Table 1 Key issues to consider in the production of evidence

From: Implementation and trial evidence: a plea for fore-thought

Key questions

Methods that apply to the question

Is the area of research a key priority for patients, clinicians, policy-makers and commissioners?

Is the right research question being asked?

Are patients at the centre of the research process?

Patient and public involvement

Priority setting partnerships

Prioritisation methods eg discrete choice experiments

Consensus methodologies eg Delphi

Is the right intervention being tested?

Patient and public involvement

Co-creation and production eg experience based co-design

Do researchers understand the context, within which the trial is situated?

Do researchers understand the mechanisms and conditions that lead to the outcomes of the trial?

Do researchers understand the interdependence of these factors and the fidelity of both clinicians and patients?

Theoretically informed feasibility/pilot studies

Theoretically driven process evaluation

Do researchers understand the role of the observer and the observed within the trial?

Do researchers understand how the magnitude and direction of the effect size in the trial is produced?

Theoretically driven process evaluation

How does the evidence generated from the trial get synthesised?

Cochrane reviews

Parallel realist syntheses

How do these syntheses account for context?

Realist syntheses and meta-ethnography

Theoretically informed systematic reviews