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

IF 1.7 3区 社会学 Q1 WOMENS STUDIES
Violence Against Women Pub Date : 2025-09-01 Epub Date: 2024-07-23 DOI:10.1177/10778012241265364
Bethan Pell, G J Melendez-Torres, Kelly Buckley, Rhiannon Evans, Amanda Robinson
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引用次数: 0

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.

Abstract Image

Abstract Image

对英国家庭暴力和虐待 "整体健康 "应对措施的现实主义评估。
健康开拓者 "是一项多层次的系统变革干预措施,旨在改变英格兰八个地区对家庭暴力和虐待的健康响应。本研究通过对医疗专业人员(n = 27)和受害者-幸存者(n = 20)的访谈,对这一干预措施如何实现其目标进行了现实主义的阐述。研究结果表明,"健康开拓者 "作为一种生态干预措施之所以有效,是因为它有五种变革机制:意识、专业知识、关系、授权和证据。每个机制的积极进展都对受害者-幸存者的询问、披露和接受服务的经历产生了有意义的影响,并有可能对健康不平等现象产生有意义的影响。
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来源期刊
Violence Against Women
Violence Against Women WOMENS STUDIES-
CiteScore
4.10
自引率
4.50%
发文量
142
期刊介绍: Violence against Women is an international, interdisciplinary journal dedicated to the publication of research and information on all aspects of the problem of violence against women. The journal assumes a broad definition of violence; topics to be covered include, but are not limited to, domestic violence, sexual assault, incest, sexual harassment, female infantcide, female circumcision, and female sexual slavery.
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