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How far does screening women for domestic (partner) - NIHR Health ...

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58<br />

Review Question IV<br />

the potential gap between <strong>women</strong>’s perception of<br />

benefit and these measures. Although part of this<br />

review question included a question about what<br />

outcomes <strong>women</strong> would want from advocacy and<br />

other interventions, we did not find any qualitative<br />

studies that addressed this.<br />

Most studies did not specifically assess potential<br />

harm from the interventions, although worse<br />

outcomes in intervention groups compared with<br />

controls would have been an important indication<br />

of harm. The only examples of this from our review<br />

are two studies, one evaluating the effectiveness<br />

of advocacy, 121 the other looking at individual<br />

psychological therapy, 142 which found that <strong>women</strong><br />

in the intervention arms experienced more bodily<br />

pain. The types of harm that would not have been<br />

detected unless the investigators specifically tried<br />

to measure them are more akin to adverse events<br />

in pharmacological trials. In the qualitative studies<br />

reviewed in Chapter 5, <strong>women</strong> cited breaches of<br />

confidentiality, stigmatisation and judgments by<br />

health-care providers as actual or potential harms<br />

of <strong>screening</strong>.

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