A realist approach to the evaluation of complex mental health interventions

The British Journal of Psychiatry : the Journal of Mental Science
Craig DuncanKamaldeep Bhui

Abstract

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.Declaration of interestAll authors had financial support from the National Institute for Health Research Health Services and Delivery Research Programme while completing this work. The views and opinions expressed therein are those of the authors and do not necessarily reflect those of the National Health Service, the National Institute for Health Research, the Medical Research Council, Central Commissioning Facility, National Institute for Health Research Evaluation, Trials and Studies Coordinating Centre, the Health Services and Delivery Research Programme or the Department of Health. S.P.S. is part funded by Collaboration for Leadership in Applied Health Research and Care West Midlands. K.B. is editor of the British Journal of Psychiatry.

References

Aug 17, 2011·BMC Medical Research Methodology·Trisha GreenhalghRay Pawson
Jan 21, 2015·Clinical Psychology & Psychotherapy·Timothy A Carey, William B Stiles
Jul 9, 2016·Trials·Sara Van BelleBruno Marchal
Apr 20, 2017·Nursing Standard·Christi Deaton
Apr 14, 2018·Journal of Policy Modeling·Angus Deaton

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Citations

Dec 11, 2019·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·Daniel FrankVedat Verter
Jun 11, 2020·Evidence-based Nursing·Shaminder Singh, Tanvir C Turin
Sep 23, 2020·International Journal of Environmental Research and Public Health·Jason MadanSwaran Preet Singh
Dec 20, 2018·The British Journal of Psychiatry : the Journal of Mental Science·Tom Burns
Nov 11, 2020·European Psychiatry : the Journal of the Association of European Psychiatrists·N StulzU Hepp

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