Barratt, H., Campbell, M., Moore, L. , Zwarenstein, M. and Bower, P. (2016) Randomised controlled trials of complex interventions and large-scale transformation of services. Health Services and Delivery Research, 4(16), (doi: 10.3310/hsdr04160-19)
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Abstract
Complex interventions and large-scale transformations of services are necessary to meet the health-care challenges of the 21st century. However, the evaluation of these types of interventions is challenging and requires methodological development. Innovations such as cluster randomised controlled trials, stepped-wedge designs, and non-randomised evaluations provide options to meet the needs of decision-makers. Adoption of theory and logic models can help clarify causal assumptions, and process evaluation can assist in understanding delivery in context. Issues of implementation must also be considered throughout intervention design and evaluation to ensure that results can be scaled for population benefit. Relevance requires evaluations conducted under real-world conditions, which in turn requires a pragmatic attitude to design. The increasing complexity of interventions and evaluations threatens the ability of researchers to meet the needs of decision-makers for rapid results. Improvements in efficiency are thus crucial, with electronic health records offering significant potential.
Item Type: | Articles |
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Additional Information: | <br>Raine R, Fitzpatrick R, Barratt H, Bevan G, Black N, Boaden R, et al. Challenges, solutions and future directions in the evaluation of service innovations in health care and public health. Health Serv Deliv Res 2016;4(16)</br> <br>Essay 2.</br> |
Status: | Published |
Refereed: | Yes |
Glasgow Author(s) Enlighten ID: | Moore, Professor Laurence |
Authors: | Barratt, H., Campbell, M., Moore, L., Zwarenstein, M., and Bower, P. |
College/School: | College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > MRC/CSO SPHSU |
Journal Name: | Health Services and Delivery Research |
Publisher: | NIHR Journals Library |
ISSN: | 2050-4349 |
ISSN (Online): | 2050-4357 |
Copyright Holders: | Copyright © 2016 Queen's Printer and Controller of HMSO |
First Published: | First published in Health Services and Delivery Research 4(16) |
Publisher Policy: | Reproduced in accordance with the publisher copyright policy |
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