Testing Methodological Guidance on the Conduct of Narrative Synthesis in Systematic Reviews测定方式指南

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1、EvaluationRodgersetal.:NarrativesynthesisinsystematicReviewsCopyright©2009SAGEPublications(LosAngeles,London,NewDelhiandSingapore)DOI:10.1177/1356389008097871Vol15(1):047–071TestingMethodologicalGuidanceontheConductofNarrativeSynthesisinSystematicReviewsEffectivenessofInterventionstoPromoteSmoke

2、AlarmOwnershipandFunctionMARKRODGERSANDANGELASOWDENUniversityofYork,UKMARKPETTICREWUniversityofGlasgow,UKLISAARAIANDHELENROBERTSCityUniversity,UKNICKYBRITTENUniversitiesofExeterandPlymouth,UKJENNIEPOPAYLancasterUniversity,UKTheobjectivewastoassesstheimpactofnewguidanceontheconductofnarrativesynt

3、hesisinsystematicreviewsofeffectiveness,bymeansofablindedcomparisonofguidance-lednarrativesynthesisagainstameta-analysisofthesamestudydata.Theconclusionsofthetwosyntheseswerebroadlysimilar.However,differencesbetweentheapproachesmeantthatconclusionsabouttheimpactofmoderatorsofeffectappearedstrong

4、erwhenderivedfromthemeta-analysis,whereasimplicationsforfutureresearchappearedmoreextensivewhenderivedfromthenarrativesynthesis.Thesefindingsemphasizethatarigorouslyconductednarrativesynthesiscanaddmeaningandvaluetothefindingsofmeta-analysis.Theguidanceframeworkprovidedausefulvehicleforstructuring

5、anarrativesynthesisandincreasingtransparencyandrigouroftheprocess.Whiletheremayberiskswithoverinterpretationofstudydata,theframework,toolsand470047-072_EVI_097871.indd4747-072_EVI_097871.indd472200801301011:15:5300801301011:15:53Evaluation15(1)techniquesdescribedintheguidanceappeartoincreasethet

6、ransparencyandreproducibilityofnarrativesynthesis.KEYWORDS:guidance;narrativesynthesis;researchmethodology;systematicreviewsIntroductionSystematicreviewshavebecomewellestablishedasameanstohelpinformpoliciesanddecisionsabouttheorganizationanddeliveryofhealthandso-cialcare.However,makingsenseoflar

7、gebodiesofevidencedrawnfromre-searchwhichusesarangeofmethodsisachallenge.Ensuringthattheproductofthissynthesisprocesscanbetrustedisimportantforpolicy-makers,forpractitionersandforthepeopleresearchisintendedtobenefit.Therearea