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NCCMT webinar - Anatomy of a Systematic Review

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Anatomy of a Systematic Review is available now on the NCCMT website. Download or bookmark this handy reference now! http://www.nccmt.ca/pubs/FactSheet_AnatomySR_EN_WEB.pdf
Today we will be referencing the following systematic review, use this link to access the review: http://jped.elsevier.es/en/effect-intervention-programs-in-schools/articulo/S0021755714000308/
NCCMT is one of six NCCs for Public Health in Canada. More on the NCCs at www.nccph.ca

Veröffentlicht in: Gesundheitswesen
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NCCMT webinar - Anatomy of a Systematic Review

  1. 1. Follow us @nccmt Suivez-nous @ccnmo Funded by the Public Health Agency of Canada | Affiliated with McMaster University Production of this presentation has been made possible through a financial contribution from the Public Health Agency of Canada. The views expressed here do not necessarily reflect the views of the Public Health Agency of Canada.. NCCMT Spotlight on KT Methods & Tools: Anatomy of a Systematic Review Fact Sheet Advisor on Tap: Maureen Dobbins, RN, PhD June 25, 2015 11:30 – 12:30 PM ET Today we will be referencing the following systematic review, use this link to access the review: http://jped.elsevier.es/en/effect-intervention-programs-in- schools/articulo/S0021755714000308/
  2. 2. Follow us @nccmt Suivez-nous @ccnmo Use Q&A to post comments / questions during the webinar • ‘Send’ questions to All (not privately to ‘Host’) Connection issues • Recommend using a wired Internet connection (vs. wireless), • WebEx 24/7 help line • 1-866-229-3239 Q&A Participant Side Panel in WebEx Housekeeping
  3. 3. Poll Question #1 Where are you from? 1. BC 2. AB 3. SK 4. MB 5. ON 11. YK 12. NWT 13. NU 14. Other 6. QC 7. NB 8. NS 9. PEI 10. NL
  4. 4. Poll Question #2 What sector are you from? 1. Public Health 2. Education 3. Research 4. Government/Ministry 5. Health practitioner 6. NGO 7. Other
  5. 5. Follow us @nccmt Suivez-nous @ccnmo Your profession? Put a √ on your answer (or RSVP via email) / 5 Epidemiologist Management (director, supervisor, etc.) Allied health professionals (nurse, dietician, dental hygenist, etc.) Librarian Physician / Dentist Other 6
  6. 6. Follow us @nccmt Suivez-nous @ccnmo NCCMT’s Anatomy of a Systematic Review Fact Sheet 7 Episode 17 6
  7. 7. 7 NCC Infectious Diseases Winnipeg, MB NCC Methods and Tools Hamilton, ON NCC Healthy Public Policy Montreal, QC NCC Determinants of Health Antigonish, NS NCC Aboriginal Health Prince George, BC NCC Environmental Health Vancouver, BC
  8. 8. Follow us @nccmt Suivez-nous @ccnmo National Collaborating Centre for Methods and Tools • dedicated to improving access to, and use of, methods and tools that support moving research evidence into decisions related to public health practice, programs, and policy in Canada. 8
  9. 9. Registry of Methods and Tools Online Learning Opportunities WorkshopsMultimedia Public Health+ Networking and Outreach NCCMT Products and Services 9
  10. 10. Follow us @nccmt Suivez-nous @ccnmo Dr. Maureen Dobbins RN, PhD is Professor in the School of Nursing at McMaster University Scientific Director, the National Collaborating Centre for Methods and Tools. Scientific Director, Health EvidenceTM Advisor on Tap
  11. 11. Poll Question #3 Have you heard about the NCCMT Anatomy of a Systematic Review Fact Sheet before today? 1. Yes 2. No
  12. 12. Follow us @nccmt Suivez-nous @ccnmo What is a systematic review? • A rigorous summary of all primary research evidence relevant to a focused question. • Evidence is consolidated through a systematic process to avoid possible sources bias at various stages in the review process. – (Haynes, 2007) 12
  13. 13. Search Pyramid 13 Dicenso, Alba, Bayley, Liz, & Haynes, R. Brian. (2009a). Accessing pre-appraised evidence: fine-tuning the 5S model into a 6S model. Evidence-Based Nursing, 12(4), 99-101. Search
  14. 14. Follow us @nccmt Suivez-nous @ccnmo Poll Question #4 How often do you use Systematic Reviews to inform a program/services? A. Always B. Often C. Sometimes D. Never
  15. 15. Follow us @nccmt Suivez-nous @ccnmo Anatomy of a systematic review • Abstract • Introduction • Methods • Results • Discussion • Conclusion 15
  16. 16. Follow us @nccmt Suivez-nous @ccnmo Abstract and Introduction The abstract provides an overview of what is in the systematic review. The introduction stated the review question, provides background information about the problem, intervention or population and gives the rationale for the question. 16
  17. 17. Follow us @nccmt Suivez-nous @ccnmo Methods The methods section describes how the systematic review was conducted. This section includes information about the criteria for including or excluding studies; how the search for studies was conducted; how the primary studies were assessed for quality and by whom; and how data from the included studies were extracted, analyzed and synthesized. 17
  18. 18. Follow us @nccmt Suivez-nous @ccnmo Results The results section summarizes the findings reported in the individual studies included in the systematic review, including: • methodological quality of those studies; • key characteristics of the studies (e.g., demographics of study participants, setting, sample sizes, interventions, intervention comparisons, risk of bias); and • effect of the interventions on outcomes. 18
  19. 19. Cleland V, Granados A, Crawford D, Winzenberg T, & Ball K. (2013). Effectiveness of interventions to promote physical activity among socioeconomically disadvantaged women: A systematic review and meta-analysis. Obesity Reviews, 14(3), 197-212. 19
  20. 20. Follow us @nccmt Suivez-nous @ccnmo Discussion and conclusion The discussion section summarizes the main results of the review, compares the findings of the review to existing literature, and states limitations of the review. The discussion section also includes the author’s interpretation of the results and their implications for policy, practice and future research. The conclusion summarizes recommendations for policy, practice and future research. 20
  21. 21. Follow us @nccmt Suivez-nous @ccnmo Critical appraisal The process of systematically examining research to judge its trustworthiness, and its value and relevance in a particular context. (Burls, 2009) 21
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  24. 24. 24 http://jped.elsevier.es/en/effect-intervention-programs-in- schools/articulo/S0021755714000308/
  25. 25. Follow us @nccmt Suivez-nous @ccnmo Poll Question #5 Intervention programs reduce screen time in schoolchildren? A. Strongly agree B. Agree C. Neutral D. Disagree E. Strongly disagree
  26. 26. Follow us @nccmt Suivez-nous @ccnmo Clearly defined question? 26
  27. 27. Inclusion / exclusion criteria 27
  28. 28. Search strategy, time frame and level of evidence 28
  29. 29. Follow us @nccmt Suivez-nous @ccnmo Quality of included studies 29
  30. 30. Transparency for methods of data extraction 30
  31. 31. 31 Heterogeneity, weighted results and believability of conclusions
  32. 32. Follow us @nccmt Suivez-nous @ccnmo Poll Question #6 Intervention programs reduce screen time in schoolchildren? A. Strongly agree B. Agree C. Neutral D. Disagree E. Strongly disagree
  33. 33. Follow us @nccmt Suivez-nous @ccnmo Further information about this review • It is available open access • http://jped.elsevier.es/en/effect-intervention- programs-in- schools/articulo/S0021755714000308/ • One of the > 4,200 systematic reviews available in Health EvidenceTM • http://www.healthevidence.org/view- article.aspx?a=28427 • Also has a summary statement in Health EvidenceTM 33
  34. 34. Follow us @nccmt Suivez-nous @ccnmo More information on systematic reviews Videos in the Understanding Research Evidence series • Types of Reviews – What kind of review do we need? • Forest Plots: Understanding a Meta-analysis in 5 Minutes or Less 34
  35. 35. Follow us @nccmt Suivez-nous @ccnmo More information on critical appraisal Online learning modules in the Learning Centre • Critical Appraisal of Systematic Reviews • Critical Appraisal of Intervention Studies • Critical Appraisal of Qualitative Studies • Critical Appraisal of Guidelines (coming soon!) 35
  36. 36. Poll Question #7 What are your next steps? I plan to … A. access the Anatomy of a Systematic Review Fact Sheet. B. read the NCCMT summary of the Anatomy of a Systematic Review Fact Sheet. C. consider using the Anatomy of a Systematic Review Fact Sheet. D. tell a colleague about the Anatomy of a Systematic Review Fact Sheet.
  37. 37. Follow us @nccmt Suivez-nous @ccnmo • Use Q&A to post comments and/or questions • ‘Send’ questions to All (not privately to ‘Host’) Q&A Participant Side Panel in WebEx Your Comments/Questions
  38. 38. Follow us @nccmt Suivez-nous @ccnmo Funded by the Public Health Agency of Canada | Affiliated with McMaster University The views expressed here do not necessarily reflect the views of the Public Health Agency of Canada. For more information about the National Collaborating Centre for Methods and Tools: NCCMT website www.nccmt.ca Contact: nccmt@mcmaster.ca 3838
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  40. 40. Follow us @nccmt Suivez-nous @ccnmo 40
  41. 41. Follow us @nccmt Suivez-nous @ccnmo 41

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