Helen Cramer
Biographic Data
| ID | 290989 |
|---|---|
| NAME | Helen Cramer |
| GIVEN NAMES | Helen |
| FAMILY NAME | Cramer |
| SIGNATURE | CRAMER H |
| AFFILIATIONS | University of Bristol |
| ORCID | 0000-0001-5989-2638 |
| VERIFIED | Yes |
| TOTAL WORKS | 19 |
| TOTAL CITATIONS | 43 |
| AUTHOR COUNT | 19 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2000 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 4 |
Unlocking participation
Introduction Domestic abuse perpetrator programmes (DAPPs) show evidence of reducing recidivism, but study size, quality, varying participant risk levels, and intervention length have all contributed to limited effect sizes. A significant challenge for both the effectiveness of DAPPs and the measurement of that effectiveness is high treatment attrition. Despite a growing body of research, there remains uncertainty about which participant characte…
“I Am Not Taking Sides as a Female At All”
The facilitation of domestic abuse perpetrator programs (DAPPs) by mixed gender co-facilitation pairs brings different facilitator perspectives and enables the modeling of egalitarian and respectful male-female relationships. This study analyzed 22 video and audio recordings of community-based DAPP groups featuring male participants, and male and female facilitators. Using thematic analysis, we aimed to understand how facilitators engaged partici…
Are you sitting comfortably? Discomfort as pedagogical strategy with perpetrators of domestic abuse
Through analysis of video data from the REPROVIDE Pilot (Cramer et al, 2024b) – a 23-week domestic abuse perpetrator programme (DAPP) for men – this article identifies discomfort as a pedagogical strategy for behaviour change group work. Discomfort as pedagogical strategy has been advanced in and through anti-racist pedagogy (Zembylas, 2015) but has not been brought to bear on perpetrator work, where the focus has tended to be on ‘resistance to t…
A ‘forced holiday’ or ‘no escape route’? Contrasting experiences of survivors and perpetrators of domestic abuse during Covid-19
Drawing on a nested qualitative study within REPROVIDE, a randomised controlled trial examining the effectiveness of a group-based domestic abuse perpetrator programme, this article explores accounts of domestic abuse during the COVID-19 pandemic from the perspectives of victims/survivors and perpetrators. Based on interviews with male perpetrators and female survivors, including with partner/ex-partner dyads, our study reveals the gendered effec…
Randomised pilot and feasibility trial of a group intervention for men who perpetrate intimate partner violence against women
ISRCTN71797549, submitted 03/08/2017, retrospectively registered 27/05/2022
Trauma‐informed co‐production
INTRODUCTION: Health, social care, charitable and justice sectors are increasingly recognising the need for trauma-informed services that seek to recognise signs of trauma, provide appropriate paths to recovery and ensure that services enable people rather than retraumatise. Foundational to the development of trauma-informed services is collaboration with people with lived experience of trauma. Co-production principles may provide a useful framew…
Methodological Challenges in Group-based Randomised Controlled Trials for Intimate Partner Violence Perpetrators
Evidence for treatment effects of group-based Intimate Partner Violence (IPV) perpetrators programmes remains, at best, inconclusive. In the present review, systematic/meta-analytic reviews were used to identify randomised controlled trials and a meta-summary approach was employed to identify methodological challenges in the design and conduct of these trials. Of the fifteen studies identified, seven were comparative effectiveness trials. A range…
Researching Men's Violence Against Women as Feminist Women Researchers
Qualitative and feminist researchers aim to build rapport, show empathy, be non-judgemental, and equalise power imbalances. A crucial challenge researchers face is how to navigate and balance competing aims and values when interacting with and interviewing participants who have perpetrated intimate partner violence and abuse towards women. In this article, four female researchers evaluating perpetrator programmes for abusive men use reflexive ana…
Shared decision making in consultations for hypertension
BACKGROUND: Hypertension is mainly managed in primary care. Shared decision making is widely recommended as an approach to treatment decision making. However, no studies have investigated; in detail, what happens during primary care consultations for hypertension. AIM: To understand patients' and clinicians' experience of shared decision making for hypertension in primary care, in order to propose how it might be better supported. DESIGN: Longitu…
Collective knowledge brokering
Background: The Bristol Knowledge Mobilisation (KM) Team was an unusual collective brokering model, consisting of a multi-professional team of four managers and three academics embedded in both local healthcare policymaking (aka commissioning) and academic primary care. Aims and objectives: They aimed to encourage ‘research-informed commissioning’ and ‘commissioning-informed research’. This paper covers context, structure, processes, advantages, …
Interventions to support shared decision making for hypertension
Using conversation analytic methods to assess fidelity to a talk-based healthcare intervention for frequently attending patients
Who does this patient belong to?' boundary work and the re/making of (NSTEMI) heart attack patients
This ethnography within ten English and Welsh hospitals explores the significance of boundary work and the impacts of this work on the quality of care experienced by heart attack patients who have suspected non-STsegment elevation myocardial infarction (NSTEMI) /non-STelevation acute coronary syndrome. Beginning with the initial identification and prioritisation of patients, boundary work informed negotiations over responsibility for patients, th…
Knowledge brokers or relationship brokers? The role of an embedded knowledge mobilisation team
Aim: Policymaking decisions are often uninformed by research and research is rarely influenced by policymakers. To bridge this ‘know-do’ gap, a boundary-spanning knowledge mobilisation (KM) team was created by embedding researchers-in-residence and local policymakers into each other’s organisations. Through increasing the two-way flow of knowledge via social contact, KM team members fostered collaborations and the sharing of ‘mindlines’, aiming t…
Over-the-counter advice seeking about complementary and alternative medicines (CAM) in community pharmacies and health shops
In many ways, consumers of complementary and alternative medicine (CAM) embody the values that current policies aim to encourage such as self-caring and private consumption. For example, the British Government's choice agenda suggests patient choice and self-management are key government priorities and state that good information should be at the heart of all services. However, research on community pharmacies suggests that there is a continued l…
Family-Based Short Breaks (Respite) for Disabled Children
A survey of family-based short breaks for disabled children in the UK was undertaken in order to investigate the state of current services. The research builds on the work of previous surveys and takes the perspective of the service co-ordinators. The findings show that family-based short breaks are rapidly changing and diversifying. The number of schemes with contract carers has gone up and the number of schemes with additional sitting and befri…
Remapping the Body
Surgery for esophageal cancer offers the hope of cure but might impair quality of life. The operation removes tumors obstructing the esophagus but frequently leaves patients with eating difficulties, leading to weight loss. Maintaining or increasing body weight is important to many patients, both as a means of returning to “normal” and as a means of rejecting the identity of the terminal cancer patient, but surgery radically alters embodied sensa…
Informal and Gendered Practices in a Homeless Persons Unit
The informal categorisation of clients into those who are more and those who are less ‘deserving’ of help has been a noted occurrence amongst welfare officials. Whilst such practices usually do not constitute official policy, it is recognised that shorthand rules and stereotyping are inevitable and necessary for the effective delivery of public service work. Using data from observations and interviews at several homeless assessment sites, this pa…
The “Body Beautiful”
Who does this patient belong to?' boundary work and the re/making of (NSTEMI) heart attack patients
This ethnography within ten English and Welsh hospitals explores the significance of boundary work and the impacts of this work on the quality of care experienced by heart attack patients who have suspected non-STsegment elevation myocardial infarction (NSTEMI) /non-STelevation acute coronary syndrome. Beginning with the initial identification and prioritisation of patients, boundary work informed negotiations over responsibility for patients, th…
The “Body Beautiful”
Using conversation analytic methods to assess fidelity to a talk-based healthcare intervention for frequently attending patients
Collective knowledge brokering
Background: The Bristol Knowledge Mobilisation (KM) Team was an unusual collective brokering model, consisting of a multi-professional team of four managers and three academics embedded in both local healthcare policymaking (aka commissioning) and academic primary care. Aims and objectives: They aimed to encourage ‘research-informed commissioning’ and ‘commissioning-informed research’. This paper covers context, structure, processes, advantages, …
Knowledge brokers or relationship brokers? The role of an embedded knowledge mobilisation team
Aim: Policymaking decisions are often uninformed by research and research is rarely influenced by policymakers. To bridge this ‘know-do’ gap, a boundary-spanning knowledge mobilisation (KM) team was created by embedding researchers-in-residence and local policymakers into each other’s organisations. Through increasing the two-way flow of knowledge via social contact, KM team members fostered collaborations and the sharing of ‘mindlines’, aiming t…
Informal and Gendered Practices in a Homeless Persons Unit
The informal categorisation of clients into those who are more and those who are less ‘deserving’ of help has been a noted occurrence amongst welfare officials. Whilst such practices usually do not constitute official policy, it is recognised that shorthand rules and stereotyping are inevitable and necessary for the effective delivery of public service work. Using data from observations and interviews at several homeless assessment sites, this pa…
Researching Men's Violence Against Women as Feminist Women Researchers
Qualitative and feminist researchers aim to build rapport, show empathy, be non-judgemental, and equalise power imbalances. A crucial challenge researchers face is how to navigate and balance competing aims and values when interacting with and interviewing participants who have perpetrated intimate partner violence and abuse towards women. In this article, four female researchers evaluating perpetrator programmes for abusive men use reflexive ana…
Family-Based Short Breaks (Respite) for Disabled Children
A survey of family-based short breaks for disabled children in the UK was undertaken in order to investigate the state of current services. The research builds on the work of previous surveys and takes the perspective of the service co-ordinators. The findings show that family-based short breaks are rapidly changing and diversifying. The number of schemes with contract carers has gone up and the number of schemes with additional sitting and befri…
The “Body Beautiful”
Informal and Gendered Practices in a Homeless Persons Unit
The informal categorisation of clients into those who are more and those who are less ‘deserving’ of help has been a noted occurrence amongst welfare officials. Whilst such practices usually do not constitute official policy, it is recognised that shorthand rules and stereotyping are inevitable and necessary for the effective delivery of public service work. Using data from observations and interviews at several homeless assessment sites, this pa…
Remapping the Body
Surgery for esophageal cancer offers the hope of cure but might impair quality of life. The operation removes tumors obstructing the esophagus but frequently leaves patients with eating difficulties, leading to weight loss. Maintaining or increasing body weight is important to many patients, both as a means of returning to “normal” and as a means of rejecting the identity of the terminal cancer patient, but surgery radically alters embodied sensa…
Family-Based Short Breaks (Respite) for Disabled Children
A survey of family-based short breaks for disabled children in the UK was undertaken in order to investigate the state of current services. The research builds on the work of previous surveys and takes the perspective of the service co-ordinators. The findings show that family-based short breaks are rapidly changing and diversifying. The number of schemes with contract carers has gone up and the number of schemes with additional sitting and befri…
Over-the-counter advice seeking about complementary and alternative medicines (CAM) in community pharmacies and health shops
In many ways, consumers of complementary and alternative medicine (CAM) embody the values that current policies aim to encourage such as self-caring and private consumption. For example, the British Government's choice agenda suggests patient choice and self-management are key government priorities and state that good information should be at the heart of all services. However, research on community pharmacies suggests that there is a continued l…
Knowledge brokers or relationship brokers? The role of an embedded knowledge mobilisation team
Aim: Policymaking decisions are often uninformed by research and research is rarely influenced by policymakers. To bridge this ‘know-do’ gap, a boundary-spanning knowledge mobilisation (KM) team was created by embedding researchers-in-residence and local policymakers into each other’s organisations. Through increasing the two-way flow of knowledge via social contact, KM team members fostered collaborations and the sharing of ‘mindlines’, aiming t…
Interventions to support shared decision making for hypertension
Using conversation analytic methods to assess fidelity to a talk-based healthcare intervention for frequently attending patients
Who does this patient belong to?' boundary work and the re/making of (NSTEMI) heart attack patients
This ethnography within ten English and Welsh hospitals explores the significance of boundary work and the impacts of this work on the quality of care experienced by heart attack patients who have suspected non-STsegment elevation myocardial infarction (NSTEMI) /non-STelevation acute coronary syndrome. Beginning with the initial identification and prioritisation of patients, boundary work informed negotiations over responsibility for patients, th…
Collective knowledge brokering
Background: The Bristol Knowledge Mobilisation (KM) Team was an unusual collective brokering model, consisting of a multi-professional team of four managers and three academics embedded in both local healthcare policymaking (aka commissioning) and academic primary care. Aims and objectives: They aimed to encourage ‘research-informed commissioning’ and ‘commissioning-informed research’. This paper covers context, structure, processes, advantages, …
Shared decision making in consultations for hypertension
BACKGROUND: Hypertension is mainly managed in primary care. Shared decision making is widely recommended as an approach to treatment decision making. However, no studies have investigated; in detail, what happens during primary care consultations for hypertension. AIM: To understand patients' and clinicians' experience of shared decision making for hypertension in primary care, in order to propose how it might be better supported. DESIGN: Longitu…
Researching Men's Violence Against Women as Feminist Women Researchers
Qualitative and feminist researchers aim to build rapport, show empathy, be non-judgemental, and equalise power imbalances. A crucial challenge researchers face is how to navigate and balance competing aims and values when interacting with and interviewing participants who have perpetrated intimate partner violence and abuse towards women. In this article, four female researchers evaluating perpetrator programmes for abusive men use reflexive ana…
Trauma‐informed co‐production
INTRODUCTION: Health, social care, charitable and justice sectors are increasingly recognising the need for trauma-informed services that seek to recognise signs of trauma, provide appropriate paths to recovery and ensure that services enable people rather than retraumatise. Foundational to the development of trauma-informed services is collaboration with people with lived experience of trauma. Co-production principles may provide a useful framew…
Methodological Challenges in Group-based Randomised Controlled Trials for Intimate Partner Violence Perpetrators
Evidence for treatment effects of group-based Intimate Partner Violence (IPV) perpetrators programmes remains, at best, inconclusive. In the present review, systematic/meta-analytic reviews were used to identify randomised controlled trials and a meta-summary approach was employed to identify methodological challenges in the design and conduct of these trials. Of the fifteen studies identified, seven were comparative effectiveness trials. A range…
A ‘forced holiday’ or ‘no escape route’? Contrasting experiences of survivors and perpetrators of domestic abuse during Covid-19
Drawing on a nested qualitative study within REPROVIDE, a randomised controlled trial examining the effectiveness of a group-based domestic abuse perpetrator programme, this article explores accounts of domestic abuse during the COVID-19 pandemic from the perspectives of victims/survivors and perpetrators. Based on interviews with male perpetrators and female survivors, including with partner/ex-partner dyads, our study reveals the gendered effec…
Randomised pilot and feasibility trial of a group intervention for men who perpetrate intimate partner violence against women
ISRCTN71797549, submitted 03/08/2017, retrospectively registered 27/05/2022
“I Am Not Taking Sides as a Female At All”
The facilitation of domestic abuse perpetrator programs (DAPPs) by mixed gender co-facilitation pairs brings different facilitator perspectives and enables the modeling of egalitarian and respectful male-female relationships. This study analyzed 22 video and audio recordings of community-based DAPP groups featuring male participants, and male and female facilitators. Using thematic analysis, we aimed to understand how facilitators engaged partici…
Are you sitting comfortably? Discomfort as pedagogical strategy with perpetrators of domestic abuse
Through analysis of video data from the REPROVIDE Pilot (Cramer et al, 2024b) – a 23-week domestic abuse perpetrator programme (DAPP) for men – this article identifies discomfort as a pedagogical strategy for behaviour change group work. Discomfort as pedagogical strategy has been advanced in and through anti-racist pedagogy (Zembylas, 2015) but has not been brought to bear on perpetrator work, where the focus has tended to be on ‘resistance to t…
Unlocking participation
Introduction Domestic abuse perpetrator programmes (DAPPs) show evidence of reducing recidivism, but study size, quality, varying participant risk levels, and intervention length have all contributed to limited effect sizes. A significant challenge for both the effectiveness of DAPPs and the measurement of that effectiveness is high treatment attrition. Despite a growing body of research, there remains uncertainty about which participant characte…
Medicine (14 works) · Psychology (14 works) · Domestic violence (6 works) · Intimate Partner and Family Violence (6 works) · Nursing (6 works) · Poison control (6 works) · Political science (6 works) · Child Abuse and Trauma (5 works) · Sociology (5 works) · Computer Science (4 works)