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dc.contributor.authorFrancis-Auton, E
dc.contributor.authorSarkies, MN
dc.contributor.authorPomare, C
dc.contributor.authorLong, JC
dc.contributor.authorHardwick, R
dc.contributor.authorNguyen, HM
dc.contributor.authorBraithwaite, J
dc.date.accessioned2022-11-02T09:30:46Z
dc.date.available2022-11-02T09:30:46Z
dc.date.issued2022-01
dc.identifier.issn1609-4069
dc.identifier.issn1609-4069
dc.identifier.otherARTN 16094069221120748
dc.identifier.urihttp://hdl.handle.net/10026.1/19817
dc.description.abstract

<jats:p> Realist evaluation is a method increasingly adopted to provide an understanding of how and why a program works, for whom, and under what circumstances. Initial program theories (IPT) are the crucial starting point of any realist evaluation, however descriptions about how they are developed in practice remain under-reported in the published literature. This article argues for the value of genuine research-group conversations using David Bohm’s concept of dialogue in realist research. We label it the realist dialogic approach. We draw out the relational qualities as well as the contextual circumstances of dialogue through our development of IPT and interview guides for a research study on the implementation and scaling of a large-system value-based program to transform complex health services. We selected the relevant middle-range theories, conducted a literature review, and drew on informal discussions with key stakeholders, to develop IPT through research-group conversations. The benefits of this approach were: 1) development of rigorous, novel, deep and well-tailored IPT, 2) detailed understanding of the complex intervention under investigation and development of rapport and networks with participants, 3) empirically grounded Context-Mechanism-Outcome (CMO) configurations, predicated on suitable abstract and contextually-contingent middle-range theories, and 4) productive research team interactions which supported the entire research process. The challenges of this approach include: 1) establishing and retaining a sense of humility across the research team, 2) contextual circumstances can hinder dialogic relationship, and 3) time and resource heavy. This paper uses middle-range theory and ethnographic insights to advance the existing practice of realist evaluations and offer transferable lessons to other scholars considering similar approaches. Moreover, we content that the use of middle-range theory to extend the methodological literature is a novel contribution to realist work. </jats:p>

dc.format.extent160940692211207-160940692211207
dc.languageen
dc.language.isoen
dc.publisherSAGE Publications
dc.subjectinitial program theory
dc.subjectrealist evaluation
dc.subjectdialogue
dc.subjectqualitative research
dc.subjectteam research
dc.subjectimplementation
dc.titleReal Talk: <b>A Realist Dialogic Approach in a Realist Evaluation</b>
dc.typejournal-article
dc.typeArticle
plymouth.author-urlhttps://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000843502600001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=11bb513d99f797142bcfeffcc58ea008
plymouth.volume21
plymouth.publication-statusPublished
plymouth.journalInternational Journal of Qualitative Methods
dc.identifier.doi10.1177/16094069221120748
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/Research Groups
plymouth.organisational-group/Plymouth/Research Groups/FoH - Community and Primary Care
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
dc.identifier.eissn1609-4069
dc.rights.embargoperiodNot known
rioxxterms.versionofrecord10.1177/16094069221120748
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserved
rioxxterms.typeJournal Article/Review


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