{Reference Type}: Journal Article
{Title}: A Realist Evaluation of a "Whole Health" Response to Domestic Violence and Abuse in the UK.
{Author}: Pell B;Melendez-Torres GJ;Buckley K;Evans R;Robinson A;
{Journal}: Violence Against Women
{Volume}: 0
{Issue}: 0
{Year}: 2024 Jul 23
{Factor}: 2.586
{DOI}: 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 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.