Designing and evaluating complex interventions to improve health care
Campbell, Neil C., Murray, Elizabeth, 1962-, Darbyshire, Janet, Emery, Jon, Farmer, Andrew, Griffiths, Frances, Guthrie, Bruce, Lester, Helen, 1961-, Wilson, Phil and Kinmonth, A.-L. (Ann-Louise). (2007) Designing and evaluating complex interventions to improve health care. BMJ, Vol.334 . pp. 455-459. ISSN 0959-535X
WRAP_Griffiths_complex_interventions.pdf - Requires a PDF viewer such as GSview, Xpdf or Adobe Acrobat Reader
Official URL: http://dx.doi.org/10.1136/bmj.39108.379965.BE
Complex interventions are “built up from a number of components, which may act both independently and interdependently.”1 2 Many health service activities should be considered as complex. Evaluating complex interventions can pose a considerable challenge and requires a substantial investment of time. Unless the trials illuminate processes and mechanisms they often fail to provide useful information. If the result is negative, we are left wondering whether the intervention is inherently ineffective (either because the intervention was inadequately developed or because all similar interventions are ineffective), whether it was inadequately applied or applied in an inappropriate context, or whether the trial used an inappropriate design, comparison groups or outcomes. If there is a positive effect, it can be hard to judge how the results of the trial might be applied to a different context (box 1).
|Item Type:||Journal Article|
|Subjects:||R Medicine > R Medicine (General)|
|Divisions:||Faculty of Medicine > Warwick Medical School
Faculty of Medicine > Warwick Medical School > Health Sciences > Social Science & Systems in Health (SSSH)
|Library of Congress Subject Headings (LCSH):||Medical care|
|Journal or Publication Title:||BMJ|
|Official Date:||3 March 2007|
|Page Range:||pp. 455-459|
|Access rights to Published version:||Open Access|
1 Campbell M, Fitzpatrick R, Haines A, Kinmonth AL, Sandercock P, Spiegelhalter D, et al. Framework for design and evaluation of complex interventions to improve health. BMJ 2000;321:694-6.
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