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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Bibliographic Details
Authors: Pell, Bethan (Author) ; Melendez-Torres, G. J. (Author) ; Buckley, Kelly (Author) ; Evans, Rhiannon 1968- (Author) ; Robinson, Amanda (Author)
Format: Electronic Article
Language:English
Published: 2025
In: Violence against women
Year: 2025, Volume: 31, Issue: 11, Pages: 2912-2936
Online Access: Volltext (kostenfrei)
Check availability: HBZ Gateway
Keywords:
realist evaluation
UK healthcare
Health Professionals
victim-survivors
Domestic abuse
Description
Summary: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