the stroke association the stroke association

Realist Evaluation of System of Care Trial

What is a realist evaluation?

A realist evaluation is a theory driven approach to evaluation. It aims to test the efficacy of the intervention theories by exploring how the intervention components induce a change in practice (known as mechanisms), the environmental factors that impact on these mechanisms (known as contexts) and how combinations of both link to the outcomes observed. Explanations are produced through the development of context, mechanism, outcome, configurations (CMOCs) or put more simply through describing ‘what works for whom and in what circumstances’. 

Steps in conducting a realist evaluation:

 realist evaluation flow diagram

Study Aim

To understand how the LoTS care stroke system of care works to improve patient outcomes.



It is hoped that the study objectives will be achieved through applying the following methods:

Current Status


back to top