Cargando…

Assessing the health benefits of advice services: using research evidence and logic model methods to explore complex pathways

Poverty is positively associated with poor health; thus, some healthcare commissioners in the UK have pioneered the introduction of advice services in health service locations. Previous systematic reviews have found little direct evidence for a causal relationship between the provision of advice and...

Descripción completa

Detalles Bibliográficos
Autores principales: Allmark, Peter, Baxter, Susan, Goyder, Elizabeth, Guillaume, Louise, Crofton-Martin, Gerard
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Blackwell Publishing Ltd 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3557712/
https://www.ncbi.nlm.nih.gov/pubmed/23039788
http://dx.doi.org/10.1111/j.1365-2524.2012.01087.x
_version_ 1782257335470653440
author Allmark, Peter
Baxter, Susan
Goyder, Elizabeth
Guillaume, Louise
Crofton-Martin, Gerard
author_facet Allmark, Peter
Baxter, Susan
Goyder, Elizabeth
Guillaume, Louise
Crofton-Martin, Gerard
author_sort Allmark, Peter
collection PubMed
description Poverty is positively associated with poor health; thus, some healthcare commissioners in the UK have pioneered the introduction of advice services in health service locations. Previous systematic reviews have found little direct evidence for a causal relationship between the provision of advice and physical health and limited evidence for mental health improvement. This paper reports a study using a broader range of types of research evidence to construct a conceptual (logic) model of the wider evidence underpinning potential (rather than only proven) causal pathways between the provision of advice services and improvements in health. Data and discussion from 87 documents were used to construct a model describing interventions, primary outcomes, secondary and tertiary outcomes following advice interventions. The model portrays complex causal pathways between the intervention and various health outcomes; it also indicates the level of evidence for each pathway. It can be used to inform the development of research designed to evaluate the pathways between interventions and health outcomes, which will determine the impact on health outcomes and may explain inconsistencies in previous research findings. It may also be useful to commissioners and practitioners in making decisions regarding development and commissioning of advice services.
format Online
Article
Text
id pubmed-3557712
institution National Center for Biotechnology Information
language English
publishDate 2013
publisher Blackwell Publishing Ltd
record_format MEDLINE/PubMed
spelling pubmed-35577122013-01-31 Assessing the health benefits of advice services: using research evidence and logic model methods to explore complex pathways Allmark, Peter Baxter, Susan Goyder, Elizabeth Guillaume, Louise Crofton-Martin, Gerard Health Soc Care Community Original Articles Poverty is positively associated with poor health; thus, some healthcare commissioners in the UK have pioneered the introduction of advice services in health service locations. Previous systematic reviews have found little direct evidence for a causal relationship between the provision of advice and physical health and limited evidence for mental health improvement. This paper reports a study using a broader range of types of research evidence to construct a conceptual (logic) model of the wider evidence underpinning potential (rather than only proven) causal pathways between the provision of advice services and improvements in health. Data and discussion from 87 documents were used to construct a model describing interventions, primary outcomes, secondary and tertiary outcomes following advice interventions. The model portrays complex causal pathways between the intervention and various health outcomes; it also indicates the level of evidence for each pathway. It can be used to inform the development of research designed to evaluate the pathways between interventions and health outcomes, which will determine the impact on health outcomes and may explain inconsistencies in previous research findings. It may also be useful to commissioners and practitioners in making decisions regarding development and commissioning of advice services. Blackwell Publishing Ltd 2013-01 /pmc/articles/PMC3557712/ /pubmed/23039788 http://dx.doi.org/10.1111/j.1365-2524.2012.01087.x Text en © 2012 Blackwell Publishing Ltd http://creativecommons.org/licenses/by/2.5/ Re-use of this article is permitted in accordance with the Creative Commons Deed, Attribution 2.5, which does not permit commercial exploitation.
spellingShingle Original Articles
Allmark, Peter
Baxter, Susan
Goyder, Elizabeth
Guillaume, Louise
Crofton-Martin, Gerard
Assessing the health benefits of advice services: using research evidence and logic model methods to explore complex pathways
title Assessing the health benefits of advice services: using research evidence and logic model methods to explore complex pathways
title_full Assessing the health benefits of advice services: using research evidence and logic model methods to explore complex pathways
title_fullStr Assessing the health benefits of advice services: using research evidence and logic model methods to explore complex pathways
title_full_unstemmed Assessing the health benefits of advice services: using research evidence and logic model methods to explore complex pathways
title_short Assessing the health benefits of advice services: using research evidence and logic model methods to explore complex pathways
title_sort assessing the health benefits of advice services: using research evidence and logic model methods to explore complex pathways
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3557712/
https://www.ncbi.nlm.nih.gov/pubmed/23039788
http://dx.doi.org/10.1111/j.1365-2524.2012.01087.x
work_keys_str_mv AT allmarkpeter assessingthehealthbenefitsofadviceservicesusingresearchevidenceandlogicmodelmethodstoexplorecomplexpathways
AT baxtersusan assessingthehealthbenefitsofadviceservicesusingresearchevidenceandlogicmodelmethodstoexplorecomplexpathways
AT goyderelizabeth assessingthehealthbenefitsofadviceservicesusingresearchevidenceandlogicmodelmethodstoexplorecomplexpathways
AT guillaumelouise assessingthehealthbenefitsofadviceservicesusingresearchevidenceandlogicmodelmethodstoexplorecomplexpathways
AT croftonmartingerard assessingthehealthbenefitsofadviceservicesusingresearchevidenceandlogicmodelmethodstoexplorecomplexpathways