conducting a realist review
Pawson and Tilley (1997) developed the first realist evaluation approach, although other interpretations have been developed since. Not only because of its rapidly increasing prevalence, but also its various adverse effects on adolescent health, especially on the quality of sleep. To systematically review the literature in order to evaluate the effects of health coaching on patients' reduction of opioid usage and opioid discontinuation. Login or create a profile so that you can create alerts and save clips, playlists, and searches. The clinical trial will be launched in the fall 2020, with participants enrolled through May 2023 and data collection continuing through November 2023. To answer these questions, a realist review was performed using self-determination theory as the candidate theory to be tested, as it is the leading theory of explaining the efficacy of motivational interviewing. There is conflicting and very low quality of evidence that brief motivational interviewing may or may not be more effective than education to reduce opioid usage. Conventional systematic review methodology [12, 13] emphasises the need for review questions to be precisely formulated. Realist evaluation is a form of theory-driven evaluation, but is set apart by its explicit philosophical underpinnings. Eleven studies met our inclusion criteria (n = 4,516 participants). Conclusion: respects, realist review is a way of adding rigour and structure to what has been called the ... be gone through in conducting a review (Cochrane Reviewers’ Handbook, 2004). role of parental psychological control and parental autonomy with need satisfaction and need frustration in the understanding of technological addictions (Internet addiction, gaming addiction, smartphone addiction, and social network addiction) in adolescents. ‘Rapid Realist Review’ methodology (RRR) has been developed as a tool for applying a realist approach to a knowledge synthesis process in order to produce a product that is useful to policy makers in responding to time-sensitive and/or emerging issues, while preserving the core elements of realist methodology. Using Pawson's five stage sequence for conducting realist reviews, the results are presented as a set of identified and refined context-mechanism-outcome (CMO) configurations. You can request the full-text of this article directly from the authors on ResearchGate. ResearchGate has not been able to resolve any citations for this publication. It includes a focused literature review using a template for data extraction followed by a data validation process with knowledge users and stakeholders. For this reason, in accordance with Self-determination Theory (SDT), the aim of this study was to examine the integrated, Background: Poor diabetes self-management in emerging adulthood (age 18-25 years) is associated with poorer diabetes health and diabetes complications. The present case study describes the process in which the realist review was performed including the systematic search, data extraction, and theory formation. Ch 8 - Conducting Cost Realism Analyses ... efficient and effective review. To read the full-text of this research, you can request a copy directly from the authors. Realist-informed review of motivational interviewing for adolescent health behaviors. Realist review has emerged as a strategy for synthesising evidence and focuses on providing explanations for why interventions may or may not work, in what contexts, how and in what circumstances . We followed the methods as outlined in our protocol18 with a few exceptions. 2. Four electronic databases (PubMed, Embase, Scopus, and PsychINFO) were searched, Access scientific knowledge from anywhere. Randomized controlled trials assessing the effects of health coaching interventions in adult patients currently using opioids were included. For example, Greenhalgh et al. The ‘realist interviewing technique’, whereby interviewees comment on a suggested ‘program theory’ to provide refinement, is proposed as a distinctive approach for conducting interviews in a realist-informed inquiry. From the systematic review of the literature, three context–mechanism–outcome configurations were formed that describe how and why motivational interviewing works and for whom it works best. Whilst the Cochrane review provided evidence that feeding … International Journal of Mental Health and Addiction. A tightly focused research question allows the parameters of the review to be identified and the study selection criteria to be defined in advance, and in turn limits the amount of evidence required to address the review question. Future research should focus on the impact of high theoretical health coaching interventions on opioid usage. Please choose from an option shown below. In that review, coinvestigators conducted a realist synthesis in response to a prior systematic review of CBPR . Pawson and Tilley suggest a unique strategy for conducting qualitative interviews within realist evaluation studies. Researchers and practitioners have not decided on a single definition of HNHC patients, those high-need patients for whom high costs are potentially preventable or modifiable. Many reviews employ a system similar to that developed by the Cochrane Handbook for assessing bias in interventional studies (Section 8.5, Table 8.5a). Principles for Conducting Critical Realist Case Study Research in Information Systems Donald E. Wynn University of Dayton, email@example.com ... followed by a review of the epistemological tenets of critical realism and how these are derived from and intertwined with its ontological assump- This case study describes the process of conducting a specific type of systematic review and synthesis called realist review. to investigate the relationship of overweight nutritional status with sleep quality in adolescents aged 16–18 years old in South Jakarta.Method: This cross-sectional design study was done in two public senior high schools in the South Jakarta. Many recent studies also analyze and suggest more efficient and reliable ways to assess the quality of quantitative, qualitative, and mixed methods studies. Local health departments often conduct M&E work post disaster, however, many of these efforts fail to improve response procedures. This case study describes the process of conducting a specific type of systematic review and synthesis called realist review. We undertook a rapid realist review (RRR) to examine why M&E efforts undertaken by local health departments do … undertook a realist review to supplement a Cochrane review of school feeding programmes. This strategy is successful where the phenomenon of interest, the populations, interventions, and outcomes are all well specified – i.e. This case study describes the process of conducting a specific type of systematic review and synthesis called realist review. Deviations from our protocol in conducting our realist review. Emerging adults’ focus on individuation and independence underlies their poor diabetes outcomes, offering a lever for behavior change. We considered trials if they included any of the four defined key constructs of health coaching adopted in this review: motivational interviewing, positive psychology, the transtheoretical model, and self-determination theory Independent reviewers screened and selected studies, extracted data, and assessed risk of bias using Revised Cochrane risk-of-bias tool for randomized trials (RoB2) and quality of evidence using Grading, Recommendation, Assessment, Development, and Evaluation (GRADE). These steps include: 1) clarifying the scope of the review; (2) determining the search strategy; (3) ensuring proper article selection and study quality assessment; (4) extracting and organising data and (5) synthesising the evidence and drawing conclusions through a process of reasoning [ 16 , … A realist review is a type of systematic review used for synthesizing research on health and social interventions in which it is unclear how an intervention produces intended outcomes or not. A case that exemplifies the value of realist synthesis is the author's prior work with a team conducting a realist review of community-based participatory research (CBPR) (19, 20, 21, 28). We conducted a realist scoping review in which we searched Cochrane, Medline, PsycNET, Google Advanced Search, National Health Service (NHS) Evidence and NHS Health Scotland from inception until August 2020. Previous research has indicated that motivational interviewing is an effective intervention for improving health behaviors in adolescents. However, there is a lack of understanding as to how motivational interviewing works, who it works best for, and under what circumstances it works best. This involved an auditor checking the work of … Systematic reviews are a type of review that uses repeatable analytical methods to collect secondary data and analyse it. This study aimed, Although technological addictions, similar to other behavioural addictions, share psychosocial risk factors with substance-related addictions, the studies on the interplay between contextual and personal variables in the prediction of technological addictions are still limited. Conducting an Effective Flight Review choose an alternate destination and, using all available and appropriate resources (e.g, chart, basic rules of thumb, “nearest” and “direct to” functions on the GPS) to calculate the approximate course, heading, distance, and time needed to reach the new destination. Within a review context it refers to a combination of review approaches for example combining quantitative with qualitative research or outcome with process studies. The subject matter of the interview is the researcher’s theory and interviewees confirm, falsify, and refine this theory. Objective A realist synthesis was undertaken to develop a theory of what works, for whom, why and under which circumstances when pharmacists conduct medication reviews in primary care for people leaving hospital. The aim is to enable decision-makers to reach a deeper understanding of the intervention and how it can be made to work most effectively. After refining these intervention components for emerging adults, we will conduct a component selection experiment using an eight-arm full factorial design: 2 (QPL yes or no)×2 (MES yes or no)×2 (Text yes or no). For the present review, motivational interviewing for adolescent health behavior change is the chosen intervention of study. Methods: A question prompt list (QPL) is a tool to empower patients to assume a more active role during medical visits by asking questions and stating concerns. The primary outcome is metabolic control, which will be measured via HbA1c. One direct approach is to identify the patients with the highest costs during a historical time period, but no consensus has been reached … We were guided by the five steps for conducting a realist review outlined by Pawson et al. Realist Synthesis: An Introduction: This paper presents an introductory overview of realist synthesis as applied to the review of primary research on healthcare systems. Rapid Realist Review goes one step further than Landscape Scans to analyze patterns of relationships among contexts, mechanisms and outcomes. Systematic Reviews, 7(1), 109. Previous research has indicated that motivational interviewing is an effective intervention for improving health behaviors in adolescents. Realist review does not provide simple answers to complex questions. Theories are placed before the interviewee for them to comment on with a view to providing refinement. These building blocks create context–mechanism–outcome configurations that make up the realist theory. International Registered Report Identifier (IRRID): DERR1-10.2196/20191. In addition, this systematic review investigated the effects of health coaching on pain intensity, physical function, and quality of life. From the systematic review of the literature, three context–mechanism–outcome configurations were formed that describe how and why motivational interviewing works and for whom it works best. For the present review, motivational interviewing for adolescent health behavior change is the chosen intervention of study. Thus, we reported our results in terms of motivational interviewing. need for autonomy may offer a route to improving diabetes outcomes by increasing feelings of responsibility for and control over diabetes self-management activities. Secondary outcomes include diabetes management and diabetes clinic attendance. Trial Registration: ClinicalTrials.gov NCT04066959; https://clinicaltrials.gov/ct2/show/NCT04066959 The review will be conducted following Pawson’s five practical steps for conducting a realist review . All rights reserved. SDT constructs of intrinsic motivation, self-efficacy, and the quality of the patient-provider relationship (ie, relatedness) are hypothesized mediators. The review identifies outcomes, which are the identified changes the intervention aims to achieve (positive or negative); mechanisms, which are the psychological or behavioral changes that that lead to outcomes; and the contextual factors (e.g., setting or clinician characteristics) that allow for mechanisms to be produced. To answer these questions, a realist review was performed using self-determination theory as the candidate theory to be tested, as it is the leading theory of explaining the efficacy of motivational interviewing. Conducting a Realist Review on the Use of Motivational Interviewing for Adolescent Health Behaviors, Realist-informed review of motivational interviewing for adolescent health behaviors, Political Science and International Relations, CCPA – Do Not Sell My Personal Information. Mutschler, C., Naccarato, E., Rouse, J., Davey, C., & McShane, K. (2018). © 2008-2020 ResearchGate GmbH. The present case study describes the process in which the realist review was performed including the systematic search, data extraction, and theory formation. However, the application of this interviewing strategy within the realist evaluation studies is underutilized.
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