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Clarifying realist analytic and interdisciplinary consensus processes in a complex health intervention: A worked example of Judgemental Rationality in action

Rybczynska-Bunt, Sarah; Weston, Lauren; Byng, Richard; Stirzaker, Alex; Lennox, Charlotte; Pearson, Mark; Brand, Sarah; Maguire, Mike; Durcan, Graham; Graham, Jonathan; Leonard, Sarah; Shaw, Jenny; Kirkpatrick, Tim; Owens, Christabel; Quinn, Cath

Authors

Sarah Rybczynska-Bunt

Lauren Weston

Richard Byng

Alex Stirzaker

Charlotte Lennox

Sarah Brand

Mike Maguire

Graham Durcan

Jonathan Graham

Sarah Leonard

Jenny Shaw

Tim Kirkpatrick

Christabel Owens

Cath Quinn



Abstract

Judgemental rationality is infrequently referenced within discussions of Realist Evaluations. Judgemental rationality refers to researchers’ capacity to assess which, potential, meanings provide the most credible explanations. In evaluation work, rationale for analysis is provided, though rarely do we see how an evaluator made judgements between competing theories, and which theories were discarded and why. We provide a worked example of the application of judgemental rationality. The Engager intervention offered support to prison leavers with common mental health problems. The data for 24, purposively sampled, participants from the intervention arm of the trial were integrated. Bhaskar’s DREIC, a five-step analytical procedure, was used to transfactually theorise and interrogate the inferences made within, and across, cases. The findings demonstrated that the intervention was more effective when practitioners developed an in-depth understanding of the participant. We recommend that intervention developers look for ways to enhance therapeutic competencies and judgemental rationality in practitioner teams.

Citation

Rybczynska-Bunt, S., Weston, L., Byng, R., Stirzaker, A., Lennox, C., Pearson, M., …Quinn, C. (2021). Clarifying realist analytic and interdisciplinary consensus processes in a complex health intervention: A worked example of Judgemental Rationality in action. Evaluation, 27(4), 473-491. https://doi.org/10.1177/13563890211037699

Journal Article Type Article
Acceptance Date Aug 23, 2021
Online Publication Date Aug 23, 2021
Publication Date Oct 1, 2021
Deposit Date Mar 8, 2022
Publicly Available Date Mar 9, 2022
Journal Evaluation
Print ISSN 1356-3890
Electronic ISSN 1461-7153
Publisher SAGE Publications
Peer Reviewed Peer Reviewed
Volume 27
Issue 4
Pages 473-491
DOI https://doi.org/10.1177/13563890211037699
Keywords Interdisciplinarity; Judgemental rationality; Process evaluation; Realist evaluation; Transfactual theorising
Public URL https://hull-repository.worktribe.com/output/3831077

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Publisher Licence URL
http://creativecommons.org/licenses/by-nc/4.0

Copyright Statement
© The Author(s) 2021.
https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).




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