Applying a longitudinal tracer methodology to evaluate complex interventions in complex settings

Long-running multi-faceted intervention studies are particularly problematic in large complex organizations where traditional methods prove too resource intensive and can yield inaccurate and incomplete findings. This paper describes the first use of, longitudinal tracer methodology (LTM), a realist approach to evaluation, to examine the links between multiple complex intervention activities (processes) and their outcomes on a construction megaproject. LTM is especially useful when the researcher has little control over intervention delivery but has evidence drawn from multiple sources to evaluate the intervention activities effects over time. This methodology has rarely been deployed in complex organizational settings and not on a construction megaproject. This paper presents a case study of its use over a period of three years, on 24 construction sites forming London’s Thames Tideway Tunnel (Tideway) megaproject. The study examines the “transformational” power of occupational safety and health (OSH) interventions across the multiple organizations and supply chains in the megaproject. The study shows how the method can be adapted in-flight to accommodate shifting lines of inquiry as the intervention activities progress and change. This feature along with its resource-efficient operation, make it an attractive option where interventions are likely to have differential effects across multiple sites of enactment.     

On narcissism and post-narcissism: Psychology and theology in context

A contextual approach to narcissism is developed in which theology is seen to articulate simultaneously with psychological needs and cultural values. Some implications of the psychology of the self for theology and culture are discussed in this framework.The author wishes to express his gratitude to Dr. Larry K. Graham for his comments on an earlier version of this paper.Dr. Fallot is a psychologist on the staff of the Student Counseling Service, University of Illinois at Chicago, P.O. Box 4348, Chicago, Il. 60680.     

Recent stressful life events and young children's school adjustment

A group of 211 first-to fourth-grade children who had experienced one or more recent stressful life events were compared to a demographically matched sample of 211 children who had not experienced such events on measures of school adjustment problems and competencies. Stressful life events were found to be associated with the presence of more serious school adjustment problems and fewer competencies. Those associations were strongest for children who had experienced multiple recent stressful events. The importance of preventive interventions for this at-risk group was emphasized and future research steps in the area were considered.