Cargando…

"Did the trial kill the intervention?" experiences from the development, implementation and evaluation of a complex intervention

BACKGROUND: The development, implementation and evaluation of any new health intervention is complex. This paper uses experiences from the design, implementation and evaluation of a rehabilitation programme to shed light on, and prompt discussion around, some of the complexities involved in such an...

Descripción completa

Detalles Bibliográficos
Autores principales: Bird, Lydia, Arthur, Antony, Cox, Karen
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3056847/
https://www.ncbi.nlm.nih.gov/pubmed/21362159
http://dx.doi.org/10.1186/1471-2288-11-24
_version_ 1782200256014843904
author Bird, Lydia
Arthur, Antony
Cox, Karen
author_facet Bird, Lydia
Arthur, Antony
Cox, Karen
author_sort Bird, Lydia
collection PubMed
description BACKGROUND: The development, implementation and evaluation of any new health intervention is complex. This paper uses experiences from the design, implementation and evaluation of a rehabilitation programme to shed light on, and prompt discussion around, some of the complexities involved in such an undertaking. METHODS: Semi-structured interviews were conducted with 15 trial participants and five members of staff at the conclusion of a trial evaluating a rehabilitation programme aimed at promoting recovery after stem cell transplantation. RESULTS: This study identified a number of challenges relating to the development and evaluation of complex interventions. The difficulty of providing a standardised intervention that was acceptable to patients was highlighted in the participant interviews. Trial participants and some members of staff found the concept of equipoise and randomisation challenging and there was discord between the psychosocial nature of the intervention and the predominant bio-medical culture in which the research took place. CONCLUSIONS: A lack of scientific evidence as to the efficacy of an intervention does not preclude staff and patients holding strong views about the benefits of an intervention. The evaluation of complex interventions should, where possible, facilitate not restrict that complexity. Within the local environment where the trial is conducted, acquiescence from those in positions of authority is insufficient; commitment to the trial is required.
format Text
id pubmed-3056847
institution National Center for Biotechnology Information
language English
publishDate 2011
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-30568472011-03-15 "Did the trial kill the intervention?" experiences from the development, implementation and evaluation of a complex intervention Bird, Lydia Arthur, Antony Cox, Karen BMC Med Res Methodol Research Article BACKGROUND: The development, implementation and evaluation of any new health intervention is complex. This paper uses experiences from the design, implementation and evaluation of a rehabilitation programme to shed light on, and prompt discussion around, some of the complexities involved in such an undertaking. METHODS: Semi-structured interviews were conducted with 15 trial participants and five members of staff at the conclusion of a trial evaluating a rehabilitation programme aimed at promoting recovery after stem cell transplantation. RESULTS: This study identified a number of challenges relating to the development and evaluation of complex interventions. The difficulty of providing a standardised intervention that was acceptable to patients was highlighted in the participant interviews. Trial participants and some members of staff found the concept of equipoise and randomisation challenging and there was discord between the psychosocial nature of the intervention and the predominant bio-medical culture in which the research took place. CONCLUSIONS: A lack of scientific evidence as to the efficacy of an intervention does not preclude staff and patients holding strong views about the benefits of an intervention. The evaluation of complex interventions should, where possible, facilitate not restrict that complexity. Within the local environment where the trial is conducted, acquiescence from those in positions of authority is insufficient; commitment to the trial is required. BioMed Central 2011-03-01 /pmc/articles/PMC3056847/ /pubmed/21362159 http://dx.doi.org/10.1186/1471-2288-11-24 Text en Copyright ©2011 Bird et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Bird, Lydia
Arthur, Antony
Cox, Karen
"Did the trial kill the intervention?" experiences from the development, implementation and evaluation of a complex intervention
title "Did the trial kill the intervention?" experiences from the development, implementation and evaluation of a complex intervention
title_full "Did the trial kill the intervention?" experiences from the development, implementation and evaluation of a complex intervention
title_fullStr "Did the trial kill the intervention?" experiences from the development, implementation and evaluation of a complex intervention
title_full_unstemmed "Did the trial kill the intervention?" experiences from the development, implementation and evaluation of a complex intervention
title_short "Did the trial kill the intervention?" experiences from the development, implementation and evaluation of a complex intervention
title_sort "did the trial kill the intervention?" experiences from the development, implementation and evaluation of a complex intervention
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3056847/
https://www.ncbi.nlm.nih.gov/pubmed/21362159
http://dx.doi.org/10.1186/1471-2288-11-24
work_keys_str_mv AT birdlydia didthetrialkilltheinterventionexperiencesfromthedevelopmentimplementationandevaluationofacomplexintervention
AT arthurantony didthetrialkilltheinterventionexperiencesfromthedevelopmentimplementationandevaluationofacomplexintervention
AT coxkaren didthetrialkilltheinterventionexperiencesfromthedevelopmentimplementationandevaluationofacomplexintervention