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dc.contributor.authorLennox, C
dc.contributor.authorLeonard, S
dc.contributor.authorSenior, J
dc.contributor.authorHendricks, C
dc.contributor.authorRybczynska-Bunt, Sarah
dc.contributor.authorQuinn, Cath
dc.contributor.authorByng, Richard
dc.contributor.authorShaw, J
dc.date.accessioned2022-06-20T12:29:07Z
dc.date.issued2022-05-03
dc.identifier.issn1664-0640
dc.identifier.issn1664-0640
dc.identifier.other839958
dc.identifier.urihttp://hdl.handle.net/10026.1/19317
dc.description.abstract

<jats:p>Randomized Controlled Trials (RCT) are the “gold standard” for measuring the effectiveness of an intervention. However, they have their limitations and are especially complex in prison settings. Several systematic reviews have highlighted some of the issues, including, institutional constraints e.g., “lock-downs,” follow-ups, contamination of allocation conditions and a reliance on self-report measures. In this article, we reflect on our experiences and will describe two RCTs. People in prison are a significantly disadvantaged and vulnerable group, ensuring equitable and effective interventions is key to reducing inequality and promoting positive outcomes. We ask are RCTs of complex interventions in prisons a sisyphean task? We certainly don't think so, but we propose that current accepted practice and research designs may be limiting our understanding and ability to test complex interventions in the real-world context of prisons. RCTs will always have their place, but designs need to be flexible and adaptive, with the development of other rigorous methods for evaluating impact of interventions e.g., non-randomized studies, including pre-post implementation studies. With robust research we can deliver quality evidence-based healthcare in prisons – after all the degree of civilization in a society is revealed by entering its prisons.</jats:p>

dc.format.extent839958-
dc.format.mediumElectronic-eCollection
dc.languageeng
dc.language.isoeng
dc.publisherFrontiers Media
dc.subjectprison
dc.subjectrandomized controlled trials
dc.subjectinterventions
dc.subjectoffending
dc.subjectmental health
dc.titleConducting Randomized Controlled Trials of Complex Interventions in Prisons: A Sisyphean Task?
dc.typejournal-article
dc.typeJournal Article
plymouth.author-urlhttps://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000797385900001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=11bb513d99f797142bcfeffcc58ea008
plymouth.volume13
plymouth.publication-statusPublished online
plymouth.journalFrontiers in Psychiatry
dc.identifier.doi10.3389/fpsyt.2022.839958
plymouth.organisational-group/Plymouth
plymouth.organisational-group/Plymouth/Faculty of Health
plymouth.organisational-group/Plymouth/Faculty of Health/Peninsula Medical School
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA/UoA03 Allied Health Professions, Dentistry, Nursing and Pharmacy
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA/UoA20 Social Work and Social Policy
plymouth.organisational-group/Plymouth/Research Groups
plymouth.organisational-group/Plymouth/Research Groups/FoH - Community and Primary Care
plymouth.organisational-group/Plymouth/Research Groups/Institute of Health and Community
plymouth.organisational-group/Plymouth/Research Groups/Institute of Translational and Stratified Medicine (ITSMED)
plymouth.organisational-group/Plymouth/Research Groups/Institute of Translational and Stratified Medicine (ITSMED)/CCT&PS
plymouth.organisational-group/Plymouth/Research Groups/Plymouth Institute of Health and Care Research (PIHR)
plymouth.organisational-group/Plymouth/Users by role
plymouth.organisational-group/Plymouth/Users by role/Academics
plymouth.organisational-group/Plymouth/Users by role/Researchers in ResearchFish submission
dc.publisher.placeSwitzerland
dcterms.dateAccepted2022-03-29
dc.rights.embargodate2022-6-21
dc.identifier.eissn1664-0640
dc.rights.embargoperiodNot known
rioxxterms.funderNational Institute for Health Research
rioxxterms.identifier.projectDeveloping and evaluating a collaborative care intervention for prisoners, with common mental health problems, near to and after release (Engager 2)
rioxxterms.versionofrecord10.3389/fpsyt.2022.839958
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserved
rioxxterms.licenseref.startdate2022
rioxxterms.typeJournal Article/Review
plymouth.funderDeveloping and evaluating a collaborative care intervention for prisoners, with common mental health problems, near to and after release (Engager 2)::National Institute for Health Research


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