Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/22966
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dc.contributor.authorHarris, Fiona Margareten_UK
dc.contributor.authorMaxwell, Margareten_UK
dc.contributor.authorO'Connor, Rory Cen_UK
dc.contributor.authorCoyne, Jamesen_UK
dc.contributor.authorArensman, Ellaen_UK
dc.contributor.authorCoffey, Claireen_UK
dc.contributor.authorKoburger, Nicoleen_UK
dc.contributor.authorGusmao, Ricardoen_UK
dc.contributor.authorCosta, Susanaen_UK
dc.contributor.authorSzekely, Andrasen_UK
dc.contributor.authorCserháti, Zoltanen_UK
dc.contributor.authorMcDaid, Daviden_UK
dc.contributor.authorAudenhove, Chantal vanen_UK
dc.contributor.authorHegerl, Ulrichen_UK
dc.date.accessioned2017-11-04T00:34:40Z-
dc.date.available2017-11-04T00:34:40Z-
dc.date.issued2016-03-15en_UK
dc.identifier.other268en_UK
dc.identifier.urihttp://hdl.handle.net/1893/22966-
dc.description.abstractBackground  The Medical Research Council (MRC) Framework for complex interventions highlights the need to explore interactions between components of complex interventions, but this has not yet been fully explored within complex, non-pharmacological interventions. This paper draws on the process evaluation data of a suicide prevention programme implemented in four European countries to illustrate the synergistic interactions between intervention levels in a complex programme, and to present our method for exploring these.  Methods  A realist evaluation approach informed the process evaluation, which drew on mixed methods, longitudinal case studies. Data collection consisted of 47 semi-structured interviews, 12 focus groups, one workshop, fieldnoted observations of six programme meetings and 20 questionnaires (delivered at six month intervals to each of the four intervention sites). Analysis drew on the framework approach, facilitated by the use of QSR NVivo (v10). Our qualitative approach to exploring synergistic interactions (QuaSIC) also developed a matrix of hypothesised synergies that were explored within one workshop and two waves of data collection.  Results  All four implementation countries provided examples of synergistic interactions that added value beyond the sum of individual intervention levels or components in isolation. For instance, the launch ceremony of the public health campaign (a level 3 intervention) in Ireland had an impact on the community-based professional training, increasing uptake and visibility of training for journalists in particular. In turn, this led to increased media reporting of OSPI activities (monitored as part of the public health campaign) and also led to wider dissemination of editorial guidelines for responsible reporting of suicidal acts. Analysis of the total process evaluation dataset also revealed the new phenomenon of the OSPI programme acting as a catalyst for externally generated (and funded) activity that shared the goals of suicide prevention.  Conclusions  The QuaSIC approach enabled us to develop and refine our definition of synergistic interactions and add the innovative concept of catalytic effects. This represents a novel approach to the evaluation of complex interventions. By exploring synergies and catalytic interactions related to a complex intervention or programme, we reveal the added value to planned activities and how they might be maximised.en_UK
dc.language.isoenen_UK
dc.publisherBioMed Centralen_UK
dc.relationHarris FM, Maxwell M, O'Connor RC, Coyne J, Arensman E, Coffey C, Koburger N, Gusmao R, Costa S, Szekely A, Cserháti Z, McDaid D, Audenhove Cv & Hegerl U (2016) Exploring Synergistic Interactions And Catalysts In Complex Interventions: Longitudinal, Mixed Methods Case Studies Of An Optimised Multi-Level Suicide Prevention Intervention In Four European Countries (Ospi-Europe). <i>BMC Public Health</i>, 16, Art. No.: 268. https://doi.org/10.1186/s12889-016-2942-zen_UK
dc.rights© Harris et al. 2016 This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://​creativecommons.​org/​licenses/​by/​4.​0/​), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://​creativecommons.​org/​publicdomain/​zero/​1.​0/​) applies to the data made available in this article, unless otherwise stated.en_UK
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en_UK
dc.subjectcomplex interventionsen_UK
dc.subjectlongitudinal studyen_UK
dc.subjectprocess evaluationen_UK
dc.subjectsuicide preventionen_UK
dc.subjectsynergistic interactionsen_UK
dc.subjectprogramme as catalysten_UK
dc.titleExploring Synergistic Interactions And Catalysts In Complex Interventions: Longitudinal, Mixed Methods Case Studies Of An Optimised Multi-Level Suicide Prevention Intervention In Four European Countries (Ospi-Europe)en_UK
dc.typeJournal Articleen_UK
dc.identifier.doi10.1186/s12889-016-2942-zen_UK
dc.identifier.pmid26979461en_UK
dc.citation.jtitleBMC Public Healthen_UK
dc.citation.issn1471-2458en_UK
dc.citation.volume16en_UK
dc.citation.publicationstatusPublisheden_UK
dc.citation.peerreviewedRefereeden_UK
dc.type.statusVoR - Version of Recorden_UK
dc.author.emailfiona.harris1@stir.ac.uken_UK
dc.citation.date15/03/2016en_UK
dc.contributor.affiliationNMAHPen_UK
dc.contributor.affiliationNMAHPen_UK
dc.contributor.affiliationUniversity of Glasgowen_UK
dc.contributor.affiliationHealth Sciences Stirlingen_UK
dc.contributor.affiliationUniversity College Corken_UK
dc.contributor.affiliationUniversity College Corken_UK
dc.contributor.affiliationUniversitätsklinikum Leipzig AöRen_UK
dc.contributor.affiliationNew University of Lisbonen_UK
dc.contributor.affiliationNew University of Lisbonen_UK
dc.contributor.affiliationSemmelweis University Budapesten_UK
dc.contributor.affiliationSemmelweis University Budapesten_UK
dc.contributor.affiliationLondon School of Economicsen_UK
dc.contributor.affiliationKU Leuvenen_UK
dc.contributor.affiliationUniversity Leipzigen_UK
dc.identifier.isiWOS:000372492700001en_UK
dc.identifier.scopusid2-s2.0-84962856551en_UK
dc.identifier.wtid576144en_UK
dc.contributor.orcid0000-0003-3258-5624en_UK
dc.contributor.orcid0000-0003-3318-9500en_UK
dc.date.accepted2016-03-08en_UK
dcterms.dateAccepted2016-03-08en_UK
dc.date.filedepositdate2016-03-14en_UK
rioxxterms.apcpaiden_UK
rioxxterms.typeJournal Article/Reviewen_UK
rioxxterms.versionVoRen_UK
local.rioxx.authorHarris, Fiona Margaret|0000-0003-3258-5624en_UK
local.rioxx.authorMaxwell, Margaret|0000-0003-3318-9500en_UK
local.rioxx.authorO'Connor, Rory C|en_UK
local.rioxx.authorCoyne, James|en_UK
local.rioxx.authorArensman, Ella|en_UK
local.rioxx.authorCoffey, Claire|en_UK
local.rioxx.authorKoburger, Nicole|en_UK
local.rioxx.authorGusmao, Ricardo|en_UK
local.rioxx.authorCosta, Susana|en_UK
local.rioxx.authorSzekely, Andras|en_UK
local.rioxx.authorCserháti, Zoltan|en_UK
local.rioxx.authorMcDaid, David|en_UK
local.rioxx.authorAudenhove, Chantal van|en_UK
local.rioxx.authorHegerl, Ulrich|en_UK
local.rioxx.projectInternal Project|University of Stirling|https://isni.org/isni/0000000122484331en_UK
local.rioxx.freetoreaddate2016-03-15en_UK
local.rioxx.licencehttp://www.rioxx.net/licenses/under-embargo-all-rights-reserved||2016-03-15en_UK
local.rioxx.licencehttp://creativecommons.org/licenses/by/4.0/|2016-03-15|en_UK
local.rioxx.filenameHarris et al_BMC Public Health_2016.pdfen_UK
local.rioxx.filecount1en_UK
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