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The use of GRADE-CERQual in qualitative evidence synthesis: an evaluation of fidelity and reporting.
Wainwright, Megan; Zahroh, Rana Islamiah; Tunçalp, Özge; Booth, Andrew; Bohren, Meghan A; Noyes, Jane; Cheng, Weilong; Munthe-Kaas, Heather; Lewin, Simon.
Afiliação
  • Wainwright M; Department of Anthropology, Faculty of Social Sciences and Health, Durham University, South Road, Durham, United Kingdom. megan@meganwainwright.ca.
  • Zahroh RI; Gender and Women's Health Unit, School of Population and Global Health, Centre for Health Equity, The University of Melbourne, Carlton, VIC, Australia.
  • Tunçalp Ö; UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), Department of Sexual and Reproductive Health and Research, World Health Organization, Geneva, Switzerland.
  • Booth A; Faculty of Medicine, Dentistry and Health, School of Health and Related Research (ScHARR), University of Sheffield, Sheffield, United Kingdom.
  • Bohren MA; Gender and Women's Health Unit, School of Population and Global Health, Centre for Health Equity, The University of Melbourne, Carlton, VIC, Australia.
  • Noyes J; School of Medical and Health Sciences, Bangor University, Bangor, Wales, United Kingdom.
  • Cheng W; Melbourne School of Population and Global Health, Centre for Epidemiology and Biostatistics, The University of Melbourne, Carlton, VIC, Australia.
  • Munthe-Kaas H; The Centre for Epidemic Interventions Research, Norwegian Institute of Public Health, Oslo, Norway.
  • Lewin S; Division of Health Services and Centre for Epidemic Interventions Research (CEIR), Norwegian Institute of Public Health, Oslo, Norway.
Health Res Policy Syst ; 21(1): 77, 2023 Jul 25.
Article em En | MEDLINE | ID: mdl-37491226
ABSTRACT

BACKGROUND:

GRADE-CERQual (Confidence in the Evidence from Reviews of Qualitative Research) is a methodological approach to systematically and transparently assess how much confidence decision makers can place in individual review findings from qualitative evidence syntheses. The number of reviews applying GRADE-CERQual is rapidly expanding in guideline and other decision-making contexts. The objectives of this evaluation were, firstly, to describe the uptake of GRADE-CERQual in qualitative evidence synthesis by review authors and, secondly, to assess both reporting of and fidelity to the approach.

METHODS:

The evaluation had two parts. Part 1 was a citation analysis and descriptive overview of the literature citing GRADE-CERQual. Authors worked together to code and chart the citations, first by title and abstract and second by full text. Part 2 was an assessment and analysis of fidelity to, and reporting of, the GRADE-CERQual approach in included reviews. We developed fidelity and reporting questions and answers based on the most recent guidance for GRADE-CERQual and then used NVivo12 to document assessments in a spreadsheet and code full-text PDF articles for any concerns that had been identified. Our assessments were exported to Excel and we applied count formulae to explore patterns in the data. We employed a qualitative content analysis approach in NVivo12 to sub-coding all the data illustrating concerns for each reporting and fidelity criteria.

RESULTS:

233 studies have applied the GRADE-CERQual approach, with most (n = 225, 96.5%) in the field of health research. Many studies (n = 97/233, 41.6%) were excluded from full fidelity and reporting assessment because they demonstrated a serious misapplication of GRADE-CERQual, for example interpreting it as a quality appraisal tool for primary studies or reviews. For the remaining studies that applied GRADE-CERQual to assess confidence in review findings, the main areas of reporting concern involved terminology, labelling and completeness. Fidelity concerns were identified in more than half of all studies assessed.

CONCLUSIONS:

GRADE-CERQual is being used widely within qualitative evidence syntheses and there are common reporting and fidelity issues. Most of these are avoidable and we highlight these as gaps in knowledge and guidance for applying the GRADE-CERQual approach.
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Texto completo: 1 Coleções: 01-internacional Contexto em Saúde: 1_ASSA2030 Base de dados: MEDLINE Assunto principal: Pesquisa Biomédica / Confiabilidade dos Dados Tipo de estudo: Policy_brief / Prognostic_studies / Qualitative_research Aspecto: Implementation_research Limite: Humans Idioma: En Revista: Health Res Policy Syst Ano de publicação: 2023 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Contexto em Saúde: 1_ASSA2030 Base de dados: MEDLINE Assunto principal: Pesquisa Biomédica / Confiabilidade dos Dados Tipo de estudo: Policy_brief / Prognostic_studies / Qualitative_research Aspecto: Implementation_research Limite: Humans Idioma: En Revista: Health Res Policy Syst Ano de publicação: 2023 Tipo de documento: Article