keyword
MENU ▼
Read by QxMD icon Read
search

"Realist evaluation"

keyword
https://www.readbyqxmd.com/read/29431181/characterizing-performance-improvement-in-primary-care-systems-in-mesoamerica-a-realist-evaluation-protocol
#1
Wolfgang Munar, Syed S Wahid, Leslie Curry
Background. Improving performance of primary care systems in low- and middle-income countries (LMICs) may be a necessary condition for achievement of universal health coverage in the age of Sustainable Development Goals. The Salud Mesoamerica Initiative (SMI), a large-scale, multi-country program that uses supply-side financial incentives directed at the central-level of governments, and continuous, external evaluation of public, health sector performance to induce improvements in primary care performance in eight LMICs...
January 3, 2018: Gates Open Res
https://www.readbyqxmd.com/read/29430443/electrical-impedance-tomography
#2
REVIEW
Beatriz Lobo, Cecilia Hermosa, Ana Abella, Federico Gordo
Continuous assessment of respiratory status is one of the cornerstones of modern intensive care unit (ICU) monitoring systems. Electrical impedance tomography (EIT), although with some constraints, may play the lead as a new diagnostic and guiding tool for an adequate optimization of mechanical ventilation in critically ill patients. EIT may assist in defining mechanical ventilation settings, assess distribution of tidal volume and of end-expiratory lung volume (EELV) and contribute to titrate positive end-expiratory pressure (PEEP)/tidal volume combinations...
January 2018: Annals of Translational Medicine
https://www.readbyqxmd.com/read/29424058/a-realistic-evaluation-approach-highlighted-the-success-factors-and-difficulties-of-an-innovative-and-comprehensive-malnutrition-programme-in-madagascar
#3
Margot Magnin, Emilien Jeannot, Rajaobelina Voahangy, Beat Stoll
AIM: Malnutrition has multiple causes, not just a lack of calories. We explored the successes and barriers of an innovative, comprehensive programme in Madagascar that educated mothers in particular about nutrition. METHODS: The outpatient programme in Antananarivo treats 2,400 malnourished children from 6-59 months each year. The 35-day programme comprises health checks, cooking demonstrations, the distribution of enriched flour supplements and two food-related games that are called Nutricartes and are based on boards and picture cards...
February 9, 2018: Acta Paediatrica
https://www.readbyqxmd.com/read/29402291/evaluating-a-dementia-learning-community-exploratory-study-and-research-implications
#4
Rod Sheaff, Ian Sherriff, Catherine Hagan Hennessy
BACKGROUND: Access times for, the costs and overload of hospital services are an increasingly salient issue for healthcare managers in many countries. Rising demand for hospital care has been attributed partly to unplanned admissions for older people, and among these partly to the increasing prevalence of dementia. The paper makes a preliminary evaluation of the logic model of a Dementia Learning Community (DLC) intended to reduce unplanned hospital admissions from care homes of people with dementia...
February 5, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29401706/conceptualizing-and-managing-medical-emergencies-where-no-formal-paramedical-system-exists-perspectives-from-a-remote-indigenous-community-in-canada
#5
Jeffrey Curran, Stephen D Ritchie, Jackson Beardy, David VanderBurgh, Karen Born, John Lewko, Aaron M Orkin
(1) Background: Remote communities in Canada lack an equitable emergency medical response capacity compared to other communities. Community-based emergency care (CBEC) training for laypeople is a model that has the potential to enhance the medical emergency response capacity in isolated and resource-limited contexts. The purpose of this study was to understand the characteristics of medical emergencies and to conceptualize and present a framework for what a medical emergency is for one remote Indigenous community in northwestern Ontario, in order to inform the development of CBEC training...
February 4, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29400631/open-communication-strategies-between-a-triad-of-experts-facilitates-death-in-usual-place-of-residence-a-realist-evaluation
#6
Sonia Dalkin, Monique Lhussier, Diana Jones, Pete Phillipson, William Cunningham
BACKGROUND: In order to meet policy drivers on death in usual place of residence, it is key to understand how shared decision-making can be facilitated in practice. An integrated care pathway was implemented in primary care in the North East of England to facilitate death in usual place of residence. AIM: To understand how, for whom and in which circumstances death in usual place of residence is facilitated. DESIGN: A mixed method realist evaluation was employed...
February 1, 2018: Palliative Medicine
https://www.readbyqxmd.com/read/29385489/a-qualitative-exploration-of-stakeholder-perceptions-of-the-implementation-of-place-based-working-and-its-potential-to-reduce-health-inequality
#7
M Steer, A I Machin
Background: Local authorities (LAs) have statutory responsibility to reduce health inequalities and improve public health. Place-based approaches may positively influence service provision yet little is known about their implementation and potential for reducing inequality through health and wellbeing improvements. An English LA implemented a place-based working (PBW) pilot in a small geography during austerity measures in the north of England. This involved three strands (early intervention, estate services and community intelligence) which were introduced separately and covered overlapping geographies...
January 27, 2018: Journal of Public Health
https://www.readbyqxmd.com/read/29357922/implementation-of-health-promotion-programmes-in-schools-an-approach-to-understand-the-influence-of-contextual-factors-on-the-process
#8
Emily Joan Darlington, Nolwenn Violon, Didier Jourdan
BACKGROUND: Implementing complex and multi-level public health programmes is challenging in school settings. Discrepancies between expected and actual programme outcomes are often reported. Such discrepancies are due to complex interactions between contextual factors. Contextual factors relate to the setting, the community, in which implementation occurs, the stakeholders involved, and the characteristics of the programme itself. This work uses realist evaluation to understand how contextual factors influence the implementation process, to result in variable programme outcomes...
January 22, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29349880/beyond-the-realist-turn-a-socio-material-analysis-of-heart-failure-self-care
#9
Allan McDougall, Elizabeth Anne Kinsella, Mark Goldszmidt, Karen Harkness, Patricia Strachan, Lorelei Lingard
For patients living with chronic illnesses, self-care has been linked with positive outcomes such as decreased hospitalisation, longer lifespan, and improved quality of life. However, despite calls for more and better self-care interventions, behaviour change trials have repeatedly fallen short on demonstrating effectiveness. The literature on heart failure (HF) stands as a case in point, and a growing body of HF studies advocate realist approaches to self-care research and policymaking. We label this trend the 'realist turn' in HF self-care...
January 2018: Sociology of Health & Illness
https://www.readbyqxmd.com/read/29315370/optimal-healthcare-delivery-to-care-homes-in-the-uk-a-realist-evaluation-of-what-supports-effective-working-to-improve-healthcare-outcomes
#10
Adam L Gordon, Claire Goodman, Sue L Davies, Tom Dening, Heather Gage, Julienne Meyer, Justine Schneider, Brian Bell, Jake Jordan, Finbarr C Martin, Steve Iliffe, Clive Bowman, John R F Gladman, Christina Victor, Andrea Mayrhofer, Melanie Handley, Maria Zubair
Introduction: care home residents have high healthcare needs not fully met by prevailing healthcare models. This study explored how healthcare configuration influences resource use. Methods: a realist evaluation using qualitative and quantitative data from case studies of three UK health and social care economies selected for differing patterns of healthcare delivery to care homes. Four homes per area (12 in total) were recruited. A total of 239 residents were followed for 12 months to record resource-use...
January 5, 2018: Age and Ageing
https://www.readbyqxmd.com/read/29307102/sustainability-evaluation-of-mornos-lake-reservoir-greece
#11
Grigoris Rousakis, Ioannis P Panagiotopoulos, Paraskevi Drakopoulou, Panos Georgiou, Dimitrios Nikolopoulos, Nikolaos Mporompokas, Vasilios Kapsimalis, Isidoros Livanos, Ioannis A Morfis, Christos Anagnostou, Maria Koutra
The modern climate trend and population growth have dramatically increased the need for maximization of the net benefit from the existing storage space in freshwater reservoirs. However, sedimentation in reservoirs through physical deposition and/or slope failures is a major threat to their productivity and life expectancy. In this context, the sedimentation impact on the sustainability of Mornos Lake/Reservoir, which is exceptionally vital for the ~ 3.1 million inhabitants of Athens, had to be evaluated...
January 6, 2018: Environmental Monitoring and Assessment
https://www.readbyqxmd.com/read/29273048/propel-implementation-of-an-evidence-based-pelvic-floor-muscle-training-intervention-for-women-with-pelvic-organ-prolapse-a-realist-evaluation-and-outcomes-study-protocol
#12
Margaret Maxwell, Karen Semple, Sarah Wane, Andrew Elders, Edward Duncan, Purva Abhyankar, Joyce Wilkinson, Douglas Tincello, Eileen Calveley, Mary MacFarlane, Doreen McClurg, Karen Guerrero, Helen Mason, Suzanne Hagen
BACKGROUND: Pelvic Organ Prolapse (POP) is estimated to affect 41%-50% of women aged over 40. Findings from the multi-centre randomised controlled "Pelvic Organ Prolapse PhysiotherapY" (POPPY) trial showed that individualised pelvic floor muscle training (PFMT) was effective in reducing symptoms of prolapse, improved quality of life and showed clear potential to be cost-effective. However, provision of PFMT for prolapse continues to vary across the UK, with limited numbers of women's health physiotherapists specialising in its delivery...
December 22, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/29246224/optimizing-clinical-and-organizational-practice-in-cancer-survivor-transitions-between-specialized-oncology-and-primary-care-teams-a-realist-evaluation-of-multiple-case-studies
#13
Dominique Tremblay, Catherine Prady, Karine Bilodeau, Nassera Touati, Maud-Christine Chouinard, Martin Fortin, Isabelle Gaboury, Jean Rodrigue, Marie-France L'Italien
BACKGROUND: Cancer is now viewed as a chronic disease, presenting challenges to follow-up and survivorship care. Models to shift from haphazard, suboptimal and fragmented episodes of care to an integrated cancer care continuum must be developed, tested and implemented. Numerous studies demonstrate improved care when follow-up is assured by both oncology and primary care providers rather than either group alone. However, there is little data on the roles assumed by specialized oncology teams and primary care providers and the extent to which they work together...
December 16, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/29237463/the-researchers-role-in-knowledge-translation-a-realist-evaluation-of-the-development-and-implementation-of-diagnostic-pathways-for-cancer-in-two-united-kingdom-localities
#14
Jon Banks, Lesley Wye, Nicola Hall, James Rooney, Fiona M Walter, Willie Hamilton, Ardiana Gjini, Greg Rubin
BACKGROUND: In examining an initiative to develop and implement new cancer diagnostic pathways in two English localities, this paper evaluates 'what works' and examines the role of researchers in facilitating knowledge translation amongst teams of local clinicians and policy-makers. METHODS: Using realist evaluation with a mixed methods case study approach, we conducted documentary analysis of meeting minutes and pathway iterations to map pathway development. We interviewed 14 participants to identify the contexts, mechanisms and outcomes (CMOs) that led to successful pathway development and implementation...
December 13, 2017: Health Research Policy and Systems
https://www.readbyqxmd.com/read/29236726/demographic-monitoring-of-wild-muriqui-populations-criteria-for-defining-priority-areas-and-monitoring-intensity
#15
Karen B Strier, Carla B Possamai, Fernanda P Tabacow, Alcides Pissinatti, Andre M Lanna, Fabiano Rodrigues de Melo, Leandro Moreira, Maurício Talebi, Paula Breves, Sérgio L Mendes, Leandro Jerusalinsky
Demographic data are essential to assessments of the status of endangered species. However, establishing an integrated monitoring program to obtain useful data on contemporary and future population trends requires both the identification of priority areas and populations and realistic evaluations of the kinds of data that can be obtained under different monitoring regimes. We analyzed all known populations of a critically endangered primate, the muriqui (genus: Brachyteles) using population size, genetic uniqueness, geographic importance (including potential importance in corridor programs) and implementability scores to define monitoring priorities...
2017: PloS One
https://www.readbyqxmd.com/read/29225949/improving-postpartum-care-delivery-and-uptake-by-implementing-context-specific-interventions-in-four-countries-in-africa-a-realist-evaluation-of-the-missed-opportunities-in-maternal-and-infant-health-momi-project
#16
Nehla Djellouli, Sue Mann, Bejoy Nambiar, Paula Meireles, Diana Miranda, Henrique Barros, Fadima Y Bocoum, W Maurice E Yaméogo, Clarisse Yaméogo, Sylvie Belemkoabga, Halima Tougri, Abou Coulibaly, Seni Kouanda, Vernon Mochache, Omar K Mwakusema, Eunice Irungu, Peter Gichangi, Zione Dembo, Angela Kadzakumanja, Charles Vidonji Makwenda, Judite Timóteo, Misete G Cossa, Malica de Melo, Sally Griffin, Nafissa B Osman, Severiano Foia, Emilomo Ogbe, Els Duysburgh, Tim Colbourn
Postpartum care (PPC) has remained relatively neglected in many interventions designed to improve maternal and neonatal health in sub-Saharan Africa. The Missed Opportunities in Maternal and Infant Health project developed and implemented a context-specific package of health system strengthening and demand generation in four African countries, aiming to improve access and quality of PPC. A realist evaluation was conducted to enable nuanced understanding of the influence of different contextual factors on both the implementation and impacts of the interventions...
2017: BMJ Global Health
https://www.readbyqxmd.com/read/29221475/a-critical-realist-evaluation-of-a-music-therapy-intervention-in-palliative-care
#17
Sam Porter, Tracey McConnell, Mike Clarke, Jenny Kirkwood, Naomi Hughes, Lisa Graham-Wisener, Joan Regan, Miriam McKeown, Kerry McGrillen, Joanne Reid
BACKGROUND: Music therapy is increasingly used as an adjunct therapy to support symptom management in palliative care. However, studies to date have paid little attention to the processes that lead to changes in patient outcomes. To fill this gap, we examined the processes and experiences involved in the introduction of music therapy as an adjunct complementary therapy to palliative care in a hospice setting in the United Kingdom (UK). METHODS: Using a realistic evaluation approach, we conducted a qualitative study using a variety of approaches...
December 8, 2017: BMC Palliative Care
https://www.readbyqxmd.com/read/29215328/a-realist-evaluation-of-social-prescribing-an-exploration-into-the-context-and-mechanisms-underpinning-a-pathway-linking-primary-care-with-the-voluntary-sector
#18
Marcello Bertotti, Caroline Frostick, Patrick Hutt, Ratna Sohanpal, Dawn Carnes
This article adopts a realist approach to evaluate a social prescribing pilot in the areas of Hackney and City in London (United Kingdom). It unpacks the contextual factors and mechanisms that influenced the development of this pilot for the benefits of GPs, commissioners and practitioners, and reflects on the realist approach to evaluation as a tool for the evaluation of health interventions. Primary care faces considerable challenges including the increase in long-term conditions, GP consultation rates, and widening health inequalities...
December 7, 2017: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/29204378/circular-mitochondrial-dna-a-geant4-dna-user-application-for-evaluating-radiation-induced-damage-in-circular-mitochondrial-dna
#19
Mohammad Bagher Tavakoli, Habiballah Moradi, Hossein Khanahmad, Mohsen Hosseini
Background: The aim of this study was to develop a nucleotide geometrical model of the circular mitochondrial DNA (mt-DNA) structure using Geant4-DNA toolkit to predict the radiation-induced damages such as single-strand breaks (SSB), double-strand breaks (DSB), and some other physical parameters. Methods: Our model covers the organization of a circular human mt genetic system. The current model includes all 16,659 base pairs of human mt-DNA. This new mt-DNA model has been preliminarily tested in this work by determining SSB and DSB DNA damage yields and site-hit probabilities due to the impact of proton particles...
October 2017: Journal of Medical Signals and Sensors
https://www.readbyqxmd.com/read/29165864/an-australian-hospital-s-training-program-and-referral-pathway-within-a-multi-disciplinary-health-justice-partnership-addressing-family-violence
#20
Kirsty Forsdike, Cathy Humphreys, Kristin Diemer, Stuart Ross, Linda Gyorki, Helena Maher, Penelope Vye, Fleur Llewelyn, Kelsey Hegarty
OBJECTIVE: An innovative health-justice partnership was established to deliver legal assistance to women experiencing family violence who attended an Australian hospital. This paper reports on a multifaceted response to build capacity and willingness of health professionals to identify signs of family violence and engage with referral pathways to on-site legal assistance. METHODS: A Realistic Evaluation analysed health professionals' knowledge and attitudes towards identification, response and referral for family violence before and after training; and use of referral pathways...
November 22, 2017: Australian and New Zealand Journal of Public Health
keyword
keyword
76680
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"