Dentistry responding to domestic violence and abuse: a dental, practice-based intervention and a feasibility study for a cluster randomised trial.
Dentistry responding to domestic violence and abuse: a dental, practice-based intervention and a feasibility study for a cluster randomised trial.
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DOI：
10.1038/s41415-022-5271-x
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发表时间：
2022-12
影响因子：
2.6
通讯作者：
Femi-Ajao, Omolade
中科院分区：
文献类型：
--
作者：
Coulthard, Paul;Feder, Gene;Evans, Maggie A.;Johnson, Medina;Walsh, Tanya;Robinson, Peter G.;Armitage, Christopher J.;Barbosa, Estela;Tickle, Martin;Femi-Ajao, Omolade
目的评估在一般牙科实践环境中使用识别和转诊以提高安全性（IRIS）干预的可行性，并使用分组随机试验设计对其进行评估。IRIS目前用于一般医疗实践，以帮助识别和支持转介到专家支持的成年人提出的伤害和其他提出的因素，可能导致家庭暴力和虐待。此外，探讨整群随机试验设计的可行性，以评估适应IRIS。设计一项基于实践的干预措施的整群随机试验的可行性研究。设置大曼彻斯特一般牙科诊所。结果在培训临床团队和建立直接转诊至指定倡导教育者的途径方面，将IRIS干预用于一般医疗实践适用于一般牙科实践是可行的。一般牙科诊所热衷于采取干预措施，在有机会时与患者讨论并利用转诊途径。然而，我们不能像全科医生那样使用实践IT软件提示和数据收集，因为没有统一的牙科IT系统，而且英国没有开发牙科诊断，程序和结果的编码。结论：虽然将IRIS干预的要素适应于一般牙科实践是可行的，并且具有普遍的可接受性，但我们没有足够的经验数据来计划一个明确的分组随机试验设计，以评估一般牙科实践中的IRIS牙科干预。描述了开发的过程中使用的一般医疗实践中的识别和转诊的患者经历家庭暴力和虐待的宣传服务，用于一般牙科实践的干预。适应性干预一般是可以接受的一般牙科实践的工作人员，并导致高水平的参与。英国的一般牙科诊所没有统一的IT系统，因为一般医疗诊所都有，因此无法向工作人员提供提示或以数字方式收集数据进行分析。不可能收集足够的数据来规划大型确定性研究。
Objectives Assess the feasibility of using the Identification and Referral to Improve Safety (IRIS) intervention in a general dental practice setting and evaluating it using a cluster randomised trial design. IRIS is currently used in general medical practices to aid recognition and support referral into specialist support of adults presenting with injuries and other presenting factors that might have resulted from domestic violence and abuse. Also, to explore the feasibility of a cluster randomised trial design to evaluate the adapted IRIS. Design Feasibility study for a cluster randomised trial of a practice-based intervention. Setting Greater Manchester general dental practices. Results It was feasible to adapt the IRIS intervention used in general medical practices to general dental practices in terms of training the clinical team and establishing a direct referral pathway to a designated advocate educator. General dental practices were keen to adopt the intervention, discuss with patients when presented with the opportunity and utilise the referral pathway. However, we could not use practice IT software prompts and data collection as for general practitioners because there is no unified dental IT system and because coding in dentistry for diagnoses, procedures and outcomes is not developed in the UK. Conclusion While it was feasible to adapt elements of the IRIS intervention to general dental practice and there was general acceptability, we did not have enough empirical data to plan a definitive cluster randomised trial design to evaluate the IRIS-dentistry intervention within general dental practices. Describes the process of developing an intervention used in general medical practices for the identification and referral of patients experiencing domestic violence and abuse to advocacy services for use in general dental practices. An adapted intervention was generally acceptable to general dental practice staff and resulted in a high level of engagement. There are no unified IT systems in general dental practices in the UK as there are in general medical practices and so it was not possible to provide prompts to the staff or collect data digitally for analysis. The collection of sufficient data for the planning of a large definitive study was not possible.
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DOI：
10.1186/1748-5908-6-42
发表时间：
2011-04-23
期刊：
Implementation science : IS
影响因子：
--
作者：
Michie S;van Stralen MM;West R
通讯作者：
West R
影响因子：
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作者：
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Gregory A;Ramsay J;Agnew-Davies R;Baird K;Devine A;Dunne D;Eldridge S;Howell A;Johnson M;Rutterford C;Sharp D;Feder G
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影响因子：
2.9
作者：
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DOI：
10.1016/j.bjoms.2019.11.009
发表时间：
2020-02-01
影响因子：
1.8
作者：
Boyes, H.;Fan, K.
通讯作者：
Fan, K.