Complex interventions in healthcare: the importance of considering early theoretical development, implementation and design issues

TL;DRAbstract

Background: The Medical Research Council's Framework (2010) ‘guidelines for the evaluation of complex interventions’ stresses the importance of early theoretical development and the need to link interventions with implementation and design issues. It highlights how all the stages of developing, evaluating, piloting, reporting and implementing a complex intervention, are equally important. Aims: To explore implementation science principles and explore teething issues around developing and implementing complex interventions; and, to explore how early, theoretical development and modeling approaches can address for these issues. Method: A modeling approach to developing interventions is considered to provide a guide to the active ingredients, appropriate measures, best intervention points and techniques, which can be then tested quantitatively in trials. Modeling a complex intervention, prior to a full scale evaluation, can provide important information about the design of both the int

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