Parent support groups associated with small effect sizes for child physical health, Selecting alternative caregivers & problem solving associated with better outcomes for child maltreatment. Note: Based on sensitivity analysis effects of problem solving on birth outcomes no longer significant. Tafts et al (2015). 1. NR. 4. Community based 8. Primary: women screened for 10. NR. 13. Safety planning rates maternal and child health DV; Women’s disclosure and may be improved by nurse Australia. 2 MOVE model teams (n=8). nurse safety planning; 11. Longer screening designed model of (Intervention informed by Referrals. Secondary: time focused on the screening and care. The RCT Normalisation Process 5. Maternal and child Prevalence of any DV in the mother and her needs. involvement Theory, a nurse-designed health. previous 12 months; DV during of staff is critical both for “To test whether a good practice model). pregnancy and maternal 12 MOVE process effectiveness and maternal and 6. Community. reporting of abuse as a child; evaluation identified sustainability of DV child health (MCH) nurse- 3. Intervention: nurse difference in proportions of implementation interventions in health designed model increased mentors, strengthened 7. Nurses (n=163), and women reporting harm. barriers, such as lack of care settings and sustained DV screening, relationships with DV domestic violence liaison nurse reflective practice disclosure, safety planning services, nurse safety, a workers. MCH team screening: No and the coinciding 14. Greater attention and referrals compared with self-completion maternal significant differences between introduction of a should be given to how usual care” (p1). health screening checklist groups at 4 months but new practice screening is implemented at three or four month increased proportion of framework. in primary care and consultations and DV screening (36.5% in Using survey data further research should be clinical guidelines. Usual intervention vs 23.5% in online may reduce undertaken on care: government controls). Maternal heath response rate. intermediate outcomes mandated face-to-face DV checklists at 3 months show such as safety planning screening at four weeks average screening rate of and its benefits. postpartum and follow-up 63.1%. as required. Safety planning rates: Increased for intervention group, 3 to 4 times higher than control
Parent support groups associated with small effect sizes for child physical health, Selecting alternative caregivers & problem solving associated with better outcomes for child maltreatment. Note: Based on sensitivity analysis effects of problem solving on birth outcomes no longer significant. Tafts et al (2015). Australia. RCT “To test whether a maternal and child health (MCH) nurse- designed model increased and sustained DV screening, disclosure, safety planning and referrals compared with usual care” (p1). 1. NR. 2 MOVE model (Intervention informed by Normalisation Process Theory, a nurse-designed good practice model). 3. Intervention: nurse mentors, strengthened relationships with DV services, nurse safety, a self-completion maternal health screening checklist at three or four month consultations and DV clinical guidelines. Usual care: government mandated face-to-face DV screening at four weeks postpartum and follow-up as required. 4. Community based maternal and child health teams (n=8). 5. Maternal and child health. 6. Community. 7. Nurses (n=163), and domestic violence liaison workers. 8. Primary: women screened for DV; Women’s disclosure and nurse safety planning; Referrals. Secondary: Prevalence of any DV in the previous 12 months; DV during pregnancy and maternal reporting of abuse as a child; difference in proportions of women reporting harm. MCH team screening: No significant differences between groups at 4 months but increased proportion of screening (36.5% in intervention vs 23.5% in controls). Maternal heath checklists at 3 months show average screening rate of 63.1%. Safety planning rates: Increased for intervention group, 3 to 4 times higher than control 10. NR. 11. Longer screening time focused on the mother and her needs. 12 MOVE process evaluation identified implementation barriers, such as lack of nurse reflective practice and the coinciding introduction of a new practice framework. Using survey data online may reduce response rate. 13. Safety planning rates may be improved by nurse designed model of screening and care. The involvement of staff is critical both for effectiveness and sustainability of DV interventions in health care settings 14. Greater attention should be given to how screening is implemented in primary care and further research should be undertaken on intermediate outcomes such as safety planning and its benefits.
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