ArticleEvaluation (London, England : 1995)2019
From complex social interventions to interventions in complex social systems: Future directions and unresolved questions for intervention development and evaluation.
Article in Evaluation (London, England : 1995), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 198 papers, 15 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
198 citing papers in PubMed, 15 syntheses or guidelines pooled it.
- Gender in suicide prevention in adolescents and young adults: a systematic review.BMC public health · 2026Pooled it
- Effectiveness of Mental Health and Wellbeing Interventions for Children and Young People in Foster, Kinship, and Residential Care: Systematic Review and Meta-Analysis.Trauma, violence & abuse · 2024Pooled it
- Interventions targeting the mental health and wellbeing of care-experienced children and young people in higher-income countries: Evidence map and systematic review.Systematic reviews · 2023Pooled it
- School-Based Interventions to Prevent Dating and Relationship Violence and Gender-Based Violence: Systematic Review and Network Meta-Analysis.American journal of public health · 2023Pooled it
- What do we want to get out of this? a critical interpretive synthesis of the value of process evaluations, with a practical planning framework.BMC medical research methodology · 2022Pooled it
- Maximising the health impacts of free advice services in the UK: A mixed methods systematic review.Health & social care in the community · 2022Pooled it
- Evaluation of Social Impact Within Primary School Health Promotion: A Systematic Review.The Journal of school health · 2022Pooled it
- Systematic review of process evaluations of interventions in trials investigating sedentary behaviour in adults.BMJ open · 2022Pooled it
- Exploring the association between school-based peer networks and smoking according to socioeconomic status and tobacco control context: a systematic review.BMC public health · 2022Pooled it
- Correlates of Physical Activity among Adults with Sight Loss in High-Income-Countries: A Systematic Review.International journal of environmental research and public health · 2021Pooled it
- Co-production as an Emerging Methodology for Developing School-Based Health Interventions with Students Aged 11-16: Systematic Review of Intervention Types, Theories and Processes and Thematic Synthesis of Stakeholders' Experiences.Prevention science : the official journal of the Society for Prevention Research · 2021Pooled it
- Qualitative process evaluation from a complex systems perspective: A systematic review and framework for public health evaluators.PLoS medicine · 2020Pooled it
- Using natural experiments to improve public health evidence: a review of context and utility for obesity prevention.Health research policy and systems · 2020Pooled it
- How and under what circumstances do quality improvement collaboratives lead to better outcomes? A systematic review.Implementation science : IS · 2020Pooled it
- Adapting evidence-informed complex population health interventions for new contexts: a systematic review of guidance.Implementation science : IS · 2019Pooled it
- Performing lifestyle changes and reducing stroke risk: a process evaluation of a stroke prevention intervention.BMJ open · 2026Trial
- Child and school staff perceptions and experiences of universal social and emotional learning curricula in context: A qualitative case study registered report examining 'Passport Skills for Life'.The British journal of educational psychology · 2026Trial
- Trial
- A feasibility study of the internet-based intervention "Strategies for Empowering activities in Everyday life" (SEE 1.0) applied for people with stroke.BMC health services research · 2025Trial
- Reducing dropout rates in cardiac rehabilitation among cardiac patients in a vulnerable situation: systematic development and feasibility testing of the Heart Priority Programme.BMC health services research · 2024Trial
138 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
Complex systems approaches to social intervention research are increasingly advocated. However, there have been few attempts to consider how models of intervention science, such as the UK's Medical Research Council complex interventions framework, might be reframed through a complex systems lens. This article identifies some key areas in which this framework might be reconceptualized, and a number of priority areas where further development is needed if alignment with a systems perspective is to be achieved. We argue that a complex systems perspective broadens the parameters of 'relevant' evidence and theory for intervention development, before discussing challenges in defining feasibility in dynamic terms. We argue that whole systems evaluations may be neither attainable, nor necessary; acknowledgment of complexity does not mean that evaluations must be complex, or investigate all facets of complexity. However, a systems lens may add value to evaluation design through guiding identification of key uncertainties, and informing decisions such as timings of follow-up assessments.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.