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A Realist Evaluation of a “Whole Health” Response to Domestic Violence and Abuse in the UK
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G. J. Melendez-Torres ,
Kelly Buckley ,
Rhiannon Evans,
Amanda Robinson
Violence Against Women, Volume: 31, Issue: 11, Pages: 2912 - 2936
Swansea University Author:
Kelly Buckley
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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...
| Published in: | Violence Against Women |
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| ISSN: | 1077-8012 1552-8448 |
| Published: |
SAGE Publications
2025
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| Online Access: |
Check full text
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| URI: | https://cronfa.swan.ac.uk/Record/cronfa66525 |
| 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. |
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| Keywords: |
domestic abuse; victim-survivors; health professionals; UK healthcare; realist evaluation |
| College: |
Faculty of Humanities and Social Sciences |
| Funders: |
The authors would like to thank the Health Pathfinder Consortium for funding this evaluation and for their help and support throughout the conduct of the evaluation. |
| Issue: |
11 |
| Start Page: |
2912 |
| End Page: |
2936 |