{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T15:13:22Z","timestamp":1788966802194,"version":"build-2803163510"},"reference-count":36,"publisher":"BMJ","issue":"11","license":[{"start":{"date-parts":[[2024,11,19]],"date-time":"2024-11-19T00:00:00Z","timestamp":1731974400000},"content-version":"unspecified","delay-in-days":18,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"French Hospital Clinical Research Program","award":["PREPS-22-0078"],"award-info":[{"award-number":["PREPS-22-0078"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2024,10,26]]},"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background and objectives<\/jats:title>\n                    <jats:p>Violence against women (VAW) is widespread and can have serious physical and mental health consequences, including post-traumatic stress disorder (PTSD) and sleep disorders. Victim-survivors often face barriers in accessing specialised care, highlighting the need for a multidisciplinary response, especially in healthcare settings. The Maison des Femmes (MdF) model provides holistic support to women experiencing VAW, including medical, psychological, social and legal support. The aim of this study is to examine whether the MdF\u2019s comprehensive intervention programme offers advantages over standard care in improving mental health indicators, such as PTSD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method and analysis<\/jats:title>\n                    <jats:p>Our pragmatic quasi-experimental study uses a non-randomised controlled cluster design. The intervention group comprises women enrolled in MdFs in five French cities, while the comparison group includes women receiving usual care in sociomedical structures located geographically close to MdF centres. Our study aims to recruit 360\u2009women (180 per group), aged 18 years or older, who have experienced intimate partner violence or sexual violence and who seek care at the study centres. The primary analysis will compare the change in PTSD Checklist for DSM-5 (PCL-5) scores over 6 months in the two groups using multivariable linear regression with propensity score adjustment. Secondary outcomes include sleep disorders, quality of life, symptoms of anxiety and depression, self-esteem, sense of safety and well-being, initiation of legal and socioprofessional proceedings, and healthcare utilisation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ethics and dissemination<\/jats:title>\n                    <jats:p>The study was approved by the \u2018Comit\u00e9 de protection des personnes Ile de France III\u2019 (CPP Committee for the Protection of Persons Ile de France III; institutional review board on 20 December 2023; Ref no. (Num\u00e9ro SI): 23.04197.000491).<\/jats:p>\n                    <jats:p>The results of the study will be communicated via academic publications; easily understandable briefs for a broader public; and proactive involvement with medical institutions, journalists and advocacy groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration number<\/jats:title>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"clintrialgov\" xlink:href=\"NCT06226818\">NCT06226818<\/jats:ext-link>\n                      . Version Number 1- february2024.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2024-086143","type":"journal-article","created":{"date-parts":[[2024,11,20]],"date-time":"2024-11-20T01:22:22Z","timestamp":1732065742000},"page":"e086143","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["IROND-L: study protocol for a French prospective, quasi-experimental, multicentre trial to examine the impact of a coordinated multidisciplinary approach for women victims of violence"],"prefix":"10.1136","volume":"14","clinical-trial-number":[{"clinical-trial-number":"nct06226818","registry":"10.18810\/clinical-trials-gov"}],"author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6915-6850","authenticated-orcid":false,"given":"Fabienne","family":"El-Khoury","sequence":"first","affiliation":[{"name":"Departement of social epidemiology, Sorbonne Universit\u00e9, Institut Pierre Louis d'\u00c9pid\u00e9miologie et de Sant\u00e9 Publique IPLESP, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"In\u00e8s","family":"Ben Ghezala","sequence":"additional","affiliation":[{"name":"CIC 1432 (Center for Clinical Investigation), CHU Dijon, Dijon, Bourgogne-Franche-Comt\u00e9, France"},{"name":"Universit\u00e9 Bourgogne Franche-Comt\u00e9, Besancon, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ghada","family":"Hatem","sequence":"additional","affiliation":[{"name":"Service de gyn\u00e9cologie et obst\u00e9trique, Centre Hospitalier de Saint Denis, Saint Denis, France"},{"name":"La Maison des femmes, Saint-Denis, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zohra","family":"Jaffal","sequence":"additional","affiliation":[{"name":"CIC 1432 (Center for Clinical Investigation), CHU Dijon, Dijon, Bourgogne-Franche-Comt\u00e9, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andre","family":"Soares","sequence":"additional","affiliation":[{"name":"D\u00e9partement de M\u00e9decine G\u00e9n\u00e9rale, Sorbonne Universite, Paris, \u00cele-de-France, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leila","family":"Yacini","sequence":"additional","affiliation":[{"name":"Centre de Sant\u00e9 Municipal 'Les Moulins', Saint Denis, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophie","family":"Duchesne","sequence":"additional","affiliation":[{"name":"Maison des femmes CASAVIA Service de Gyn\u00e9cologie Obst\u00e9trique, Piti\u00e9-Salp\u00eatri\u00e8re University Hospital, Paris, \u00cele-de-France, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc","family":"Dommergues","sequence":"additional","affiliation":[{"name":"Maison des femmes CASAVIA Service de Gyn\u00e9cologie Obst\u00e9trique, Piti\u00e9-Salp\u00eatri\u00e8re University Hospital, Paris, \u00cele-de-France, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Florence","family":"Bretelle","sequence":"additional","affiliation":[{"name":"Assistance Publique - H\u00f4pitaux de Marseille, Marseille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Eudeline","sequence":"additional","affiliation":[{"name":"Centre de sant\u00e9 universitaire, AP-HM, Marseille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pascale","family":"Hoffmann","sequence":"additional","affiliation":[{"name":"Maison des Femmes Grenoble Alpes, Grenoble, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claire","family":"Masse-Navette","sequence":"additional","affiliation":[{"name":"Centre de Sant\u00e9 Sexuelle de Voiron, Voiron, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fanida","family":"Layachi","sequence":"additional","affiliation":[{"name":"Maison des Femmes Reims, Reims, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Odile","family":"Maurice","sequence":"additional","affiliation":[{"name":"Centre Hospitalier Universitaire de Reims, Reims, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tiphaine","family":"de Foucher de Careil","sequence":"additional","affiliation":[{"name":"Service de gyn\u00e9cologie et obst\u00e9trique, Centre Hospitalier de Saint Denis, Saint Denis, France"},{"name":"La Maison des femmes, Saint-Denis, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0028-1837","authenticated-orcid":false,"given":"Marc","family":"Bardou","sequence":"additional","affiliation":[{"name":"CIC 1432 (Center for Clinical Investigation), CHU Dijon, Dijon, Bourgogne-Franche-Comt\u00e9, France"},{"name":"UFR des Sciences Sant\u00e9, Universit\u00e9 de Bourgogne UFR des Sciences de Sant\u00e9 de Dijon, Dijon, Bourgogne-Franche-Comt\u00e9, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2024,11,19]]},"reference":[{"key":"2025101812134509000_14.11.e086143.1","first-page":"1","article-title":"Ending violence against women","volume":"11","year":"1999","journal-title":"Popul Rep L"},{"key":"2025101812134509000_14.11.e086143.2","unstructured":"Organization WH . Violence against women prevalence estimates, 2018: global, regional and national prevalence estimates for intimate partner violence against women and global and regional prevalence estimates for non-partner sexual violence against women. 2021."},{"key":"2025101812134509000_14.11.e086143.3","unstructured":"WHO . Violence against women. 2021. Available: https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/violence-against-women"},{"key":"2025101812134509000_14.11.e086143.4","unstructured":"European Union Agency for Fundamental Rights . Violence against women: an EU-wide survey: main results. FRA, European Union Agency for Fundamental Rights, 2014."},{"key":"2025101812134509000_14.11.e086143.5","unstructured":"service-public.fr . Violence conjugale. 2021. Available: https:\/\/www.service-public.fr\/particuliers\/vosdroits\/F12544"},{"key":"2025101812134509000_14.11.e086143.6","unstructured":"Debauche A . Quelles donn\u00e9es sur les violences sexuelles en France et quelle lecture en faire? La Sant\u00e9 en action. Sant\u00e9 publique France; 2019. Available: https:\/\/www.santepubliquefrance.fr\/determinants-de-sante\/sante-sexuelle\/documents\/article\/quelles-donnees-sur-les-violences-sexuelles-en-france-et-quelle-lecture-en-faire"},{"key":"2025101812134509000_14.11.e086143.7","doi-asserted-by":"publisher","DOI":"10.1177\/15248380231155529"},{"key":"2025101812134509000_14.11.e086143.8","doi-asserted-by":"publisher","DOI":"10.1177\/1524838020985541"},{"key":"2025101812134509000_14.11.e086143.9","unstructured":"Garc\u00eda-Moreno C , Pallitto C , Devries K , et al . Global and regional estimates of violence against women: prevalence and health effects of intimate partner violence and non-partner sexual violence. 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