Milne, Derek, Freeston, Mark, Paxton, Roger, James, Ian, Cooper, Myra and Knibbs, Jackie (2008) A new pyramid of research knowledge for the NHS. Journal of Mental Health, Vol.17 (No.5). pp. 509-519. ISSN 0963-8237

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Abstract

Background: Although the research and development (R&D) initiative in the NHS clearly encompasses a wide range of research activities, existing guidance emphasizes efficacy (explanatory) research, namely the generation of new knowledge under rigorous scientific conditions. Aims: We argue that this needs to be counter-balanced with an equivalent emphasis on effectiveness (pragmatic) research, being those activities that improve the effects of new knowledge within the NHS. Method: Treating the efficacy framework for complex interventions as one half of a research knowledge pyramid, we set out a parallel effectiveness (service improvement/evaluation) framework. Results: With the aid of local examples, we show how this pyramid approach can facilitate R&D training, specifically in relation to clinical psychology. Conclusions: Our pyramid of research knowledge redresses the current emphasis on explanatory research and indicates how we can apply a more balanced model, hopefully aiding professionals who teach or practise effectiveness research. Declaration of interest: None.

Item Type:	Journal Item
Subjects:	B Philosophy. Psychology. Religion > BF Psychology
Divisions:	Faculty of Science > Psychology
Journal or Publication Title:	Journal of Mental Health
Publisher:	Taylor & Francis
ISSN:	0963-8237
Date:	October 2008
Volume:	Vol.17
Number:	No.5
Number of Pages:	11
Page Range:	pp. 509-519
Identification Number:	10.1080/09638230701530259
Status:	Peer Reviewed
Publication Status:	Published
Access rights to Published version:	Restricted or Subscription Access
URI:	http://wrap.warwick.ac.uk/id/eprint/29017

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