General Practice and Primary Care - Research Publications

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    Interventions in Health Settings for Male Perpetrators or Victims of Intimate Partner Violence
    Tarzia, L ; Forsdike, K ; Feder, G ; Hegarty, K (SAGE PUBLICATIONS INC, 2020-01)
    BACKGROUND: Intimate partner violence (IPV) is common in patients attending health-care services and is associated with a range of health problems. The majority of IPV perpetrators are men, and a substantial minority of men are victims, yet health-care professionals have little evidence or guidance on how to respond to male patients who perpetrate or experience violence in their intimate relationships. METHODS: We conducted a systematic review to determine the effectiveness of interventions for male perpetrators or victims of IPV in health settings. Online databases, reference lists, Google Scholar, and gray literature were searched, and inclusion/exclusion criteria were applied. Narrative synthesis methods were used due to the heterogeneity of study types and outcome measures. RESULTS: Fourteen studies describing 10 interventions met our inclusion criteria: nine randomized controlled trials, four cohort studies, and one case-control study. Interventions were predominantly therapeutic in nature and many were conducted in alcohol treatment settings. CONCLUSION: Overall, the evidence for effectiveness of interventions in health-care settings was weak, although IPV interventions conducted concurrently with alcohol treatment show some promise. More work is urgently needed in health-care services to determine what interventions might be effective, and in what settings, to improve the response to male perpetrators or victims of IPV.
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    Women’s Experiences Receiving Support Online for Intimate Partner Violence: How Does it Compare to Face-to-Face Support from a Health Professional?
    Tarzia, L ; Cornelio, R ; Forsdike, K ; Hegarty, K (Oxford University Press (OUP), 2018)
    There is a growing need for novel approaches in supporting victims of intimate partner violence (IPV), particularly as the demand placed on formal services increases. Online interventions in this space have shown a great deal of theoretical promise. However, currently little is known about how women perceive this form of support, and how their experiences of receiving support online might differ from face-to-face approaches. This study aims to address this gap through qualitative interviews with n = 16 women who had experienced IPV. Eight of the women had received support via an interactive online intervention, and eight had received a counselling intervention delivered by their general practitioner (GP) (family doctor). The findings suggest that many elements of face-to-face support can also be delivered effectively online, leading to greater control over the help-seeking process. On the other hand, a trusting relationship with the GP can also be extremely helpful to women seeking to disclose, and is difficult to replicate online. Which method of delivery is preferred may depend on whether a woman values trust or control in her help-seeking journey. Both online and face-to-face interventions for IPV should focus on providing individualized support that raises awareness, lessens isolation and considers women’s own unique needs and circumstances.