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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 Orcid Logo, Amanda Robinson Orcid Logo

Violence Against Women

Swansea University Author: Kelly Buckley Orcid Logo

  • Accepted Manuscript under embargo until: 10th July 2024

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
Published: Sage
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 Sage 0 0 0 0001-01-01 COLLEGE NANME Social Sciences School COLLEGE CODE SOSS Swansea University Safelives and AVA Health Pathfinder 2024-06-26T14:04:50.9262925 2024-05-29T12:30:56.9511917 Faculty of Humanities and Social Sciences School of Social Sciences - Criminology, Sociology and Social Policy Bethan Pell https://orcid.org/0000-0002-0786-6339 1 G.J. Melendez-Torres https://orcid.org/0000-0002-9823-4790 2 Kelly Buckley 0000-0002-8862-3776 3 Rhiannon Evans https://orcid.org/0000-0002-0239-6331 4 Amanda Robinson https://orcid.org/0000-0002-5071-850X 5 Under embargo Under embargo 2024-06-10T13:01:02.0758452 Output 580754 application/pdf Accepted Manuscript true 2024-07-10T00:00:00.0000000 Author accepted manuscript document released under the terms of a Creative Commons CC-BY licence using the Swansea University Research Publications Policy (rights retention). true eng https://creativecommons.org/licenses/by/4.0/deed.en
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
institution Swansea University
publisher Sage
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 0
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 0001-01-01T14:04:50Z
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score 11.012678

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