Research Design Service: East Midlands
National Institute for Health Research

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Economic analysis of service and delivery interventions in health care

  Created on Thursday, 11 Apr 2019. Posted in Literature | Health Economics

In 2016, the National Institute for Health Research (NIHR) Journals Library published a series of essays, in which a range of UK and international experts in health services research identified current developments and future challenges in methods to evaluate health, social care and public health innovations. It was recognised that this volume did not comprehensively address the full array of methods. One such gap was the economic evaluation of service innovations.

There are well-developed guidelines for economic evaluation of clearly defined clinical interventions, but no such guidelines for economic analysis of service interventions. Distinctive challenges for analysis of service interventions include diffuse effects, wider system impacts, and variability in implementation, costs and effects. Cost-effectiveness evidence is as important for service interventions as for clinical interventions. There is also an important role for wider forms of economic analysis to increase our general understanding of context, processes and behaviours in the care system. Methods exist to estimate the cost-effectiveness of service interventions before and after introduction, to measure patient and professional preferences, to reflect the value of resources used by service interventions, and to capture wider system effects, but these are not widely applied. Future priorities for economic analysis should be to produce cost-effectiveness evidence and to increase our understanding of how service interventions affect, and are affected by, the care system.

THis curent report looks at:

  • Scope and role for economic analysis
  • Distinctive issues in the economic analysis of service interventions
  • Challenges for economic analysis of service interventions
  • Recent developments
  • Future challenges and priorities

NICE Impact: new Mental Health report

  Created on Friday, 05 Apr 2019. Posted in Literature

Mental health conditions are the largest single cause of disability in the UK, with one in 4 adults experiencing a mental health condition in any given year. NICE plays a key role in setting high standards for the care of people with mental health conditions. Since the publication of NICE’s first guideline, which was on schizophrenia in 2002, NICE has published a large suite of 33 guidelines and 18 quality standards to support the identification and management of common and severe mental health conditions in children, young people and adults. This report considers how
NICE’s evidence-based guidance cancontribute to improvements in the care ofpeople with mental health conditions. Areas covered:

  • Common mental health disorders
  • Severe mental illness
  • People's experience of care
  • Spotlight on children and yourng people

Recent research design publications February 2019

  Created on Wednesday, 13 Feb 2019. Posted in Literature

Recent research design publications January 2019

  Created on Tuesday, 15 Jan 2019. Posted in Literature

Recent research design publications December 2018

  Created on Wednesday, 12 Dec 2018. Posted in Literature

Recent research design publications November 2018

  Created on Wednesday, 14 Nov 2018. Posted in Literature

Other items of interest

  • Dr Damian Roland, Consultant and Honorary Associate Professor in paediatric emergency medicine, shares his advice on how an early career award from the NIHR Research for Patient Benefit (RfPB) Programme can be a stepping stone to a research career.
  • JAMA Network podcasts, a show about ideas and innovations in medicine, science and clinical practice:

Recent research design publications October 2018

  Created on Thursday, 18 Oct 2018. Posted in Literature

How to engage stakeholders in research: design principles to support improvement

  Created on Wednesday, 18 Jul 2018. Posted in Literature

Closing the gap between research production and research use is a key challenge for the health research system. Stakeholder engagement is being increasingly promoted across the board by health research funding organisations, and indeed by many researchers themselves, as an important pathway to achieving impact. This opinion piece draws on a study of stakeholder engagement in research and a systematic literature search conducted as part of the study.

Designing health research: a role for librarians and information specialists in developing grant applications and reducing waste in research

  Created on Monday, 12 Jun 2017. Posted in Literature

Librarians and information specialists' involvement during the development of grant applications for external funding can save researchers' time, provide specialist support and contribute to reducing avoidable waste in research. This article presents a survey of information specialists working for the National Institute for Health Research Research Design Service within English applied health services research, and a scoping review to identify other examples of librarians supporting grant applications. The survey found that support included: checking the proposed research has not already been done; literature searching to provide background for the project; advising on or writing systematic review methods. The scoping review found three examples where librarians were involved: in writing sections of the application; conducting reviews and becoming a co-applicant. We recommend librarians engage with researchers by checking whether search requests are to support an application and by becoming familiar with resources and techniques to support grant proposal development.

Removing the ‘gag’: involving people with dementia in research as advisers and participants

  Created on Thursday, 02 Mar 2017. Posted in Literature

Removing the ‘gag’: involving people with dementia in research as advisers and participants Jenni Brooks, Department of Psychology, Sociology and Politics, Sheffield Hallam University; Nada Savitch, Innovations in Dementia; Kate Gridley, Social Policy Research Unit, University of York


People with dementia are often excluded from taking part in research because of perceived difficulties in consent, capacity and communication. We argue that involving people with dementia in research is important, and describe how we involved people with dementia as both advisers and participants in research about the use of life story work.

Researchers worked in partnership with Innovations in Dementia, who supported a network of advisers with dementia. Focus groups were arranged to ensure meaningful contributions by people with dementia. It was difficult to use standardised quality-of-life measures, and we describe the challenges faced with capacity and consent, recruitment and selection, and data collection.  We suggest there is a need for (a) new tools for measuring quality of life of people with dementia which do not require participants to respond in prescribed ways, and (b) ethics and consent processes which are appropriate for non-medical research and which facilitate the involvement of people with dementia.

Read the full paper on:  (see page 3 - 14)