Tools for the identification of victims of domestic abuse and modern slavery in remote services: A systematic review.

IF 1.9 4区 医学 Q3 HEALTH POLICY & SERVICES
Bella Tomsett, Johanna Álvarez-Rodríguez, Nigel Sherriff, Natalie Edelman, Anne Gatuguta
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引用次数: 0

Abstract

Objective: To explore the technology-based tools available for supporting the identification of victims of domestic abuse and modern slavery in remote services and consider the benefits and challenges posed by the existing tools.

Methods: We searched six academic databases. Studies were considered for inclusion if they were published in English between 2000 and 2023. The QuADS quality appraisal tool was used to assess the methodological quality of included studies. A narrative synthesis was conducted using the convergent integrated approach.

Results: Twenty-four studies were included, of which two were professional guidelines; each reported on a distinct technology-based tool for remote services. All tools related to domestic abuse and 21 focused on screening for intimate partner violence among young and mid-life women (18-65) in high-income countries. The review did not identify tools that support the identification of victims of modern slavery. We identified eight common themes of tool strengths, highlighting that the remote approach to screening was practical, acceptable to victims, and, in some circumstances, elicited better outcomes than face-to-face approaches. Five themes pointed to tool challenges, such as concerns around privacy and safety, and the inability of computerised tools to provide empathy and emotional support.

Conclusions: Available technology-based tools may support the identification of victims of domestic abuse by health and social care practitioners in remote services. However, it is important to be mindful of the limitations of such tools and the effects individuals' screening preferences can have on outcomes. Future research should focus on developing tools to support the identification of victims of modern slavery, as well as empirically validating tools for screening during remote consultations.

在远程服务中识别家庭虐待和现代奴役受害者的工具:系统综述。
目的探索可用于支持识别远程服务中的家庭虐待和现代奴隶制受害者的技术工具,并考虑现有工具带来的益处和挑战:我们搜索了六个学术数据库。在 2000 年至 2023 年期间用英语发表的研究均被考虑纳入。QuADS质量评估工具用于评估纳入研究的方法质量。采用聚合综合法进行了叙述性综述:共纳入了 24 项研究,其中 2 项为专业指南;每项研究都报告了一种基于技术的远程服务工具。所有工具都与家庭虐待有关,其中 21 种工具侧重于筛查高收入国家中青年女性(18-65 岁)中的亲密伴侣暴力行为。审查未发现支持识别现代奴隶制受害者的工具。我们发现了八个关于工具优势的共同主题,强调了远程筛查方法的实用性、受害者的可接受性,以及在某些情况下比面对面方法更有效。五个主题指出了工具面临的挑战,例如对隐私和安全的担忧,以及计算机化工具无法提供同理心和情感支持:现有的基于技术的工具可以帮助医疗和社会护理从业人员在远程服务中识别家庭虐待的受害者。然而,必须注意此类工具的局限性以及个人筛查偏好对结果的影响。未来的研究应侧重于开发支持识别现代奴隶制受害者的工具,并对远程会诊期间的筛查工具进行经验验证。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.40
自引率
4.20%
发文量
39
期刊介绍: Journal of Health Services Research & Policy provides a unique opportunity to explore the ideas, policies and decisions shaping health services throughout the world. Edited and peer-reviewed by experts in the field and with a high academic standard and multidisciplinary approach, readers will gain a greater understanding of the current issues in healthcare policy and research. The journal"s strong international editorial advisory board also ensures that readers obtain a truly global and insightful perspective.
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