TY  - SER
AU  - Cochrane, Madeleine
AU  - Szilassy, Eszter    
AU  - Coope, Caroline
AU  - Emsley, Elizabeth
AU  - Johnson, Medina
AU  - Feder, Gene
AU  - Barbosa, Estela C.
TI  - Primary care system-level training and support programme for the secondary prevention of domestic violence and abuse: a cost-effectiveness feasibility model
PY  - 2024///
PB  - BMJ, 
KW  - DOMESTIC VIOLENCE
KW  - ECONOMIC ASPECTS
KW  - INTERVENTION
KW  - HEALTH
KW  - INTIMATE PARTNER VIOLENCE
KW  - INTERNATIONAL
KW  - UNITED KINGDOM
N1  - BMJ Open, 2024: 14 :e071300.
N2  - Objectives This study aimed to evaluate the prospective cost-effectiveness of the Identification and Referral to Improve Safety plus (IRIS+) intervention compared with usual care using feasibility data derived from seven UK general practice sites.

Method A cost–utility analysis was conducted to assess the potential cost-effectiveness of IRIS+, an enhanced model of the UK’s usual care. IRIS+ assisted primary care staff in identifying, documenting and referring not only women, but also men and children who may have experienced domestic violence/abuse as victims, perpetrators or both. A perpetrator group programme was not part of the intervention per se but was linked to the IRIS+ intervention via a referral pathway and signposting. A Markov model was constructed from a societal perspective to estimate mean incremental costs and quality-adjusted life years (QALYs) of IRIS+ compared with to usual care over a 10-year time horizon.

Results The IRIS+ intervention saved £92 per patient and produced QALY gains of 0.003. The incremental net monetary benefit was positive (£145) and the IRIS+ intervention was cost-effective in 55% of simulations at a cost-effectiveness threshold of £20 000 per QALY.

Conclusion The IRIS+ intervention could be cost-effective or even cost saving from a societal perspective in the UK, though there are large uncertainties, reflected in the confidence intervals and simulation results. (Authors' abstract). Record #8491
UR  - https://doi.org/10.1136/bmjopen-2022-071300
ER  -