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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]
In the citing paper
“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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“However, the variability of these interventions and, frequently, the difficulty of their application in routine practice have reduced their efficacy 9,16,17 .”
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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) · Figshare · doi:10.6084/m9.figshare.12085353
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Leung, C. L., Bosworth, H. B., Webel, A. R., Aifah, A. A., Akwanalo, C. O., Bloomfield, G. S., Choi, E. W., Gripshover, B., Hileman, C. O., Kamano, J. H., et al. (2026) · BMC Global and Public Health · doi:10.1186/s44263-026-00257-y
“Process evaluations assess how implementation unfolds in real-world contexts by examining intervention fidelity, reach, and contextual influences [67, 68].”
Baou, C. E., Suh, J. W., Saunders, R., Buckman, J. E. J., Hickmott, N., Corrigan, L., Clements, H., Dagnan, D., Donnellan, W. J., Mandy, W., et al. (2026) · The Lancet Regional Health - Europe · doi:10.1016/j.lanepe.2026.101798
“In line with guidance for evaluating complex interventions from the medical research council (MRC), 16 this study uses a naturalistic design to evaluate psychological therapy outcomes for adults with ADHD attending NHS TTad services across England.”
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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