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

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