Identifying and responding to domestic abuse in cancer care: a mixed methods service evaluation of a training and support intervention

Abstract

This article presents a mixed methods evaluation of a training and support intervention aimed at helping cancer care professionals identify and respond to domestic abuse (DA). Conducted across two National Health Service (NHS) sites in the UK, the study focuses on the role of hospital-based domestic abuse coordinators who adapted a generic hospital role to address the specific needs within cancer care. Through training sessions, support resources, and ongoing guidance, these coordinators worked to improve healthcare professionals’ confidence and skills in addressing DA among cancer patients.<br><br>

The intervention saw over 1,000 staff trained, with a significant increase in confidence levels for identifying and responding to DA post-training. The study also highlights challenges, including limited privacy for patient conversations, time constraints, and complex dynamics with abusers who may be the patient’s primary caregivers. Qualitative findings underscore the importance of a supportive work culture and the need for specific tools, such as quick-reference guides and ongoing training, to maintain the positive impact of the intervention. The research suggests that a specialised DA response in oncology could provide a vital support system for both patients and staff, advocating for a more holistic, trauma-informed approach to cancer care.