Many reviews employ a system similar to that developed by the Cochrane Handbook for assessing bias in interventional studies (Section 8.5, Table 8.5a). International Registered Report Identifier (IRRID): DERR1-10.2196/20191. Many recent studies also analyze and suggest more efficient and reliable ways to assess the quality of quantitative, qualitative, and mixed methods studies. There is no direct evidence related to the effect of health coaching on opioid reduction. Analysis of interview data are underway, with a report of these results anticipated in the fall of 2020. The ‘realist interviewing technique’, whereby interviewees comment on a suggested ‘program theory’ to provide refinement, is proposed as a distinctive approach for conducting interviews in a realist-informed inquiry. Local health departments often conduct M&E work post disaster, however, many of these efforts fail to improve response procedures. All rights reserved. Systematic reviews are a type of review that uses repeatable analytical methods to collect secondary data and analyse it. Deviations from our protocol in conducting our realist review. if the aim of the revie… We considered trials if they included any of the four defined key constructs of health coaching adopted in this review: motivational interviewing, positive psychology, the transtheoretical model, and self-determination theory Independent reviewers screened and selected studies, extracted data, and assessed risk of bias using Revised Cochrane risk-of-bias tool for randomized trials (RoB2) and quality of evidence using Grading, Recommendation, Assessment, Development, and Evaluation (GRADE). A realist review is a type of systematic review used for synthesizing research on health and social interventions in which it is unclear how an intervention produces intended outcomes or not. Researchers and practitioners have not decided on a single definition of HNHC patients, those high-need patients for whom high costs are potentially preventable or modifiable. A realist review is a type of systematic review used for synthesizing research on health and social interventions in which it is unclear how an intervention produces intended outcomes or not. Conducting a Realist Review on the Use of Motivational Interviewing for Adolescent Health Behaviors, Realist-informed review of motivational interviewing for adolescent health behaviors, Political Science and International Relations, CCPA – Do Not Sell My Personal Information. The review identifies outcomes, which are the identified changes the intervention aims to achieve (positive or negative); mechanisms, which are the psychological or behavioral changes that that lead to outcomes; and the contextual factors (e.g., setting or clinician characteristics) that allow for mechanisms to be produced. Using Pawson's five stage sequence for conducting realist reviews, the results are presented as a set of identified and refined context-mechanism-outcome (CMO) configurations. Pawson and Tilley suggest a unique strategy for conducting qualitative interviews within realist evaluation studies. Text message reminders to complete diabetes care tasks may increase self-efficacy for diabetes self-management. As an illustration, ‘ethics’ is not listed as a term in the index of the second edition of ‘An Introduction to Systematic Reviews’ (Gough et al. (AHRQ) The methods of conducting rapid reviews varies widely, and are typically done in less than 5 weeks. These steps include: 1) clarifying the scope of the review; (2) determining the search strategy; (3) ensuring proper article selection and study quality assessment; (4) extracting and organising data and (5) synthesising the evidence and drawing conclusions through a process of reasoning [ 16 , … A tightly focused research question allows the parameters of the review to be identified and the study selection criteria to be defined in advance, and in turn limits the amount of evidence required to address the review question. Randomized controlled trials assessing the effects of health coaching interventions in adult patients currently using opioids were included. Objective: This research project will use the multiphase optimization strategy to test the efficacy of three autonomy-supportive intervention components to elicit a clinically significant improvement in metabolic control, assessed by a 0.5% improvement in hemoglobin A1c (HbA1c), among older adolescents and emerging adults (16-25 years) with poorly controlled type 1 diabetes (T1D; HbA1c≥9.0%). Self-determination theory (SDT) suggests that interventions leveraging emerging adults’ innate developmental, Purpose: It is unclear when and why medication reviews performed by pharmacists in primary care for people who return from hospital to the community lead to beneficial outcomes. To answer these questions, a realist review was performed using self-determination theory as the candidate theory to be tested, as it is the leading theory of explaining the efficacy of motivational interviewing. need for autonomy may offer a route to improving diabetes outcomes by increasing feelings of responsibility for and control over diabetes self-management activities. The experiment was powered to detect the main effects of the intervention on the primary outcome. For the present review, motivational interviewing for adolescent health behavior change is the chosen intervention of study. Participants will complete 3 study visits: baseline, treatment end at 2 months, and a follow-up at 6 months. Methods: A question prompt list (QPL) is a tool to empower patients to assume a more active role during medical visits by asking questions and stating concerns. The review identifies outcomes, which are the identified changes the intervention aims to achieve (positive or negative); mechanisms, which are the psychological or behavioral changes that that lead to outcomes; and the contextual factors (e.g., setting or clinician characteristics) that allow for mechanisms to be produced. There is very low quality of evidence that brief motivational interviewing is more effective than educational monthly diaries to reduce opioid use. However, there is a lack of understanding as to how motivational interviewing works, who it works best for, and under what circumstances it works best. A realist review is a type of systematic review used for synthesizing research on health and social interventions in which it is unclear how an intervention produces intended outcomes or not. We undertook a rapid realist review (RRR) to examine why M&E efforts undertaken by local health departments do … In that review, coinvestigators conducted a realist synthesis in response to a prior systematic review of CBPR . Systematic reviews are a type of evidence synthesis which formulate research questions that are broad or narrow in scope, and identify and synthesize data that directly relate to the systematic review question. The primary outcome is metabolic control, which will be measured via HbA1c. The aim is to enable decision-makers to reach a deeper understanding of the intervention and how it can be made to work most effectively. This study aimed, Although technological addictions, similar to other behavioural addictions, share psychosocial risk factors with substance-related addictions, the studies on the interplay between contextual and personal variables in the prediction of technological addictions are still limited. This strategy is successful where the phenomenon of interest, the populations, interventions, and outcomes are all well specified – i.e. Theories are placed before the interviewee for them to comment on with a view to providing refinement. One direct approach is to identify the patients with the highest costs during a historical time period, but no consensus has been reached … Realist Synthesis: An Introduction: This paper presents an introductory overview of realist synthesis as applied to the review of primary research on healthcare systems. Realist review has emerged as a strategy for synthesising evidence and focuses on providing explanations for why interventions may or may not work, in what contexts, how and in what circumstances . This case study describes the process of conducting a specific type of systematic review and synthesis called realist review. Whilst the Cochrane review provided evidence that feeding … This involved an auditor checking the work of … Assure that the Government personnel supporting the analysis are aware of their responsibility to safeguard sensitive contractor information. To answer these questions, a realist review was performed using self-determination theory as the candidate theory to be tested, as it is the leading theory of explaining the efficacy of motivational interviewing. To read the full-text of this research, you can request a copy directly from the authors. Ethical considerations of conducting systematic reviews in educational research are not typically discussed explicitly. Often policy makers require a short deadline and a systematic review for synthesizing the evidence is not practical. to investigate the relationship of overweight nutritional status with sleep quality in adolescents aged 16–18 years old in South Jakarta.Method: This cross-sectional design study was done in two public senior high schools in the South Jakarta. Systematic Reviews, 7(1), 109. Using a sample of 482 adolescents (200 males) with an age range between 14 and 17, path analyses showed that both parental psychological control and need frustration predicted all the technological addictions examined. All eleven studies utilized only one of the constructs, brief motivational interviewing. The subject matter of the interview is the researcher’s theory and interviewees confirm, falsify, and refine this theory. We were guided by the five steps for conducting a realist review outlined by Pawson et al. Pawson and Tilley (1997) developed the first realist evaluation approach, although other interpretations have been developed since. For example, Greenhalgh et al. From the systematic review of the literature, three context–mechanism–outcome configurations were formed that describe how and why motivational interviewing works and for whom it works best. However, there is a lack of understanding as to how motivational interviewing works, who it works best for, and under what circumstances it works best. Rapid Realist Review goes one step further than Landscape Scans to analyze patterns of relationships among contexts, mechanisms and outcomes. However, the application of this interviewing strategy within the realist evaluation studies is underutilized. Eleven studies met our inclusion criteria (n = 4,516 participants). These building blocks create context–mechanism–outcome configurations that make up the realist theory. However, it is acknowledged that realist searches are likely to be iterative and responsive to emergent data. SDT constructs of intrinsic motivation, self-efficacy, and the quality of the patient-provider relationship (ie, relatedness) are hypothesized mediators. Sign into your Profile to find your Reading Lists and Saved Searches. No study assessed all four constructs of health coaching. Conventional systematic review methodology [12, 13] emphasises the need for review questions to be precisely formulated. Please note that some file types are incompatible with some mobile and tablet devices. The review will be conducted following Pawson’s five practical steps for conducting a realist review . Sleep quality decrease in adolescents can impact their daily performance, especially in learning. from inception to December 2019. You can request the full-text of this article directly from the authors on ResearchGate. The present case study describes the process in which the realist review was performed including the systematic search, data extraction, and theory formation. Not only because of its rapidly increasing prevalence, but also its various adverse effects on adolescent health, especially on the quality of sleep. Thus, we reported our results in terms of motivational interviewing. Background and Objectives: Overweight nutritional status in adolescents becomes a health problem that continues to require attention. Principles for Conducting Critical Realist Case Study Research in Information Systems Donald E. Wynn University of Dayton, dwynn1@udayton.edu ... followed by a review of the epistemological tenets of critical realism and how these are derived from and intertwined with its ontological assump- Conclusion: Book Review: Doing Realist Research edited by Nick Emmel, Joanne Greenhalgh, Anna Manzano, Mark Monaghan and Sonia Dalkin. Trial Registration: ClinicalTrials.gov NCT04066959; https://clinicaltrials.gov/ct2/show/NCT04066959 Conducting an Effective Flight Review choose an alternate destination and, using all available and appropriate resources (e.g, chart, basic rules of thumb, “nearest” and “direct to” functions on the GPS) to calculate the approximate course, heading, distance, and time needed to reach the new destination. Mann-Whitney test found that the p value for the mean difference of the questionnaire's total score to excess weight is 0.783.Conclusion: There was no correlation between the quality of sleep to excess weight in adolescents aged 16–18 years old in South Jakarta. This case study describes the process of conducting a specific type of systematic review and synthesis called realist review. We will use the mixed-effects linear model for the analysis of variance of a factorial design to analyze continuous longitudinal experimental data; the generalized linear model will be used with categorical outcomes (eg, treatment attendance). A realist review is a type of systematic review used for synthesizing research on health and social interventions in which it is unclear how … It includes a focused literature review using a template for data extraction followed by a data validation process with knowledge users and stakeholders. ResearchGate has not been able to resolve any references for this publication. Emerging adults’ focus on individuation and independence underlies their poor diabetes outcomes, offering a lever for behavior change. Future research should focus on the impact of high theoretical health coaching interventions on opioid usage. This case study describes the process of conducting a specific type of systematic review and synthesis called realist review. The motivation enhancement system (MES) is a brief counseling intervention that uses motivational interviewing communication strategies to build intrinsic motivation and self-efficacy for self-management. Background Medication reviews for people transitioning from one healthcare setting to another potentially improve health outcomes, although evidence for outcome benefits varies. The findings are discussed in line with the SDT. Methods: Realist review does not provide simple answers to complex questions. Conclusions: At the end of this experiment, we will have empirical evidence to support a large-scale, multisite effectiveness trial of an intervention package that has been optimized for older adolescents and emerging adults with poorly controlled T1D. Mutschler, C., Naccarato, E., Rouse, J., Davey, C., & McShane, K. (2018). During the evaluation process, disclosure of proprietary offeror information must and reported following the RAMESES publication standards . Objective A realist synthesis was undertaken … If you encounter a problem downloading a file, please try again from a laptop or desktop. Within a review context it refers to a combination of review approaches for example combining quantitative with qualitative research or outcome with process studies. In addition, this systematic review investigated the effects of health coaching on pain intensity, physical function, and quality of life. Login or create a profile so that you can create alerts and save clips, playlists, and searches. After refining these intervention components for emerging adults, we will conduct a component selection experiment using an eight-arm full factorial design: 2 (QPL yes or no)×2 (MES yes or no)×2 (Text yes or no). A total of 186 students from classes of 2015, 2016, and 2017 with age between 16-18 years old underwent weight and height measurements, determination of BMI and nutritional status using the CDC BMI-for-age chart, as well as filling the Cleveland Adolescent Sleepiness Questionnaire to assess the quality of sleep.Results: The prevalence of overweight was found by 20.43% (14.52% categorized as overweight, 5.91% categorized as obese) with a median value of the questionnaire 40.00 (23.00 to 58.00). A rapid review speeds up the systematic review process by omitting stages of the systematic review making it less rigorous. A case that exemplifies the value of realist synthesis is the author's prior work with a team conducting a realist review of community-based participatory research (CBPR) (19, 20, 21, 28). Review teams often conduct a single "big bang" multipurpose search to fulfill multiple functions within the review. Four electronic databases (PubMed, Embase, Scopus, and PsychINFO) were searched, Access scientific knowledge from anywhere. Previous research has indicated that motivational interviewing is an effective intervention for improving health behaviors in adolescents. Realist search reports poorly differentiate between the different search components. Depression symptoms and emerging adults’ gender are hypothesized moderators. Copy and paste the following HTML into your website. ‘Rapid Realist Review’ methodology (RRR) has been developed as a tool for applying a realist approach to a knowledge synthesis process in order to produce a product that is useful to policy makers in responding to time-sensitive and/or emerging issues, while preserving the core elements of realist methodology. There is very low to low quality of evidence that brief motivational interviewing is not more effective than no behavioral intervention to reduce opioid use at 6 months follow-up, treatment as usual (TAU) to improve overdose risk behaviors, and TAU to improve physical and psychological health. It was not possible to perform a meta-analysis due to heterogeneity between included trials. Objective A realist synthesis was undertaken to develop a theory of what works, for whom, why and under which circumstances when pharmacists conduct medication reviews in primary care for people leaving hospital. From the systematic review of the literature, three context–mechanism–outcome configurations were formed that describe how and why motivational interviewing works and for whom it works best. We identified that five methods of connection from primary care to community‐based physical activity opportunities had been evaluated. 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