An participatory approach to value-for-money evaluation that identifies a broad range of social outcomes, not only the direct outcomes for the intended beneficiaries of an intervention. The evaluations done so far have not been realist and have not assessed CMO configurations. Manzano-Santaella, A. An approach designed to support ongoing learning and adaptation, which identifies the processes required to achieve desired results, and then observes whether those processes take place, and how. 0000098000 00000 n (2010a) and Marchal et al. Rather, the refined programme theory will be tested subsequently in a different context in a next study. The evaluation of health and social care partnerships: an analysis of approaches and synthesis for the future. An approach to decision-making in evaluation that involves identifying the primary intended users and uses of an evaluation and then making all decisions in terms of the evaluation design and plan with reference to these. We present an example of a realist study of existing practices within the health care system in Ghana; it is not an evaluation of an intervention per se. Realist evaluation is a form of theory-driven evaluation, but is set apart by its explicit philosophical underpinnings. In other words, the purpose of a realist evaluation is as much to test and refine the programme theory as it is to determine whether and how the programme worked in a particular setting. The mechanism generating different ‘reasoning’ by mothers and fathers may relate to dominant social norms about the roles and responsibilities of mothers and fathers. A particular type of case study used to jointly develop an agreed narrative of how an innovation was developed, including key contributors and processes, to inform future innovation efforts. Declined as CMO configurations constructed as part of a realist synthesis or realist evaluation, the program theory identifies and describes how mechanisms (e.g., actors’ ideas or choices) led to the outcomes for change in a given context [ 30, 48 ]. 0000008596 00000 n 0000003645 00000 n Exposing the key functions of a complex intervention for shared care in mental health: case study of a process evaluation. évaluation réaliste, santé rurale, santé mondiale, enfants dâge scolaire. I heartily endorse Alice's suggestion of joining the Rameses discussion list. Journal of Evaluation in Clinical Practice 13(6):935-941. http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2753.2006.00790.x/pdf, Dickinson, H. (2006). Using a realist approach to evaluation is not necessarily more resource or time-intensive than other theory-based evaluations, but it can be more expensive than a simple pre-post evaluation design. Marchal, B., Van Belle, S., Van Olmen, J., Hoerée, T. & Kegels, G. 2012. Realist data analysis is driven by the principles of realism: realist evaluation explains change brought about by an intervention by referring to the actors who act and change (or not) a situation under specific conditions and under the influence of external events (including the intervention itself). For example, 'Randomized Controlled Trials' (RCTs) use a combination of the options random sampling, control group and standardised indicators and measures. Hypotheses generation † Generate hypotheses based on CMO configurations Rephrase CMO configurations into hypotheses Formulate hypotheses to be tested during stage three 3. You can join the discussion list through www.ramesesproject.org. A realist evaluation research starts from a middle range theory (MRT), which is understood as " theor [y] that lie [s] between the minor but necessary working hypotheses (...) and the all-inclusive systematic efforts to develop a unified theory that will explain all the observed uniformities of social behavior, social organization and social change" [ 52] p. 39). In terms of claiming realist review as a method - it most certainly can be claimed, but it's not limited to qualitative data. After which, the IPT will be refined to … Realist evaluations attempt to answer questions such as what works, for whom, in which circumstances, and why. (2010) analyse how a hospital management team succeeded in reviving an ailing district hospital in Ghana using the realist evaluation approach, Image source: Mobius Transform of a regular circle packing, by fdecomite on Flickr. 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