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A culturally competent systems intervention in primary health care to reduce domestic violence among immigrant communities: HARMONY a pragmatic cluster-randomised controlled trial in Melbourne, Australia
1
La Trobe University, Melbourne, AUSTRALIA, Judith Lumley Centre for Mother, Infant and Family Health Research, Level 3, GS Building, La Trobe University, BUNDOORA, VIC 3068, Australia
2
University of Melbourne
3
Murdoch Children’s Research Institute, Australia
4
Monash University, Australia
5
Curtin University
6
University of Bristol, United Kingdom
7
University of Melbourne, Australia
8
(formerly) WHO, Switzerland
9
La Trobe University, Melbourne, Australia
Publication date: 2023-04-26
Popul. Med. 2023;5(Supplement):A1367
ABSTRACT
Methods:
24 (FP) clinics randomised in 2019. Eligible clinics required ≥1 SA GPs using common medical software programs. Culturally competent DVA training for intervention clinics co-facilitated by a clinical educator and bilingual SA DVA advocate from Oct 2020 - May 2021. With the COVID19 pandemic, online training was implemented emphasising DVA safety. Following training, clinic staff and DVA affected women ≥18 were supported for 12 months by the caseworker/advocate. All clinics were trained to record ethnicity and DVA data. Routine data extraction from both arms identified DVA, safety planning, referrals and a SA population estimate among female patients ≥18. Outcome data is de-identified and aggregated. Adjusted regression analysis by intention-to-treat. Outcomes Despite COVID 19 and the study suspended from May to Sep 2021, with online training, just
24 (FP) clinics randomised in 2019. Eligible clinics required ≥1 SA GPs using common medical software programs. Culturally competent DVA training for intervention clinics co-facilitated by a clinical educator and bilingual SA DVA advocate from Oct 2020 - May 2021. With the COVID19 pandemic, online training was implemented emphasising DVA safety. Following training, clinic staff and DVA affected women ≥18 were supported for 12 months by the caseworker/advocate. All clinics were trained to record ethnicity and DVA data. Routine data extraction from both arms identified DVA, safety planning, referrals and a SA population estimate among female patients ≥18. Outcome data is de-identified and aggregated. Adjusted regression analysis by intention-to-treat. Outcomes Despite COVID 19 and the study suspended from May to Sep 2021, with online training, just
| ISSN: | 2654-1459 |
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