A realist approach to the evaluation of complex mental health interventions

被引：21

作者：

Duncan, Craig ^{[1
]}

Weich, Scott ^{[2
,3
]}

Fenton, Sarah-Jane ^{[4
]}

Twigg, Liz ^{[5
]}

Moon, Graham ^{[6
]}

Madan, Jason ^{[7
,8
]}

Singh, Swaran P. ^{[9
,10
,11
]}

Crepaz-Keay, David ^{[12
]}

Parsons, Helen ^{[13
,14
]}

Bhui, Kamaldeep ^{[15
,16
]}

机构：

[1] Univ Portsmouth, Dept Geog, Buckingham Bldg,Lion Terrace, Portsmouth PO1 3HE, Hants, England

[2] Univ Sheffield, Mental Hlth Res Unit, Sch Hlth & Related Res, Sheffield, S Yorkshire, England

[3] Univ Sheffield, Mental Hlth, Sch Hlth & Related Res, Sheffield, S Yorkshire, England

[4] Univ Birmingham, Mental Hlth Policy, Inst Mental Hlth, Birmingham, W Midlands, England

[5] Univ Portsmouth, Human Geog, Dept Geog, Portsmouth, Hants, England

[6] Univ Southampton, Spatial Anal Human Geog, Sch Geog & Environm, Southampton, Hants, England

[7] Univ Warwick, Hlth Econ, Warwick Clin Trials Unit, Warwick, England

[8] Univ Warwick, Postgrad Res, Warwick Med Sch, Warwick, England

[9] Univ Warwick, Warwick Med Sch, Mental Hlth & Wellbeing, Warwick, England

[10] Coventry & Warwickshire Partnership Trust, Res & Innovat, Coventry, W Midlands, England

[11] Equal & Human Rights Commiss, London, England

[12] Mental Hlth Fdn, Empowerment & Social Inclus, London, England

[13] Univ Warwick, Warwick Med Sch, Warwick, England

[14] Warwick Clin Trials Unit, Warwick, England

[15] Queen Mary Univ London, Cultural Psychiat & Epidemiol, Ctr Psychiat, Barts & London Sch Med & Dent, London, England

[16] East London NHS Fdn Trust, London, England

来源：

BRITISH JOURNAL OF PSYCHIATRY | 2018年 / 213卷 / 02期

关键词：

Randomised controlled trial; complex interventions; realist evaluation; RANDOMIZED CONTROLLED-TRIALS;

D O I：

10.1192/bjp.2018.96

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

Conventional approaches to evidence that prioritise randomised controlled trials appear increasingly inadequate for the evaluation of complex mental health interventions. By focusing on causal mechanisms and understanding the complex interactions between interventions, patients and contexts, realist approaches offer a productive alternative. Although the approaches might be combined, substantial barriers remain.

引用

页码：451 / 453

页数：3

共 10 条

[1] Realist randomised controlled trials: A new approach to evaluating complex public health interventions
Bonell, Chris
Fletcher, Adam
Morton, Matthew
Lorenc, Theo
Moore, Laurence
[J]. SOCIAL SCIENCE & MEDICINE, 2012, 75 (12) : 2299 - 2306
[2] Exposing the key functions of a complex intervention for shared care in mental health: case study of a process evaluation
Byng, Richard
Norman, Ian
Redfern, Sally
Jones, Roger
[J]. BMC HEALTH SERVICES RESEARCH, 2008, 8 (1)
[3] Some Problems with Randomized Controlled Trials and Some Viable Alternatives
Carey, Timothy A.
Stiles, William B.
[J]. CLINICAL PSYCHOLOGY & PSYCHOTHERAPY, 2016, 23 (01) : 87 - 95
[4] Deaton A, 2017, SOC SCI MED
[5] Protocol - realist and meta-narrative evidence synthesis: Evolving Standards (RAMESES)
Greenhalgh, Trisha
Wong, Geoff
Westhorp, Gill
Pawson, Ray
[J]. BMC MEDICAL RESEARCH METHODOLOGY, 2011, 11
[6] An evaluation of the effectiveness and cost effectiveness of the National Exercise Referral Scheme in Wales, UK: a randomised controlled trial of a public health policy initiative
Murphy, Simon Mark
Edwards, Rhiannon Tudor
Williams, Nefyn
Raisanen, Larry
Moore, Graham
Linck, Pat
Hounsome, Natalia
Din, Nafees Ud
Moore, Laurence
[J]. JOURNAL OF EPIDEMIOLOGY AND COMMUNITY HEALTH, 2012, 66 (08) : 745 - 753
[7] Pawson R., 2013, The Science of evaluation
[8] Pawson R., 1997, REALISTIC EVALUATION
[9] Priebe S., 2002, Evidence in Mental Health Care
[10] Can "realist" randomised controlled trials be genuinely realist?
Van Belle, Sara
Wong, Geoff
Westhorp, Gill
Pearson, Mark
Emmel, Nick
Manzano, Ana
Marchal, Bruno
[J]. TRIALS, 2016, 17

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