DOI:	http://dx.doi.org/10.1186/1471-2458-10-2 Background: Intimate partner abuse (IPA) is a major public health problem with serious implications for the physical and psychosocial wellbeing of women, particularly women of child-bearing age. It is a common, hidden problem in general practice and has been under-researched in this setting. Opportunities for early intervention and support in primary care need to be investigated given the frequency of contact women have with general practice. Despite the high prevalence and health consequences of abuse, there is insufficient evidence for screening in primary care settings. Furthermore, there is little rigorous evidence to guide general practitioners (GPs) in responding to women identified as experiencing partner abuse. This paper describes the design of a trial of a general practice-based intervention consisting of screening for fear of partner with feedback to GPs, training for GPs, brief counselling for women and minimal practice organisational change. It examines the effect on women's quality of life, mental health and safety behaviours. Methods/Design: weave is a cluster randomised controlled trial involving 40 general practices in Victoria, Australia. Approximately 500 women (16-50 years) seen by the GP in the previous year are mailed a short lifestyle survey containing an item to screen for IPA. Women who indicate that they were afraid of a partner/ex-partner in the last year and provide contact details are invited to participate. Once baseline data are collected, GPs are randomly assigned to either a group involving healthy relationship and responding to IPA training plus inviting women for up to 6 sessions of counselling or to a group involving basic education and usual care for women. Outcomes will be evaluated by postal survey at 6 and 12 months following delivery of the intervention. There will be an economic evaluation, and process evaluation involving interviews with women and GPs, to inform understanding about implementation and outcomes. Discussion: The weave trial responds to an urgent need for more evidence on what can be achieved in primary care with regard to responding to women who experience IPA. It will provide important knowledge about the effectiveness of a brief method of screening, professional IPA training program and brief counselling for women. Electronic Resource Number: Author's Address: Department of General Practice, University of Melbourne 200 Berkeley St, Carlton, Melbourne, Australia Date revised - 2013-02-01Number of references - 70Last updated - 2013-02-22SubjectsTermNotLitGenreText - Education; Safety engineering; Training; Economics; Intervention; Females; Clinical trials; Quality of life; Public health; AustraliaA. Tiwari, WC. Leung, TW. Leung, J. Humphreys, B. Parker, and PC. Ho. "A randomised controlled trial of empowerment training for Chinese abused pregnant women in Hong Kong." BJOG 112:9 Sep 2005: 1249-1256Boy, A; Salihu, H M. Intimate partner violence and birth outcomes: A systematic review. INTERNATIONAL JOURNAL OF FERTILITY AND WOMENS MEDICINE, 49. 4 (2004): 159-164. MEDICAL SCIENCE PUBLISHING INT INCBradley, Fiona; Smith, Mary; Long, Jean; O'Dowd, Tom. Reported frequency of domestic violence: Cross sectional survey of women attending general practice. British Medical Journal, 324. 7332 (2002): 271-274. BMJ Publishing GroupBreslau, N; Peterson, EL; Kessler, R C; Schultz, L R. Short screening scale for DSM-IV posttraumatic stress disorder. AMERICAN JOURNAL OF PSYCHIATRY, 156. 6 (1999): 908-911. AMER PSYCHIATRIC PRESS, INCBrown, Stephanie J; McDonald, Ellie A; Krastev, Ann H; Brown, Stephanie J. Fear of an Intimate Partner and Women's Health in Early Pregnancy: Findings from the Maternal Health Study. Birth, 35. 4 (2008): 293-302. Blackwell Publishing Ltd., 9600 Garsington RoadBurge, Sandra K.; Schneider, F. David; Ivy, Linda; Catala, Selina. Patients' Advice to Physicians About Intervening in Family Conflict. Annals of Family Medicine, 3. 3 (2005): 248-254. Annals of Family Medicine, IncCAMPBELL, Jacquelyn C. Health consequences of intimate partner violence. Lancet (British edition), 359. 9314 (2002): 1331-1336. LancetCAMPBELL, Marion K.; ELBOURNE, Diana R.; ALTMAN, Douglas G.; CONSORT Group. CONSORT statement: extension to cluster randomised trials. BMJ. British medical journal (International ed.), 328. 7441 (2004): 702-708. British Medical AssociationCluss, Patricia A.; Chang, Judy C.; Hawker, Lynn; Hudson Scholle, Sarah; et al. The process of change for victims of intimate partner violence. Support for a Psychosocial Readiness Model. Women's Health Issues, 16. 5 (2006): 262-274. Elsevier USACOID, Jeremy; MIN YANG; ROBERTS, Amanda; ULLRICH, Simone; et al. Violence and psychiatric morbidity in a national household population : A report from the british household survey. American journal of epidemiology, 164. 12 (2006): 1199-1208. Oxford University PressDavis, David A, Thomson, Mary Ann, Oxman,[cut]
Electronic Resources:	https://search.proquest.com/docview/1285102565?accountid=12763 http://sirius.library.unsw.edu.au:9003/sfx_local?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&genre=article&sid=ProQ:ProQ%3Ahealthsafetyabstracts&atitle=Women%27s+evaluation+of+abuse+and+violence+care+in+general+practice%3A+a+cluster+randomised+controlled+trial+%28weave%29&title=BMC+Public+Health&issn=14712458&date=2010-01-01&volume=10&issue=1&spage=2&au=Hegarty%2C+Kelsey[cut]
Web resource:	https://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-10-2
Type:	Journal Article
Title:	Women's evaluation of abuse and violence care in general practice: a cluster randomised controlled trial (weave)
Other Titles:	BMC Public Health
Authors:	Chondros, Patty Hegarty, Kelsey L Gunn, Jane M O'Doherty, Lorna J Taft, Angela Feder, Gene Brown, Stephanie Astbury, Jill
Year:	2010
Publisher:	BioMed Central Ltd
Citation:	No 1 Vol.: 10
URI:	https://anrows.intersearch.com.au/anrowsjspui/handle/1/17506
ISSN:	1471-2458
Physical description:	Pages 2
Appears in Collections:	Journal Articles

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