Vocational rehabilitation for people with multiple sclerosis in the national health service of the United Kingdom: A realist evaluation

The realist evaluation aimed to understand the mechanisms and context for implementing a VR intervention for people with MS in the NHS and develop an explanatory programme theory. We conducted a review of evidence followed by semi-structured interviews. A realist review about VR for people with MS in the NHS was conducted on six electronic databases (PubMed, MEDLINE, PsychINFO, Web of Science, CINAHL, and EMBASE) with secondary purposive searches. Included studies were assessed for relevance and rigour. Semi-structured interviews with people with MS, employers, and healthcare professionals, were conducted remotely. Data were extracted, analysed, and synthesised to refine the programme theory and produce a logic model.

本现实主义评估（realist evaluation）旨在明确英国国家医疗服务体系（National Health Service，NHS）内针对多发性硬化（Multiple Sclerosis，MS）患者开展虚拟现实（Virtual Reality，VR）干预的实施机制与情境，并构建解释性项目理论。本研究先开展证据综述，随后实施半结构化访谈。针对NHS内MS患者的VR干预，本研究在PubMed、MEDLINE、PsychINFO、Web of Science、CINAHL及EMBASE这6个电子数据库中开展了现实主义综述，并辅以目的性二次检索。研究团队对纳入的研究进行相关性与严谨性评估。本研究以远程方式对MS患者、雇主及医疗专业人员开展了半结构化访谈。最终对采集到的数据进行提取、分析与综合，以优化项目理论并构建逻辑模型。