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A realist approach to the evaluation of complex mental health interventions

Research output: Contribution to journalArticlepeer-review

  • Craig Duncan
  • Scott Weich
  • Sarah-Jane Fenton
  • Professor Liz Twigg
  • Graham Moon
  • Jason Madan
  • Swaran Singh
  • David Crepaz-keay
  • Helen Parsons
  • Kamaldeep Bhui
Conventional approaches to evidence in which RCTs are prioritised appear increasingly inadequate for the evaluation of complex mental health interventions. By focusing on causal mechanisms and understanding the complex interactions between interventions, patients and contexts, realist approaches offer alternative ways of generating transferrable knowledge. While it has been suggested that the two approaches might be combined in realist RCTs, substantial barriers remain.
Original languageEnglish
Pages (from-to)451-453
JournalBritish Journal of Psychiatry
Issue number2
Early online date20 Jul 2018
Publication statusPublished - 1 Aug 2018


  • A realist approach to the evaluation

    Rights statement: This article has been published in a revised form in British Journal of Psychiatry This version is free to view and download for private research and study only. Not for re-distribution, re-sale or use in derivative works. © The Royal College of Psychiatrists 2018.

    Accepted author manuscript (Post-print), 561 KB, PDF document

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