Background Advance care planning (ACP) involves important decision making about future
medical needs. The high-volume and disparate nature of ACP research makes it difficult to …

In the surging field of chronic physical activity (PA) and cognition research, problems arise
that prevent us from 'seeing the forest for the trees'. The first aim was to identify them and …

Alliance contracts have been introduced in megaprojects to improve the alignment of
objectives, risk and reward between client and contractor. However, the relational norms of …

We outline a framework for conceptualising interventions in health as 'evidence-making
interventions'. An evidence-making intervention (EMI) approach is distinct from a …

Implementation science in healthcare aims to understand how to get evidence into practice.
Once this is achieved in one setting, it becomes increasingly difficult to replicate elsewhere …

Background The concept of “mechanism” is central to realist approaches to research, yet
research teams struggle to operationalize and apply the concept in empirical research. Our …

Pawson and Tilley's acknowledgment of programs embedded in multiple social systems has
gained little traction in realist synthesis and evaluation practice. A practice focusing on fairly …

Realist evaluation (RE) is a research design increasingly used in program evaluation, that
aims to explore and understand the influence of context and underlying mechanisms on …

Objective To explore the experiences and perceptions of health workers and implementers
of task-shifting in rural health facilities in Upper East Region, Ghana. Methods Data was …

Background Unwarranted clinical variation in hospital care includes the underuse, overuse,
or misuse of services. Audit and feedback is a common strategy to reduce unwarranted …