Abstract
In recent years, Realist Evaluation (RE) has emerged as a prominent approach for assessing complex programs and
interventions in the area of personal support services. This study examines the features and potential application of research methodologies that utilize the “Context + Mechanism = Outcome” heuristic, which is trending in RE research within the field of healthcare. In particular, it focuses on programs that are constructed through collaboration with concerned parties, based on their personal experiences. A review of ten relevant cases highlights a diverse range of themes, including care for elderly people with dementia, support for expectant and nursing mothers experiencing social adversity, and discussion groups for individuals with mental disorders.
Introducing RE enabled the parties to express their perspectives openly, which in turn led to fostering organic
relationships, the creation and improvement of collaborative programs, and the empowerment of those involved to
make their own decisions. This suggests that RE is a useful evaluation method for developing programs that mitigate the health disparity and social isolation of the modern age.
