Two-year follow up of a cluster randomised controlled trial for women experiencing intimate partner violence: effect of screening and family doctor-delivered counselling on quality of life, mental and physical health and abuse exposure.
Hegarty K; Valpied J; Taft A; Brown SJ; Gold L; Gunn J; O'Doherty L · BMJ open · 2020 · Cluster randomized trial follow-up
Original publication · Original publication · Original publication · Original publication · Original publication · Original publication
Recorded summary
At 24 months the WEAVE counselling offer did not improve primary or secondary outcomes versus usual care. The 12-month secondary depression finding did not persist; these reports are one cohort.
Recorded limitations
Only 166/272 responded at 24 months and 49% of women offered counselling attended any (mostlyone session). Self-reported outcomes were unmasked. The absence of statistical benefit is not equivalence; within-group improvement does not establish counselling efficacy.
Evidence and provenance
Chapter Trust Factor uses a minimum of three distinct qualifying studies. Publication records retain their own evidence and assessment.
Study design and assessment
- design
- Cluster randomized trial follow-up
- assessment
- category
- rct
- is Randomized Controlled Trial
- true
- basis
- Same WEAVE cohort: 52 doctor/practice clusters (25 intervention/27 control), 272 women (137/135). Independent statistician generated Stata 12 sequence with location-stratified blocks 2/4 after baseline; nonrecruiting coordinator kept allocation key. Source for these shared methods is the full 24-month primary report.
- sources
https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=EXT_ID:33303427%20AND%20SRC:MED&format=json&resultType=core · https://api.crossref.org/works/10.1136%2Fbmjopen-2019-034295 · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC7733186/fullTextXML · https://pureportal.coventry.ac.uk/en/publications/sometimes-cathartic-sometimes-quite-raw-benefit-and-harm-in-an-in-2/
- review Scope
- full-text
- trust Factor
- scope
- Paper
- status
- assessed
- score
- 2
- randomized Controlled Trial
- true
- peer Reviewed
- true
- blinding
- not-confirmed
- basis
- Same WEAVE cohort: 52 doctor/practice clusters (25 intervention/27 control), 272 women (137/135). Independent statistician generated Stata 12 sequence with location-stratified blocks 2/4 after baseline; nonrecruiting coordinator kept allocation key. Source for these shared methods is the full 24-month primary report.
- sources
https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=EXT_ID:33303427%20AND%20SRC:MED&format=json&resultType=core · https://api.crossref.org/works/10.1136%2Fbmjopen-2019-034295 · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC7733186/fullTextXML · https://pureportal.coventry.ac.uk/en/publications/sometimes-cathartic-sometimes-quite-raw-benefit-and-harm-in-an-in-2/
- review Scope
- full-text
- human Approval
- false
- display Crosses
- 2
- masking Roles
- participants
- Explicitly unmasked.
- providers
- Explicitly unmasked.
- assessors
- Other researchers, recruiters and analysts masked until interpretation/preliminary write-up; participant-reported outcomes remain unmasked.
- analysts
- Explicitly masked until interpretation and preliminary write-up.
- rating Scale
- library-trust-factor/1-3
- jadad
- status
- unassessed
- score
- Not recorded
- evidence
- evidence Type
- Cluster randomized trial follow-up
- intervention
- Woman-centered family-doctor counselling using active listening, motivational interviewing and problem solving, supporting the woman’s readiness and decisions. Offered 1–6 free sessions over 6 months. 67/137 (49%)attended any; most attended one. Doctor training 6 hours distance learning plus 1 hour practice visit.
- comparator
- Usual primary care; both groups’ doctors received basic IPV information and women received resource lists.
- sample
- Same 52 doctor-cluster cohort as 2013; 24-month respondents 81/137 intervention and 85/135 control. Longitudinal models used available data for all baseline participants, so 166 is final time point count, not a new trial.
- measurement
- SF-12 mental health and quality of life; Depression, anxiety, PTSD and IPV caseness; Physical health; Participant-reported benefit/harm
- timing
- 24months
- trial Id
- ACTRN12608000032358
- relationship Note
- Explicit domestic/intimate-partner violence exposure in the studied population; psychological intervention is within Language scope. See limitation and quality fields; no population-wide clinical recommendation is implied.
- measured Genes
- None recorded
- pathways
- None recorded
- source Access
- level
- full-text
- source URLs
https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=EXT_ID:33303427%20AND%20SRC:MED&format=json&resultType=core · https://api.crossref.org/works/10.1136%2Fbmjopen-2019-034295 · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC7733186/fullTextXML · https://pureportal.coventry.ac.uk/en/publications/sometimes-cathartic-sometimes-quite-raw-benefit-and-harm-in-an-in-2/
- retrieved At
- 2026-10-30T08:21:43.644990+00:00
- outcomes
- name
- SF-12 mental health and quality of life
- follow Up
- 24months
- result
- No significant between-group difference in mental health or any WHOQOL-BREF domain.
- effect Estimate
- SF-12 mental MD−1.6 (95% CI−5.3, 2.1), p=.393. QOL physical 1.5 (−2.9, 5.9), psychological−0.2 (−4.8, 4.4), social−1.4 (−8.2, 5.4), environment−0.8 (−4.0, 2.5).
- uncertainty
- Attrition and low uptake limit precision; null difference is not proof of equivalence.
- primary Status
- primary
- name
- Depression, anxiety, PTSD and IPV caseness
- follow Up
- 24months
- result
- No significant comparative benefit; earlier 12-month secondary depression benefit was not maintained.
- effect Estimate
- DepressionOR 1.0 (95% CI 0.4, 2.9); anxiety 0.6 (0.2, 2.2); PTSD 0.9 (0.3, 2.5); IPV 0.5 (0.2, 1.7).
- uncertainty
- Models adjusted for baseline, time and clustering; all intervals cross 1.
- primary Status
- secondary
- name
- Physical health
- follow Up
- 24months
- result
- No significant difference.
- effect Estimate
- SF-12 physical MD 2.4 (95% CI−0.8, 5.6), p=.145.
- uncertainty
- Secondary finding; no superiority established.
- primary Status
- secondary
- name
- Participant-reported benefit/harm
- follow Up
- 24months
- result
- No significant comparative harm-benefit difference; most respondents glad to participate.
- effect Estimate
- VAS MD 4.4 (95% CI−0.8, 9.6), p=.092; 145/166 (87.3%)glad to participate.
- uncertainty
- Reflects respondents and research participation; does not establish zero harms in all 272 women.
- primary Status
- safety/acceptability
- quality
- risk Of Bias
- Unmasked self-report, low counselling uptake, substantial long-term attrition and selected English-speaking screening responders limit inference. Masked researchers/analysts and cluster-adjusted analyses support methods; no formal numerical risk rating.
- attrition
- 24-monthresponse 81/137 (59%)intervention and 85/135 (63%)control, 166/272 overall. Available-data mixed models do not remove potential nonresponse bias.
- confounding
- Mixed-effects models use available repeated observations, adjusted for practice clustering and urban/rural stratification. Nonattender exclusions are selected analyses. Both arms received information/resources and repeated IPV questionnaires.
- adverse Findings
- Report says no significant harms detected and refers to the dedicated harms analysis. A same-family primary abstract nevertheless describes short-/long-term negative emotions, recall, retraumatization and minimization. These are participation experiences, not demonstrated treatment-caused excess harm; counts and causal attribution unavailable. 24-month VAS difference nonsignificant.
- transfer Limits
- English-speaking women who returned a mailed screen and reported partner fear; young women and those with lower education/employment were under-represented. No basis for a child/adolescent-specific conclusion.
- jadad
- not established
- masking Roles
- participants
- Explicitly unmasked.
- providers
- Explicitly unmasked.
- assessors
- Other researchers, recruiters and analysts masked until interpretation/preliminary write-up; participant-reported outcomes remain unmasked.
- analysts
- Explicitly masked until interpretation and preliminary write-up.
- population
- relation
- direct
- population
- Women who screened positive for fear of a partner in the preceding year.
- exposure Evidence
- Women screened positive for fear of a partner/ex-partner in previous 12 months, supplied safe contact/address and could speak English. Screened fear need not equal a specified physical-IPV diagnosis.
- rationale
- Explicit domestic/intimate-partner violence exposure in the studied population; psychological intervention is within Language scope.
- transfer Limit
- See limitation and quality fields; no population-wide clinical recommendation is implied.
Topics and recorded topic scores
- key
- language:domestic-family-violence
- title
- Domestic & Family Violence
- collection
- language
- trust Score
- 2
Citation snapshot and identifiers
- id
- dv-adult-therapy-33303427
- doi
- 10.1136/bmjopen-2019-034295
- pmid
- 33303427
- citation Snapshot
- count
- Not recorded
- source
- Not recorded
- retrieved At
- Not recorded
- status
- not-assessed
- citations By Collection
- language
- Not recorded
Complete approved library record
- publication Approval
- status
- approved-for-publication
- approved By
- Ben Korbel
- approved At
- 2026-11-01
- assessment
- AI assessed; human approved for publication
- scope
- Qualified research-library summaries. No professional clinical peer review or treatment recommendation is claimed.
- source Revision
- audit-r2-5afcb017dbd4
- source Content Hash
- 5afcb017dbd45ea5a117f387f78b7680c84f423556055d3b50ba814d5a1dbf79
- source Access
- level
- full-text
- source URLs
https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=EXT_ID:33303427%20AND%20SRC:MED&format=json&resultType=core · https://api.crossref.org/works/10.1136%2Fbmjopen-2019-034295 · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC7733186/fullTextXML · https://pureportal.coventry.ac.uk/en/publications/sometimes-cathartic-sometimes-quite-raw-benefit-and-harm-in-an-in-2/
- retrieved At
- 2026-10-30T08:21:43.644990+00:00
- editorial Audit
- auditor
- Codex (AI)
- completed At
- 2026-10-31T05:11:05.655793+00:00
- prior Content Hash
- 26b8cc8d0764fc1344576e4b35f557a843f73d8571eae1784c23abed407744e9
- prior Revision
- r1-26b8cc8d0764
- prior Source
- frozen-120
- source Verification
- id
- dv-adult-therapy-33303427
- doi
- 10.1136/bmjopen-2019-034295
- pmid
- 33303427
- fresh Metadata
- Europe PMC core
- metadata Retrieved
- true
- metadata SHA256
- 007e7cfe978cdbdb89ad9018116ab99526a8a1e425157eb626cf11ed6e4790e3
- claim Check
- Headline finding/design/limitations compared with indexed abstract or accessible primary evidence; retained methods amendments separately adjudicated.
- sources
https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=EXT_ID:33303427%20AND%20SRC:MED&format=json&resultType=core · https://api.crossref.org/works/10.1136%2Fbmjopen-2019-034295
- applied Proposals
methods-adult/proposed-candidates.json
- method
- AI editorial assessment of all 130 publication records: compare identity, headline finding, design, relevance and limitations with indexed abstracts or available primary material; adjudicate retained source-supported methods amendments. This is a source-limited publication audit, not an independent full-text systematic review or a clinical guideline.
- limitations
Abstract-only records do not establish allocation concealment, complete harms reporting or full risk of bias. · No formal independent RoB 2, GRADE appraisal or numerical reconstruction of every effect was performed. · Source-access labels describe retained appraisal evidence; fuller prior appraisals were checked through their source ledgers and selected material, not independently repeated in full. · Publication counts are not independent trial or participant counts; cohort links and overlapping review evidence remain provisional. · A randomized design cross does not indicate benefit, low risk of bias or human approval. No double-blind trial is verified in this release. · No professional clinical peer review is claimed. Recommended content is limited to accurately qualified research summaries.
- study Family Id
- ACTRN12608000032358
- family Linkage Uncertain
- false
- approaches
- None recorded
- id
- dv-adult-therapy-33303427
- aliases
- None recorded
- title
- Two-year follow up of a cluster randomised controlled trial for women experiencing intimate partner violence: effect of screening and family doctor-delivered counselling on quality of life, mental and physical health and abuse exposure.
- journal
- BMJ open
- neurotransmitters
- None recorded
- year
- 2020
- authors
- Hegarty K; Valpied J; Taft A; Brown SJ; Gold L; Gunn J; O'Doherty L
- design
- Cluster randomized trial follow-up
- kind
- Journal article
- identity Conflict
- Not recorded
- doi
- 10.1136/bmjopen-2019-034295
- pmid
- 33303427
- urls
https://doi.org/10.1136/bmjopen-2019-034295 · https://pubmed.ncbi.nlm.nih.gov/33303427/ · https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=EXT_ID:33303427%20AND%20SRC:MED&format=json&resultType=core · https://api.crossref.org/works/10.1136%2Fbmjopen-2019-034295 · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC7733186/fullTextXML · https://pureportal.coventry.ac.uk/en/publications/sometimes-cathartic-sometimes-quite-raw-benefit-and-harm-in-an-in-2/
- collections
language
- categories
Clinical & self-report
- targets
- None recorded
- priority
- 1
- quotes
- None recorded
- summary
- At 24 months the WEAVE counselling offer did not improve primary or secondary outcomes versus usual care. The 12-month secondary depression finding did not persist; these reports are one cohort.
- limitation
- Only 166/272 responded at 24 months and 49% of women offered counselling attended any (mostlyone session). Self-reported outcomes were unmasked. The absence of statistical benefit is not equivalence; within-group improvement does not establish counselling efficacy.
- citation Count
- Not recorded
- citation Snapshot
- count
- Not recorded
- source
- Not recorded
- retrieved At
- Not recorded
- status
- not-assessed
- study Design Assessment
- category
- rct
- is Randomized Controlled Trial
- true
- basis
- Same WEAVE cohort: 52 doctor/practice clusters (25 intervention/27 control), 272 women (137/135). Independent statistician generated Stata 12 sequence with location-stratified blocks 2/4 after baseline; nonrecruiting coordinator kept allocation key. Source for these shared methods is the full 24-month primary report.
- sources
https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=EXT_ID:33303427%20AND%20SRC:MED&format=json&resultType=core · https://api.crossref.org/works/10.1136%2Fbmjopen-2019-034295 · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC7733186/fullTextXML · https://pureportal.coventry.ac.uk/en/publications/sometimes-cathartic-sometimes-quite-raw-benefit-and-harm-in-an-in-2/
- review Scope
- full-text
- paper Trust Assessment
- scope
- Paper
- status
- assessed
- score
- 2
- randomized Controlled Trial
- true
- peer Reviewed
- true
- blinding
- not-confirmed
- basis
- Same WEAVE cohort: 52 doctor/practice clusters (25 intervention/27 control), 272 women (137/135). Independent statistician generated Stata 12 sequence with location-stratified blocks 2/4 after baseline; nonrecruiting coordinator kept allocation key. Source for these shared methods is the full 24-month primary report.
- sources
https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=EXT_ID:33303427%20AND%20SRC:MED&format=json&resultType=core · https://api.crossref.org/works/10.1136%2Fbmjopen-2019-034295 · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC7733186/fullTextXML · https://pureportal.coventry.ac.uk/en/publications/sometimes-cathartic-sometimes-quite-raw-benefit-and-harm-in-an-in-2/
- review Scope
- full-text
- human Approval
- false
- display Crosses
- 2
- masking Roles
- participants
- Explicitly unmasked.
- providers
- Explicitly unmasked.
- assessors
- Other researchers, recruiters and analysts masked until interpretation/preliminary write-up; participant-reported outcomes remain unmasked.
- analysts
- Explicitly masked until interpretation and preliminary write-up.
- rating Scale
- library-trust-factor/1-3
- citations By Collection
- language
- Not recorded
- topics
- key
- language:domestic-family-violence
- title
- Domestic & Family Violence
- collection
- language
- trust Score
- 2
- journal Key
- bmjopen
- journal Label
- BMJ open
- chapter Entries
- id
- language-dv-dv-adult-therapy-33303427
- aliases
- None recorded
- title
- Two-year follow up of a cluster randomised controlled trial for women experiencing intimate partner violence: effect of screening and family doctor-delivered counselling on quality of life, mental and physical health and abuse exposure.
- authors
- Hegarty K; Valpied J; Taft A; Brown SJ; Gold L; Gunn J; O'Doherty L
- year
- 2020
- journal
- BMJ open
- doi
- 10.1136/bmjopen-2019-034295
- pmid
- 33303427
- urls
https://doi.org/10.1136/bmjopen-2019-034295 · https://pubmed.ncbi.nlm.nih.gov/33303427/ · https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=EXT_ID:33303427%20AND%20SRC:MED&format=json&resultType=core · https://api.crossref.org/works/10.1136%2Fbmjopen-2019-034295 · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC7733186/fullTextXML · https://pureportal.coventry.ac.uk/en/publications/sometimes-cathartic-sometimes-quite-raw-benefit-and-harm-in-an-in-2/
- collections
language
- categories
Clinical & self-report
- targets
- None recorded
- neurotransmitters
- None recorded
- conditions
anxiety · ptsd · depression
- condition Evidence
- id
- anxiety
- evidence
- field
- outcomes
- text
- SF-12 mental health and quality of life | Depression, anxiety, PTSD and IPV caseness | Physical health | Participant-reported benefit/harm
- matched Text
- anxiety
- scope
- Study population or investigated outcome; not a diagnosis or efficacy claim.
- id
- ptsd
- evidence
- field
- outcomes
- text
- SF-12 mental health and quality of life | Depression, anxiety, PTSD and IPV caseness | Physical health | Participant-reported benefit/harm
- matched Text
- PTSD
- scope
- Study population or investigated outcome; not a diagnosis or efficacy claim.
- id
- depression
- evidence
- field
- outcomes
- text
- SF-12 mental health and quality of life | Depression, anxiety, PTSD and IPV caseness | Physical health | Participant-reported benefit/harm
- matched Text
- Depression
- scope
- Study population or investigated outcome; not a diagnosis or efficacy claim.
- age Groups
adults
- age Population
- record Id
- dv-adult-therapy-33303427
- collections
language
- groups
adults
- reported Ages
- Eligibility 16–50 years. Baseline table reports 17–29, 30–39, 40–50 year categories; mean 38.5 (SD 8.1). Exact enrolled minimum and under 18 count not established.
- youth Scope
- Not recorded
- youth Source Note
- Eligibility included 16–17 years; no adolescent-specific efficacy analysis established.
- source URL
- https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=EXT_ID:33303427%20AND%20SRC:MED&format=json&resultType=core
- basis Type
- source-limited-ai-editorial-assessment
- classification Note
- Original age terms: adults, adolescent eligibility. Programme targets or possible eligibility are not counted as observed ages.
- community Matches
- category Id
- domestic-violence
- relation
- direct
- kind
- Journal article
- design
- Cluster randomized trial follow-up
- origin
- approved-dv-20261101
- priority
- 1
- quotes
- None recorded
- finding
- At 24 months the WEAVE counselling offer did not improve primary or secondary outcomes versus usual care. The 12-month secondary depression finding did not persist; these reports are one cohort.
- summary
- At 24 months the WEAVE counselling offer did not improve primary or secondary outcomes versus usual care. The 12-month secondary depression finding did not persist; these reports are one cohort.
- limitation
- Only 166/272 responded at 24 months and 49% of women offered counselling attended any (mostlyone session). Self-reported outcomes were unmasked. The absence of statistical benefit is not equivalence; within-group improvement does not establish counselling efficacy.
- evidence
- evidence Type
- Cluster randomized trial follow-up
- intervention
- Woman-centered family-doctor counselling using active listening, motivational interviewing and problem solving, supporting the woman’s readiness and decisions. Offered 1–6 free sessions over 6 months. 67/137 (49%)attended any; most attended one. Doctor training 6 hours distance learning plus 1 hour practice visit.
- comparator
- Usual primary care; both groups’ doctors received basic IPV information and women received resource lists.
- sample
- Same 52 doctor-cluster cohort as 2013; 24-month respondents 81/137 intervention and 85/135 control. Longitudinal models used available data for all baseline participants, so 166 is final time point count, not a new trial.
- measurement
- SF-12 mental health and quality of life; Depression, anxiety, PTSD and IPV caseness; Physical health; Participant-reported benefit/harm
- timing
- 24months
- trial Id
- ACTRN12608000032358
- relationship Note
- Explicit domestic/intimate-partner violence exposure in the studied population; psychological intervention is within Language scope. See limitation and quality fields; no population-wide clinical recommendation is implied.
- measured Genes
- None recorded
- pathways
- None recorded
- source Access
- level
- full-text
- source URLs
https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=EXT_ID:33303427%20AND%20SRC:MED&format=json&resultType=core · https://api.crossref.org/works/10.1136%2Fbmjopen-2019-034295 · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC7733186/fullTextXML · https://pureportal.coventry.ac.uk/en/publications/sometimes-cathartic-sometimes-quite-raw-benefit-and-harm-in-an-in-2/
- retrieved At
- 2026-10-30T08:21:43.644990+00:00
- outcomes
- name
- SF-12 mental health and quality of life
- follow Up
- 24months
- result
- No significant between-group difference in mental health or any WHOQOL-BREF domain.
- effect Estimate
- SF-12 mental MD−1.6 (95% CI−5.3, 2.1), p=.393. QOL physical 1.5 (−2.9, 5.9), psychological−0.2 (−4.8, 4.4), social−1.4 (−8.2, 5.4), environment−0.8 (−4.0, 2.5).
- uncertainty
- Attrition and low uptake limit precision; null difference is not proof of equivalence.
- primary Status
- primary
- name
- Depression, anxiety, PTSD and IPV caseness
- follow Up
- 24months
- result
- No significant comparative benefit; earlier 12-month secondary depression benefit was not maintained.
- effect Estimate
- DepressionOR 1.0 (95% CI 0.4, 2.9); anxiety 0.6 (0.2, 2.2); PTSD 0.9 (0.3, 2.5); IPV 0.5 (0.2, 1.7).
- uncertainty
- Models adjusted for baseline, time and clustering; all intervals cross 1.
- primary Status
- secondary
- name
- Physical health
- follow Up
- 24months
- result
- No significant difference.
- effect Estimate
- SF-12 physical MD 2.4 (95% CI−0.8, 5.6), p=.145.
- uncertainty
- Secondary finding; no superiority established.
- primary Status
- secondary
- name
- Participant-reported benefit/harm
- follow Up
- 24months
- result
- No significant comparative harm-benefit difference; most respondents glad to participate.
- effect Estimate
- VAS MD 4.4 (95% CI−0.8, 9.6), p=.092; 145/166 (87.3%)glad to participate.
- uncertainty
- Reflects respondents and research participation; does not establish zero harms in all 272 women.
- primary Status
- safety/acceptability
- quality
- risk Of Bias
- Unmasked self-report, low counselling uptake, substantial long-term attrition and selected English-speaking screening responders limit inference. Masked researchers/analysts and cluster-adjusted analyses support methods; no formal numerical risk rating.
- attrition
- 24-monthresponse 81/137 (59%)intervention and 85/135 (63%)control, 166/272 overall. Available-data mixed models do not remove potential nonresponse bias.
- confounding
- Mixed-effects models use available repeated observations, adjusted for practice clustering and urban/rural stratification. Nonattender exclusions are selected analyses. Both arms received information/resources and repeated IPV questionnaires.
- adverse Findings
- Report says no significant harms detected and refers to the dedicated harms analysis. A same-family primary abstract nevertheless describes short-/long-term negative emotions, recall, retraumatization and minimization. These are participation experiences, not demonstrated treatment-caused excess harm; counts and causal attribution unavailable. 24-month VAS difference nonsignificant.
- transfer Limits
- English-speaking women who returned a mailed screen and reported partner fear; young women and those with lower education/employment were under-represented. No basis for a child/adolescent-specific conclusion.
- jadad
- not established
- masking Roles
- participants
- Explicitly unmasked.
- providers
- Explicitly unmasked.
- assessors
- Other researchers, recruiters and analysts masked until interpretation/preliminary write-up; participant-reported outcomes remain unmasked.
- analysts
- Explicitly masked until interpretation and preliminary write-up.
- population
- relation
- direct
- population
- Women who screened positive for fear of a partner in the preceding year.
- exposure Evidence
- Women screened positive for fear of a partner/ex-partner in previous 12 months, supplied safe contact/address and could speak English. Screened fear need not equal a specified physical-IPV diagnosis.
- rationale
- Explicit domestic/intimate-partner violence exposure in the studied population; psychological intervention is within Language scope.
- transfer Limit
- See limitation and quality fields; no population-wide clinical recommendation is implied.
- study Design Assessment
- category
- rct
- is Randomized Controlled Trial
- true
- basis
- Same WEAVE cohort: 52 doctor/practice clusters (25 intervention/27 control), 272 women (137/135). Independent statistician generated Stata 12 sequence with location-stratified blocks 2/4 after baseline; nonrecruiting coordinator kept allocation key. Source for these shared methods is the full 24-month primary report.
- sources
https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=EXT_ID:33303427%20AND%20SRC:MED&format=json&resultType=core · https://api.crossref.org/works/10.1136%2Fbmjopen-2019-034295 · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC7733186/fullTextXML · https://pureportal.coventry.ac.uk/en/publications/sometimes-cathartic-sometimes-quite-raw-benefit-and-harm-in-an-in-2/
- review Scope
- full-text
- paper Trust Assessment
- scope
- Paper
- status
- assessed
- score
- 2
- randomized Controlled Trial
- true
- peer Reviewed
- true
- blinding
- not-confirmed
- basis
- Same WEAVE cohort: 52 doctor/practice clusters (25 intervention/27 control), 272 women (137/135). Independent statistician generated Stata 12 sequence with location-stratified blocks 2/4 after baseline; nonrecruiting coordinator kept allocation key. Source for these shared methods is the full 24-month primary report.
- sources
https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=EXT_ID:33303427%20AND%20SRC:MED&format=json&resultType=core · https://api.crossref.org/works/10.1136%2Fbmjopen-2019-034295 · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC7733186/fullTextXML · https://pureportal.coventry.ac.uk/en/publications/sometimes-cathartic-sometimes-quite-raw-benefit-and-harm-in-an-in-2/
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- retrieved At
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- status
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- approved At
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- assessment
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https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=EXT_ID:33303427%20AND%20SRC:MED&format=json&resultType=core · https://api.crossref.org/works/10.1136%2Fbmjopen-2019-034295 · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC7733186/fullTextXML · https://pureportal.coventry.ac.uk/en/publications/sometimes-cathartic-sometimes-quite-raw-benefit-and-harm-in-an-in-2/
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- sources
https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=EXT_ID:33303427%20AND%20SRC:MED&format=json&resultType=core · https://api.crossref.org/works/10.1136%2Fbmjopen-2019-034295
- applied Proposals
methods-adult/proposed-candidates.json
- method
- AI editorial assessment of all 130 publication records: compare identity, headline finding, design, relevance and limitations with indexed abstracts or available primary material; adjudicate retained source-supported methods amendments. This is a source-limited publication audit, not an independent full-text systematic review or a clinical guideline.
- limitations
Abstract-only records do not establish allocation concealment, complete harms reporting or full risk of bias. · No formal independent RoB 2, GRADE appraisal or numerical reconstruction of every effect was performed. · Source-access labels describe retained appraisal evidence; fuller prior appraisals were checked through their source ledgers and selected material, not independently repeated in full. · Publication counts are not independent trial or participant counts; cohort links and overlapping review evidence remain provisional. · A randomized design cross does not indicate benefit, low risk of bias or human approval. No double-blind trial is verified in this release. · No professional clinical peer review is claimed. Recommended content is limited to accurately qualified research summaries.
- assessment Record
- id
- dv-adult-therapy-33303427
- title
- Two-year follow up of a cluster randomised controlled trial for women experiencing intimate partner violence: effect of screening and family doctor-delivered counselling on quality of life, mental and physical health and abuse exposure.
- authors
Hegarty K · Valpied J · Taft A · Brown SJ · Gold L · Gunn J · O'Doherty L
- year
- 2020
- journal
- BMJ open
- doi
- 10.1136/bmjopen-2019-034295
- pmid
- 33303427
- trial Registration
ACTRN12608000032358
- collection
- language
- intervention Family
- WEAVE family-doctor counselling.
- publication Type
- 24-month follow-up of cluster randomized trial
- study Family Id
- ACTRN12608000032358
- family Linkage Uncertain
- false
- existing Repository Matches
- None recorded
- relevance
- relation
- direct
- population
- Women who screened positive for fear of a partner in the preceding year.
- exposure Evidence
- Women screened positive for fear of a partner/ex-partner in previous 12 months, supplied safe contact/address and could speak English. Screened fear need not equal a specified physical-IPV diagnosis.
- rationale
- Explicit domestic/intimate-partner violence exposure in the studied population; psychological intervention is within Language scope.
- transfer Limit
- See limitation and quality fields; no population-wide clinical recommendation is implied.
- age
- groups
adults · adolescent eligibility
- reported Range
- Eligibility 16–50 years. Baseline table reports 17–29, 30–39, 40–50 year categories; mean 38.5 (SD 8.1). Exact enrolled minimum and under 18 count not established.
- youth Scope
- Eligibility included 16–17 years; no adolescent-specific efficacy analysis established.
- country
- Australia
- setting
- Victorian Australian primary care, one doctor per practice; doctors recruited 2008–2010.
- sample Size
- randomized
- 272
- analyzed
- 166
- description
- Same 52 doctor-cluster cohort as 2013; 24-month respondents 81/137 intervention and 85/135 control. Longitudinal models used available data for all baseline participants, so 166 is final time point count, not a new trial.
- intervention
- description
- Woman-centered family-doctor counselling using active listening, motivational interviewing and problem solving, supporting the woman’s readiness and decisions.
- dose
- Offered 1–6 free sessions over 6 months. 67/137 (49%)attended any; most attended one. Doctor training 6 hours distance learning plus 1 hour practice visit.
- provider
- Intervention family doctors, trained for the study.
- comparator
- Usual primary care; both groups’ doctors received basic IPV information and women received resource lists.
- outcomes
- name
- SF-12 mental health and quality of life
- follow Up
- 24months
- result
- No significant between-group difference in mental health or any WHOQOL-BREF domain.
- effect Estimate
- SF-12 mental MD−1.6 (95% CI−5.3, 2.1), p=.393. QOL physical 1.5 (−2.9, 5.9), psychological−0.2 (−4.8, 4.4), social−1.4 (−8.2, 5.4), environment−0.8 (−4.0, 2.5).
- uncertainty
- Attrition and low uptake limit precision; null difference is not proof of equivalence.
- primary Status
- primary
- name
- Depression, anxiety, PTSD and IPV caseness
- follow Up
- 24months
- result
- No significant comparative benefit; earlier 12-month secondary depression benefit was not maintained.
- effect Estimate
- DepressionOR 1.0 (95% CI 0.4, 2.9); anxiety 0.6 (0.2, 2.2); PTSD 0.9 (0.3, 2.5); IPV 0.5 (0.2, 1.7).
- uncertainty
- Models adjusted for baseline, time and clustering; all intervals cross 1.
- primary Status
- secondary
- name
- Physical health
- follow Up
- 24months
- result
- No significant difference.
- effect Estimate
- SF-12 physical MD 2.4 (95% CI−0.8, 5.6), p=.145.
- uncertainty
- Secondary finding; no superiority established.
- primary Status
- secondary
- name
- Participant-reported benefit/harm
- follow Up
- 24months
- result
- No significant comparative harm-benefit difference; most respondents glad to participate.
- effect Estimate
- VAS MD 4.4 (95% CI−0.8, 9.6), p=.092; 145/166 (87.3%)glad to participate.
- uncertainty
- Reflects respondents and research participation; does not establish zero harms in all 272 women.
- primary Status
- safety/acceptability
- finding
- At 24 months the WEAVE counselling offer did not improve primary or secondary outcomes versus usual care. The 12-month secondary depression finding did not persist; these reports are one cohort.
- limitation
- Only 166/272 responded at 24 months and 49% of women offered counselling attended any (mostlyone session). Self-reported outcomes were unmasked. The absence of statistical benefit is not equivalence; within-group improvement does not establish counselling efficacy.
- design
- type
- Cluster randomized trial follow-up
- randomization Evidence
- Same WEAVE cohort: 52 doctor/practice clusters (25 intervention/27 control), 272 women (137/135). Independent statistician generated Stata 12 sequence with location-stratified blocks 2/4 after baseline; nonrecruiting coordinator kept allocation key. Source for these shared methods is the full 24-month primary report.
- masking
- participants
- Explicitly unmasked.
- providers
- Explicitly unmasked.
- assessors
- Other researchers, recruiters and analysts masked until interpretation/preliminary write-up; participant-reported outcomes remain unmasked.
- analysts
- Explicitly masked until interpretation and preliminary write-up.
- crosses
- 1
- cross Rationale
- Verified doctor-cluster randomization; doctors/women unmasked. Researcher/analyst masking does not establish double-blinded treatment. One cross retained.
- quality
- risk Of Bias
- Unmasked self-report, low counselling uptake, substantial long-term attrition and selected English-speaking screening responders limit inference. Masked researchers/analysts and cluster-adjusted analyses support methods; no formal numerical risk rating.
- attrition
- 24-monthresponse 81/137 (59%)intervention and 85/135 (63%)control, 166/272 overall. Available-data mixed models do not remove potential nonresponse bias.
- confounding
- Mixed-effects models use available repeated observations, adjusted for practice clustering and urban/rural stratification. Nonattender exclusions are selected analyses. Both arms received information/resources and repeated IPV questionnaires.
- adverse Findings
- Report says no significant harms detected and refers to the dedicated harms analysis. A same-family primary abstract nevertheless describes short-/long-term negative emotions, recall, retraumatization and minimization. These are participation experiences, not demonstrated treatment-caused excess harm; counts and causal attribution unavailable. 24-month VAS difference nonsignificant.
- transfer Limits
- English-speaking women who returned a mailed screen and reported partner fear; young women and those with lower education/employment were under-represented. No basis for a child/adolescent-specific conclusion.
- jadad
- not established
- access
- level
- full-text
- source URLs
https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=EXT_ID:33303427%20AND%20SRC:MED&format=json&resultType=core · https://api.crossref.org/works/10.1136%2Fbmjopen-2019-034295 · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC7733186/fullTextXML · https://pureportal.coventry.ac.uk/en/publications/sometimes-cathartic-sometimes-quite-raw-benefit-and-harm-in-an-in-2/
- retrieved At
- 2026-10-30T08:21:43.644990+00:00
- sources
- url
- https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=EXT_ID:33303427%20AND%20SRC:MED&format=json&resultType=core
- type
- Europe PMC core record sourced from PubMed/MEDLINE
- retrieved At
- 2026-10-30T07:15:55.705516+00:00
- identity Verified
- true
- notes
- Primary-publication abstract and bibliographic metadata accessed; canonical PubMed record: https://pubmed.ncbi.nlm.nih.gov/33303427/
- retrieval Query URL
- https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=TITLE_ABS%3A%28%22intimate+partner+violence%22+OR+%22domestic+violence%22+OR+%22battered+women%22%29+AND+TITLE_ABS%3A%28randomized+OR+randomised%29+AND+TITLE_ABS%3A%28therapy+OR+psychological+OR+psychotherapy+OR+cognitive+OR+counseling+OR+counselling+OR+%22motivational+interviewing%22%29&format=json&resultType=core&pageSize=1000
- url
- https://api.crossref.org/works/10.1136%2Fbmjopen-2019-034295
- type
- Crossref DOI registration metadata
- retrieved At
- 2026-10-30T07:20:04.487743+00:00
- identity Verified
- true
- notes
- DOI identity cross-check; metadata title: Two-year follow up of a cluster randomised controlled trial for women experiencing intimate partner violence: effect of screening and family doctor-delivered counselling on quality of life, mental and physical health and abuse exposure. Correction/update relations checked.
- url
- https://www.ebi.ac.uk/europepmc/webservices/rest/PMC7733186/fullTextXML
- type
- primary-full-text
- retrieved At
- 2026-10-30T08:21:43.644990+00:00
- identity Verified
- true
- notes
- Full primary report methods, results, tables and discussion inspected.
- url
- https://pureportal.coventry.ac.uk/en/publications/sometimes-cathartic-sometimes-quite-raw-benefit-and-harm-in-an-in-2/
- type
- same-study-family-primary-abstract
- retrieved At
- 2026-10-30
- identity Verified
- true
- notes
- Valpied et al. 2014, DOI 10.1016/j.avb. 2014.09.005. University author publication record exposes abstract and explicitly says full text unavailable. Used only to qualify safety claims; not a new candidate.
- publication Status
- status
- epublish
- correction Retraction Check
- europe PMCpub Types
Research Support, Non-U.S. Gov't · research-article · Randomized Controlled Trial · Journal Article
- crossref Update Relations
- None recorded
- crossref Relations
- crossref Checked
- true
- uncertainty
- No comprehensive publisher/Crossmark or registry audit claimed; correction/retraction absence is limited to accessed metadata.
- recommendation Rationale
- Retain as pending candidate evidence; interpret the study design, null outcomes and access limits together.
- review
- status
- pending
- reviewer
- Not recorded
- assessment Status
- assessed
- assessment Notes
Full primary report methods, results, tables and discussion inspected. · This proposal is not human approval. It revises an existing publication without increasing screened, publication or study-family totals. · Both records are ACTRN 12608000032358: one 272 woman/52 doctor randomized family. PMID 31715628 and the 2014 harms report are further same-family reports, not independent replication. · Same-family harms source is abstract only; quantitative comparative harm incidence and intervention attribution cannot be established from it.
- review Ready
- true
- review Readiness
- ai-editorial-audit-complete-release-pending
- research Lane
- adult-therapy
- later Review Evidence
- id
- dv-adult-therapy-33303427
- title
- Two-year follow up of a cluster randomised controlled trial for women experiencing intimate partner violence: effect of screening and family doctor-delivered counselling on quality of life, mental and physical health and abuse exposure.
- prior Revision
- r1-26b8cc8d0764
- prior Content Hash
- 26b8cc8d0764fc1344576e4b35f557a843f73d8571eae1784c23abed407744e9
- original
- review Ready
- true
- review Readiness
- ready-with-access-limits
- finding
- No 24-month benefit on quality of life, mental/physical health or IPV. The earlier secondary depression benefit was not maintained.
- limitation
- Only about 61% responded at 24 months; counselling uptake was 49%. Same trial as the 12-month WEAVE report.
- adverse Findings
- Adverse-event reporting not established from accessed source; absence of reporting is not evidence of no harm.
- crosses
- 1
- access
- abstract
- action
- supplement
- hold Current Revision
- false
- cross Verification On Hold
- false
- new Evidence
- Full text confirms 166/272 follow-up responses and counselling uptake of 67/137. No 24-month comparative benefit was detected; the earlier secondary depression result did not persist.
- revised Interpretation
- The frozen null/durability interpretation is confirmed. This is the same WEAVE cohort, not another independent trial.
- required Before Approval
- No new hold on the core finding. Human review of the fuller appraisal remains pending.
- source URLs
https://www.ebi.ac.uk/europepmc/webservices/rest/PMC7733186/fullTextXML
- source Location
- Methods, Findings and Tables 3–4
- assessment Changed
- false
- human Approval
- false
- publication Recommendation
- status
- recommended-summary
- reason
- Suitable as a qualified research-library summary at the stated source-access level. This is not a conclusion that the intervention is effective or safe.
- scope
- Research summary only; no treatment recommendation
- human Release Approval
- false
- editorial Audit
- auditor
- Codex (AI)
- completed At
- 2026-10-31T05:11:05.655793+00:00
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- id
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- doi
- 10.1136/bmjopen-2019-034295
- pmid
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- fresh Metadata
- Europe PMC core
- metadata Retrieved
- true
- metadata SHA256
- 007e7cfe978cdbdb89ad9018116ab99526a8a1e425157eb626cf11ed6e4790e3
- claim Check
- Headline finding/design/limitations compared with indexed abstract or accessible primary evidence; retained methods amendments separately adjudicated.
- sources
https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=EXT_ID:33303427%20AND%20SRC:MED&format=json&resultType=core · https://api.crossref.org/works/10.1136%2Fbmjopen-2019-034295
- applied Proposals
methods-adult/proposed-candidates.json
- method
- AI editorial assessment of all 130 publication records: compare identity, headline finding, design, relevance and limitations with indexed abstracts or available primary material; adjudicate retained source-supported methods amendments. This is a source-limited publication audit, not an independent full-text systematic review or a clinical guideline.
- limitations
Abstract-only records do not establish allocation concealment, complete harms reporting or full risk of bias. · No formal independent RoB 2, GRADE appraisal or numerical reconstruction of every effect was performed. · Source-access labels describe retained appraisal evidence; fuller prior appraisals were checked through their source ledgers and selected material, not independently repeated in full. · Publication counts are not independent trial or participant counts; cohort links and overlapping review evidence remain provisional. · A randomized design cross does not indicate benefit, low risk of bias or human approval. No double-blind trial is verified in this release. · No professional clinical peer review is claimed. Recommended content is limited to accurately qualified research summaries.
- study Design Assessment
- category
- rct
- is Randomized Controlled Trial
- true
- basis
- Same WEAVE cohort: 52 doctor/practice clusters (25 intervention/27 control), 272 women (137/135). Independent statistician generated Stata 12 sequence with location-stratified blocks 2/4 after baseline; nonrecruiting coordinator kept allocation key. Source for these shared methods is the full 24-month primary report.
- sources
https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=EXT_ID:33303427%20AND%20SRC:MED&format=json&resultType=core · https://api.crossref.org/works/10.1136%2Fbmjopen-2019-034295 · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC7733186/fullTextXML · https://pureportal.coventry.ac.uk/en/publications/sometimes-cathartic-sometimes-quite-raw-benefit-and-harm-in-an-in-2/
- review Scope
- full-text
- paper Trust Assessment
- scope
- Paper
- status
- assessed
- score
- 2
- randomized Controlled Trial
- true
- peer Reviewed
- true
- blinding
- not-confirmed
- basis
- Verified doctor-cluster randomization; doctors/women unmasked. Researcher/analyst masking does not establish double-blinded treatment. One cross retained.
- sources
https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=EXT_ID:33303427%20AND%20SRC:MED&format=json&resultType=core · https://api.crossref.org/works/10.1136%2Fbmjopen-2019-034295 · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC7733186/fullTextXML · https://pureportal.coventry.ac.uk/en/publications/sometimes-cathartic-sometimes-quite-raw-benefit-and-harm-in-an-in-2/
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- masking Roles
- participants
- Explicitly unmasked.
- providers
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- assessors
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- analysts
- Explicitly masked until interpretation and preliminary write-up.
- jadad
- status
- unassessed
- score
- Not recorded
- evidence
- population
- relation
- direct
- population
- Women who screened positive for fear of a partner in the preceding year.
- exposure Evidence
- Women screened positive for fear of a partner/ex-partner in previous 12 months, supplied safe contact/address and could speak English. Screened fear need not equal a specified physical-IPV diagnosis.
- rationale
- Explicit domestic/intimate-partner violence exposure in the studied population; psychological intervention is within Language scope.
- transfer Limit
- See limitation and quality fields; no population-wide clinical recommendation is implied.
- intervention
- description
- Woman-centered family-doctor counselling using active listening, motivational interviewing and problem solving, supporting the woman’s readiness and decisions.
- dose
- Offered 1–6 free sessions over 6 months. 67/137 (49%)attended any; most attended one. Doctor training 6 hours distance learning plus 1 hour practice visit.
- provider
- Intervention family doctors, trained for the study.
- comparator
- Usual primary care; both groups’ doctors received basic IPV information and women received resource lists.
- outcomes
- name
- SF-12 mental health and quality of life
- follow Up
- 24months
- result
- No significant between-group difference in mental health or any WHOQOL-BREF domain.
- effect Estimate
- SF-12 mental MD−1.6 (95% CI−5.3, 2.1), p=.393. QOL physical 1.5 (−2.9, 5.9), psychological−0.2 (−4.8, 4.4), social−1.4 (−8.2, 5.4), environment−0.8 (−4.0, 2.5).
- uncertainty
- Attrition and low uptake limit precision; null difference is not proof of equivalence.
- primary Status
- primary
- name
- Depression, anxiety, PTSD and IPV caseness
- follow Up
- 24months
- result
- No significant comparative benefit; earlier 12-month secondary depression benefit was not maintained.
- effect Estimate
- DepressionOR 1.0 (95% CI 0.4, 2.9); anxiety 0.6 (0.2, 2.2); PTSD 0.9 (0.3, 2.5); IPV 0.5 (0.2, 1.7).
- uncertainty
- Models adjusted for baseline, time and clustering; all intervals cross 1.
- primary Status
- secondary
- name
- Physical health
- follow Up
- 24months
- result
- No significant difference.
- effect Estimate
- SF-12 physical MD 2.4 (95% CI−0.8, 5.6), p=.145.
- uncertainty
- Secondary finding; no superiority established.
- primary Status
- secondary
- name
- Participant-reported benefit/harm
- follow Up
- 24months
- result
- No significant comparative harm-benefit difference; most respondents glad to participate.
- effect Estimate
- VAS MD 4.4 (95% CI−0.8, 9.6), p=.092; 145/166 (87.3%)glad to participate.
- uncertainty
- Reflects respondents and research participation; does not establish zero harms in all 272 women.
- primary Status
- safety/acceptability
- access
- level
- full-text
- source URLs
https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=EXT_ID:33303427%20AND%20SRC:MED&format=json&resultType=core · https://api.crossref.org/works/10.1136%2Fbmjopen-2019-034295 · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC7733186/fullTextXML · https://pureportal.coventry.ac.uk/en/publications/sometimes-cathartic-sometimes-quite-raw-benefit-and-harm-in-an-in-2/
- retrieved At
- 2026-10-30T08:21:43.644990+00:00
- citation Snapshot
- count
- Not recorded
- source
- Not recorded
- retrieved At
- Not recorded
- status
- not-assessed
- provenance
- Discovered by AI
- content Hash
- 5afcb017dbd45ea5a117f387f78b7680c84f423556055d3b50ba814d5a1dbf79
- revision
- audit-r2-5afcb017dbd4
- archive Entries
- None recorded
- collection
- language
- chapter Number
- 5
- topic Id
- domestic-family-violence
- topic Title
- Domestic & Family Violence
- trust Score
- 2
- evidence
- evidence Type
- Cluster randomized trial follow-up
- intervention
- Woman-centered family-doctor counselling using active listening, motivational interviewing and problem solving, supporting the woman’s readiness and decisions. Offered 1–6 free sessions over 6 months. 67/137 (49%)attended any; most attended one. Doctor training 6 hours distance learning plus 1 hour practice visit.
- comparator
- Usual primary care; both groups’ doctors received basic IPV information and women received resource lists.
- sample
- Same 52 doctor-cluster cohort as 2013; 24-month respondents 81/137 intervention and 85/135 control. Longitudinal models used available data for all baseline participants, so 166 is final time point count, not a new trial.
- measurement
- SF-12 mental health and quality of life; Depression, anxiety, PTSD and IPV caseness; Physical health; Participant-reported benefit/harm
- timing
- 24months
- trial Id
- ACTRN12608000032358
- relationship Note
- Explicit domestic/intimate-partner violence exposure in the studied population; psychological intervention is within Language scope. See limitation and quality fields; no population-wide clinical recommendation is implied.
- measured Genes
- None recorded
- pathways
- None recorded
- source Access
- level
- full-text
- source URLs
https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=EXT_ID:33303427%20AND%20SRC:MED&format=json&resultType=core · https://api.crossref.org/works/10.1136%2Fbmjopen-2019-034295 · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC7733186/fullTextXML · https://pureportal.coventry.ac.uk/en/publications/sometimes-cathartic-sometimes-quite-raw-benefit-and-harm-in-an-in-2/
- retrieved At
- 2026-10-30T08:21:43.644990+00:00
- outcomes
- name
- SF-12 mental health and quality of life
- follow Up
- 24months
- result
- No significant between-group difference in mental health or any WHOQOL-BREF domain.
- effect Estimate
- SF-12 mental MD−1.6 (95% CI−5.3, 2.1), p=.393. QOL physical 1.5 (−2.9, 5.9), psychological−0.2 (−4.8, 4.4), social−1.4 (−8.2, 5.4), environment−0.8 (−4.0, 2.5).
- uncertainty
- Attrition and low uptake limit precision; null difference is not proof of equivalence.
- primary Status
- primary
- name
- Depression, anxiety, PTSD and IPV caseness
- follow Up
- 24months
- result
- No significant comparative benefit; earlier 12-month secondary depression benefit was not maintained.
- effect Estimate
- DepressionOR 1.0 (95% CI 0.4, 2.9); anxiety 0.6 (0.2, 2.2); PTSD 0.9 (0.3, 2.5); IPV 0.5 (0.2, 1.7).
- uncertainty
- Models adjusted for baseline, time and clustering; all intervals cross 1.
- primary Status
- secondary
- name
- Physical health
- follow Up
- 24months
- result
- No significant difference.
- effect Estimate
- SF-12 physical MD 2.4 (95% CI−0.8, 5.6), p=.145.
- uncertainty
- Secondary finding; no superiority established.
- primary Status
- secondary
- name
- Participant-reported benefit/harm
- follow Up
- 24months
- result
- No significant comparative harm-benefit difference; most respondents glad to participate.
- effect Estimate
- VAS MD 4.4 (95% CI−0.8, 9.6), p=.092; 145/166 (87.3%)glad to participate.
- uncertainty
- Reflects respondents and research participation; does not establish zero harms in all 272 women.
- primary Status
- safety/acceptability
- quality
- risk Of Bias
- Unmasked self-report, low counselling uptake, substantial long-term attrition and selected English-speaking screening responders limit inference. Masked researchers/analysts and cluster-adjusted analyses support methods; no formal numerical risk rating.
- attrition
- 24-monthresponse 81/137 (59%)intervention and 85/135 (63%)control, 166/272 overall. Available-data mixed models do not remove potential nonresponse bias.
- confounding
- Mixed-effects models use available repeated observations, adjusted for practice clustering and urban/rural stratification. Nonattender exclusions are selected analyses. Both arms received information/resources and repeated IPV questionnaires.
- adverse Findings
- Report says no significant harms detected and refers to the dedicated harms analysis. A same-family primary abstract nevertheless describes short-/long-term negative emotions, recall, retraumatization and minimization. These are participation experiences, not demonstrated treatment-caused excess harm; counts and causal attribution unavailable. 24-month VAS difference nonsignificant.
- transfer Limits
- English-speaking women who returned a mailed screen and reported partner fear; young women and those with lower education/employment were under-represented. No basis for a child/adolescent-specific conclusion.
- jadad
- not established
- masking Roles
- participants
- Explicitly unmasked.
- providers
- Explicitly unmasked.
- assessors
- Other researchers, recruiters and analysts masked until interpretation/preliminary write-up; participant-reported outcomes remain unmasked.
- analysts
- Explicitly masked until interpretation and preliminary write-up.
- population
- relation
- direct
- population
- Women who screened positive for fear of a partner in the preceding year.
- exposure Evidence
- Women screened positive for fear of a partner/ex-partner in previous 12 months, supplied safe contact/address and could speak English. Screened fear need not equal a specified physical-IPV diagnosis.
- rationale
- Explicit domestic/intimate-partner violence exposure in the studied population; psychological intervention is within Language scope.
- transfer Limit
- See limitation and quality fields; no population-wide clinical recommendation is implied.
- jadad
- status
- unassessed
- score
- Not recorded
- condition Evidence
- id
- anxiety
- evidence
- field
- outcomes
- text
- SF-12 mental health and quality of life | Depression, anxiety, PTSD and IPV caseness | Physical health | Participant-reported benefit/harm
- matched Text
- anxiety
- scope
- Study population or investigated outcome; not a diagnosis or efficacy claim.
- id
- ptsd
- evidence
- field
- outcomes
- text
- SF-12 mental health and quality of life | Depression, anxiety, PTSD and IPV caseness | Physical health | Participant-reported benefit/harm
- matched Text
- PTSD
- scope
- Study population or investigated outcome; not a diagnosis or efficacy claim.
- id
- depression
- evidence
- field
- outcomes
- text
- SF-12 mental health and quality of life | Depression, anxiety, PTSD and IPV caseness | Physical health | Participant-reported benefit/harm
- matched Text
- Depression
- scope
- Study population or investigated outcome; not a diagnosis or efficacy claim.
- conditions
anxiety · ptsd · depression
- topic Trust Scores
2
- full Text
- status
- not-indexed
- retrieval Available
- false