Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2019 Mar;46(2):255-270.
doi: 10.1007/s10488-018-0909-3.

Rapid Assessment Procedure Informed Clinical Ethnography (RAPICE) in Pragmatic Clinical Trials of Mental Health Services Implementation: Methods and Applied Case Study

Lawrence A Palinkas  1 , Douglas Zatzick  2
Affiliations

Rapid Assessment Procedure Informed Clinical Ethnography (RAPICE) in Pragmatic Clinical Trials of Mental Health Services Implementation: Methods and Applied Case Study

Lawrence A Palinkas et al. Adm Policy Ment Health. 2019 Mar.

Abstract

Pragmatic clinical trials of mental health services are increasingly being developed to establish comparative effectiveness, influence sustainable implementation, and address real world policy decisions. However, use of time and resource intensive qualitative methods in pragmatic trials may be inconsistent with the aims of efficiency and cost minimization. This paper introduces a qualitative method known as Rapid Assessment Procedure-Informed Clinical Ethnography (RAPICE) that combines the techniques of Rapid Assessment Procedures with clinical ethnography. A case study is presented to illustrate how RAPICE can be used to efficiently understand pragmatic trial implementation processes and associated real world policy implications.

Keywords: Clinical ethnography; Implementation; Policy; Pragmatic clinical trials; Qualitative methods.

PubMed Disclaimer

Conflict of interest statement

Conflict of interest The authors declare they have no conflict of interest.

Figures

Fig. 1
Fig. 1
Comparative assessment of three potential RAPICE data analytic approaches with increasing Pragmatic Trial Resource Allocations
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. Aakhus E, Granlund I, Odegaard-Jensen J, Wensing M, Oxman AD, & Flottorp SA (2014). Tailored interventions to implement recommendations for elderly patients with depression in primary care: A study protocol for a pragmatic cluster randomized controlled trial. Trials, 15, 16 10.1186/1745-6215-15-16. - DOI - PMC - PubMed
    1. Ackerman SL, Sarkar U, Tieu L, Handley MA, Schillinger D, et al. (2017). Meaningful use in the safety net: A rapid ethnography of patient portal implementation at five community health centers in California. Journal of the American Medical Informatics Association, 24(5), 903–912. - PMC - PubMed
    1. American College of Surgeons Committee on Trauma. (2006). Resources for optimal care of the injured patient. Washington, DC: American College of Surgeons.
    1. American College of Surgeons Committee on Trauma. (2014). Resources for optimal care of the injured patient. Washington, DC: American College of Surgeons.
    1. Beebe J (1995). Basic concepts and techniques of rapid appraisal. Human Organization, 54, 42–51.

Publication types

MeSH terms