A-PATH: A path towards healing and support for older women
The A-PATH study is looking into ways to better support older women, aged 60-74, who have experienced domestic abuse in England and Wales. Current support often doesn't meet the specific challenges faced by this age group, such as difficulties with online information or long-term abuse leading to dependence. This research aims to change an existing support programme called PATH to make it more suitable for older women. The study will adapt this programme, find good ways to connect women with it, and then test how well it works and how helpful it is compared to standard support. The goal is to help these women recover and improve their well-being.
At a glance
What is this study about?
This important study, called A-PATH, is focused on helping older women aged 60 to 74 who live in England and Wales and have experienced domestic abuse. We know that many women in this age group face high rates of abuse, which can seriously harm their physical and mental health. The researchers understood that the usual support services often don't quite fit the needs of older women. For example, some might find it hard to access online help, or they may have lived with abuse for many years and grown to rely on their abuser, making it harder to leave.
The main goal of A-PATH is to take an existing support programme, called PATH (which stands for Psychological Advocacy Towards Healing), and carefully change it to better suit the experiences and needs of older women. The aim is to create a more effective pathway to healing and recovery for them. The study will involve three main steps: first, adapting the PATH programme; second, figuring out the best ways for women to find and join these support services; and third, trying out the new A-PATH programme to see how useful and effective it is compared to the usual support available.
Ultimately, this research hopes to improve the support available for older women affected by domestic abuse. By listening to their voices and understanding their unique challenges, the study aims to make sure future publicly funded services truly meet their needs and help to protect their safety and well-being.
Key takeaways
- A-PATH aims to help women aged 60+ affected by domestic abuse.
- It adapts an existing support programme to better suit their needs.
- Participation involves several support sessions over a few months.
- Your input helps improve future services for older women.
- You can withdraw from the study at any time if you wish.
- Information shared is confidential, except in focus groups.
Who may be eligible?
This study is looking for women who are 60 years old or older. You could be considered for the study if you have experienced any kind of domestic abuse, including physical, emotional, psychological, sexual, or financial abuse. This could be abuse you are currently experiencing or have experienced in the past.
To take part, you need to be able to understand what the study involves and agree to be part of it. You also need to be able to take part in the support sessions and assessments.
However, you would not be able to join the study if you have a severe mental health condition like psychosis, serious problems with drugs or alcohol, or a condition like dementia. Also, if you are already receiving other structured talking therapies, or if you are a male victim of abuse, this particular study would not be suitable for you.
- Are you a woman aged 60 or older?
- Have you experienced domestic abuse (now or in the past)?
- Can you understand and agree to take part in the study?
- Are you able to take part in support sessions and complete assessments?
- Are you not currently receiving other structured talking therapies?
- Do you not have a diagnosis of psychosis, severe drug/alcohol issues, or dementia?
This is a guide only — the research team will confirm whether you can take part.
What does participation involve?
If you take part in the A-PATH study, you would be offered up to eight support sessions. These sessions would happen either once a week or once every two weeks. After these, there would be two extra follow-up sessions, known as 'booster sessions'. While the total duration of your participation isn't specifically stated, the support sessions and boosters suggest a period of several months. The study will test how acceptable the new A-PATH programme is and how well it helps older women compared to standard support programmes.
Potential risks and benefits
Locations (4)
- University College London, Divison of PsychiatryLondon, England
- University of Bristol, Centre for Academic Primary CareBristol, England
- Swansea University, Department of Criminology Sociology and Social PolicySwansea, Wales
- North Devon Against Domestic AbuseNorth Devon, England
Common questions
What kind of abuse does the study cover?
The study covers all types of domestic abuse, including physical, emotional, psychological, sexual, or financial abuse.
Will I get direct help for my situation?
You will be offered up to eight support sessions and two booster sessions through the A-PATH programme, which is being tested for older women.
Who is funding this research?
The study is funded by the National Institute for Health and Care Research (NIHR) in the UK.
When does the study start and end?
The study is expected to run from April 2026 to March 2029.
Will my information be kept private?
Yes, all your information will be kept confidential, meaning private, unless you are in a focus group where other participants would be present.
How to find out more
Vasiliki Orgeta
Always speak to your GP or specialist before deciding to take part in a study.
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