背景:在过去的三十年中,研究人员开发了用于评估研究概述的科学质量的关键评估工具(CAT)。大多数建立在循证医学和循证公共卫生(EBPH)审查中的CAT侧重于系统评价(SRs),其中包括对实验干预或暴露的研究。以EBPH和实施为导向的组织和决策者,然而,经常寻求获得快速评论(RR)或范围审查(ScR),以进行快速证据综合和研究领域探索。直到现在,没有CAT可用于评估SR的质量,RR,和ScRs遵循统一的方法。我们着手开发这样的CAT。
方法:健康促进和预防审查关键评估工具(CATHPPR)的开发过程包括六个阶段:(i)定义重要的审查格式和补充方法,(ii)识别相关的CAT,(iii)优先顺序,使用共识方法选择和调整质量标准,(四)发展评级系统和双语指导文件,(v)与该领域的专家合作,进行CAT的试验/优化,和(vi)批准最终CAT。我们使用了务实的搜索方法来确定报告指南/标准(n=3;例如PRISMA,MECIR)以及指导文件(n=17;例如,用于混合方法方法的审查),以制定SR的工作定义,RR,ScRs,和其他评论类型(尤指。由统计方法或包含的数据源定义的那些)。
结果:我们成功确定了14个相关的CAT,主要用于SR(例如AMSTAR2),并提取了46个项目。经过协商一致的讨论,我们的CAT中包含了15个单独的标准,并针对感兴趣的审查类型进行了定制。《禁止酷刑公约》通过14项不同的审查进行了试点,这些审查有资格被纳入一个新的德国数据库,该数据库旨在研究不同实施环境中的健康促进和预防干预措施。
结论:新开发的CATHPPR遵循一种独特的统一方法来评估一系列不同的审查(例如从问题识别到政策评估的审查),以帮助最终用户的需求。外部专家的反馈显示了该工具的总体可行性和满意度。未来的研究应该使用更多的综述来进一步正式测试CATHPPR的有效性。
For over three decades researchers have developed critical appraisal tools (CATs) for assessing the scientific quality of research overviews. Most established CATs for reviews in evidence-based medicine and evidence-based public health (EBPH) focus on systematic reviews (SRs) with studies on experimental interventions or exposure included. EBPH- and implementation-oriented organisations and decision-makers, however, often seek access to rapid reviews (RRs) or scoping reviews (ScRs) for rapid evidence synthesis and research field exploration. Until now, no CAT is available to assess the quality of SRs, RRs, and ScRs following a unified approach. We set out to develop such a CAT.
The development process of the Critical Appraisal Tool for Health Promotion and Prevention Reviews (CAT HPPR) included six phases: (i) the definition of important review formats and complementary approaches, (ii) the identification of relevant CATs, (iii) prioritisation, selection and adaptation of quality criteria using a consensus approach, (iv) development of the rating system and bilingual guidance documents, (v) engaging with experts in the field for piloting/optimising the CAT, and (vi) approval of the final CAT. We used a pragmatic search approach to identify reporting guidelines/standards (n = 3; e.g. PRISMA, MECIR) as well as guidance documents (n = 17; e.g. for reviews with mixed-methods approach) to develop working definitions for SRs, RRs, ScRs, and other review types (esp. those defined by statistical methods or included data sources).
We successfully identified 14 relevant CATs, predominantly for SRs (e.g. AMSTAR 2), and extracted 46 items. Following consensual discussions 15 individual criteria were included in our CAT and tailored to the review types of interest. The CAT was piloted with 14 different reviews which were eligible to be included in a new German database looking at interventions in health promotion and prevention in different implementation settings.
The newly developed CAT HPPR follows a unique uniformed approach to assess a set of heterogeneous reviews (e.g. reviews from problem identification to policy evaluations) to assist end-users needs. Feedback of external experts showed general feasibility and satisfaction with the tool. Future studies should further formally test the validity of CAT HPPR using larger sets of reviews.