Institute of Health and Care Sciences, University of Gothenburg, Sweden.
Department of Public Health and Primary Care, KU Leuven, Belgium.
Eur J Cardiovasc Nurs. 2020 Mar;19(3):269-274. doi: 10.1177/1474515120906561. Epub 2020 Feb 14.
Complex interventions of varying degrees of complexity are commonly used and evaluated in cardiovascular nursing and allied professions. Such interventions are increasingly tested using randomized trial designs. However, process evaluations are seldom used to better understand the results of these trials. Process evaluation aims to understand how complex interventions create change by evaluating implementation, mechanisms of impact, and the surrounding context when delivering an intervention. As such, this method can illuminate important mechanisms and clarify variation in results. In this article, process evaluation is described according to the Medical Research Council guidance and its use exemplified through a randomized controlled trial evaluating the effectiveness of a transition program for adolescents with chronic conditions.
复杂干预措施在心血管护理和相关专业中被广泛应用和评估，其复杂程度各有不同。此类干预措施越来越多地采用随机试验设计进行测试。然而，很少使用过程评估来更好地理解这些试验的结果。过程评估旨在通过评估实施情况、影响机制以及在实施干预时的周围环境，了解复杂干预措施如何产生变化。因此，这种方法可以阐明重要的机制并澄清结果的差异。本文根据医学研究委员会的指导描述了过程评估，并通过一项评估青少年慢性病过渡项目有效性的随机对照试验说明了其应用。
