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Process evaluation of complex cardiovascular interventions: How to interpret the results of my trial?

Journal article
Authors Markus Saarijärvi
Lars Wallin
Ewa-Lena Bratt
Published in European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology
Volume 19
Issue 3
Pages 269-274
ISSN 1873-1953
Publication year 2020
Published at Institute of Health and Care Sciences
Pages 269-274
Language en
Keywords Mixed methods; implementation science; process evaluation; randomized controlled trial; research methods
Subject categories Nursing, Theory of science regarding care and nursing


Complex interventions of varying degrees of complexity are commonly used and evaluated in cardiovascular nursing and allied professions. Such interventions are increasingly tested using randomized trial designs. However, process evaluations are seldom used to better understand the results of these trials. Process evaluation aims to understand how complex interventions create change by evaluating implementation, mechanisms of impact, and the surrounding context when delivering an intervention. As such, this method can illuminate important mechanisms and clarify variation in results. In this article, process evaluation is described according to the Medical Research Council guidance and its use exemplified through a randomized controlled trial evaluating the effectiveness of a transition program for adolescents with chronic conditions.

Page Manager: Webmaster|Last update: 9/11/2012

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