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Thank you all for your advice and the papers. This helps a lot! @Purva: is it possible that you send me an example of you coding that makes clear how you went from separate C's, M's and O's to C-M-O-configurations? Thanks in advance. Best wishes, Marleen Van: Realist and Meta-narrative Evidence Synthesis: Evolving Standards [mailto:[log in to unmask]] Namens Joanne Greenhalgh Verzonden: woensdag 20 april 2016 12:15 Aan: [log in to unmask] Onderwerp: Re: coding C-M-O configurations Thanks for the papers Purva Purva and Marleen - you are absolutely right, realist analysis is not about dividing things up into C's, M's and O's. The whole process, starting with data collection and flowing through to your analysis, is about thinking in terms of CMO configurations. This should be both the focus of your data collection and your analysis. Ana Manzano makes this point very clearly in her excellent paper, the craft of interviewing in realist evaluation, which has just been published in Evaluation (online first). http://evi.sagepub.com/content/early/2016/04/01/1356389016638615.full.pdf+html Good luck with the PhD Marleen! Best wishes Joanne From: Realist and Meta-narrative Evidence Synthesis: Evolving Standards [mailto:[log in to unmask]] On Behalf Of Purva Abhyankar Sent: 20 April 2016 10:45 To: [log in to unmask]<mailto:[log in to unmask]> Subject: Re: coding C-M-O configurations Hi Marleen We had the same issue when analysing our data from a RE of a natural childbirth programme some years ago. So we have written up our experience of how we tackled it (in the attached paper). I also had another paper on coding CMOs which I thought provided an alternative approach. Best wishes Purva Dr Purva Abhyankar<https://rms.stir.ac.uk/converis-stirling/person/11878> Lecturer Room 4T12 School of Health Sciences University of Stirling R.G. Bomont building Stirling FK9 4LA Phone: 01786 466 401 Email: [log in to unmask]<mailto:[log in to unmask]> Recent publications Abhyankar P, Summers BA, Velikova G, Bekker HL. (2014) Framing Options as Choice or opportunity: Does the Frame Influence Decisions? Medical Decision Making, 34(5): 567-582<http://mdm.sagepub.com/content/34/5/567.long> Abhyankar P, Cheyne H, Maxwell M, Harris F & McCourt C. (2013) Using realist evaluation to evaluate complex healthcare programmes - the case of a programme to support normal birth. Evidence Based Midwifery, 11(4): 112-119.<https://www.rcm.org.uk/learning-and-career/learning-and-research/ebm-articles/a-realist-evaluatihttps:/www.rcm.org.uk/learning-and-career/learning-and-research/ebm-articles/a-realist-evaluation-of-a-normal-birth> From: Realist and Meta-narrative Evidence Synthesis: Evolving Standards [mailto:[log in to unmask]] On Behalf Of Marleen Lvoink Sent: 19 April 2016 18:08 To: [log in to unmask]<mailto:[log in to unmask]> Subject: coding C-M-O configurations Hello, I'm a PhD student from the Netherlands and I'm performing a case study on physician substitution by nurse practitioners and physician assistants in nursing homes. We used a realist evaluation approach to design our study. At the moment we are analyzing our data (mainly interview data) according to the C-M-O framework we developed based on a literature study and focus group interviews performed before the case study. However, we have noticed that it is a bit artificial to divide the codes into C-M-O. Sometimes one sentence says something about the C, the M and the O. We think that after this initial coding phase we need to go through the data again to code the C-M-O configurations, and not separate C's, M's and O's. Is this a right way to code the data or what would be your advice in this case? Thanks in advance for your advice. Kinnd regards, Marleen Lovink Promovenda IQ healthcare [log in to unmask]<mailto:[log in to unmask]> T (024) 36 66873 www.iqhealthcare.nl<http://www.iqhealthcare.nl/> Radboud universitair medisch centrum Radboud Institute for Health Sciences Scientific Center for Quality of Healthcare (IQ healthcare) Postbus 9101, 6500 HB Nijmegen (114) Bezoekadres: Geert Grooteplein 21, Nijmegen route 114 www.radboudumc.nl<http://www.radboudumc.nl/> Aanwezig: ma, di, wo, do, vr (oneven weken) [logo EN] Het Radboudumc staat geregistreerd bij de Kamer van Koophandel in het handelsregister onder nummer 41055629. The Radboud university medical center is listed in the Commercial Register of the Chamber of Commerce under file number 41055629. ________________________________ The University achieved an overall 5 stars in the QS World University Rankings 2015 The University of Stirling is a charity registered in Scotland, number SC 011159. Het Radboudumc staat geregistreerd bij de Kamer van Koophandel in het handelsregister onder nummer 41055629. The Radboud university medical center is listed in the Commercial Register of the Chamber of Commerce under file number 41055629.