Department of Sexual Health and HIV Medicine, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK
School of Life and Health Sciences, Aston University, Birmingham, UK.
BMJ Open. 2020 Jun 17;10(6):e037599. doi: 10.1136/bmjopen-2020-037599.
Supporting people subjected to sexual violence includes provision of sexual and reproductive healthcare. There is a need to ensure an environment for safe and supported disclosure of sexual violence in these clinical settings. The purpose of this research is to gain a deeper understanding of how, why, for whom and in what circumstances safe and supported disclosure occurs in sexual health services.
To understand how safe and supported disclosure of sexual violence works within sexual health services a realist review will be undertaken with the following steps: (1) Focussing of the review including a scoping literature search and guidance from an advisory group. (2) Developing the initial programme theories and a search strategy using context-mechanism-outcome (CMO) configurations. (3) Selection, data extraction and appraisal based on relevance and rigour. (4) Data analysis and synthesis to further develop and refine programme theory, CMO configurations with consideration of middle-range and substantive theories.
A realist logic of analysis will be used to align data from each phase of the review, with CMO configurations being developed. Programme theories will be sought from the review that can be further tested in the field.
This study has been approved by the ethics committee at University of Birmingham, and has Health Research Authority approval. Findings will be disseminated through knowledge exchange with stakeholders, publications in peer-reviewed journals, conference presentations and formal and informal reports. In addition, as part of a doctoral study, the findings will be tested in multisite case studies.
CRD4201912998. Dates of the planned realist review, from protocol design to completion, January 2019 to July 2020.
对遭受性暴力的人提供支持包括提供性健康和生殖健康保健。有必要确保在这些临床环境中营造安全和得到支持的性暴力披露环境。本研究的目的是更深入地了解在性健康服务中，安全和得到支持的性暴力披露是如何、为何、为谁以及在何种情况下发生的。
为了了解安全和得到支持的性暴力披露如何在性健康服务中发挥作用，将进行一项真实主义综述，包括以下步骤：（1）聚焦综述，包括进行范围广泛的文献检索，并接受咨询小组的指导。（2）根据背景-机制-结果（CMO）配置制定初始方案理论和搜索策略。（3）根据相关性和严谨性选择、提取和评估数据。（4）数据分析和综合，以进一步发展和完善方案理论、CMO 配置，并考虑中程和实质性理论。
将使用真实主义分析逻辑来对齐综述各阶段的数据，并制定 CMO 配置。将从综述中寻找可在现场进一步测试的方案理论。
本研究已获得伯明翰大学伦理委员会的批准，并获得了英国卫生研究局的批准。研究结果将通过与利益相关者进行知识交流、在同行评议期刊上发表文章、会议演讲以及正式和非正式报告等方式进行传播。此外，作为博士研究的一部分，研究结果将在多地点案例研究中进行测试。
PROSPERO 注册详情：CRD4201912998。计划进行真实主义综述的时间，从方案设计到完成，为 2019 年 1 月至 2020 年 7 月。
