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Developing an initial explanatory theory for Partnering for Change using realist evaluation.

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Summary
This summary is machine-generated.

This study developed an explanatory theory for the Partnering for Change (P4C) model in school-based occupational therapy. Realist evaluation identified key contexts, mechanisms, and outcomes for effective P4C implementation.

Keywords:
Partnering for Changeoccupational therapyprogram evaluationrealist evaluationschool‐based occupational therapytheorytiered services

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Area of Science:

  • Occupational Therapy
  • Educational Psychology
  • Health Services Research

Background:

  • Partnering for Change (P4C) is an established school-based occupational therapy model.
  • International interest necessitates an explanatory theory for diverse implementation contexts.
  • Nearly two decades of research inform the P4C model.

Purpose of the Study:

  • Document the theory development process for the P4C model.
  • Present the initial explanatory theory of P4C.
  • Guide the implementation of P4C in various settings.

Main Methods:

  • Realist evaluation employed for theory construction.
  • Analysis of P4C developer conceptualizations.
  • Document and transcript analysis from interviews and focus groups.

Main Results:

  • The initial P4C theory comprises four context-mechanism-outcome configurations (CMOCs).
  • Key contexts, mechanisms, and outcomes central to P4C are identified.
  • An exemplar CMOC illustrates theoretical premise development.

Conclusions:

  • Advances understanding of P4C's core elements.
  • Demonstrates realist evaluation's utility in occupational therapy research.
  • Offers preliminary implications for clinical practice.