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首页> 外文期刊>BMC Family Practice >PRimary care rEsponse to domestic violence and abuse in the COvid-19 panDEmic (PRECODE): protocol of a rapid mixed-methods study in the UK
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PRimary care rEsponse to domestic violence and abuse in the COvid-19 panDEmic (PRECODE): protocol of a rapid mixed-methods study in the UK

机译：Covid-19 Pandemery（预发）对家庭暴力和滥用滥用的初级保健响应：英国快速混合方法研究的议定书

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The implementation of lockdowns in the UK during the COVID-19 pandemic resulted in a system switch to remote primary care consulting at the same time as the incidence of domestic violence and abuse (DVA) increased. Lockdown-specific barriers to disclosure of DVA reduced the opportunity for DVA detection and referral. The PRECODE (PRimary care rEsponse to domestic violence and abuse in the COvid-19 panDEmic) study will comprise quantitative analysis of the impact of the pandemic on referrals from IRIS (Identification and Referral to Improve Safety) trained general practices to DVA agencies in the UK and qualitative analysis of the experiences of clinicians responding to patients affected by DVA and adaptations they have made transitioning to remote DVA training and patient support. Using a rapid mixed method design, PRECODE will explore and explain the dynamics of DVA referrals and support before and during the pandemic on a national scale using qualitative data and over four years of referrals time series data. We will undertake interrupted-time series and non-linear regression analysis, including sensitivity analyses, on time series of referrals to DVA services from routinely collected data to evaluate the impact of the pandemic and associated lockdowns on referrals to the IRIS Programme, and analyse key determinants associated with changes in referrals. We will also conduct an?interview- and observation-based qualitative study to understand the variation, relevance and feasibility of primary care responses to DVA before and during the pandemic and its aftermath. The triangulation of quantitative and qualitative findings using rapid analysis and synthesis will enable the articulation of multiscale trends in primary care responses to DVA and complex mechanisms by which these responses have changed during the pandemic. Our findings will inform the implementation of remote primary care and DVA service responses as services re-configure. Understanding the adaptation of clinical and service responses to DVA during the pandemic is crucial for the development of evidence-based, effective remote support and referral beyond the pandemic. PRECODE is an observational epidemiologic study, not an intervention evaluation or trial. We will not be reporting results of an intervention on human participants.
机译：在Covid-19大流行期间在英国实施了锁定导致系统切换到远程初级护理咨询，同时随着家庭暴力和虐待（DVA）的发生率而增加。储存DVA的锁定特定障碍减少了DVA检测和推荐的机会。预期（对家庭暴力和虐待的初级保健响应Covid-19大流行）研究将包括对大流行对来自虹膜（识别和转介改善安全）的转介的影响的定量分析，这是英国DVA机构的训练有素的一般行为对受DVA影响影响的临床医生经验的定性分析，他们对远程DVA培训和患者支持的转换。使用快速的混合方法设计，预先探索并解释了使用定性数据和四年的推荐时间序列数据的国家规模之前和大流行前和在大流行前和支持的DVA推荐和支持的动态。我们将进行中断时间序列和非线性回归分析，包括敏感性分析，从常规收集的数据到DVA服务的时间序列，以评估大流行和相关锁定对虹膜计划的推荐的影响，分析密钥决定因素与转介的变化相关联。我们还将进行面试和观察的定性研究，以了解大流行前后初级保健对DVA的变化，相关性和可行性及其后期。使用快速分析和合成的定量和定性结果的三角测量将使多尺度趋势进行初级护理反应对DVA和复杂机制的阐述，这些反应在大流行期间发生了变化。我们的调查结果将以服务重新配置的服务通知执行远程初级保健和DVA服务响应。了解大流行期间对DVA临床和服务响应的适应对于发展证据为基础，有效的远程支持以及超出大流行的转诊至关重要。预编码是一个观察性流行病学研究，而不是干预评估或试验。我们不会报告对人类参与者进行干预的结果。

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