realist evaluation cmo configuration

To construct CMOs, the researchers explored the coded data to identify instances where NCA feedback was reported to have been used by providers. These case studies confirmed the importance of perceived organisational support (POS), but also indicated that perceived supervisor support (PSS) is an important determinant that could act as a subsititute for POS and which is equally triggering reciprocal behaviour. This in turn could improve ownership and lead to more context-appropriate interventions. Learn more in: Critical Realist Information Systems Research Their HRM bundles combine employment security, adequate compensation and training. The content of this field is kept private and will not be shown publicly. ��Z���=�G�Y�����d.�w�;�=������9�*Ϲs��y�\0��xx�02m6O����!����tz8��y�����L��M�x��Ah��Ah��Ah��Ah�� z�&�M؛�7�M`�-��@g�3������@s�9�`4���@s�9�`V�R�R�R�R�R�R�R�R�R�R�R�R�R�R�R�R��e�Q���F�k��Jѕ�+EWʮ])�Rte��Е�o����o����o����o����o�����j�sʂ甞��f��2,���T~ۖ���pSܽ���.�>���}�Ҷ�lU�~������n6�K���� Post-doctoral Researcher, Department of Public Health, Institute of Tropical Medicine, Antwerp (Belgium) and Consultant. It is a useful approach to document stories of impact and to develop an understanding of the factors that enhance or impede impact. (2010b). I heartily endorse Alice's suggestion of joining the Rameses discussion list. Because of this, realist evaluations are appreciated by implementers and decision-makers who seek to understand how a program or policy works, and in which circumstances, when designing or funding programs. Critical Public Health 10:125-140. Tilley and Pawson (1997) developed a model of theory driven evaluation called 'realistic evaluation' that was centred on finding not only what outcomes were produced from interventions but also 'how they are produced, and what is significant about the varying conditions in the which the interventions take place' (Tilley, 2000). An impact evaluation approach based on contribution analysis, with the addition of processes for expert review and community review of evidence and conclusions. Evaluating complex public health interventions: theory, methods and scope of realist enquiry. Going back to our example, there may different social beliefs about the roles and responsibilities of mothers and fathers in different cultures, which may affect how parents respond to the parenting programme. Realist evaluation starts with theory and ends with theory. Decide who will conduct the evaluation, 5. At best, evaluation can make sense of the complex processes underlying programmes by formulating plausible explanations ex-post. Strictly speaking, the term ‘generative mechanism’ refers to the underlying social or psychological drivers that ‘cause’ the reasoning of actors. But it is possible to imagine that naturally randomised experiments could assess how context interact with mechanisms to generate outcomes. It can indicate the conditions in which the intervention works (or not) and how they do so. A realist evaluation design is well suited to assess how interventions in complex situations work because it allows the evaluator to deconstruct the causal web of conditions underlying such interventions. In a next round of case studies, we tested the refined programme theory in other hospitals. A realist diagnostic workshop. &�H��u1���٣پ��#�u#쏜�|�h���?G��r���\n�4�ht��#��{��?���o}��|��7ӻO�������3�'�āV��;v��W2�-%}���f Realist evaluation is a form of theory-driven evaluation, but is set apart by its explicit philosophical underpinnings. CMO stands for Context, Mechanism, Outcome. Evaluation If the programme theory/MRT is made explicit together with the main actors, it can lead to a better, shared understanding of the intervention. H��W]s�H}�W�Gi��|5��TR�cg�5�L"���xk A stakeholder involvement approach designed to provide groups with the tools and knowledge they need to monitor and evaluate their own performance and accomplish their goals. This contributed to a strong positive organisational culture (immediate outcome) that contributed to and maintained the performance standards at a high level (intermediate outcome) and to organisational performance (distal outcome). A particular type of case study used to jointly develop an agreed narrative of how an innovation was developed, including key contributors and processes, to inform future innovation efforts. 0000008596 00000 n The initial programme theory may be based on previous research, knowledge, experience, and the assumptions of the intervention designers about how the intervention will work. An approach to decision-making in evaluation that involves identifying the primary intended users and uses of an evaluation and then making all decisions in terms of the evaluation design and plan with reference to these. Social theory and social structure. 0000008200 00000 n 0000069133 00000 n 0000001272 00000 n Develop programme theory/theory of change, 5. The ripple effect, in conjunction with CMO configurations, served as a framework to better understand how partnership activities accrue in stages, with the outcomes of one stage of the partnership life course informing or transforming the context for subsequent stages. 0000008175 00000 n The Success Case Method (SCM) involves identifying the most and least successful cases in a program and examining them in detail. I'm a co-author of the Rameses standards for realist evaluation. My name is Gill Westhorp. It can be used to frame evaluation questions; to predict outcomes in different circumstances (and thus to select outcome indicators to look for), and as a framework for analysis. Central to realist evaluation is a recognition of the fundamental importance of context in shaping how and why programmes lead to (or fail to lead to) change. The evaluation of health and social care partnerships: an analysis of approaches and synthesis for the future. Realist evaluation was used to generate a theoretical and empirical appreciation of the contextual circumstances and mechanisms which help to explain the extent to which involvement with a public forum would enhance members' personal development and, if so, how, why, and for whom. After which, the IPT will be refined to … This study used realist evaluation methodology informed by a realist synthesis . Elicit-ing, refining and testing CMO configurations allows a deeper and more detailed understanding of for whom, in what circumstances and why the programme works. An approach designed to support ongoing learning and adaptation, through iterative, embedded evaluation. (2010) present a realist case study of human resource management in Ghana and discuss the main methodological challenges of realist evaluation, Marchal et al. It explains when a realist impact evaluation may be most Would the opponents of realist trials argue that in order to do so, evaluators would have to find other, non-random comparisons to avoid the taint of …

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