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Examining a Holistic Framework for Evaluating Clinical Outcomes in Parallel With Non-Clinical Outcomes.

Robert G Lingard¹, Louise Horstmanshof¹

¹Faculty of Health, Southern Cross University, Lismore, New South Wales, Australia.

Journal of Evaluation in Clinical Practice

|March 6, 2025

Summary

This study introduces a unifying framework for evaluating clinical and non-clinical research outcomes, using Boltanski and Thévenot's Economies of Worth. The approach respects participants' diverse roles and informs research evaluation.

Keywords:

Common Good Economies of Worth evaluations framework interventions outcomes

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Area of Science:

Social Sciences
Health Services Research

Background:

Existing clinical research lacks a broad framework for evaluating diverse outcomes.
A unified approach is needed to assess both clinical and non-clinical results.

Purpose of the Study:

To examine a unifying framework for evaluating clinical and non-clinical outcomes.
To draw on understandings of the Common Good for a broad evaluative approach.
To identify benefits or harms to clinical research participants.

Main Methods:

Utilized six definitions of the Common Good from Boltanski and Thévenot.
Examined how these conceptions evaluate outcomes and subjectify individuals.
Applied the framework to academic literature on dementia research.

Main Results:

Clinical research outcomes can be evaluated broadly, beyond purely technical measures.
The Common Good is recognized as a plurality of perceived goods.
Participants can be described using non-clinical language, respecting their multifaceted roles.

Conclusions:

Boltanski and Thévenot's framework provides consistent evaluation across six 'Worlds' (Civic, Domestic, Industry, Inspiration, Market, Opinion).
The framework effectively evaluated non-clinical outcomes in dementia research.
This approach enhances understanding of participants, families, researchers, and organizations as subjects.