4.6 Review

AHRQ series on complex intervention systematic reviews-paper 5: advanced analytic methods

Journal

JOURNAL OF CLINICAL EPIDEMIOLOGY
Volume 90, Issue -, Pages 37-42

Publisher

ELSEVIER SCIENCE INC
DOI: 10.1016/j.jclinepi.2017.06.015

Keywords

Systematic review; Qualitative synthesis; Meta-analysis; Decision analysis; Meta-regression; Bayesian analysis; Finite mixture models

Funding

  1. Scientific Resource Center [290-2012-00004-C]
  2. ECRI Institute [HHSA 290-2015-00005I]
  3. Duke University [HHSA 290-2015-00004I]
  4. Oregon Health & Science University [HHSA 290-2015-00009I]
  5. Mayo Clinic [HHSA 290-2015-00013I]
  6. Research Triangle Institute [HHSA 290-2015-00011I]
  7. Vanderbilt University from the Agency for Healthcare Research and Quality, U. S. Department of Health and Human Services [HHSA 290-2015-00003I]

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Background and Objective: Advanced analytic methods for synthesizing evidence about complex interventions continue to be developed. In this paper, we emphasize that the specific research question posed in the review should be used as a guide for choosing the appropriate analytic method. Methods: We present advanced analytic approaches that address four common questions that guide reviews of complex interventions: (1) How effective is the intervention? (2) For whom does the intervention work and in what contexts? (3) What happens when the intervention is implemented? and (4) What decisions are possible given the results of the synthesis? Conclusion: The analytic approaches presented in this paper are particularly useful when each primary study differs in components, mechanisms of action, context, implementation, timing, and many other domains. (C) 2017 The Author(s). Published by Elsevier Inc.

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