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

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 ho...

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Detalles Bibliográficos
Autores principales: Pell, Bethan (Autor) ; Melendez-Torres, G. J. (Autor) ; Buckley, Kelly (Autor) ; Evans, Rhiannon 1968- (Autor) ; Robinson, Amanda (Autor)
Tipo de documento: Electrónico Artículo
Lenguaje:Inglés
Publicado: 2025
En: Violence against women
Año: 2025, Volumen: 31, Número: 11, Páginas: 2912-2936
Acceso en línea: Volltext (kostenfrei)
Verificar disponibilidad: HBZ Gateway
Palabras clave:
realist evaluation
UK healthcare
Health Professionals
victim-survivors
Domestic abuse
Descripción
Sumario: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.
ISSN:1552-8448
DOI:10.1177/10778012241265364