Health and human services currently face a series of challenges -
such as aging populations, chronic diseases and new endemics - that
require highly complex responses, and take place in multiple care
environments including acute medicine, chronic care facilities and
the community. Accordingly, most modern health care interventions
are now seen as 'complex interventions' - activities that contain a
number of component parts with the potential for interactions
between them which, when applied to the intended target population,
produce a range of possible and variable outcomes. This in turn
requires methodological developments that also take into account
changing values and attitudes related to the situation of patients'
receiving health care. The first book to place complex
interventions within a coherent system of research enquiry, this
work is designed to help researchers understand the research
processes involved at each stage of developing, testing, evaluating
and implementing complex interventions, and assist them to
integrate methodological activities to produce secure,
evidence-based health care interventions. It begins with conceptual
chapters which set out the complex interventions framework, discuss
the interrelation between knowledge development and evidence, and
explore how mixed methods research contributes to improved health.
Structured around the influential UK Medical Research Council
guidance for use of complex interventions, four sections, each
comprised of bite-sized chapters written by multidisciplinary
experts in the area, focus on: - Developing complex interventions -
Assessing the feasibility of complex interventions and piloting
them - Evaluating complex interventions - Implementing complex
interventions. Accessible to students and researchers grappling
with complex interventions, each substantive chapter includes an
introduction, bulleted learning objectives, clinical examples, a
summary and further reading. The perspectives of various
stakeholders, including patients, families and professionals, are
discussed throughout as are the economic and ethical implications
of methods. A vital companion for health research, this book is
suitable for readers from multidisciplinary disciplines such as
medical, nursing, public health, health services research, human
services and allied healthcare backgrounds.
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