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