Primary care Identification and Referral to Improve Safety of women experiencing domestic violence (IRIS): protocol for a pragmatic cluster randomised controlled trial


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This is the first European randomised controlled trial of an intervention to improve the health care response to domestic violence. 

The intervention is a collaboration between primary health care services and third sector agencies specialising in domestic violence, combining educational outreach training sessions in general practices with a referral pathway to a named advocate-educator who also was part of the team delivering the training. Additional components of the intervention included a prompt to ask about domestic violence embedded in the medical record and continuing audit and feedback on disclosure and referral data. The primary outcome measure– referral to domestic violence advocacy –

is an intermediate outcome, on a causal pathway towards reduced violence, and improved quality of life and mental health for women who are referred.

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