Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/2516
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: Complex Interventions and Complex Systems in Occupational Therapy: an Alternative Perspective
Authors: Duncan, Edward
Paley, John
Eva, Gail
Contact Email: edward.duncan@stir.ac.uk
Keywords: theory
complex interventions
complex systems
Issue Date: May-2007
Publisher: College of Occupational Therapists
Citation: Duncan E, Paley J & Eva G (2007) Complex Interventions and Complex Systems in Occupational Therapy: an Alternative Perspective, British Journal of Occupational Therapy, 70 (5), pp. 199-206.
Abstract: In recent years, there have been numerous discussions of complex interventions and complex systems in the health care literature. The cue for many of these discussions was the publication of an influential document on complex interventions by the Medical Research Council in 2000, and the appearance of an equally influential series of articles on complex systems in the British Medical Journal in 2001. However, it is not always clear that the work published during the intervening period recognises that complex interventions and complex systems are not, in fact, the same thing. This paper discusses a recent contribution to the occupational therapy literature, in which the confusion between complex interventions and complex systems drives the argument. It identifies six claims made by Creek et al (2005) and suggests that only one of them is accurate. Specifically, it argues that, although occupational therapy is sometimes a complex intervention, there is no reason to suppose that it is a complex system; nor is there any good reason to believe that occupational therapy outcomes are intrinsically unpredictable. The paper concludes with an explanation of why this topic is important, and why confusing the two (very different) kinds of complexity risks compromising the idea of evidence-based practice.
Type: Journal Article
URI: http://hdl.handle.net/1893/2516
URL: http://www.ingentaconnect.com/content/cot/bjot/2007/00000070/00000005/art00004
Rights: The publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author; you can only request a copy if you wish to use this work for your own research or private study.
Affiliation: NMAHP Research
HS Health - Stirling
University College London

Files in This Item:
File Description SizeFormat 
Complex interventions and complex systems in occupational therapy_ana lternative response_BJOT march 2009.pdf186.65 kBAdobe PDFUnder Embargo until 31/12/2999     Request a copy

Note: If any of the files in this item are currently embargoed, you can request a copy directly from the author by clicking the padlock icon above. However, this facility is dependant on the depositor still being contactable at their original email address.

This item is protected by original copyright



Items in the Repository are protected by copyright, with all rights reserved, unless otherwise indicated.

If you believe that any material held in STORRE infringes copyright, please contact library@stir.ac.uk providing details and we will remove the Work from public display in STORRE and investigate your claim.