Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/17839
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dc.contributor.authorAbhyankar, Purvaen_UK
dc.contributor.authorCheyne, Helenen_UK
dc.contributor.authorMaxwell, Margareten_UK
dc.contributor.authorHarris, Fiona Margareten_UK
dc.contributor.authorMcCourt, Christineen_UK
dc.date.accessioned2014-09-15T08:34:52Z-
dc.date.available2014-09-15T08:34:52Z-
dc.date.issued2013-12en_UK
dc.identifier.urihttp://hdl.handle.net/1893/17839-
dc.description.abstractBackground. Complex programmes are characterised by multiple components, acting independently and interdependently, at multiple levels, within diverse and dynamic systems. High-quality evaluation of such programmes is imperative for optimising their development, implementation and effectiveness, but is often challenging. There is debate about whether the traditional outcome-focused approaches are feasible or appropriate for evaluations of large-scale, complex programmes as they often fall short of explaining how and why they do or do not work. Theory-driven approaches offer a more appropriate alternative as they attempt to uncover the black-box between the programme's inputs and the resulting complex pattern of outcomes. Aim. This paper illustrates drawing upon a realist evaluation to assess a complex programme to support normal birth. Method. Firstly, the programme theories - the ideas about how the programme would bring about change - were elicited from programme developers and key stakeholders. Secondly, these initial hypotheses were tested out by collecting data on how the programme worked in different contexts, using a multiple case study design. Thirdly, the data were analysed and interpreted to refine the programme theories in light of evidence on how the programme unfolded in practice. Findings. Described in detail are the process of conducting a realist evaluation, methods used, steps in data analyses, challenges encountered and the approach adopted to overcome them. The usefulness of this approach and some limitations are discussed.en_UK
dc.language.isoenen_UK
dc.publisherRoyal College of Midwivesen_UK
dc.relationAbhyankar P, Cheyne H, Maxwell M, Harris FM & McCourt C (2013) A realist evaluation of a normal birth programme. Evidence Based Midwifery, 11 (4), pp. 112-119. http://www.rcm.org.uk/ebm/volume-11-2013/volume-11-issue-4/a-realist-evaluation-of-a-normal-birth-programme/en_UK
dc.rightsThe publisher has granted permission for use of this work in this Repository. Published in Evidence Based Midwifery by the Royal College of Midwivesen_UK
dc.subjectRealist Evaluationen_UK
dc.subjectnormal birthen_UK
dc.subjectcomplex interventionsen_UK
dc.subjectprogramme evaluationen_UK
dc.subjectevidence-based midwiferyen_UK
dc.titleA realist evaluation of a normal birth programmeen_UK
dc.typeJournal Articleen_UK
dc.citation.jtitleEvidence Based Midwiferyen_UK
dc.citation.issn1479-4489en_UK
dc.citation.volume11en_UK
dc.citation.issue4en_UK
dc.citation.spage112en_UK
dc.citation.epage119en_UK
dc.citation.publicationstatusPublisheden_UK
dc.citation.peerreviewedRefereeden_UK
dc.type.statusVoR - Version of Recorden_UK
dc.identifier.urlhttp://www.rcm.org.uk/ebm/volume-11-2013/volume-11-issue-4/a-realist-evaluation-of-a-normal-birth-programme/en_UK
dc.author.emailpurva.abhyankar@stir.ac.uken_UK
dc.citation.date27/11/2013en_UK
dc.contributor.affiliationNMAHPen_UK
dc.contributor.affiliationNMAHPen_UK
dc.contributor.affiliationNMAHPen_UK
dc.contributor.affiliationNMAHPen_UK
dc.contributor.affiliationCity University Londonen_UK
dc.identifier.wtid664935en_UK
dc.contributor.orcid0000-0002-0779-6588en_UK
dc.contributor.orcid0000-0001-5738-8390en_UK
dc.contributor.orcid0000-0003-3318-9500en_UK
dc.contributor.orcid0000-0003-3258-5624en_UK
dcterms.dateAccepted2013-11-27en_UK
dc.date.filedepositdate2013-12-02en_UK
rioxxterms.typeJournal Article/Reviewen_UK
rioxxterms.versionVoRen_UK
local.rioxx.authorAbhyankar, Purva|0000-0002-0779-6588en_UK
local.rioxx.authorCheyne, Helen|0000-0001-5738-8390en_UK
local.rioxx.authorMaxwell, Margaret|0000-0003-3318-9500en_UK
local.rioxx.authorHarris, Fiona Margaret|0000-0003-3258-5624en_UK
local.rioxx.authorMcCourt, Christine|en_UK
local.rioxx.projectInternal Project|University of Stirling|https://isni.org/isni/0000000122484331en_UK
local.rioxx.freetoreaddate2013-12-02en_UK
local.rioxx.licencehttp://www.rioxx.net/licenses/all-rights-reserved|2013-12-02|en_UK
local.rioxx.filenameAbhyankar et al EBM 2013.pdfen_UK
local.rioxx.filecount1en_UK
local.rioxx.source1479-4489en_UK
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