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Future research exploring CMO configurations with SEM should aim to collect, preferably continuous, primary data. You can contact me at email@example.com if you want to discuss this further. ReflctioRnflRsctotsic fcWhen valutc rrrmalEmvumPg:ula PAGE 2 PRACTICE … 0000000856 00000 n PSS was found to be operating in the case of non-professional cadres like maintenance and administrative personnel. After which, the IPT will be refined to … Pawson and Tilley argued that ‘middle range theories’* (MRT) are most useful. New York: The Free Press, p39]. Realist evaluations—understanding what works, for whom and under what circumstances—are a particularly apt means by which we can open this ‘black box’. Introducing the main constructs employed in RE: program theory, middle-range theory; and context-mechanism-outcome (CMO) configuration. An approach that focuses on assessing the value of an intervention as perceived by the (intended) beneficiaries, thereby aiming to give voice to their priorities and concerns. ��=칃�)��Q�i�'�G� ��mצ?�IM��̳�GY�"�� 더⪝�E����>Z#����b��Mj[@��������$�3&�dg�.~=��:���V b���y&y��jE���(:0-6�Ϟm6}LꄽL�. Realist trials and the testing of context-mechanism-outcome configurations: a response to Van Belle et al. Leone, L. (2008).Realistic evaluation of an illicit drug deterrence programme. CMO stands for Context, Mechanism, Outcome. It is a useful approach to document stories of impact and to develop an understanding of the factors that enhance or impede impact. Realist methodology is increasingly used in the evaluation of complex health care interventions, to facilitate a deeper understanding of ‘what works, how, for whom, in what circumstances and to what extent’ [1,2,3,4].The initial step of realist studies aims to identify programme theories underlying the intervention . A research design that focuses on understanding a unit (person, site or project) in its context, which can use a combination of qualitative and quantitative data. *A middle range theory is understood as “theory that lies between the minor but necessary working hypotheses …and the all-inclusive systematic efforts to develop a unified theory that will explain all the observed uniformities of social behavior, social organization and social change” [Merton, R.K .(1968). Marchal et al. Usually, both quantitative and qualitative data are collected in a realist evaluation, often with quantitative data being focused on context and outcomes and qualitative data on generative mechanisms. Define ethical and quality evaluation standards, 6. Approaches (on this site) refer to an integrated package of options (methods or processes). Chris Bonell1*, Emily Warren1, Adam Fletcher2 and Russell Viner3 Abstract Background: Van Belle et al. A particular type of case study used to create a narrative of how institutional arrangements have evolved over time and have created and contributed to more effective ways to achieve project or program goals. In addition: I am based in Australia and am happy to reply to quick questions on methods and methodology. Check the results are consistent with causal contribution, 3. This resulting CMO configuration is then compared with the initial programme theory, which is modified (or not) in light of the evaluation findings. A particular type of case study used to jointly develop an agreed narrative of how an innovation was developed, including key contributors and processes, to inform future innovation efforts. Because the realist analysis uses mainly intra-programme comparisons (i.e., comparisons across different groups involved in the same programme) to test the initial theory, a realist evaluation design does not need to construct comparison groups. An approach especially to impact evaluation which examines what works for whom in what circumstances through what causal mechanisms, including changes in the reasoning and resources of participants. Because of this, realist evaluations are appreciated by implementers and decision-makers who seek to understand how a program or policy works, and in which circumstances, when designing or funding programs. Realist evaluation is an emerging methodology that is suited to evaluating complex interventions such as SBE. An approach designed to support ongoing learning and adaptation, through iterative, embedded evaluation. American Journal of Evaluation 22: 317-324. http://aje.sagepub.com/content/22/3/317.full.pdf+html. A realist evaluation design is well suited to assess how interventions in complex situations work because it allows the evaluator to deconstruct the causal web of conditions underlying such interventions. 0000003645 00000 n 0000002763 00000 n �k A strengths-based approach to learning and improvement that involves intended evaluation users in identifying ‘outliers’ – those with exceptionally good outcomes - and understanding how they have achieved these. As with any evaluation, the scope of the realist evaluation needs to be set within the boundaries of available time and resources. Combining qualitative and quantitative data, 1. 37 0 obj <> endobj xref 37 28 0000000016 00000 n 0000098000 00000 n In a recent article in BMC Medicine, Wong and … Journal of Evaluation in Clinical Practice 13(6):935-941. http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2753.2006.00790.x/pdf, Dickinson, H. (2006).
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