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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
  1. 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
  2. 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
  3. 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
  4. 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
  1. 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
  1. key
    language:domestic-family-violence
    title
    Domestic & Family Violence
    collection
    language
    trust Score
    2
journal Key
bmjopen
journal Label
BMJ open
chapter Entries
  1. 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
    1. id
      anxiety
      evidence
      1. 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.
    2. id
      ptsd
      evidence
      1. 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.
    3. id
      depression
      evidence
      1. 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
    1. 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
    1. 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
    2. 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
    3. 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
    4. 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/

    review Scope
    full-text
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    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
    citation Snapshot
    count
    Not recorded
    source
    Not recorded
    retrieved At
    Not recorded
    status
    not-assessed
    citation Count
    Not recorded
    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
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    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
    study Family Id
    ACTRN12608000032358
    family Linkage Uncertain
    false
    approaches
    None recorded
    record Id
    dv-adult-therapy-33303427
    source Pages
    None recorded
    editorial Audit
    auditor
    Codex (AI)
    completed At
    2026-10-31T05:11:05.655793+00:00
    prior Content Hash
    26b8cc8d0764fc1344576e4b35f557a843f73d8571eae1784c23abed407744e9
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    r1-26b8cc8d0764
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    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.

    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
    1. 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
    2. 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
    3. 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
    4. 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
    1. 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
    2. 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.
    3. 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.
    4. 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
    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 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/

    review Scope
    full-text
    human Approval
    false
    display Crosses
    1
    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.
    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
    1. 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
    2. 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
    3. 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
    4. 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
  1. 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
  2. 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
  3. 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
  4. 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
  1. id
    anxiety
    evidence
    1. 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.
  2. id
    ptsd
    evidence
    1. 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.
  3. id
    depression
    evidence
    1. 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

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