Pell Bethan, Melendez-Torres G J, Buckley Kelly, Evans Rhiannon, Robinson Amanda
DECIPHer, School of Social Sciences, Cardiff University, Cardiff, UK.
University of Exeter, Exeter, UK.
Violence Against Women. 2024 Jul 23;31(11):10778012241265364. doi: 10.1177/10778012241265364.
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 ( = 27) and victim-survivors ( = 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.
“健康探索者”是一项多层次的系统变革干预措施，旨在转变英格兰八个地区针对家庭暴力和虐待行为的健康应对方式。当前的研究通过对卫生专业人员（27名）和受害者幸存者（20名）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描述。研究结果表明，有五个变革机制解释了为什么“健康探索者”作为一种生态干预措施是有效的：意识、专业知识、关系、赋权和证据。每个机制方面的积极进展对受害者幸存者的询问、披露和服务接受体验产生了有意义的影响，并有潜力对健康不平等产生有意义的影响。
