Assure that the Government personnel supporting the analysis are aware of their responsibility to safeguard sensitive contractor information. © 2008-2020 ResearchGate GmbH. Whilst the Cochrane review provided evidence that feeding … Systematic reviews are a type of evidence synthesis which formulate research questions that are broad or narrow in scope, and identify and synthesize data that directly relate to the systematic review question. For example, Greenhalgh et al. 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. No study assessed all four constructs of health coaching. Within a review context it refers to a combination of review approaches for example combining quantitative with qualitative research or outcome with process studies. Please log in from an authenticated institution or log into your member profile to access the email feature. It is unclear when and why medication reviews performed by pharmacists in primary care for people who return from hospital to the community lead to beneficial outcomes. 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. The review is registered in the International Prospective Register of Systematic Reviews (PROSPERO) databased as CRD42019136201. It was not possible to perform a meta-analysis due to heterogeneity between included trials. 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 . Realist review does not provide simple answers to complex questions. Login or create a profile so that you can create alerts and save clips, playlists, and searches. Review teams often conduct a single "big bang" multipurpose search to fulfill multiple functions within the review. Methods: The experiment was powered to detect the main effects of the intervention on the primary outcome. 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. 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. The findings are discussed in line with the SDT. The motivation enhancement system (MES) is a brief counseling intervention that uses motivational interviewing communication strategies to build intrinsic motivation and self-efficacy for self-management. In addition, this systematic review investigated the effects of health coaching on pain intensity, physical function, and quality of life. Ethical considerations of conducting systematic reviews in educational research are not typically discussed explicitly. For the present review, motivational interviewing for adolescent health behavior change is the chosen intervention of study. However, the application of this interviewing strategy within the realist evaluation studies is underutilized. As an illustration, ‘ethics’ is not listed as a term in the index of the second edition of ‘An Introduction to Systematic Reviews’ (Gough et al. 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. 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. Theories are placed before the interviewee for them to comment on with a view to providing refinement. Realist-informed review of motivational interviewing for adolescent health behaviors. Rapid Realist Review goes one step further than Landscape Scans to analyze patterns of relationships among contexts, mechanisms and outcomes. Often policy makers require a short deadline and a systematic review for synthesizing the evidence is not practical. 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. Realist Synthesis: An Introduction: This paper presents an introductory overview of realist synthesis as applied to the review of primary research on healthcare systems. This step involves: 1) extracting relevant information from included documents (e.g., guidelines, systematic reviews and single studies ); 2) summarizing the overall results from included documents; and 3) formalizing conclusions. These building blocks create context–mechanism–outcome configurations that make up the realist theory. 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. 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. All eleven studies utilized only one of the constructs, brief motivational interviewing. For the present review, motivational interviewing for adolescent health behavior change is the chosen intervention of study. Text message reminders to complete diabetes care tasks may increase self-efficacy for diabetes self-management. Conclusions: At the end of this experiment, we will have empirical evidence to support a large-scale, multisite effectiveness trial of an intervention package that has been optimized for older adolescents and emerging adults with poorly controlled T1D. Eleven studies met our inclusion criteria (n = 4,516 participants). 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). We identified that five methods of connection from primary care to community‐based physical activity opportunities had been evaluated. 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. 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. Realist evaluation is a form of theory-driven evaluation, but is set apart by its explicit philosophical underpinnings. There is very low to low quality of evidence that brief motivational interviewing is not more effective than no behavioral intervention to reduce opioid use at 6 months follow-up, treatment as usual (TAU) to improve overdose risk behaviors, and TAU to improve physical and psychological health. All rights reserved. Participants will complete 3 study visits: baseline, treatment end at 2 months, and a follow-up at 6 months. Secondary outcomes include diabetes management and diabetes clinic attendance. 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. (AHRQ) The methods of conducting rapid reviews varies widely, and are typically done in less than 5 weeks. 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. If you encounter a problem downloading a file, please try again from a laptop or desktop. Realist search reports poorly differentiate between the different search components. Sign into your Profile to find your Reading Lists and Saved Searches. Systematic reviews are a type of review that uses repeatable analytical methods to collect secondary data and analyse it. We undertook a rapid realist review (RRR) to examine why M&E efforts undertaken by local health departments do … Deviations from our protocol in conducting our realist review. 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. Pawson and Tilley (1997) developed the first realist evaluation approach, although other interpretations have been developed since. 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 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. Copy and paste the following HTML into your website. Emerging adults’ focus on individuation and independence underlies their poor diabetes outcomes, offering a lever for behavior change. The review will be conducted following Pawson’s five practical steps for conducting a realist review . There is no direct evidence related to the effect of health coaching on opioid reduction. This case study describes the process of conducting a specific type of systematic review and synthesis called realist review. 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. International Registered Report Identifier (IRRID): DERR1-10.2196/20191. This case study describes the process of conducting a specific type of systematic review and synthesis called realist review. Mann-Whitney test found that the p value for the mean difference of the questionnaire's total score to excess weight is 0.783.Conclusion: There was no correlation between the quality of sleep to excess weight in adolescents aged 16–18 years old in South Jakarta. Depression symptoms and emerging adults’ gender are hypothesized moderators. A similar We were guided by the five steps for conducting a realist review outlined by Pawson et al. 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. Four electronic databases (PubMed, Embase, Scopus, and PsychINFO) were searched, Access scientific knowledge from anywhere. Previous research has indicated that motivational interviewing is an effective intervention for improving health behaviors in adolescents. 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. Background and Objectives: Overweight nutritional status in adolescents becomes a health problem that continues to require attention. In Doing Realist Research, Nick Emmel, Joanne Greenhalgh, Anna Manzano, Mark Monaghan and Sonia Dalkin draw on the expertise of key specialists who push the boundaries of traditional research approaches to advocate for a more thoughtful and critical … 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. and reported following the RAMESES publication standards . from inception to December 2019. This case study describes the process of conducting a specific type of systematic review and synthesis called realist review. We followed the methods as outlined in our protocol18 with a few exceptions. Mixed studies review/mixed methods review Refers to any combination of methods where one significant component is a literature review (usually systematic). ‘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. undertook a realist review to supplement a Cochrane review of school feeding programmes. Objective: This research project will use the multiphase optimization strategy to test the efficacy of three autonomy-supportive intervention components to elicit a clinically significant improvement in metabolic control, assessed by a 0.5% improvement in hemoglobin A1c (HbA1c), among older adolescents and emerging adults (16-25 years) with poorly controlled type 1 diabetes (T1D; HbA1c≥9.0%). Not only because of its rapidly increasing prevalence, but also its various adverse effects on adolescent health, especially on the quality of sleep. Systematic Reviews, 7(1), 109. You can request the full-text of this article directly from the authors on ResearchGate. Book Review: Doing Realist Research edited by Nick Emmel, Joanne Greenhalgh, Anna Manzano, Mark Monaghan and Sonia Dalkin. 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). Randomized controlled trials assessing the effects of health coaching interventions in adult patients currently using opioids were included. 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). The present case study describes the process in which the realist review was performed including the systematic search, data extraction, and theory formation. 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). if the aim of the revie… First, we switched to an auditing process during Step 2 of the analysis to make our process more efficient. need for autonomy may offer a route to improving diabetes outcomes by increasing feelings of responsibility for and control over diabetes self-management activities. Results: A total of 20 participants have enrolled and completed a qualitative interview after reviewing one or more intervention components. 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 … These building blocks create context–mechanism–outcome configurations that make up the realist theory. We will use the mixed-effects linear model for the analysis of variance of a factorial design to analyze continuous longitudinal experimental data; the generalized linear model will be used with categorical outcomes (eg, treatment attendance). Background Medication reviews for people transitioning from one healthcare setting to another potentially improve health outcomes, although evidence for outcome benefits varies. A rapid review speeds up the systematic review process by omitting stages of the systematic review making it less rigorous. ResearchGate has not been able to resolve any references for this publication. The present case study describes the process in which the realist review was performed including the systematic search, data extraction, and theory formation. 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. Previous research has indicated that motivational interviewing is an effective intervention for improving health behaviors in adolescents. 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. SDT constructs of intrinsic motivation, self-efficacy, and the quality of the patient-provider relationship (ie, relatedness) are hypothesized mediators. 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). Principles for Conducting Critical Realist Case Study Research in Information Systems Donald E. Wynn University of Dayton, dwynn1@udayton.edu ... followed by a review of the epistemological tenets of critical realism and how these are derived from and intertwined with its ontological assump- This strategy is successful where the phenomenon of interest, the populations, interventions, and outcomes are all well specified – i.e. Objective A realist synthesis was undertaken … It includes a focused literature review using a template for data extraction followed by a data validation process with knowledge users and stakeholders. During the evaluation process, disclosure of proprietary offeror information must 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. This involved an auditor checking the work of … 2. There is limited, low quality evidence to conclude brief motivational interviewing reduces opioid usage in opioid-dependent patients. A realist review is a type of systematic review used for synthesizing research on health and social interventions in which it is unclear how … Using a sample of 482 adolescents (200 males) with an age range between 14 and 17, path analyses showed that both parental psychological control and need frustration predicted all the technological addictions examined. The subject matter of the interview is the researcher’s theory and interviewees confirm, falsify, and refine this theory. 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 , … Sleep quality decrease in adolescents can impact their daily performance, especially in learning. To systematically review the literature in order to evaluate the effects of health coaching on patients' reduction of opioid usage and opioid discontinuation. Local health departments often conduct M&E work post disaster, however, many of these efforts fail to improve response procedures. 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. To read the full-text of this research, you can request a copy directly from the authors. Please choose from an option shown below. International Journal of Mental Health and Addiction. ResearchGate has not been able to resolve any citations for this publication. Results: There is very low quality of evidence that brief motivational interviewing is more effective than educational monthly diaries to reduce opioid use. Conclusion: Future research should focus on the impact of high theoretical health coaching interventions on opioid usage. Trial Registration: ClinicalTrials.gov NCT04066959; https://clinicaltrials.gov/ct2/show/NCT04066959 Self-determination theory (SDT) suggests that interventions leveraging emerging adults’ innate developmental, Purpose: In that review, coinvestigators conducted a realist synthesis in response to a prior systematic review of CBPR . Mutschler, C., Naccarato, E., Rouse, J., Davey, C., & McShane, K. (2018). However, it is acknowledged that realist searches are likely to be iterative and responsive to emergent data. Conventional systematic review methodology [12, 13] emphasises the need for review questions to be precisely formulated. 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. Pawson and Tilley suggest a unique strategy for conducting qualitative interviews within realist evaluation studies. A total of 186 students from classes of 2015, 2016, and 2017 with age between 16-18 years old underwent weight and height measurements, determination of BMI and nutritional status using the CDC BMI-for-age chart, as well as filling the Cleveland Adolescent Sleepiness Questionnaire to assess the quality of sleep.Results: The prevalence of overweight was found by 20.43% (14.52% categorized as overweight, 5.91% categorized as obese) with a median value of the questionnaire 40.00 (23.00 to 58.00). Many recent studies also analyze and suggest more efficient and reliable ways to assess the quality of quantitative, qualitative, and mixed methods studies. Analysis of interview data are underway, with a report of these results anticipated in the fall of 2020. Please note that some file types are incompatible with some mobile and tablet devices. The clinical trial will be launched in the fall 2020, with participants enrolled through May 2023 and data collection continuing through November 2023. 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. Furthermore, indirect effects from psychological control to all technological addictions through need frustration were also found. Thus, we reported our results in terms of motivational interviewing. Ch 8 - Conducting Cost Realism Analyses ... efficient and effective review.
2020 conducting a realist review