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Dear Arun,
You've said, you have many CMO pathways - but you are having difficulty moving this into a meaningful narrative. There are many people trying to figure out the same situation so you are in good company. My suggestion is to shake up your thinking with the following exercise: read each of your CMO configurations and ask: what is insightful about this CMO configuration? Write some things down. Some CMO configurations may not be so clear or relevant. Those may be de-prioritized over CMO configurations that demonstrate something clear - such as a context-mechanism interaction, or the inclusion of unexpected outcomes etc. Then if you've prioritized those CMO configurations with the best insights, the next question is: can they be put together to form the meaningful narrative? Or you could ask yourself: "Does this analysis reveal the hidden social architecture of the programme that I have come to understand?" Or is that still incomplete? And if incomplete, what will you put forward as consideration for future study and discussion on the topic?
I would also recommend "free writing" as an on-going practice to unblock your thinking around these questions: https://en.wikipedia.org/wiki/Free_writing
Best wishes,
Justin
Justin Jagosh, Ph.D
Director, Centre for Advancement in Realist Evaluation and Synthesis (CARES)
www.realistmethodology-cares.org
&
Honorary Research Associate
Institute for Psychology, Health and Society
University of Liverpool, UK
www.liv.ac.uk/cares
-----Original Message-----
From: Realist and Meta-narrative Evidence Synthesis: Evolving Standards [mailto:[log in to unmask]] On Behalf Of Arun Verma
Sent: August 6, 2018 11:51 AM
To: [log in to unmask]
Subject: Support for synthesising CMO configurations
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Dear RAMESES group,
I'm currently in the process of conducting a realist synthesis of the Emotional Wellbeing and Mental Health service in a local authority. Due to the complexity of the service, I have identified many CMO pathways, and I am now at the stage of trying to synthesise and condense this information into a meaningful narrative.
Are there any recommended papers, hints and/or tips that I can use to support with this synthesis?
Thank you.
Arun
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