Applying GRADE-CERQual to qualitative evidence synthesis findings—paper 2: how to make an overall CERQual assessment of confidence and create a Summary of Qualitative Findings table

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dc.contributor.authorLewin, Simon
dc.contributor.authorBohren, Meghan
dc.contributor.authorRashidian, Arash
dc.contributor.authorMunthe-Kaas, Heather
dc.contributor.authorGlenton, Claire
dc.contributor.authorColvin, Christopher J
dc.contributor.authorGarside, Ruth
dc.contributor.authorNoyes, Jane
dc.contributor.authorBooth, Andrew
dc.contributor.authorTunçalp, Özge
dc.contributor.authorWainwright, Megan
dc.contributor.authorFlottorp, Signe
dc.contributor.authorTucker, Joseph D
dc.contributor.authorCarlsen, Benedicte
dc.date.accessioned2018-04-17T07:47:25Z
dc.date.available2018-04-17T07:47:25Z
dc.date.issued2018-01-25
dc.date.updated2018-04-09T15:05:17Z
dc.description.abstractBackground: The GRADE-CERQual (Confidence in Evidence from Reviews of Qualitative research) approach has been developed by the GRADE (Grading of Recommendations Assessment, Development and Evaluation) Working Group. The approach has been developed to support the use of findings from qualitative evidence syntheses in decision making, including guideline development and policy formulation. CERQual includes four components for assessing how much confidence to place in findings from reviews of qualitative research (also referred to as qualitative evidence syntheses): (1) methodological limitations, (2) coherence, (3) adequacy of data and (4) relevance. This paper is part of a series providing guidance on how to apply CERQual and focuses on making an overall assessment of confidence in a review finding and creating a CERQual Evidence Profile and a CERQual Summary of Qualitative Findings table. Methods: We developed this guidance by examining the methods used by other GRADE approaches, gathering feedback from relevant research communities and developing consensus through project group meetings. We then piloted the guidance on several qualitative evidence syntheses before agreeing on the approach. Results: Confidence in the evidence is an assessment of the extent to which a review finding is a reasonable representation of the phenomenon of interest. Creating a summary of each review finding and deciding whether or not CERQual should be used are important steps prior to assessing confidence. Confidence should be assessed for each review finding individually, based on the judgements made for each of the four CERQual components. Four levels are used to describe the overall assessment of confidence: high, moderate, low or very low. The overall CERQual assessment for each review finding should be explained in a CERQual Evidence Profile and Summary of Qualitative Findings table. Conclusions: Structuring and summarising review findings, assessing confidence in those findings using CERQual and creating a CERQual Evidence Profile and Summary of Qualitative Findings table should be essential components of undertaking qualitative evidence syntheses. This paper describes the end point of a CERQual assessment and should be read in conjunction with the other papers in the series that provide information on assessing individual CERQual components.
dc.identifier.apacitationLewin, S., Bohren, M., Rashidian, A., Munthe-Kaas, H., Glenton, C., Colvin, C. J., ... Carlsen, B. (2018). Applying GRADE-CERQual to qualitative evidence synthesis findings—paper 2: how to make an overall CERQual assessment of confidence and create a Summary of Qualitative Findings table. http://hdl.handle.net/11427/27795en_ZA
dc.identifier.chicagocitationLewin, Simon, Meghan Bohren, Arash Rashidian, Heather Munthe-Kaas, Claire Glenton, Christopher J Colvin, Ruth Garside, et al "Applying GRADE-CERQual to qualitative evidence synthesis findings—paper 2: how to make an overall CERQual assessment of confidence and create a Summary of Qualitative Findings table." (2018) http://hdl.handle.net/11427/27795en_ZA
dc.identifier.citationLewin, S., Bohren, M., Rashidian, A., Munthe-Kaas, H., Glenton, C., Colvin, C. J., ... & Wainwright, M. (2018). Applying GRADE-CERQual to qualitative evidence synthesis findings—paper 2: how to make an overall CERQual assessment of confidence and create a Summary of Qualitative Findings table. Implementation Science, 13(1), 10.
dc.identifier.ris TY - Journal Article AU - Lewin, Simon AU - Bohren, Meghan AU - Rashidian, Arash AU - Munthe-Kaas, Heather AU - Glenton, Claire AU - Colvin, Christopher J AU - Garside, Ruth AU - Noyes, Jane AU - Booth, Andrew AU - Tunçalp, Özge AU - Wainwright, Megan AU - Flottorp, Signe AU - Tucker, Joseph D AU - Carlsen, Benedicte AB - Background: The GRADE-CERQual (Confidence in Evidence from Reviews of Qualitative research) approach has been developed by the GRADE (Grading of Recommendations Assessment, Development and Evaluation) Working Group. The approach has been developed to support the use of findings from qualitative evidence syntheses in decision making, including guideline development and policy formulation. CERQual includes four components for assessing how much confidence to place in findings from reviews of qualitative research (also referred to as qualitative evidence syntheses): (1) methodological limitations, (2) coherence, (3) adequacy of data and (4) relevance. This paper is part of a series providing guidance on how to apply CERQual and focuses on making an overall assessment of confidence in a review finding and creating a CERQual Evidence Profile and a CERQual Summary of Qualitative Findings table. Methods: We developed this guidance by examining the methods used by other GRADE approaches, gathering feedback from relevant research communities and developing consensus through project group meetings. We then piloted the guidance on several qualitative evidence syntheses before agreeing on the approach. Results: Confidence in the evidence is an assessment of the extent to which a review finding is a reasonable representation of the phenomenon of interest. Creating a summary of each review finding and deciding whether or not CERQual should be used are important steps prior to assessing confidence. Confidence should be assessed for each review finding individually, based on the judgements made for each of the four CERQual components. Four levels are used to describe the overall assessment of confidence: high, moderate, low or very low. The overall CERQual assessment for each review finding should be explained in a CERQual Evidence Profile and Summary of Qualitative Findings table. Conclusions: Structuring and summarising review findings, assessing confidence in those findings using CERQual and creating a CERQual Evidence Profile and Summary of Qualitative Findings table should be essential components of undertaking qualitative evidence syntheses. This paper describes the end point of a CERQual assessment and should be read in conjunction with the other papers in the series that provide information on assessing individual CERQual components. DA - 2018-01-25 DB - OpenUCT DO - 10.1186/s13012-017-0689-2 DP - University of Cape Town LK - https://open.uct.ac.za PB - University of Cape Town PY - 2018 T1 - Applying GRADE-CERQual to qualitative evidence synthesis findings—paper 2: how to make an overall CERQual assessment of confidence and create a Summary of Qualitative Findings table TI - Applying GRADE-CERQual to qualitative evidence synthesis findings—paper 2: how to make an overall CERQual assessment of confidence and create a Summary of Qualitative Findings table UR - http://hdl.handle.net/11427/27795 ER - en_ZA
dc.identifier.urihttp://dx.doi.org/10.1186/s13012-017-0689-2
dc.identifier.urihttp://hdl.handle.net/11427/27795
dc.identifier.vancouvercitationLewin S, Bohren M, Rashidian A, Munthe-Kaas H, Glenton C, Colvin CJ, et al. Applying GRADE-CERQual to qualitative evidence synthesis findings—paper 2: how to make an overall CERQual assessment of confidence and create a Summary of Qualitative Findings table. 2018; http://hdl.handle.net/11427/27795.en_ZA
dc.language.isoen
dc.publisherBioMed Central
dc.publisher.departmentDepartment of Public Health and Family Medicineen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rights.holderThe Author(s).
dc.subject.otherQualitative research
dc.subject.otherQualitative evidence synthesis
dc.subject.otherSystematic review methodology
dc.subject.otherResearch design
dc.subject.otherMethodology
dc.subject.otherConfidence
dc.subject.otherGuidance
dc.subject.otherEvidence-based practice
dc.subject.otherGRADE
dc.titleApplying GRADE-CERQual to qualitative evidence synthesis findings—paper 2: how to make an overall CERQual assessment of confidence and create a Summary of Qualitative Findings table
dc.typeJournal Article
uct.type.filetypeText
uct.type.filetypeImage
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