>\n<p>Pour plus d&#039;informations ou pour participer \u00e0 ce projet, veuillez envoyer un courriel. <a href=\"mailto:bnssg.research@nhs.net\">bnssg.research@nhs.net<\/a><\/p>\n  <\/div>\r\n  <\/section><\/div><!-- .assembler_text-module.assembler_module.assembler_text-module_1.assembler_module_1..transparent --><\/div><!-- .assembler_module_area.assembler_module_area_1 --><\/div><!-- .assembler_default-group.assembler_module_group.assembler_default-group_1.assembler_module_group_1  -->","protected":false},"excerpt":{"rendered":"<p>Section titled module-1 A primary care system-level training and support programme for the secondary prevention of domestic violence and abuse: a multicentre cluster randomised trial with economic and process evaluation. IRIS+ RCT Funding This project is funded by the National Institute for Health and care Research (NIHR) &#8211; Public Health Research (PHR) funding stream: NIHR153788. [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":32881,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"tags":[],"class_list":["post-34455","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/fr\/wp-json\/wp\/v2\/pages\/34455","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/fr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/fr\/wp-json\/wp\/v2\/comments?post=34455"}],"version-history":[{"count":3,"href":"https:\/\/bnssghealthiertogether.org.uk\/fr\/wp-json\/wp\/v2\/pages\/34455\/revisions"}],"predecessor-version":[{"id":36097,"href":"https:\/\/bnssghealthiertogether.org.uk\/fr\/wp-json\/wp\/v2\/pages\/34455\/revisions\/36097"}],"up":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/fr\/wp-json\/wp\/v2\/pages\/32881"}],"wp:attachment":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/fr\/wp-json\/wp\/v2\/media?parent=34455"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/fr\/wp-json\/wp\/v2\/tags?post=34455"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}