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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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first_indexed 2024-06-10T12:04:18Z
last_indexed 2024-06-10T12:04:18Z
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spelling v2 66525 2024-05-29 A Realist Evaluation of a “Whole Health” Response to Domestic Violence and Abuse in the UK 4e077ae96592c197ac0b44e05b387f5a 0000-0002-8862-3776 Kelly Buckley Kelly Buckley true false 2024-05-29 SOSS 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 Journal Article Violence Against Women 0 SAGE Publications 1077-8012 1552-8448 domestic abuse; victim-survivors; health professionals; UK healthcare; realist evaluation 23 7 2024 2024-07-23 10.1177/10778012241265364 COLLEGE NANME Social Sciences School COLLEGE CODE SOSS Swansea University Another institution paid the OA fee Safelives and AVA Health Pathfinder 2024-11-01T15:22:31.8464378 2024-05-29T12:30:56.9511917 Faculty of Humanities and Social Sciences School of Social Sciences - Criminology, Sociology and Social Policy Bethan Pell 0000-0002-0786-6339 1 G. J. Melendez-Torres 0000-0002-9823-4790 2 Kelly Buckley 0000-0002-8862-3776 3 Rhiannon Evans 4 Amanda Robinson 5 66525__30987__26881ce1fa8d417cac1c974084a2eccf.pdf 66525.VoR.pdf 2024-07-25T15:13:08.1077075 Output 1774774 application/pdf Version of Record true © The Author(s) 2024. This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License. true eng https://creativecommons.org/licenses/by-nc/4.0/
title A Realist Evaluation of a “Whole Health” Response to Domestic Violence and Abuse in the UK
spellingShingle A Realist Evaluation of a “Whole Health” Response to Domestic Violence and Abuse in the UK
Kelly Buckley
title_short A Realist Evaluation of a “Whole Health” Response to Domestic Violence and Abuse in the UK
title_full A Realist Evaluation of a “Whole Health” Response to Domestic Violence and Abuse in the UK
title_fullStr A Realist Evaluation of a “Whole Health” Response to Domestic Violence and Abuse in the UK
title_full_unstemmed A Realist Evaluation of a “Whole Health” Response to Domestic Violence and Abuse in the UK
title_sort A Realist Evaluation of a “Whole Health” Response to Domestic Violence and Abuse in the UK
author_id_str_mv 4e077ae96592c197ac0b44e05b387f5a
author_id_fullname_str_mv 4e077ae96592c197ac0b44e05b387f5a_***_Kelly Buckley
author Kelly Buckley
author2 Bethan Pell
G. J. Melendez-Torres
Kelly Buckley
Rhiannon Evans
Amanda Robinson
format Journal article
container_title Violence Against Women
container_volume 0
publishDate 2024
institution Swansea University
issn 1077-8012
1552-8448
doi_str_mv 10.1177/10778012241265364
publisher SAGE Publications
college_str Faculty of Humanities and Social Sciences
hierarchytype
hierarchy_top_id facultyofhumanitiesandsocialsciences
hierarchy_top_title Faculty of Humanities and Social Sciences
hierarchy_parent_id facultyofhumanitiesandsocialsciences
hierarchy_parent_title Faculty of Humanities and Social Sciences
department_str School of Social Sciences - Criminology, Sociology and Social Policy{{{_:::_}}}Faculty of Humanities and Social Sciences{{{_:::_}}}School of Social Sciences - Criminology, Sociology and Social Policy
document_store_str 1
active_str 0
description 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
published_date 2024-07-23T15:22:29Z
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score 11.036706

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