Sax Institute

Role of Clinical Trials in Implementation Science and Organization Change: An Overview of Cluster, Stepped-Wedge, and Hybrid Effectiveness-Implementation Studies

Implementation science plays a pivotal role in advancing organizational change within stroke healthcare settings by systematically evaluating and facilitating the adoption of evidence-based practices. This topical review examines the use of key trial designs relevant to implement...

What Works, Why, and Where: Integrating Realist Evaluation, Behavioural Science, and Systems Thinking

Evaluation commissioners need more than a verdict on whether a program worked. They need evidence to inform cost-effectiveness decisions, support scaling, and guide complementary program design. Realist evaluation provides the right causal structure to generate that evidence: in...