Secondary prevention of intimate partner violence - A randomized controlled trial

Secondary prevention of intimate partner violence - A randomized controlled trial
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DOI:
10.1097/00006199-200601000-00007
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发表时间:
2006-01-01
期刊:
影响因子:
2.5
通讯作者:
Watson, K
Watson, K
中科院分区:
医学4区
文献类型:
--
作者:
McFarlane, JM;Groff, JY;Watson, K

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背景:尽管亲密伴侣对妇女的暴力(IPV)被认为是一个与发病率和死亡率相关的全球健康问题,但初级保健环境下的循证治疗策略仍然缺乏。目的:评估在两种干预水平下相对安全的行为、社区资源的使用和暴力程度。方法:在城市公立初级保健诊所完成一项随机的双臂临床试验,360名受虐妇女在过去12个月内被评估为身体或性虐待阳性。测试了两种干预措施:钱包大小的转诊卡和20分钟的护士病例管理方案。结果:在24个月的时间里,两个干预组在虐待、攻击、凶杀危险风险、工作骚扰事件、所采用的安全行为和社区资源利用方面的数量差异。
Background: Despite the recognition of intimate partner violence (IPV) against women as a global health issue associated with significant morbidity and mortality, evidence-based treatment strategies for primary care settings are lacking.Objective: To assess the comparative safety behaviors, use of community resources, and extent of violence following two levels of intervention. 0,Methods: A randomized, two-arm, clinical trial was completed in urban public primary care clinics with 360 abused women who assessed positive for physical or sexual abuse within the preceding 12 months. Two interventions were tested: a wallet-sized referral card and a 20-minute nurse case management protocol. Outcome measures were differences in the number of threats of abuse, assaults, danger risks for homicide, events of work harassment, safety behaviors adopted, and use of community resources between intervention groups over a 24-month period.Results: Two years following treatment, both treatment groups of women reported significantly (p