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conducting a realist review

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. The clinical trial will be launched in the fall 2020, with participants enrolled through May 2023 and data collection continuing through November 2023. Mixed studies review/mixed methods review Refers to any combination of methods where one significant component is a literature review (usually systematic). However, it is acknowledged that realist searches are likely to be iterative and responsive to emergent data. Emerging adults’ focus on individuation and independence underlies their poor diabetes outcomes, offering a lever for behavior change. We were guided by the five steps for conducting a realist review outlined by Pawson et al. undertook a realist review to supplement a Cochrane review of school feeding programmes. 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 … 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%). If you encounter a problem downloading a file, please try again from a laptop or desktop. This case study describes the process of conducting a specific type of systematic review and synthesis called realist review. Objective A realist synthesis was undertaken … However, the application of this interviewing strategy within the realist evaluation studies is underutilized. This case study describes the process of conducting a specific type of systematic review and synthesis called realist review. Deviations from our protocol in conducting our realist review. 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. During the evaluation process, disclosure of proprietary offeror information must Systematic Reviews, 7(1), 109. Often policy makers require a short deadline and a systematic review for synthesizing the evidence is not practical. This case study describes the process of conducting a specific type of systematic review and synthesis called realist review. Furthermore, indirect effects from psychological control to all technological addictions through need frustration were also found. 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). 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. 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 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. Not only because of its rapidly increasing prevalence, but also its various adverse effects on adolescent health, especially on the quality of sleep. 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. Realist evaluation is a form of theory-driven evaluation, but is set apart by its explicit philosophical underpinnings. We undertook a rapid realist review (RRR) to examine why M&E efforts undertaken by local health departments do … Background and Objectives: Overweight nutritional status in adolescents becomes a health problem that continues to require attention. One direct approach is to identify the patients with the highest costs during a historical time period, but no consensus has been reached … Methods: Review teams often conduct a single "big bang" multipurpose search to fulfill multiple functions within the 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. 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. Many recent studies also analyze and suggest more efficient and reliable ways to assess the quality of quantitative, qualitative, and mixed methods studies. Pawson and Tilley suggest a unique strategy for conducting qualitative interviews within realist evaluation studies. 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. Results: The present case study describes the process in which the realist review was performed including the systematic search, data extraction, and theory formation. Whilst the Cochrane review provided evidence that feeding … Please choose from an option shown below. 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. 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 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. 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. Future research should focus on the impact of high theoretical health coaching interventions on opioid usage. Background Medication reviews for people transitioning from one healthcare setting to another potentially improve health outcomes, although evidence for outcome benefits varies. and reported following the RAMESES publication standards . 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. Realist-informed review of motivational interviewing for adolescent health behaviors. Conclusion: The review will be conducted following Pawson’s five practical steps for conducting a realist review . 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. ‘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. International Journal of Mental Health and Addiction. Sign into your Profile to find your Reading Lists and Saved Searches. This involved an auditor checking the work of … A similar The subject matter of the interview is the researcher’s theory and interviewees confirm, falsify, and refine this theory. Ethical considerations of conducting systematic reviews in educational research are not typically discussed explicitly. need for autonomy may offer a route to improving diabetes outcomes by increasing feelings of responsibility for and control over diabetes self-management activities. © 2008-2020 ResearchGate GmbH. These building blocks create context–mechanism–outcome configurations that make up the realist theory. SDT constructs of intrinsic motivation, self-efficacy, and the quality of the patient-provider relationship (ie, relatedness) are hypothesized mediators. Eleven studies met our inclusion criteria (n = 4,516 participants). 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. Please log in from an authenticated institution or log into your member profile to access the email feature. 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 . 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. The present case study describes the process in which the realist review was performed including the systematic search, data extraction, and theory formation. It was not possible to perform a meta-analysis due to heterogeneity between included trials. Depression symptoms and emerging adults’ gender are hypothesized moderators. This strategy is successful where the phenomenon of interest, the populations, interventions, and outcomes are all well specified – i.e. 2. 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. Four electronic databases (PubMed, Embase, Scopus, and PsychINFO) were searched, Access scientific knowledge from anywhere. 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. Assure that the Government personnel supporting the analysis are aware of their responsibility to safeguard sensitive contractor information.

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