Hi Rob
It sounds like you'll potentially have a number of programme theories - so patients', policy makers', professionals', and managers' ideas of how and in what contexts the novel physiotherapy service will produce desired outcomes.
Doing a realist review in one year seems a lot - some people would spend a whole PhD doing a realist review. If you're doing it to provide the basis for empirical work in year two, you could think about just doing the first 'theory elicitation' stage of a realist review - so searching the literature (including grey literature) to catalogue stakeholders' perspectives (i.e. the programme theories). Then you could use year two to test these theories.
Best wishes
Rebecca
Dr Rebecca Randell
Lecturer
School of Healthcare
Baines Wing
University of Leeds
Leeds LS2 9UT
Email: [log in to unmask]
-----Original Message-----
From: Realist and Meta-narrative Evidence Synthesis: Evolving Standards [mailto:[log in to unmask]] On Behalf Of Rob Goodwin
Sent: 26 January 2016 12:53
To: [log in to unmask]
Subject: constructing programme theories
Hello All
I am new to the site and would be grateful for any advice
I am a new PhD student and am undertaking a realist review as part of my year one activities
I would like advice with regards to constructing my 'programme theories'
My topic is the implementation of a novel physiotherapy service for patients with musculoskeletal complaints in primary care, as an alternative to normal GP care
I am expecting to expose issues around:
Patients- expectations, beliefs about hierarchy in health professions, understanding of medicine, understanding of physiotherapy
Policy- local and national agendas politically, institutional agendas
Professions- professionalization
Clinical service delivery- efficacy, evidence
I'm just at a bit of an impasse with regards to realizing my programme theories as nowhere seems to directly describe the process!
Any advice/ examples of the process very welcome
Regards
Rob
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