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Using realist evaluation to assess primary healthcare teams’ responses to intimate partner violence in Spain

Overview of attention for article published in Gaceta Sanitaria, November 2015
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Mentioned by

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2 tweeters

Citations

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13 Dimensions

Readers on

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88 Mendeley
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1 CiteULike
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Title
Using realist evaluation to assess primary healthcare teams’ responses to intimate partner violence in Spain
Published in
Gaceta Sanitaria, November 2015
DOI 10.1016/j.gaceta.2015.08.005
Pubmed ID
Authors

Isabel Goicolea, Anna-Karin Hurtig, Miguel San Sebastian, Bruno Marchal, Carmen Vives-Cases

Abstract

Few evaluations have assessed the factors triggering an adequate health care response to intimate partner violence. This article aimed to: 1) describe a realist evaluation carried out in Spain to ascertain why, how and under what circumstances primary health care teams respond to intimate partner violence, and 2) discuss the strengths and challenges of its application. We carried out a series of case studies in four steps. First, we developed an initial programme theory (PT1), based on interviews with managers. Second, we refined PT1 into PT2 by testing it in a primary healthcare team that was actively responding to violence. Third, we tested the refined PT2 by incorporating three other cases located in the same region. Qualitative and quantitative data were collected and thick descriptions were produced and analysed using a retroduction approach. Fourth, we analysed a total of 15 cases, and identified combinations of contextual factors and mechanisms that triggered an adequate response to violence by using qualitative comparative analysis. There were several key mechanisms -the teams' self-efficacy, perceived preparation, women-centred care-, and contextual factors -an enabling team environment and managerial style, the presence of motivated professionals, the use of the protocol and accumulated experience in primary health care- that should be considered to develop adequate primary health-care responses to violence. The full application of this realist evaluation was demanding, but also well suited to explore a complex intervention reflecting the situation in natural settings.

Twitter Demographics

The data shown below were collected from the profiles of 2 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 88 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Colombia 1 1%
Denmark 1 1%
Ghana 1 1%
Brazil 1 1%
Unknown 84 95%

Demographic breakdown

Readers by professional status Count As %
Student > Master 22 25%
Student > Ph. D. Student 15 17%
Student > Bachelor 11 13%
Researcher 6 7%
Student > Doctoral Student 5 6%
Other 11 13%
Unknown 18 20%
Readers by discipline Count As %
Nursing and Health Professions 18 20%
Social Sciences 18 20%
Medicine and Dentistry 16 18%
Psychology 3 3%
Economics, Econometrics and Finance 2 2%
Other 10 11%
Unknown 21 24%

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 30 November 2015.
All research outputs
#7,823,963
of 12,519,100 outputs
Outputs from Gaceta Sanitaria
#278
of 479 outputs
Outputs of similar age
#176,308
of 344,164 outputs
Outputs of similar age from Gaceta Sanitaria
#5
of 11 outputs
Altmetric has tracked 12,519,100 research outputs across all sources so far. This one is in the 37th percentile – i.e., 37% of other outputs scored the same or lower than it.
So far Altmetric has tracked 479 research outputs from this source. They receive a mean Attention Score of 3.9. This one is in the 43rd percentile – i.e., 43% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 344,164 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 48th percentile – i.e., 48% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 11 others from the same source and published within six weeks on either side of this one. This one is in the 27th percentile – i.e., 27% of its contemporaries scored the same or lower than it.