Informations générales (source: ClinicalTrials.gov)
Assessing the Impact on Mental and Physical Health of Caring for Women Who Are Victims of Sexual and Gender-based Violence, Using a Coordinated Multidisciplinary Approach in Women's or Traditional Health Centres: a Prospective, Quasi-experimental, Multicentre, National Study. (IROND-L)
Observational
Centre Hospitalier Universitaire Dijon (Voir sur ClinicalTrials)
août 2024
février 2027
14 juin 2025
Gender-based or sexual violence, or violence against women (VAW), is a global public
health problem affecting around 30% of women over the age of 15, with significant
consequences for physical and mental health, including depression and post-traumatic
stress disorder (PTSD).
In 2019, the French National Authority for Health (HAS) published recommendations in two
parts, one for identifying women who are victims of domestic violence, and the other for
dealing with a woman who has been exposed to such violence. But violence against women is
not limited to the marital sphere. VAW can simply be detected in a consultation using a
translated version of the Abuse Assessment Screen (AAS) questionnaire.
Women who are victims of VAW have specific needs linked to the often repeated nature of
the violence they experience, and the complex trauma that can ensue. They also tend to
combine other risk factors for poor mental health, such as economic insecurity and social
isolation. In France, dealing with the specific medical, psychosocial and legal needs of
victims-survivors of VAW has come up against a number of obstacles, including a lack of
dedicated care facilities, a lack of trained professionals and a lack of coordination
between the various parties. Health professionals rarely receive the training they need
to deal with VAW-related issues with confidence and professionalism, and often lack the
resources to refer female victims to appropriate care.
"La Maison des Femmes" (MdF) was set up in 2016 in Saint-Denis, located in a department
where a quarter of the women who consult a family planning centre (FPC) has suffered from
VAW. It is a hospital service specifically dedicated to the individualised,
multidisciplinary care of victims-survivors of VAW, offering health, social and legal
support within the same facility. The MdF comprises 4 units: a FPC, a violence management
unit (involving doctors, midwives, psychologists, social workers, lawyers, police
officers and support groups), a female genital mutilation management unit (surgeons and
sexologists) and a 24/7 reception unit for victims of sexual violence.
Several MdF-inspired care structures have been set up in France. The service provided by
these facilities needs to be evaluated, particularly in terms of their ability to improve
the physical and mental health, including post-traumatic stress, of women who have been
victims of VAW.
Etablissements
| Les établissements sans correspondance certaine dans le répertoire FINESS dont les données sont issues de ClinicalTrials.gov Origine et niveau de fiabilité des données | |||||
|---|---|---|---|---|---|
| Chu Dijon Bourgogne - 21000 - Dijon - France | Marc DOMMERGUES | Contact (sur clinicalTrials) | |||
Critères
Femme
Inclusion Criteria:
- Women who have not objected to taking part in the trial
- Adult women (≥18 years),
- Victim of domestic and/or sexual violence, consulting at one of our study centres.
Exposure to violence, whatever the initial reason for consultation, will be
determined by a positive response to at least one question on the French version of
the Abuse Assessment Screen, a standardised screening tool which has the advantage
of not being limited to domestic violence.
- Ability to understand the objectives of the study and to answer the questionnaires
- Women who have not objected to taking part in the trial
- Adult women (≥18 years),
- Victim of domestic and/or sexual violence, consulting at one of our study centres.
Exposure to violence, whatever the initial reason for consultation, will be
determined by a positive response to at least one question on the French version of
the Abuse Assessment Screen, a standardised screening tool which has the advantage
of not being limited to domestic violence.
- Ability to understand the objectives of the study and to answer the questionnaires
- Not affiliated to the national health insurance system
- Person under legal protection (curatorship, guardianship)
- Person under court order
- Adult who is unable to express his/her non-opposition
- Minor