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E-learning: Developing & Evaluating Complex Interventions


MORECare Statement

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This online course is based on the findings of the  MORECare study  - Methods of Research for Evaluating palliative and end-of-life care aimed to develop evidence-based guidance on the best methods for the design and conduct of research on palliative and end-of-life care to further knowledge in the field. MORECare built on the Medical Research Council guidance on the development and evaluation of complex interventions. We conducted systematic literature reviews, transparent expert consultations (TEC) involving consensus methods of nominal group, online voting, and stakeholder workshops to identify challenges and best practice in palliative and end-of-life care research.

We synthesised all findings to develop a guidance statement – the MORECare Statement on the best methods to research palliative and end-of-life care. The statement provides a first step in setting common much needed standards for evaluative research in palliative and end-of-life care and can be used alongside existing statements for reporting studies. The statement is relevant to those undertaking research, trainee researchers, research funders, ethical committees and editors. The statement provides 36 best practice solutions for research evaluating services and treatments in palliative and common much needed to improve study quality and set the standard for future research. 

Main reference: Higginson, I. J., Evans, C. J., Grande, G., Preston, N., Morgan, M., McCrone, P., ... Todd, C. (2013). Evaluating complex interventions in End of Life Care: the MORECare Statement on good practice generated by a synthesis of transparent expert consultations and systematic reviews. BMC Medicine, 11, [111]. 10.1186/1741-7015-11-111

Refer to MORECare course booklet for a comprehensive list of publications based on MORECare study (link to course booklet)

The MORECare eLearning course includes audio and video material, assessments, reading lists as well as list of references. This course is self paced and will allow you to learn at your own speed.

We also offer our MSc Palliative Care modules on a standalone basis. Each module comprises approximately 50-55 taught tuition hours and classroom and independent study can be used to claim CPD points. Assessments are optional and if successfully undertaken, can count as credits to future postgraduate qualifications. The cost to attend is £1400 per module and the deadline for applications is one month prior to the start of the course.

  • Research Methods and Statistics in Palliative Care 
  • Biology and Management of Symptoms in Advanced Disease 
  • Service Organisation and Policy in Palliative Care 
  • Psychosocial, Cultural, Ethical and Spiritual Issues 
  • Advanced Pain and Symptom Control 
  • Service Development and Management 
  • Advanced Psychosocial and Spiritual Care 
  • Applying Epidemiology in Palliative Care

Upon completion of this course, participants will be able to:

Module 1) Introduction to complex interventions and MORECare Statement
✓ To understand what is a complex intervention
✓ To appreciate the challenges of developing and evaluating complex interventions
✓ To understand and apply the Medical Research Council (MRC) framework
✓ To understand and use the MORECare statement when developing and evaluating complex services and treatments in palliative and end-of-life care

Module 2) Selection of outcome measures
✓ To identify some outcome measures that are commonly used in palliative and end-oflife care ✓ To differentiate the main type of scales (visual analogue scale, numerical rating scale, verbal rating scale, Likert scale, faces scale)
✓ To understand key psychometric and clinimetric properties of outcome measures in order to inform choice of outcome measure
✓ To understand the MORECare statement recommendations pertaining to choosing an outcome measure

Module 3) Use of outcome measures: Choosing and identifying time points
✓ What are data collection time points?
✓ Why are these time points important?
✓ What are the challenges in establishing optimal time points?
✓ What are the characteristics of ‘good’ time points?
✓ The MORECare recommendations on how to establish time points

Module 4) Missing data, attrition and response shift
✓To understand the need to report types and amount of missing data with details of imputation methods.
✓To understand the importance of investigating the pattern of missing data in order to inform the imputation approach.
✓To understand the need to apply taxonomy to define types of attrition.
✓To further understanding of occurrence and rates of attrition in the palliative and end-of-life care context and the need to plan for it.
✓To understand the need of a pre-specified statistical analysis plan in the study protocol.
✓To understand response shift in palliative and end-of-life care

Module 5) Mixed methods:
✓ To reflect on the usefulness of mixed methods in the development and evaluation of complex interventions
✓ To become aware of the challenges of mixing methods (such as in data collection, data integration, study costs and dissemination)
✓ To reflect on key aspects of study planning such as team working, skill mix and training, and respondent burden

Module 6) Ethical considerations in palliative and and end-of-life care
✓ To understand the main ethical implications of research on palliative and endof-life care
✓ To consider research participation for adults with advanced disease
✓ To understand the role and purpose of research ethics committees
✓ To explore processes of consent in research on palliative and end-of-life care
✓ To understand MORECare recommendations on ethical issues in palliative and end-of-life care

For specific objectives for each modules refer to MORECare course booklet (Link to course booklet)

This eLearning course is principally aimed at postgraduate students,clinicians, researchers, ethical committees, journals editors and funders. If you are planning to study at postgraduate level you would greatly benefit from taking this course too.