Expanding the evidence within evidence-based healthcare:thinking about the context, acceptability and feasibility of interventions

Abstract

Evidence-based medicine is crucial to contemporary healthcare. It is dependent on systematic review methodology modelled on an arguably inadequate hierarchy of evidence. There has been a significant increase in medical and health research using qualitative and mixed method designs. The perspective taken in this article is that we need to broaden our evidence base if we are to fully take account of issues of context, acceptability and feasibility in the development and implementation of healthcare interventions. One way of doing this is to use a range of methods that better fit the different aspects of intervention development and implementation. Methods for the systematic review of evidence, other than randomised-controlled trials, are available and there is a readiness to incorporate these other types of evidence into good-practice guidance, but we need a clear methodology to translate these advances in research into the world of policy.

Publication DOI: https://doi.org/10.1136/eb-2014-101791
Divisions: College of Health & Life Sciences > School of Psychology
College of Health & Life Sciences > Applied Health Research Group
College of Health & Life Sciences
College of Health & Life Sciences > Chronic and Communicable Conditions
Additional Information: This article has been accepted for publication in Evidence-based medicine following peer review. The definitive copyedited, typeset version Shaw, R. L., Larkin, M., & Flowers, P. (2014). Expanding the evidence within evidence-based healthcare: thinking about the context, acceptability and feasibility of interventions. Evidence-based medicine, 19(6), 201-203 is available online at: http://ebm.bmj.com/content/19/6/201
Uncontrolled Keywords: Medicine(all)
Full Text Link: http://ebm.bmj. ... ontent/19/6/201
Related URLs: http://www.scop ... tnerID=8YFLogxK (Scopus URL)
PURE Output Type: Article
Published Date: 2014
Published Online Date: 2014-05-05
Authors: Shaw, Rachel L. (ORCID Profile 0000-0002-0438-7666)
Larkin, Michael
Flowers, Paul

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