Mechanisms that Trigger a Good Health-Care Response to Intimate Partner Violence in Spain. Combining Realist Evaluation and Qualitative Comparative Analysis Approaches

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Title: Mechanisms that Trigger a Good Health-Care Response to Intimate Partner Violence in Spain. Combining Realist Evaluation and Qualitative Comparative Analysis Approaches
Authors: Goicolea, Isabel | Vives-Cases, Carmen | Hurtig, Anna-Karin | Marchal, Bruno | Briones Vozmediano, Erica | Otero, Laura | García-Quinto, Marta | San Sebastián, Miguel
Research Group/s: Salud Pública
Center, Department or Service: Universidad de Alicante. Departamento de Enfermería Comunitaria, Medicina Preventiva y Salud Pública e Historia de la Ciencia
Keywords: Health-care response | Intimate partner violence | Spain
Knowledge Area: Medicina Preventiva y Salud Pública
Issue Date: 13-Aug-2015
Publisher: Public Library of Science (PLoS)
Citation: Goicolea I, Vives-Cases C, Hurtig A-K, Marchal B, Briones-Vozmediano E, Otero-García L, et al. (2015) Mechanisms that Trigger a Good Health-Care Response to Intimate Partner Violence in Spain. Combining Realist Evaluation and Qualitative Comparative Analysis Approaches. PLoS ONE 10(8): e0135167. doi:10.1371/journal.pone.0135167
Abstract: Background. Health care professionals, especially those working in primary health-care services, can play a key role in preventing and responding to intimate partner violence. However, there are huge variations in the way health care professionals and primary health care teams respond to intimate partner violence. In this study we tested a previously developed programme theory on 15 primary health care center teams located in four different Spanish regions: Murcia, C Valenciana, Castilla-León and Cantabria. The aim was to identify the key combinations of contextual factors and mechanisms that trigger a good primary health care center team response to intimate partner violence. Methods. A multiple case-study design was used. Qualitative and quantitative information was collected from each of the 15 centers (cases). In order to handle the large amount of information without losing familiarity with each case, qualitative comparative analysis was undertaken. Conditions (context and mechanisms) and outcomes, were identified and assessed for each of the 15 cases, and solution formulae were calculated using qualitative comparative analysis software. Results. The emerging programme theory highlighted the importance of the combination of each team’s self-efficacy, perceived preparation and women-centredness in generating a good team response to intimate partner violence. The use of the protocol and accumulated experience in primary health care were the most relevant contextual/intervention conditions to trigger a good response. However in order to achieve this, they must be combined with other conditions, such as an enabling team climate, having a champion social worker and having staff with training in intimate partner violence. Conclusions. Interventions to improve primary health care teams’ response to intimate partner violence should focus on strengthening team’s self-efficacy, perceived preparation and the implementation of a woman-centred approach. The use of the protocol combined with a large working experience in primary health care, and other factors such as training, a good team climate, and having a champion social worker on the team, also played a key role. Measures to sustain such interventions and promote these contextual factors should be encouraged.
Sponsor: This study protocol has been funded through a COFAS grant (supported by COFUND action within the Marie Curie Action People, in the Seventh Framework programme and the Swedish Council for Working Life and Social Research/FAS-Forskningsradet för arbetsliv och socialvetenskap) through a competitive call.
URI: http://hdl.handle.net/10045/49006
ISSN: 1932-6203
DOI: 10.1371/journal.pone.0135167
Language: eng
Type: info:eu-repo/semantics/article
Rights: © 2015 Goicolea et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited
Peer Review: si
Publisher version: http://dx.doi.org/10.1371/journal.pone.0135167
Appears in Collections:INV - SP - Artículos de Revistas
INV - Investigación en Género - Artículos de Revistas
Institucional - IUIEG - Publicaciones

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