Realist trials and systematic reviews: rigorous, useful evidence to inform health policy
Gespeichert in:
| Hauptverfasser: | , , |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
Cambridge
Cambridge University Press
2024
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| Schriftenreihe: | Medicine
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| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis Klappentext |
| Beschreibung: | xi, 123 Seiten Diagramme |
| ISBN: | 9781009456609 |
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Contents List of Figures page vi List of Tables vii List of Boxes viii Acknowledgements ix 1 Introduction 2 Why Are Trials and Systematic Reviews Necessary but Currently Insufficient to Inform Health Policy? 7 1 3 Realist Critiques and Manifesto for Evaluation and Reviews 16 4 Building Realist Theory in Evaluations 26 5 Refining Realist Theory through Process Evaluations 37 6 Testing Realist Theory through Trials or Other Evaluation Designs 51 7 Building and Refining Realist Theory in Systematic Reviews 66 8 Testing Realist Theory through Synthesising Outcome Evaluations 73 9 Using Evidence to Inform Intervention Scale-Up and Transfer 82 10 Using Evidence to Refine Middle Range Theory 89 Conclusion 99 References 102 Index 117 V
This book describes an innovative approach to the evaluation of complex healthcare interventions, assessing what interventions work, how and for whom. Rejecting the stalemate between trials and realist evaluation, it draws on the best of both. Randomised controlled trials (RCTs) and systematic reviews offer the least biased means of assessing intervention effects but tell us little scientifically about how interventions work. Policy-makers and practitioners are alsonot supported to decide which interventions are likely to achieve most benefits in their local contexts. Realists use other forms of evaluation and evidence synthesis exploring how intervention mechanisms interact with context to generate outcomes. But those approaches lack rigour in assessing causality. This book proposes how realist evaluation methods may be incorporated within RCTs and systematic reviews. This enables evaluations and evidence synthesis to benefit from the more nuanced questions posed within realist enquiry while maintaining rigour in assessing causality. - |
| adam_txt |
Contents List of Figures page vi List of Tables vii List of Boxes viii Acknowledgements ix 1 Introduction 2 Why Are Trials and Systematic Reviews Necessary but Currently Insufficient to Inform Health Policy? 7 1 3 Realist Critiques and Manifesto for Evaluation and Reviews 16 4 Building Realist Theory in Evaluations 26 5 Refining Realist Theory through Process Evaluations 37 6 Testing Realist Theory through Trials or Other Evaluation Designs 51 7 Building and Refining Realist Theory in Systematic Reviews 66 8 Testing Realist Theory through Synthesising Outcome Evaluations 73 9 Using Evidence to Inform Intervention Scale-Up and Transfer 82 10 Using Evidence to Refine Middle Range Theory 89 Conclusion 99 References 102 Index 117 V
This book describes an innovative approach to the evaluation of complex healthcare interventions, assessing what interventions work, how and for whom. Rejecting the stalemate between trials and realist evaluation, it draws on the best of both. Randomised controlled trials (RCTs) and systematic reviews offer the least biased means of assessing intervention effects but tell us little scientifically about how interventions work. Policy-makers and practitioners are alsonot supported to decide which interventions are likely to achieve most benefits in their local contexts. Realists use other forms of evaluation and evidence synthesis exploring how intervention mechanisms interact with context to generate outcomes. But those approaches lack rigour in assessing causality. This book proposes how realist evaluation methods may be incorporated within RCTs and systematic reviews. This enables evaluations and evidence synthesis to benefit from the more nuanced questions posed within realist enquiry while maintaining rigour in assessing causality. - |
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| spellingShingle | Bonell, Chris ca. 20./21. Jh Melendez-Torres, G. J. Warren, Emily Realist trials and systematic reviews rigorous, useful evidence to inform health policy Evaluation (DE-588)4071034-8 gnd Medizinische Versorgung (DE-588)4038270-9 gnd |
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| title | Realist trials and systematic reviews rigorous, useful evidence to inform health policy |
| title_auth | Realist trials and systematic reviews rigorous, useful evidence to inform health policy |
| title_exact_search | Realist trials and systematic reviews rigorous, useful evidence to inform health policy |
| title_exact_search_txtP | Realist trials and systematic reviews rigorous, useful evidence to inform health policy |
| title_full | Realist trials and systematic reviews rigorous, useful evidence to inform health policy Chris Bonell, G.J. Melendez-Torres, Emily Warren |
| title_fullStr | Realist trials and systematic reviews rigorous, useful evidence to inform health policy Chris Bonell, G.J. Melendez-Torres, Emily Warren |
| title_full_unstemmed | Realist trials and systematic reviews rigorous, useful evidence to inform health policy Chris Bonell, G.J. Melendez-Torres, Emily Warren |
| title_short | Realist trials and systematic reviews |
| title_sort | realist trials and systematic reviews rigorous useful evidence to inform health policy |
| title_sub | rigorous, useful evidence to inform health policy |
| topic | Evaluation (DE-588)4071034-8 gnd Medizinische Versorgung (DE-588)4038270-9 gnd |
| topic_facet | Evaluation Medizinische Versorgung |
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