1780: Women‘s evaluation of abuse and violence care in general practice: Six and twelve months outcomes

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Author(s): 
K. Hegarty1, L. O‘Doherty1, A. Taft2, P. Chondros1, S. Brown3, J. Valpied1, J. Astbury4, A. Taket; L. Gold5, G. Feder6, J. Gunn1
1 General Practice and Primary Health Care Academic Centre, The University of Melbourne, Parkville, Australia; 2 Mother and Child Health Research Centre, La Trobe University, Melbourne, Australia; 3 Murdoch Children’s Research Institute, Royal Children›s Hospital, Parkville, Australia; 4 School of Psychology and Psychiatry, Monash University, Melbourne, Australia; 5 School of Health and Social Development / Deakin Health Economics, Deakin University, Melbourne, Australia; 6 School of Social and Community Medicine, University of Bristol, Bristol, United Kingdom
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Presentation type: Oral Communication
Objectives: Intimate partner violence (IPV) is a common hidden problem in general practice and the leading cause of morbidity and mortality for women of childbearing age. General practice lacks evidence-based guidance on how to respond.
This project is the first large, general practice based trial testing the effect of screening and intervention on abused women‘s quality of life, safety, and mental health.
Methods: This study was a cluster randomised controlled trial involving 55 GPs from Victoria, Australia. For each GP, 400 women (16-50 years) who attended in the last year were screened for fear of (ex)partner in the last year. Following the baseline survey, GPs were randomly assigned to usual care; or to an 8-hour training program, and their ‘fearful’ patients invited for women-centred counselling. Outcomes assessed included quality of life, safety, mental health and depression.
Results: 5742/19879 women returned the screening survey. Of these, 731 (12.7%) were afraid of a partner; 388 were eligible; 272 enrolled in the trial. At 12 months there was moderate evidence of a difference between intervention and comparison groups on depression caseness (37.6% vs 58%; OR 0.3 (0.1, 0.7)), and at 6 months on GP inquiry about safety of women (32.4% vs 13.2%; OR 5.1 (1.9, 14.0)) and children (35% vs 18%; OR 5.5 (1.6, 19.0)).
Conclusions: Screening women, training of GPs and counselling by GPs shows evidence of effect in areas of depression and GP inquiry about safety. With further refinement and testing, the intervention shows promise for implementation into policy and practice.

Disclosure: No conflict of interest declared