Cost-Effectiveness of Domestic Violence Interventions

家庭暴力干预措施的成本效益

• 批准号: 6665225
• 负责人: MARY J ZACHARY
• 金额: $ 12.41万
• 依托单位: MONTEFIORE MEDICAL CENTER (BRONX, NY)
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-09-30 至 2007-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6665225
• 关键词: behavioral /social science research tag; clinical research; cost effectiveness; counseling; domestic violence; female; health care service evaluation; health care service utilization; health education; health services research tag; human subject; interview; longitudinal human study; low socioeconomic status; mental health; patient oriented research; quality of life; spouse abuse; urban area; women's health

DESCRIPTION: (provided by applicant) It is estimated that one in five women between the ages of 18 and 45 who seek care in primary care medical settings experience domestic violence. There are numerous guidelines from national medical associations that promote routine screening and intervention, and there is great public interest in this topic. But there is little evidence on how effectively care meets the needs of women experiencing domestic violence. This has led the U.S. Preventive Services Task Force to conclude that there is insufficient information to either recommend or to oppose universal screening for domestic violence in medical settings. The project goals are to: (1) investigate the effectiveness of domestic violence intervention components; (2) establish a methodology to define outcome measures for domestic violence interventions that incorporate patient, community, and expert viewpoints; (3) explore the feasibility of monitoring these outcomes measures in this population with a longitudinal cohort study; (4) based on outcomes of the first three goals, create a methodology for a cost-benefit analysis of domestic violence interventions; and (5) use the results of this project as the basis for an R01 application to investigate the cost-effectiveness of primary care-based domestic violence interventions in a controlled clinical trial. Accomplishment of goal five will provide the foundation for the candidate's career development as an independent investigator. How can we best investigate the effectiveness of domestic violence interventions in primary care? The overall study design consists of several components, integrated to design an informed, cost-effective analysis of domestic violence interventions in primary care. These components of the intervention are: (1) a pretest-post test, quasi-experimental investigation of six components of a domestic violence intervention; (2) a mini-conference to define patient outcome measures; (3) a pilot test of the feasibility of administering outcome measures; (4) a descriptive cohort study of women receiving domestic violence services, including qualitative interviews; and (5) the development of a cost-effectiveness methodology. Constructs for patient outcome measures are: (1) domestic violence severity; (2) psychological sequelae; (3) quality of life; (4) correlates of well being; (5) health care utilization; and (6) costs. Process measures will determine whether abused women received appropriate care according to the intervention protocol. This study will provide essential, timely information to guide the medical community on how best to respond to develop domestic violence interventions and investigations on cost-effectiveness of domestic violence interventions in primary care.

描述：（由申请人提供）据估计，在18至45岁之间，在初级保健医疗环境中寻求护理的五分之一妇女经历了家庭暴力。国家医学协会有许多指导方针，可以促进常规筛查和 干预，并且对这个话题充满了公众的兴趣。但是，几乎没有证据表明如何有效护理满足经历家庭暴力的妇女的需求。这导致美国预防服务工作队得出结论，没有足够的信息可以推荐或反对医疗环境中家庭暴力的普遍筛查。项目目标是：（1）调查家庭暴力干预组件的有效性； （2）建立一种方法来定义纳入患者，社区和专家观点的家庭暴力干预措施的结果指标； （3）通过一项纵向队列研究，探讨该人群中这些结果措施的可行性； （4）根据前三个目标的结果，为家庭暴力干预措施的成本效益分析创建方法； （5）将该项目的结果用作 R01应用程序在对照临床试验中调查基于初级保健的家庭暴力干预措施的成本效益的基础。目标五的成就将为候选人作为独立调查员的职业发展奠定基础。我们如何最好地调查家庭暴力干预措施在初级保健中的有效性？总体研究设计由几个组成部分组成，该组件集成了对初级保健中家庭暴力干预措施的知情，具有成本效益的分析。干预的这些组成部分是：（1）对家庭暴力干预的六个组成部分进行预测试测试，准实验研究； （2）定义患者结果指标的小型会议； （3）对管理结果指标的可行性进行试验测试； （4）接受家庭暴力服务的妇女的描述性队列研究，包括定性访谈； （5）开发成本效益方法。患者结局措施的构造是：（1）家庭暴力严重程度； （2）心理后遗症； （3）生活质量； （4）福祉的相关性； （5）医疗保健利用； （6）费用。过程措施将根据干预方案确定虐待妇女是否接受了适当的护理。这项研究将提供基本，及时的信息，以指导医学界如何做出最好的反应，以发展家庭暴力干预措施和调查 家庭暴力干预措施在初级保健中的成本效益。