Dear all
I’d be interested to hear any more thoughts on the points John raises too.
I may have an opportunity to build this into a 5-year study which has two parts: the first to explore the problem of unscheduled care for diabetes in three settings and identify an intervention (or two) to reduce this by 10%; the second to then pilot and test the intervention(s) in the three settings (rural regions in three countries).
Regards to all,
Janet
Janet Heaton
Research Fellow, Rural Health and Wellbeing
University of the Highlands and Islands, Scotland
From: Realist and Meta-narrative Evidence Synthesis: Evolving Standards <[log in to unmask]> on behalf of John Ling <0000113d68481414-dmarc-
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Sent: 03 July 2017 09:26
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Subject: 'realist diagnostic evaluation' of problems, not interventions- any examples?
Dear RAMESES subscribers,
In the recent thread (29/6) about the University of Exeter job, Ray Pawson mentioned the need for 'realist diagnostic evaluation', applying realist synthesis techniques to the evaluation of a 'problem', prior to evaluating interventions (or even perhaps developing them?).
I wondered if there any good examples of this that the RE community might be able to share.
I'm doing a masters level study examining children's experience of parental brain injury and how they might become resilient to that adversity. Hoping to develop this into a PhD proposal, perhaps using RS/RE principles.
The literature describing the problem is relatively sparse and published programmes / interventions even more so. There are pockets of good practice - but these could perhaps be described as being sunk into 'usual care' as opposed to being discrete programmes.
Interested to hear any thoughts about (a) using realist approaches to understand "the what, where, why and for whom" of complex problems; (b) how RS/RE approaches to 'diagnosing' problems might feed-forward into recommendations for programmes as yet un-commissioned.
many thanks in advance for your time...
John Ling
Clinical Nurse Specialist
King's College Hospital
London
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