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A Realist Evaluation of a “Whole Health” Response to Domestic Violence and Abuse in the UK

Bethan Pell Orcid Logo, G. J. Melendez-Torres Orcid Logo, Kelly Buckley Orcid Logo, Rhiannon Evans, Amanda Robinson

Violence Against Women

Swansea University Author: Kelly Buckley Orcid Logo

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DOI (Published version): 10.1177/10778012241265364

Abstract

Health Pathfinder is a multilevel system change intervention initiated to transform the health response to domestic violence and abuse in eight sites in England. The current study drew upon interviews with health professionals (n=27) and victim-survivors (n=20) to provide a realist account of how th...

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Published in: Violence Against Women
ISSN: 1077-8012 1552-8448
Published: SAGE Publications 2024
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URI: https://cronfa.swan.ac.uk/Record/cronfa66525
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Abstract: Health Pathfinder is a multilevel system change intervention initiated to transform the health response to domestic violence and abuse in eight sites in England. The current study drew upon interviews with health professionals (n=27) and victim-survivors (n=20) to provide a realist account of how this intervention achieved its goals. Findings show that five change mechanisms explain why Health Pathfinder was effective as an ecological intervention: awareness, expertise, relationships, empowerment and evidence. Positive progress in respect of each mechanism had meaningful impacts on victim-survivor experiences of enquiry, disclosure and uptake of services, and had the potential to meaningfully impact health inequities.KeywordsDomestic abuse; victim-survivors; health professionals; UK healthcare; realist evaluation
Keywords: domestic abuse; victim-survivors; health professionals; UK healthcare; realist evaluation
College: Faculty of Humanities and Social Sciences
Funders: Safelives and AVA

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