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Developing and evaluating complex interventions: updating Medical Research Council guidance to take account of new methodological and theoretical approaches
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“An explicit focus on implementation and economic aspects early during treatment development has been recommended.44 45”
From Development, evaluation and implementation of a digital behavioural health treatment for chronic pain: study protocol of the multiphase DAHLIA project (2022) · cites this paper as [45]
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“The DAHLIA approach is also in line with the widely used MRC/NIHR framework by considering contextual and economical aspects, building on theory, involving stakeholders, and refining the intervention.26 45”
From Development, evaluation and implementation of a digital behavioural health treatment for chronic pain: study protocol of the multiphase DAHLIA project (2022) · cites this paper as [45]
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The Handbook of Behavior Change
Hagger, M. S., Cameron, L. D., Hamilton, K., Hankonen, N. E., & Lintunen, T. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318 · Cited by 446
Changing Behavior Using the Theory of Planned Behavior
Ajzen, I., & Schmidt, P. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.002 · Cited by 346
Ruhle, S. A., Breitsohl, H., Aboagye, E., Baba, V. V., Biron, C., Leal, C. C., Dietz, C., Ferreira, A. I., Gerich, J., Johns, G., et al. (2019) · European Journal of Work and Organizational Psychology · doi:10.1080/1359432x.2019.1704734 · Cited by 225
Studying Behaviour Change Mechanisms under Complexity
Heino, M. T. J., Knittle, K. P., Noone, C., Hasselman, F., & Hankonen, N. E. (2021) · Behavioral Sciences · doi:10.3390/bs11050077 · Cited by 161
“The necessity of a complex systems approach is increasingly recognized, including within the UK Medical Research Council’s recently updated guidance for developing and evaluating complex interventions [64].”
BackgroundChanging Behavior Using the Model of Action Phases
Keller, L., Gollwitzer, P. M., & Sheeran, P. (2020) · The Handbook of Behavior Change · doi:10.1017/9781108677318.006 · Cited by 147
Paparini, S., Papoutsi, C., Murdoch, J., Green, J., Petticrew, M., Greenhalgh, T., & Shaw, S. E. (2021) · BMC Medical Research Methodology · doi:10.1186/s12874-021-01418-3 · Cited by 131
“Broader ways of thinking about and operationalising context are emerging in the healthcare field [13, 17, 27, 93] emphasising, for instance, interventions in complex social systems and even interventions as system changes in themselves [94, 95].”
BackgroundChanging Behavior Using the Health Action Process Approach
Schwarzer, R., & Hamilton, K. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.007 · Cited by 114
Integrated Care Models and Child Health: A Meta-analysis
Wolfe, I., Satherley, R., Scotney, E., Newham, J. J., & Lingam, R. (2019) · PEDIATRICS · doi:10.1542/peds.2018-3747 · Cited by 93
Stuber, F., Seifried-Dübon, T., Rieger, M. A., Gündel, H., Ruhle, S. A., Zipfel, S., & Junne, F. (2020) · International Archives of Occupational and Environmental Health · doi:10.1007/s00420-020-01583-w · Cited by 93
Systematic review of the use of process evaluations in knowledge translation research
Scott, S. D., Rotter, T., Flynn, R., Brooks, H. M., Plesuk, T., Bannar‐Martin, K. H., Chambers, T., & Hartling, L. (2019) · Systematic Reviews · doi:10.1186/s13643-019-1161-y · Cited by 82
O'Hara, J. K., Baxter, R., & Hardicre, N. (2020) · Applied Ergonomics · doi:10.1016/j.apergo.2020.103060 · Cited by 76
Flood, M., Ennis, M., Ludlow, A., Sweeney, F. F., Holton, A. E., Morgan, S., Clarke, C., Carroll, P., Mellon, L., Boland, F., et al. (2021) · Research in Social and Administrative Pharmacy · doi:10.1016/j.sapharm.2021.06.015 · Cited by 80
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Spiegelhalter, D. J. (2020) · Harvard Data Science Review · doi:10.1162/99608f92.cb91a35a · Cited by 68
Changing Behavior Using Social Cognitive Theory
Łuszczyńska, A., & Schwarzer, R. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.003 · Cited by 81
Tenison, E., Smink, A. J., Redwood, S., Darweesh, S. K. L., Cottle, H., van Halteren, A. D., van den Haak, P., Hamlin, R., Ypinga, J. H. L., Bloem, B. R., et al. (2020) · Parkinson s Disease · doi:10.1155/2020/8673087 · Cited by 56
“Having multiple components is one feature of a “complex inter-vention” [29], as defined by the Medical Research Council, in guidance which was updated last year [30].”
Warner, L. M., & French, D. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.032 · Cited by 62
Using critical realism in primary care research: an overview of methods
Sturgiss, E. A., & Clark, A. M. (2019) · Family Practice · doi:10.1093/fampra/cmz084 · Cited by 51
“The latest draft of the MRC’s guidelines for the development of complex interventions suggests realist evaluation for questions related to how context influences interventions and what ‘unseen mechanisms’ are involved in making an intervention work (21).”
BackgroundEsmail, L. C., Barasky, R. J., Mittman, B. S., & Hickam, D. H. (2020) · Journal of General Internal Medicine · doi:10.1007/s11606-020-06093-6 · Cited by 52
Changing Behavior Using Ecological Models
Salmon, J., Hesketh, K. D., Arundell, L., Downing, K. L., & Biddle, S. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.017 · Cited by 57
Changing Behavior Using Self-Determination Theory
Hagger, M. S., Hankonen, N. E., Chatzisarantis, N. L. D., & Ryan, R. M. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.008 · Cited by 67
Civic engagement in serious illness, death, and loss: A systematic mixed-methods review
D’Eer, L., Quintiens, B., den Block, L. V., Dury, S., Deliëns, L., Chambaere, K., Smets, T., & Cohen, J. (2022) · Palliative Medicine · doi:10.1177/02692163221077850 · Cited by 50
Planning and Implementation Intention Interventions
Rhodes, R. E., Grant, S. J., & de Bruijn, G. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.039 · Cited by 46
Attitudes and Persuasive Communication Interventions
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Changing Behavior: A Theory- and Evidence-Based Approach
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Tarrant, M., Haslam, C., Carter, M., Calitri, R., & Haslam, S. A. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.044 · Cited by 38
Qualitative Research and Its Importance in Adapting Interventions
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“The United Kingdom Medical Research Council Guidelines (Skivington et al., 2018) for the development of complex interventions and their evaluation recommend that a feasibility study be completed to determine whether the intervention is feasible and acceptable to the target population.”
BackgroundChanging Behavior Using Integrated Theories
Hagger, M. S., & Hamilton, K. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.015 · Cited by 44
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DiClemente, C. C., & Graydon, M. M. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.010 · Cited by 35
Changing Behavior Using the Health Belief Model and Protection Motivation Theory
Orbell, S., Zahid, H., & Henderson, C. J. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.004 · Cited by 35
Rees, G. M., Bard, A., & Reyher, K. K. (2021) · Antibiotics · doi:10.3390/antibiotics10030253 · Cited by 30
“The Medical Research Council’s new guidance for developing and analysing complex interventions [57] highlights the importance of practical effectiveness—that is, whether the intervention works “in the real world”—as a key measure when evaluating complex interventions.”
BackgroundChanging Behavior by Changing Environments
Marteau, T. M., Fletcher, P. C., Hollands, G. J., & Munafo, M. R. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.014 · Cited by 32
How are families included in the treatment of adults affected by eating disorders? A scoping review
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Morken, I. M., Storm, M., Søreide, J. A., Urstad, K. H., Karlsen, B., & Husebø, A. M. L. (2021) · Journal of Medical Internet Research · doi:10.2196/32946 · Cited by 28
“Such factors are important to consider when conducting a literature search and review as part of developing complex interventions [29].”
Bartels, S. L., Johnsson, S. I., Boersma, K., Flink, I., McCracken, L. M., Petersson, S., Christie, H. L., Feldman, I., Simons, L. E., Onghena, P., et al. (2022) · BMJ Open · doi:10.1136/bmjopen-2021-059152 · Cited by 23
“26 45 Due to the ambitious and multifaceted nature of the project, several inherent challenges and risks should also be acknowledged.”
Design, Implementation, and Evaluation of Behavior Change Interventions: A Ten-Task Guide
Abraham, C., & Denford, S. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.019 · Cited by 27
Changing Behavior Using the Reflective-Impulsive Model
Deutsch, R., & Strack, F. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.012 · Cited by 30
Daud, M. H., Ramli, A. S., Abdul-Razak, S., Isa, M. R., Yusoff, F. H., Baharudin, N., Mohamed-Yassin, M.-S., Badlishah-Sham, S. F., Nikmat, A. W., Jamil, N., et al. (2020) · Trials · doi:10.1186/s13063-020-04237-x · Cited by 27
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Scholz, U., Berli, C., Lüscher, J., & Knoll, N. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.043 · Cited by 26
Hartmann‐Boyce, J., Ordóñez-Mena, J. M., Theodoulou, A., Butler, A. R., Freeman, S. C., Sutton, A. J., Jebb, S. A., & Aveyard, P. N. (2022) · Obesity · doi:10.1002/oby.23505 · Cited by 23
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Rothman, A. J., Klein, W. M. P., & Sheeran, P. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.020 · Cited by 26
Imagery, Visualization, and Mental Simulation Interventions
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Changing Behavior Using the Common-Sense Model of Self-Regulation
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Engagement of Stakeholders in the Design, Evaluation, and Implementation of Complex Interventions
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Uri Gneezy, B., Kajackaite, A., & Meier, S. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.036 · Cited by 20
Sun, K., Goodfellow, H., Konstantara, E., Hill, A., Lennard, D., Lloyd-Dehler, E., Mughal, M. M., Pritchard‐Jones, K., Robson, C., & Murray, E. (2021) · Digital Health · doi:10.1177/20552076211038410 · Cited by 21
“The Medical Research Council (MRC) has introduced a framework for the development of complex interventions through to evaluation and implementation, with new updated guidance soon to be published in the imminent future.(44,45) It details how interventions should be evidence based with the use of 2 DIGITAL HEALTH”
MethodSchip, C. V. H., Cheung, K. L., Vluggen, S., Hoving, C., Schaper, N. C., & de Vries, H. (2020) · Journal of Medical Internet Research · doi:10.2196/15397 · Cited by 21
“According to the UK Medical Research Council framework, pilot testing is a prerequisite for the success of an intervention [40].”
MethodRuiter, R. A. C., Crutzen, R., de Leeuw, E., & Kok, G. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.018 · Cited by 20
Shaw, S. E., Paparini, S., Murdoch, J., Green, J., Greenhalgh, T., Hanckel, B., James, H., Petticrew, M. P., Wood, G. W., & Papoutsi, C. (2023) · BMC Medical Research Methodology · doi:10.1186/s12874-023-01888-7 · Cited by 22
Changing Behavior Using Social Identity Processes
Reynolds, K. J., Branscombe, N. R., Subašić, E., & Willis, L. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.016 · Cited by 21
Busse, M. E., Latchem-Hastings, J., Button, K., Poile, V., Davies, F., Halloran, R. O., Stensland, B., Tallantyre, E. C., Lowe, R., Wood, F., et al. (2021) · BMJ Open · doi:10.1136/bmjopen-2020-045378 · Cited by 18
Blackburn, N. E., Skjødt, M., Tully, M. A., Mullan, I. M., Giné‐Garriga, M., Caserotti, P., Alias, S. B., Santiago, M., Rodriguez-Garrido, S., Weinmayr, G., et al. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18094730 · Cited by 15
“The complexity resides in the variety of behaviours required by participants in the intervention, the groups or organisational levels targeted, the potentially large number of outcomes and the degree of flexibility permitted by the intervention [3], all of which are associated with emergent phenomena that are difficul…”
BackgroundGauvin, L. I., Barnett, T. A., Dea, C., Doré, I., Drouin, O., Frohlich, K. L., Henderson, M., & Sylvestre, M. (2022) · Canadian Journal of Public Health · doi:10.17269/s41997-021-00569-6 · Cited by 14
Webb, T. L., & de Bruin, M. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.037 · Cited by 16
Johansson, J. F., Lam, N., Ozer, S., Hall, J., Morton, S., English, C., Fitzsimons, C. F., Lawton, R., Förster, A., & Clarke, D. J. (2022) · BMJ Open · doi:10.1136/bmjopen-2021-053945 · Cited by 13
“Including logic model as part of the process evaluation would also assist in mapping the range of factors that contribute to changes in intervention outcomes.”
Drewelow, E., Ritzke, M., Altiner, A., Icks, A., Montalbo, J., Kalitzkus, V., Löscher, S., Pashutina, Y., Fleischer, S., Abraham, J., et al. (2022) · PEC Innovation · doi:10.1016/j.pecinn.2022.100032 · Cited by 12
“This process was conducted according to the first two stages of the Medical Research Council (MRC) framework by Craig [16] and its further development [17,18].”
MethodElfeky, A., Treweek, S. P., Hannes, K., Bruhn, H., Fraser, C. M., & Gillies, K. (2022) · BMJ Open · doi:10.1136/bmjopen-2021-055521 · Cited by 17
Critical and Qualitative Approaches to Behavior Change
Chamberlain, K., & Lyons, A. C. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.030 · Cited by 13
To Work or Not to Work? That is the Question
Hattery, A. (2001) · Sage eBooks · doi:10.4135/9781452233932.n5 · Cited by 12
Maximizing User Engagement with Behavior Change Interventions
Yardley, L., Morrison, L. G., Müller, I., & Bradbury, K. J. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.025 · Cited by 11
Khonsari, S., Chandler, C., Parker, R. A., & Holloway, A. S. (2020) · Journal of Advanced Nursing · doi:10.1111/jan.14465 · Cited by 11
Viner, R., Kinra, S., Christie, D., Cole, T. J., Costa, S., Croker, H. A., Fry, T., Hsia, Y., Hudson, L. D., Kessel, A. S., et al. (2020) · Programme Grants for Applied Research · doi:10.3310/pgfar08030 · Cited by 12
The Science of Behavior Change: The Road Ahead
Hagger, M. S., Cameron, L. D., Hamilton, K., Hankonen, N. E., & Lintunen, T. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.046 · Cited by 13
Berry, K. K., Matheson, C., Schofield, J., Dumbrell, J., Parkes, T., Hill, D. R. B., Kilonzo, M. M., MacLennan, G., Stewart, D., Ritchie, T., et al. (2023) · BMC Health Services Research · doi:10.1186/s12913-023-10201-7 · Cited by 9
“The intervention development and following feasibility study also followed the revised MRC Framework for Complex Interventions [22] and guidance on developing complex interventions [23].”
MethodAutonomy-Supportive Interventions
Reeve, J., & Cheon, S. H. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.035 · Cited by 13
Implementation Science and Translation in Behavior Change
Łuszczyńska, A., Łobczowska, K., & Horodyska, K. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.023 · Cited by 10
Babbage, C. M., Lockwood, J., Roberts, L. F., Mendes, J. A. D. A., Greenhalgh, C., Willingham, L., Wokomah, E., Woodcock, R., Slovák, P., & Townsend, E. (2024) · JCPP Advances · doi:10.1002/jcv2.12295 · Cited by 8
de Ridder, D. T. D., Gillebaart, M., & Friese, M. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.040 · Cited by 9
Epton, T., & Armitage, C. J. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.038 · Cited by 8
Molewijk, B. C., Pedersen, R., Kok, A. A. L., Førde, R., & Aasland, O. G. (2023) · BMC Medical Ethics · doi:10.1186/s12910-023-00909-w · Cited by 9
Strengthening behavioral clinical trials with online qualitative research methods
Bouchard, K., & Tulloch, H. E. (2019) · Journal of Health Psychology · doi:10.1177/1359105319855120 · Cited by 8
“There is burgeoning evidence that behavioral clinical research, which seeks to inform health behavior change, can be strengthened by the use of qualitative methods (Bartlam et al., 2018; Sandelowski, 1996; Skivington et al., 2018).”
BackgroundProfessionals guidance about palliative medicine in chronic heart failure: a mixed-method study
Ament, S. M. C., Everdingen, M. H. J. V. D. B.-V., Maessen, J. M. C., Boyne, J. J., Schols, J. M. G. A., Stoffers, J., Bellersen, L., Rocca, H. B., Engels, Y., & Janssen, D. J. A. (2020) · BMJ Supportive & Palliative Care · doi:10.1136/bmjspcare-2020-002580 · Cited by 8
“…is developed based on a needs assessment of desired characteristics of an implementable tool and iterative development stages with patients with advanced CHF, family members and all relevant HCPs. 19 This needs-based and user-centred development may increase the chance for adoption in practice.”
InfluentialExploring the content and delivery of feedback facilitation co-interventions: a systematic review
Sykes, M. J., Rosenberg-Yunger, Z. R. S., Quigley, M., Gupta, L., Thomas, O., Robinson, L. J., Caulfield, K., Ivers, N. M., & Alderson, S. L. (2024) · Implementation Science · doi:10.1186/s13012-024-01365-9 · Cited by 7
“A causal link between an exposure (e.g., to some feature of an intervention) and an outcome [14] Moderator—Factor that increases or decreases the level of influence of an intervention or strategy, for example, connectivity within the organisational network structure [17] Motivation – “all those…”
BackgroundMethodInfluentialEvaluation of Behavior Change Interventions
Matthews, L., & Simpson, S. A. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.022 · Cited by 8
Self-citationA clinimetric analysis of the Pressure Ulcer Risk Primary or Secondary Evaluation Tool: PURPOSE-T
Wynn, M. O., & Holloway, S. (2019) · British Journal of Nursing · doi:10.12968/bjon.2019.28.20.s4 · Cited by 7
Motivational Interviewing Interventions
Berman, A. H., Beckman, M., & Lindqvist, H. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.045 · Cited by 12
ActiveYou I – a new web-based measure of activity preferences among children with disabilities
Dalen, L. K., Nyquist, A., Shields, L. E., Stanley, D. J., Nyquist, T. E. H., Jahnsen, R. B., & Ullenhag, A. (2020) · Scandinavian Journal of Occupational Therapy · doi:10.1080/11038128.2020.1822442 · Cited by 7
“This is a content validity and feasibility study [22] of a new web-based measure of children’s preferences for physical activities; ActiveYou I, applying mixedmethods design [22].”
BackgroundMethodDoren, S. V., Hermans, K., & Declercq, A. (2021) · BMC Health Services Research · doi:10.1186/s12913-021-06453-w · Cited by 7
“The research design is based on the revised Medical Research Council (MRC) framework for the design, evaluation and implementation of complex interventions [47].”
MethodLutz, N., Grave, L. D., Richter, D., Deliens, T., Verhaeghe, N., Taeymans, J., & Clarys, P. (2022) · BMC Public Health · doi:10.1186/s12889-022-13659-y · Cited by 8
“Indeed, it is increasingly questioned whether RCTs are appropriate in the field of OHM [32, 43].”
BackgroundInfluentialPhysical activity in kidney disease: evidence and implementation
Young, H. M. L., Billany, R. E., Graham-Brown, M. P. M., Lightfoot, C. J., March, D. S., & Smith, A. C. (2025) · Nature Reviews Nephrology · doi:10.1038/s41581-025-00999-2 · Cited by 9
“interventions 137 as well as a broader range of methods and study designs (for example, mixed-methods , ethnographic inquiry ) may lead to a greater understanding of what strategies work, for whom, and under what circumstances or in what contexts.”
Economic and Behavioral Economic Approaches to Behavior Change
Brown, P. M., Cameron, L. D., Wilkinson, M., & Taylor, D. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.042 · Cited by 7
Context and Complexity in Telemedicine Evaluation: Work Domain Analysis in a Surgical Setting
Aminoff, H., & Meijer, S. (2021) · JMIR Perioperative Medicine · doi:10.2196/26580 · Cited by 7
“However, in the case of complex interventions [27] such as telemedicine [28], the “active components” can be difficult to define, and it might not be entirely clear what changes can be expected or how change will be achieved [29].”
Tézier, B., Guillemin, F., Vuillemin, A., Johnson, S., Lemonnier, F., Rostan, F., & Hoye, A. V. (2022) · Health Promotion International · doi:10.1093/heapro/daac145 · Cited by 6
Stephens, N., Evans, S., Russell, C., & Brooker, D. J. R. (2023) · Journal of Advanced Nursing · doi:10.1111/jan.15886 · Cited by 6
Changing Behavior Using Integrative Self-Control Theory
Hofmann, W., Dohle, S., & Diel, K. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.011 · Cited by 7
Phillips, R., McLaughlin, L., Williams, D., Williams, H., Noyes, J., Jones, C., Oleary, C., Mallett, C., & Griffin, S. (2021) · Journal of Advanced Nursing · doi:10.1111/jan.14803 · Cited by 6
Conner, M. T., Williams, D. M., & Rhodes, R. E. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.034 · Cited by 6
Does providing everyone with free-of-charge organised exercise opportunities work in public health?
Candio, P., Meads, D. M., Hill, A. J., & Bojke, L. (2022) · Health Policy · doi:10.1016/j.healthpol.2022.01.001 · Cited by 5
Addressing Underserved Populations and Disparities in Behavior Change
Schüz, B., & Hooper, M. W. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.027 · Cited by 5
IMPHS group, Williams, J., Fairbairn, E., McGrath, R., Clark, A., Healey, A., Bakolis, I., Gaughran, F., Sadler, E., Khadjesari, Z., et al. (2021) · Implementation Science Communications · doi:10.1186/s43058-021-00113-0 · Cited by 5
Ahern, M., Dean, C. M., Dear, B. F., Willcock, S., & Hush, J. M. (2022) · Australian Journal of Primary Health · doi:10.1071/py21206 · Cited by 5
Changing Behavior in the Digital Age
Kavanagh, D. J. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.029 · Cited by 4
Armitage, S., McColl, E., Kolehmainen, N., & Rapley, T. (2020) · Health Expectations · doi:10.1111/hex.13180 · Cited by 4
Cordero, J., Mochache, V., Boydell, V., Addah, M. A., McMullen, H., Monyo, A., Mrema, S., Nai, D., Shamba, D., & Steyn, P. (2022) · International Journal for Equity in Health · doi:10.1186/s12939-022-01718-0 · Cited by 3
“There have been calls to move away from the view that experimental designs are the only approach and that RCTs generate the best quality evidence [30, 31].”
Lin, R. S. Y., Yu, D. S. F., Chau, P. H., & Li, P. W. C. (2021) · Journal of Advanced Nursing · doi:10.1111/jan.14871 · Cited by 4
Battel, I., Arienti, C., Levack, W., Kiekens, C., & Négrini, S. (2024) · Cochrane Evidence Synthesis and Methods · doi:10.1002/cesm.70000 · Cited by 3
“…delivering and receiving the intervention, as well as the degree of collaboration and adherence to the intervention; the number of cycles and levels of the process; the different settings; and/or the permitted level of flexibility in the delivery of the intervention or its components [10, 18, 23].”
Hansson, E. E., Fänge, A. M., & Rogmark, C. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph181910165 · Cited by 3
“The interventions included in this study are complex in character [42].”
MethodFlood, M., Gleeson, L. L., Flynn, S. M., Ennis, M., Ludlow, A., Sweeney, F. F., Holton, A. E., Morgan, S., Clarke, C., Carroll, P., et al. (2022) · Elsevier eBooks · doi:10.1016/b978-0-323-91888-6.00011-9 · Cited by 3
Metadata
- Authors
- Skivington, K., Matthews, L., Craig, P., Simpson, S., & Moore, L.
- Affiliations
- University of Glasgow (GB)
- Corresponding author
- Skivington, Kathryn
- Venue
- The Lancet
- Publisher
- Elsevier BV
- Published
- 2018-11
- Volume
- 392
- Pages
- S2
- ISSN
- 0099-5355 (ISSN-L)
- 0140-6736
- OpenAlex
- W2900704124
- Cited by
- 137
- References
- 0
- Citations by year
- 2026: 4 · 2025: 5 · 2024: 8 · 2023: 7 · 2022: 14 · 2021: 21 · 2020: 68 · 2019: 8
- FWCI
- 37.19
- Type
- journal article
- Language
- en
- Open access
- green
- eprints.gla.ac.uk
- Licence
- Locations
- The Lancet (publishedVersion)
- ENLIGHTEN (Jurnal Bimbingan dan Konseling Islam) (submittedVersion, cc-by-sa)
- Funders
- MRC Strategic Award (MC_PC_13027)
- CSO programme grants (MC_UU_12017/14, SPHSU14, MC_UU_12017/15, SPHSU15)
- Topics
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Social Sciences › Public Administration › Evaluation and Performance Assessment
- Physical Sciences › Mathematics › Statistics and Probability › Advanced Causal Inference Techniques
- Keywords
- complex interventions, complex systems science, program theory, natural experiment, research prioritization, intervention development
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