Realist Synthesis
Realist synthesis is a theory-driven, interpretive method for evidence synthesis developed by Ray Pawson (2005) that focuses on understanding HOW and WHY interventions work, rather than WHETHER they work. Grounded in realist philosophy, realist synthesis examines Context-Mechanism-Outcome (CMO) configurations: how specific contextual conditions activate mechanisms that produce outcomes. Unlike traditional systematic reviews, which typically answer 'Does intervention X reduce outcome Y?', realist synthesis asks 'Under what conditions, through what mechanisms, for which populations does X work?' This approach is particularly valuable for complex interventions (policies, programs, multi-component treatments) where effectiveness varies dramatically across contexts, and for understanding why interventions succeed in some settings but fail in others.
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- Pawson, R., Greenhalgh, T., Harvey, G., & Walshe, K. (2005). Realist review—a new method of systematic review designed for complex policy and programme evaluation. Journal of Health Services Research & Policy, 10(S1), 21–35. · DOI 10.1258/1355819054308530
- Pawson, R. (2013). The Science of Evaluation: A Realist Manifesto. SAGE Publications. · URL
- Wong, G., Westhorp, G., Pawson, R., & Greenhalgh, T. (2013). Realist synthesis: Introduction and some practical guidance. Cochrane Database of Systematic Reviews, 12, CD012032. · URL
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