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.author Lewin, Simon
dc.contributor.author Bohren, Meghan
dc.contributor.author Rashidian, Arash
dc.contributor.author Munthe-Kaas, Heather
dc.contributor.author Glenton, Claire
dc.contributor.author Colvin, Christopher J
dc.contributor.author Garside, Ruth
dc.contributor.author Noyes, Jane
dc.contributor.author Booth, Andrew
dc.contributor.author Tunçalp, Özge
dc.contributor.author Wainwright, Megan
dc.contributor.author Flottorp, Signe
dc.contributor.author Tucker, Joseph D
dc.contributor.author Carlsen, Benedicte
dc.date.accessioned 2018-04-17T07:47:25Z
dc.date.available 2018-04-17T07:47:25Z
dc.date.issued 2018-01-25
dc.identifier.citation Lewin, 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.uri http://dx.doi.org/10.1186/s13012-017-0689-2
dc.identifier.uri http://hdl.handle.net/11427/27795
dc.description.abstract 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.
dc.language.iso en
dc.publisher BioMed Central
dc.subject.other Qualitative research
dc.subject.other Qualitative evidence synthesis
dc.subject.other Systematic review methodology
dc.subject.other Research design
dc.subject.other Methodology
dc.subject.other Confidence
dc.subject.other Guidance
dc.subject.other Evidence-based practice
dc.subject.other GRADE
dc.title 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
dc.type Journal Article
dc.date.updated 2018-04-09T15:05:17Z
dc.rights.holder The Author(s).
dc.publisher.institution University of Cape Town
dc.publisher.faculty Faculty of Health Sciences en_ZA
dc.publisher.department Department of Public Health and Family Medicine en_ZA
uct.type.filetype Text
uct.type.filetype Image
dc.identifier.apacitation Lewin, 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/11427/27795 en_ZA
dc.identifier.chicagocitation Lewin, 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/11427/27795 en_ZA
dc.identifier.vancouvercitation Lewin 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.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


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