I had a lecture earlier today on complex interventions at the seminar “Vård och rehabiliteringsforskning vid Umeå universitet med fokus på interventioner”, May 12th, 2011. Just some slides and references, should you be interested.

Slides

• http://www.slideshare.net/ringner/complex-interventions-may-16th-2011

For those of you who understand Swedish, I wrote a blog post about this some time ago.

References

The original MRC documents

• Campbell, N. C., Murray, E., Darbyshire, J., Emery, J., Farmer, A., Griffiths, F., et al. (2007). Designing and evaluating complex interventions to improve health care. BMJ, 334(7591), 455-459. doi: 10.1136/bmj.39108.379965.BE
• Craig, P., Dieppe, P., Macintyre, S., Michie, S., Nazareth, I., & Petticrew, M. (2008). Developing and evaluating complex interventions: new guidance. London: Medical Research Council.

Other useful publications

• Conn, V. S., Cooper, P. S., Ruppar, T. M., & Russell, C. L. (2008). Searching for the Intervention in Intervention Research Reports. Journal of Nursing Scholarship, 40(1), 52-59. doi: 10.1111/j.1547-5069.2007.00206.x
  • Discusses the problem with badly described interventions.
• Blackwood, B. (2006). Methodological issues in evaluating complex healthcare interventions. Journal of Advanced Nursing, 54(5), 612-622. doi: 10.1111/j.1365-2648.2006.03869.x
  • A description of how the MRC framework was applied in a study about weaning patients from mechanical ventilation.
• Borglin, G., & Richards, D. A. (2010). Bias in experimental nursing research: Strategies to improve the quality and explanatory power of nursing science. International Journal of Nursing Studies, 47(1), 123-128. doi: 10.1016/j.ijnurstu.2009.06.016
  • Discusses how the CONSORT criteria for pragmatic trials can be used to increase the quality of intervention studies.
• Hardeman, W., Sutton, S., Griffin, S., Johnston, M., White, A., Wareham, N. J., et al. (2005). A causal modelling approach to the development of theory-based behaviour change programmes for trial evaluation. Health Education Research, 20(6), 676-687. doi: 10.1093/her/cyh022
  • An example of how a theoretical model can be developed and guide the design of an intervention.
• Hallberg, I. R. (2006). Challenges for future nursing research: providing evidence for health-care practice. International Journal of Nursing Studies, 43(8), 923-927. doi: 10.1016/j.ijnurstu.2006.07.017
• Hallberg, I. R. (2009). Moving nursing research forward towards a stronger impact on health care practice? International Journal of Nursing Studies, 46(4), 407-412. doi: 10.1016/j.ijnurstu.2009.02.005
  • Two good editorials by Inga-Lill Rahm Hallberg about the future of nursing research that were my first introduction to complex interventions.

(Credits to professor David Richards, University of Exeter, for his enthusiasm and inspiration at the Summer Schools of the European Academy of Nursing.)

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