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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, Volume: 31, Issue: 11, Pages: 2912 - 2936

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 2025
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URI: https://cronfa.swan.ac.uk/Record/cronfa66525
first_indexed 2024-06-10T12:04:18Z
last_indexed 2025-08-07T08:02:50Z
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spelling 2025-08-06T12:38:06.8635533 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. Journal Article Violence Against Women 31 11 2912 2936 SAGE Publications 1077-8012 1552-8448 domestic abuse; victim-survivors; health professionals; UK healthcare; realist evaluation 1 9 2025 2025-09-01 10.1177/10778012241265364 COLLEGE NANME Social Sciences School COLLEGE CODE SOSS Swansea University Another institution paid the OA fee 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. 2025-08-06T12:38:06.8635533 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 31
container_issue 11
container_start_page 2912
publishDate 2025
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.
published_date 2025-09-01T05:20:31Z
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