Matches in SemOpenAlex for { <https://semopenalex.org/work/W4285495323> ?p ?o ?g. }
- W4285495323 endingPage "e0270691" @default.
- W4285495323 startingPage "e0270691" @default.
- W4285495323 abstract "'Engager' is an innovative 'through-the-gate' complex care intervention for male prison-leavers with common mental health problems. In parallel to the randomised-controlled trial of Engager (Trial registration number: ISRCTN11707331), a set of process evaluation analyses were undertaken. This paper reports on the depth multiple case study analysis part of the process evaluation, exploring how a sub-sample of prison-leavers engaged and responded to the intervention offer of one-to-one support during their re-integration into the community.To understand intervention delivery and what response it elicited in individuals, we used a realist-informed qualitative multiple 'case' studies approach. We scrutinised how intervention component delivery lead to outcomes by examining underlying causal pathways or 'mechanisms' that promoted or hindered progress towards personal outcomes. 'Cases' (n = 24) were prison-leavers from the intervention arm of the trial. We collected practitioner activity logs and conducted semi-structured interviews with prison-leavers and Engager/other service practitioners. We mapped data for each case against the intervention logic model and then used Bhaskar's (2016) 'DREIC' analytic process to categorise cases according to extent of intervention delivery, outcomes evidenced, and contributing factors behind engagement or disengagement and progress achieved.There were variations in the dose and session focus of the intervention delivery, and how different participants responded. Participants sustaining long-term engagement and sustained change reached a state of 'crises but coping'. We found evidence that several components of the intervention were key to achieving this: trusting relationships, therapeutic work delivered well and over time; and an in-depth shared understanding of needs, concerns, and goals between the practitioner and participants. Those who disengaged were in one of the following states: 'Crises and chaos', 'Resigned acceptance', 'Honeymoon' or 'Wilful withdrawal'.We demonstrate that the 'implementability' of an intervention can be explained by examining the delivery of core intervention components in relation to the responses elicited in the participants. Core delivery mechanisms often had to be 'triggered' numerous times to produce sustained change. The improvements achieved, sustained, and valued by participants were not always reflected in the quantitative measures recorded in the RCT. The compatibility between the practitioner, participant and setting were continually at risk of being undermined by implementation failure as well as changing external circumstances and participants' own weaknesses.ISRCTN11707331, Wales Research Ethics Committee, Registered 02-04-2016-Retrospectively registered https://doi.org/10.1186/ISRCTN11707331." @default.
- W4285495323 created "2022-07-15" @default.
- W4285495323 creator A5004599232 @default.
- W4285495323 creator A5006173515 @default.
- W4285495323 creator A5009095113 @default.
- W4285495323 creator A5014645120 @default.
- W4285495323 creator A5018186362 @default.
- W4285495323 creator A5027255992 @default.
- W4285495323 creator A5027522440 @default.
- W4285495323 creator A5034120889 @default.
- W4285495323 creator A5035070531 @default.
- W4285495323 creator A5035218377 @default.
- W4285495323 creator A5040124534 @default.
- W4285495323 creator A5042547549 @default.
- W4285495323 creator A5046119941 @default.
- W4285495323 creator A5046403330 @default.
- W4285495323 creator A5048297938 @default.
- W4285495323 creator A5049864519 @default.
- W4285495323 creator A5059386114 @default.
- W4285495323 creator A5064489812 @default.
- W4285495323 creator A5065473975 @default.
- W4285495323 creator A5075543013 @default.
- W4285495323 creator A5075744522 @default.
- W4285495323 creator A5077935175 @default.
- W4285495323 creator A5080105817 @default.
- W4285495323 creator A5084014377 @default.
- W4285495323 creator A5084173332 @default.
- W4285495323 creator A5085741883 @default.
- W4285495323 date "2022-07-14" @default.
- W4285495323 modified "2023-09-30" @default.
- W4285495323 title "Interrogating intervention delivery and participants’ emotional states to improve engagement and implementation: A realist informed multiple case study evaluation of Engager" @default.
- W4285495323 cites W1494384881 @default.
- W4285495323 cites W1500114081 @default.
- W4285495323 cites W1551174222 @default.
- W4285495323 cites W1944584781 @default.
- W4285495323 cites W1947374910 @default.
- W4285495323 cites W1956428994 @default.
- W4285495323 cites W1968147350 @default.
- W4285495323 cites W1976175290 @default.
- W4285495323 cites W1977117783 @default.
- W4285495323 cites W1979239694 @default.
- W4285495323 cites W1982399192 @default.
- W4285495323 cites W1992489069 @default.
- W4285495323 cites W1992546852 @default.
- W4285495323 cites W2011414918 @default.
- W4285495323 cites W2012327999 @default.
- W4285495323 cites W2027067151 @default.
- W4285495323 cites W2058959315 @default.
- W4285495323 cites W2077671952 @default.
- W4285495323 cites W2085001923 @default.
- W4285495323 cites W2098146747 @default.
- W4285495323 cites W2100643950 @default.
- W4285495323 cites W2114699625 @default.
- W4285495323 cites W2116339156 @default.
- W4285495323 cites W2127024990 @default.
- W4285495323 cites W2134142986 @default.
- W4285495323 cites W2136608905 @default.
- W4285495323 cites W2139758990 @default.
- W4285495323 cites W2143543192 @default.
- W4285495323 cites W2145124183 @default.
- W4285495323 cites W2148233314 @default.
- W4285495323 cites W2158021017 @default.
- W4285495323 cites W2159418632 @default.
- W4285495323 cites W2162544110 @default.
- W4285495323 cites W2167997731 @default.
- W4285495323 cites W2333337175 @default.
- W4285495323 cites W2469464216 @default.
- W4285495323 cites W2531443228 @default.
- W4285495323 cites W2560950137 @default.
- W4285495323 cites W2740999512 @default.
- W4285495323 cites W2775750597 @default.
- W4285495323 cites W2900619723 @default.
- W4285495323 cites W3195872727 @default.
- W4285495323 cites W4234358252 @default.
- W4285495323 doi "https://doi.org/10.1371/journal.pone.0270691" @default.
- W4285495323 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/35834470" @default.
- W4285495323 hasPublicationYear "2022" @default.
- W4285495323 type Work @default.
- W4285495323 citedByCount "3" @default.
- W4285495323 countsByYear W42854953232022 @default.
- W4285495323 countsByYear W42854953232023 @default.
- W4285495323 crossrefType "journal-article" @default.
- W4285495323 hasAuthorship W4285495323A5004599232 @default.
- W4285495323 hasAuthorship W4285495323A5006173515 @default.
- W4285495323 hasAuthorship W4285495323A5009095113 @default.
- W4285495323 hasAuthorship W4285495323A5014645120 @default.
- W4285495323 hasAuthorship W4285495323A5018186362 @default.
- W4285495323 hasAuthorship W4285495323A5027255992 @default.
- W4285495323 hasAuthorship W4285495323A5027522440 @default.
- W4285495323 hasAuthorship W4285495323A5034120889 @default.
- W4285495323 hasAuthorship W4285495323A5035070531 @default.
- W4285495323 hasAuthorship W4285495323A5035218377 @default.
- W4285495323 hasAuthorship W4285495323A5040124534 @default.
- W4285495323 hasAuthorship W4285495323A5042547549 @default.
- W4285495323 hasAuthorship W4285495323A5046119941 @default.
- W4285495323 hasAuthorship W4285495323A5046403330 @default.
- W4285495323 hasAuthorship W4285495323A5048297938 @default.
- W4285495323 hasAuthorship W4285495323A5049864519 @default.