Evaluating Complex Health Interventions With Randomized Controlled Trials: How Do We Improve the Use of Qualitative Methods?

Mannell, Jeneviève; Davis, Katy

doi:10.1177/1049732319831032

Cited by 50 publications

(49 citation statements)

References 51 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These larger studies require larger cohorts and randomisation to determine intervention effects and also how to adapt interventions. While randomised controlled trials (RCT) are idealised as the gold standard to measure effectiveness (Bothwell, Greene, Podolsky, & Jones, 2016), there remain limitations in randomised studies where interventions comprise multiple components and complex structural changes to health care (Mannell & Davis, 2019). A recent pragmatic RCT in England and Scotland aimed to implement a patient‐centred care model of care for patients living with multimorbidity in general practices (Salisbury et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

A state‐of‐the‐art review of the experience of care coordination interventions for people living with multimorbidity

Peart

Barton

Lewis

et al. 2020

Journal of Clinical Nursing

View full text Add to dashboard Cite

Aim: To explore recent research on care coordination interventions for people living with multimorbidity, from the perspective of the person receiving care. Background: Care coordination interventions for people living with multimorbidity show some effectiveness in improving management of their health and reducing potentially preventable hospitalisations. The experience of people enrolled in care coordination interventions requires further exploration. Design: State-of-the-art review. Methods: A review was guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist where five databases (The Cochrane Library, PsycINFO, Scopus, CINAHL and MEDLINE) were searched for qualitative sources published from January 2008-March 2019. Two additional databases focused on multimorbidity and integrated care were included in the search. Titles, abstracts and full texts were screened using inclusion criteria. Reference lists of the included articles were hand-searched. Summary tables were developed for data extraction, and the data were mapped to the research question. Results: Eighteen primary research articles were included. Three themes of participant experience were identified: (a) relationships built on trust, (b), a sense of safety and security and (c) feeling cared for and respected. Conclusion: The contribution of qualitative approaches to evaluating the experiences of care for people living with multimorbidity is growing. Participants' describe a focus on relationships formed with healthcare professionals during care coordination. Further research incorporating lived experiences of participants could illuminate these concepts further. Relevance to clinical practice: People living with multimorbidity who require assistance via care coordination value trusting relationships with healthcare professionals, who respect their needs and provide a sense of security. Understanding participant experiences is important to shape care coordination interventions that incorporate person-centred approaches. Additional supporting information may be found online in the Supporting Information section. How to cite this article: Peart A, Barton C, Lewis V, Russell G. A state-of-the-art review of the experience of care coordination interventions for people living with multimorbidity.

show abstract

Section: Discussionmentioning

confidence: 99%

A state‐of‐the‐art review of the experience of care coordination interventions for people living with multimorbidity

Peart

Barton

Lewis

et al. 2020

Journal of Clinical Nursing

View full text Add to dashboard Cite

show abstract

“…My aim in this article has been to make a case for the need to overcome 'comfortable disciplinary silos' and reject 'the division between those who know the world and those who must simply struggle to survive it' (Biehl 2016, 130, 135). There are promising and growing examples in this sense, all of them working to overcome the post-positivist paradigm where increasing numbers of rapid qualitative analysis serve as 'add-ons' in randomised studies (Mannell and Davis 2019). There are also qualitative investigations devoted to understanding key local conceptions of mental distress, which then help to inform interventions (e.g., Bolton et al 2007).…”

Section: Discussionmentioning

confidence: 99%

PTSD or lack of love?

Lazzarino¹

2020

MAT

View full text Add to dashboard Cite

In this Position Piece, I critically reflect upon some epistemological and political issues of interventions and intervention-oriented research in post-trafficking mental health care. I discuss three loci of friction within the framework of a critical global mental health approach to trafficking aftercare: ethnography, biomedical studies, and post-trafficking care. I address these loci through three case studies: two drawn from my own ethnographic fieldwork and one from a recent systematic review of biomedical studies on post-trafficking mental health. My discussion focuses on the limits of such activities when conducted as isolated interventions and highlights the need for radical interdisciplinary and participatory approaches.

show abstract

“…However, neither temporal nor process frameworks go much beyond a description of qualitative [3,32].…”

Section: Using Qualitative Methods To Address the Challengesmentioning

confidence: 99%

Beyond interviews and focus groups: a framework for integrating innovative qualitative methods into randomised controlled trials of complex public health interventions

Davis

Minckas

Bond

et al. 2019

Preprint

Self Cite

View full text Add to dashboard Cite

Background: Randomised controlled trials (RCTs) are widely used for establishing evidence of the effectiveness of interventions, yet public health interventions are often complex, posing specific challenges for RCTs. While there is increasing recognition that qualitative methods can and should be integrated into RCTs, few frameworks and practical guidance highlight which qualitative methods should be integrated and for what purposes. As a result, qualitative methods are often poorly or haphazardly integrated into existing trials, and researchers rely heavily on interviews and focus group discussions. To improve current practice, we propose a framework for innovative qualitative research methods that can help address the challenges of RCTs for complex public health interventions. Methods: We used a stepped approach to develop a practical framework for researchers. This included: (1) a systematic review of the innovative qualitative methods mentioned in the health literature; (2) in-depth interviews with 23 academics from different methodological backgrounds working on RCTs of public health interventions in 11 different countries; and (3) a framework development and group consensus-building process. Results: The findings are presented according to the CONSORT Statement categories for ease of use. We identify the main challenges of RCTs for public health interventions alongside each of the CONSORT categories and potential innovative qualitative methods that overcome each challenge are listed as part of a Framework for the Integration of Innovative Qualitative Methods into RCTs of Complex Health Interventions. Innovative qualitative methods described in the interviews include: rapid ethnographic appraisals, document analysis, diary methods, interactive voice responses and SMS, community mapping, spiral walks, pair interviews and visual participatory analysis. Conclusions: The findings of this study point to the usefulness of observational and participatory methods for trials of complex public health interventions, offering a novel contribution to the broader literature about the need for mixed methods approaches. Integrating a diverse toolkit of qualitative methods can enable appropriate adjustments to the intervention and/ or process of data collection during RCTs, which in turn can create more sustainable and effective interventions. However, such integration will require a cultural shift towards the adoption of method-neutral research approaches, transdisciplinary collaborations, and publishing regimes.

show abstract

Evaluating Complex Health Interventions With Randomized Controlled Trials: How Do We Improve the Use of Qualitative Methods?

Cited by 50 publications

References 51 publications

A state‐of‐the‐art review of the experience of care coordination interventions for people living with multimorbidity

A state‐of‐the‐art review of the experience of care coordination interventions for people living with multimorbidity

PTSD or lack of love?

Beyond interviews and focus groups: a framework for integrating innovative qualitative methods into randomised controlled trials of complex public health interventions

Contact Info

Product

Resources

About