000			02813nab a22003377a 4500
999			_c8491 _d8491
005			20250625151652.0
008			240122s2024 ||||| |||| 00| 0 eng d
040			_aAFVC
100			_aCochrane, Madeleine _912516
245			_aPrimary care system-level training and support programme for the secondary prevention of domestic violence and abuse : _ba cost-effectiveness feasibility model _cMadeleine Cochrane, Eszter Szilassy, Caroline Coope, Elizabeth Emsley, Medina Johnson, Gene Feder and Estela Capelas Barbosa
260			_bBMJ, _c2024
500			_aBMJ Open, 2024: 14 :e071300.
520			_aObjectives 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
650			_aDOMESTIC VIOLENCE _9203
650			_aECONOMIC ASPECTS _9213
650			_aINTERVENTION _9326
650			_aHEALTH _9283
650			_aINTIMATE PARTNER VIOLENCE _9431
651			_aINTERNATIONAL _93624
651		4	_aUNITED KINGDOM _92604
700			_aSzilassy, Eszter _93880
700			_aCoope, Caroline _912517
700			_aEmsley, Elizabeth _912518
700			_aJohnson, Medina _912519
700			_aFeder, Gene _91134
700			_aBarbosa, Estela C. _912131
773			_tBMJ Open, 2024: 14 :e071300.
830			_aBMJ Open _94846
856			_uhttps://doi.org/10.1136/bmjopen-2022-071300 _zDOI: 10.1136/bmjopen-2022-071300 (Open access)
942			_2ddc _cARTICLE _hnews125