Using natural experiments to evaluate population health interventions: new Medical Research Council guidance

Craig, P. et al. (2012) Using natural experiments to evaluate population health interventions: new Medical Research Council guidance. Journal of Epidemiology and Community Health, 66(12), pp. 1182-1186. (doi:10.1136/jech-2011-200375)

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Abstract

Natural experimental studies are often recommended as a way of understanding the health impact of policies and other large scale interventions. Although they have certain advantages over planned experiments, and may be the only option when it is impossible to manipulate exposure to the intervention, natural experimental studies are more susceptible to bias. This paper introduces new guidance from the Medical Research Council to help researchers and users, funders and publishers of research evidence make the best use of natural experimental approaches to evaluating population health interventions. The guidance emphasises that natural experiments can provide convincing evidence of impact even when effects are small or take time to appear. However, a good understanding is needed of the process determining exposure to the intervention, and careful choice and combination of methods, testing of assumptions and transparent reporting is vital. More could be learnt from natural experiments in future as experience of promising but lesser used methods accumulates.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Craig, Dr Peter and Macintyre, Professor Sally and Petticrew, Dr Mark
Authors: Craig, P., Cooper, C., Gunnell, D., Haw, S., Lawson, K., Macintyre, S., Ogilvie, D., Petticrew, M., Reeves, B., Sutton, M., and Thompson, S.
College/School:College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > Health Economics and Health Technology Assessment
College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > MRC/CSO Unit
College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > Mental Health and Wellbeing
Journal Name:Journal of Epidemiology and Community Health
Journal Abbr.:J. Epidemiol. Com. Health
ISSN:0143-005X
ISSN (Online):1470-2738
Published Online:10 May 2012

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