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Evaluation of interventions in the real world 

Evaluation of interventions in the real world
Evaluation of interventions in the real world

Mary J. De Silva

, Alex Cohen

, and Vikram Patel

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date: 21 November 2018

The goal of global mental health trials is to generate knowledge that can be implemented in the much messier ‘real world’. However, the effect of interventions in the real world may be different from, and most likely much smaller than, the effect sizes reported in trials. It is therefore essential that we evaluate their implementation and effect when they are ‘scaled-up’ as real programmes. The evaluation of scaled-up health programmes typically involves the use of multiple methods which are triangulated to address the key questions of the programme leaders or investigators. This chapter aims to describe what outcomes we might be interested in evaluating and the methods we might use to assess these outcomes, and presents selected case studies which demonstrate these methods in action.

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