TY - JOUR PY - 2024// TI - A realist evaluation of a "whole health" response to domestic violence and abuse in the UK JO - Violence against women A1 - Pell, Bethan A1 - Melendez-Torres, G. J. A1 - Buckley, Kelly A1 - Evans, Rhiannon A1 - Robinson, Amanda SP - ePub EP - ePub VL - ePub IS - ePub N2 - 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.

Language: en

LA - en SN - 1077-8012 UR - http://dx.doi.org/10.1177/10778012241265364 ID - ref1 ER -