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Cochrane Qualitative and Implementation Methods Group guidance series-paper 4: methods for assessing evidence on
Margaret Cargo1, Janet Harris2, Tomas Pantoja3
1Health Research Institute, University of Canberra, University Drive, 22-B17, Canberra, Australia; Centre for Population Health, University of South Australia, 8th Floor Office 310, SAHMRI Building (North Terrace), Adelaide, Australia.
This guide helps researchers identify and process evidence for understanding intervention implementation. It offers strategies for systematic reviews using diverse data, improving the assessment of implementation effectiveness.
Area of Science:
- Health Services Research
- Systematic Review Methodology
Background:
- Intervention implementation is crucial for healthcare outcomes.
- Assessing implementation effectiveness requires robust methodologies.
Purpose of the Study:
- To provide guidance on methods for identifying and processing evidence on intervention implementation.
- To illustrate how process and implementation can be addressed in systematic reviews.
Main Methods:
- Application of strategies, tools, and methods to the systematic review process.
- Integration of quantitative, qualitative, and other evidence sources.
- Development of program theory and logic models prior to reviews.
Main Results:
- Strategies for navigating heterogeneity and uncertainty in implementation assessment.
- Four search strategies for retrieving process and implementation evidence.
- Recommendations for assessing rigor and risk of bias in implementation evidence.
Conclusions:
- Existing strategies can aid reviewers in addressing process and implementation.
- Further methodological development and trialing of proposed approaches are needed.
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