Complex Interventions Journal Club
According to the MRC, an intervention can be ‘complex’ in a variety of ways including:
- Number of and interactions between components within the experimental and control interventions
- Number and difficulty of behaviours required by those delivering or receiving the intervention
- Number of groups or organisational levels targeted by the intervention
- Number and variability of outcomes
- Degree of flexibility or tailoring of the intervention permitted
We believe that there are common approaches and challenges in developing and evaluating interventions across all fields of health and social care, and that we can benefit from sharing ideas and learning from each other within the department.
Journal club focus
This journal club will focus on methods in studies of complex interventions or in studies relating to complex systems, within health or social care fields.
Journal club aims
- Help members to keep up to date with current literature and a fast-moving evidence base, from across different disciplines
- Create a forum for sharing ideas, discussing challenges and learning from peers
- Promote respectful discussion and debate of ideas/approaches
- Challenge and improve understanding
- Identify evidence gaps/uncertainties in methodology
- Facilitate collaborations and team-working
- Have fun!
Journal club format
Journal club meetings will initially be held for one hour every 6–8 weeks within the Nuffield Department of Primary Care Health Sciences. The paper for discussion will be selected and circulated at least 2 weeks in advance of each meeting, along with 3 questions to stimulate thinking and discussion during the meeting. Attendees will be encouraged to take turns in leading this process and in suggesting papers for future meetings.
Papers we have discussed
French, S. D., et al. (2012). "Developing theory-informed behaviour change interventions to implement evidence into practice: a systematic approach using the Theoretical Domains Framework." Implementation Science 7(1): 1-8.
Byng R, et al. Exposing the key functions of a complex intervention for shared care in mental health: case study of a process evaluation. BMC Health Services Research 2008; 8: 274.
Bergstrom A, et al. Health system context and implementation of evidence-based practices - development and validation of the Context Assessment for Community Health (COACH) tool for low- and middle-income settings. Implementation Science. 2015;10(1):120.
Finch, T. L., et al. (2013). "Improving the normalization of complex interventions: measure development based on normalization process theory (NoMAD): study protocol." Implement Sci 8: 43.
Glasziou PP, et al. Intervention synthesis: a missing link between a systematic review and practical treatment(s). PLoS Med 2014; 11(8): e1001690.