A SYSTEMATIC APPROACH TO THE DEVELOPMENT, IMPLEMENTATION AND EVALUATION OF COMPLEX INTERVENTIONS

Derek Stewart, PgCert, BSc , MSc, PhD, FRPharmS, FFRPS, Professor of Pharmacy Practice, School of Pharmacy and Life Sciences, Robert Gordon University.UK

 

The United Kingdom Medical Research Council guidance on ‘Developing and Implementing Complex Interventions’ describes four stages of: development; feasibility/piloting; evaluation; and implementation.

Complex interventions are defined as those with ‘several interacting components’. The dimensions of complexity can be multiple, such as the:

  • number of and interactions between components within the experimental and control interventions
  • number and difficulty of behaviours required by those delivering or receiving the intervention
  • number of groups or organisational levels targeted by the intervention
  • number and variability of outcomes
  • degree of flexibility or tailoring of the intervention permitted.

Most person-centred developments within healthcare fall within the definition of complex interventions. This presentation will focus on the relevance of this framework to pharmacy practice innovations.

Objectives:

  • to define the term ‘complex interventions’ in relation to pharmacy practice innovations
  • to describe the different phases of United Kingdom Medical Research Council Framework
  • to outline the specific components of the phases of ‘development’ and ‘evaluation’
  • to reflect on recent innovations in pharmacy practice within Oman in relation to the Framework