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

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 Publisher Pubmed

Lewin S^{1, 2} ; Bohren M³ ; Rashidian A^{4, 5} ; Munthekaas H¹ ; Glenton C¹ ; Colvin CJ⁶ ; Garside R⁷ ; Noyes J⁸ ; Booth A⁹ ; Tuncalp O³ ; Wainwright M⁶ ; Flottorp S¹ ; Tucker JD¹⁰ ; Carlsen B¹¹

Show Affiliations

1. Norwegian Institute of Public Health, Oslo, Norway
2. South African Medical Research Council, Health Systems Research Unit, Cape Town, South Africa
3. World Health Organization, UNDP/UNFPA/UNICEF/WHO/World Bank Spec. Programme Research, Dev., Research Training in Human Reprod., Department of Reproductive Health and Research, Geneva, Switzerland
4. School of Public Health, Tehran University of Medical Sciences, Department of Health Management and Economics, Tehran, Iran
5. World Health Organization, Information, Evidence and Research Department, Eastern Mediterranean Regional Office, Cairo, Egypt
6. School of Public Health and Family Medicine, University of Cape Town, Division of Social and Behavioural Sciences, Cape Town, South Africa
7. University of Exeter Medical School, European Centre for Environment and Human Health, Exeter, United Kingdom
8. School of Social Sciences, Bangor University, Bangor, United Kingdom
9. School of Health and Related Research (ScHARR), University of Sheffield, Sheffield, United Kingdom
10. University of North Carolina at Chapel Hill, Chapel Hill, NC, United States
11. Uni Research Rokkan Centre, Bergen, Norway

Source: Implementation Science Published:2018

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. © 2018 The Author(s).

Related Docs

View other Related Docs

1. Applying Grade-Cerqual to Qualitative Evidence Synthesis Findings-Paper 5: How to Assess Adequacy of Data, Implementation Science (2018)

2. Applying Grade-Cerqual to Qualitative Evidence Synthesis Findings-Paper 6: How to Assess Relevance of the Data, Implementation Science (2018)

3. Applying Grade-Cerqual to Qualitative Evidence Synthesis Findings: Introduction to the Series, Implementation Science (2018)

4. Applying Grade-Cerqual to Qualitative Evidence Synthesis Findings-Paper 4: How to Assess Coherence, Implementation Science (2018)

5. Applying Grade-Cerqual to Qualitative Evidence Synthesis Findings-Paper 3: How to Assess Methodological Limitations, Implementation Science (2018)

6. Barriers and Facilitators to the Implementation of Doctor-Nurse Substitution Strategies in Primary Care: A Qualitative Evidence Synthesis, Cochrane Database of Systematic Reviews (2019)

7. Cochrane Effective Practice and Organisation of Care (Epoc) Qualitative Evidence Syntheses, Differences From Reviews of Intervention Effectiveness and Implications for Guidance, International Journal of Qualitative Methods (2022)

8. Qualitative Evidence Syntheses Within Cochrane Effective Practice and Organisation of Care: Developing a Template and Guidance, International Journal of Qualitative Methods (2021)

Experts (# of related papers)

View all Related Experts

Arash Rashidian (10)

Elham Shakibazadeh (5)

Style	Citing Format
MLA	Lewin S, 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." Implementation Science, vol. 13, no. , 2018, pp. -.
APA	Lewin S, Bohren M, Rashidian A, Munthekaas H, Glenton C, Colvin CJ, Garside R, Noyes J, Booth A, Tuncalp O, Wainwright M, Flottorp S, Tucker JD, 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. Implementation Science, 13(), -.
Chicago	Lewin S, Bohren M, Rashidian A, Munthekaas H, Glenton C, Colvin CJ, Garside R, 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." Implementation Science 13, no. (2018): -.
Harvard	Lewin S et al. (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(), pp. -.
Vancouver	Lewin S, Bohren M, Rashidian A, Munthekaas 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. Implementation Science. 2018;13():-.
BibTex	@article{ author = {Lewin S and Bohren M and Rashidian A and Munthekaas H and Glenton C and Colvin CJ and Garside R and Noyes J and Booth A and Tuncalp O and Wainwright M and Flottorp S and Tucker JD and Carlsen B}, 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}, journal = {Implementation Science}, volume = {13}, number = {}, pages = {-}, year = {2018} }
RIS	TY - JOUR AU - Lewin S AU - Bohren M AU - Rashidian A AU - Munthekaas H AU - Glenton C AU - Colvin CJ AU - Garside R AU - Noyes J AU - Booth A AU - Tuncalp O AU - Wainwright M AU - Flottorp S AU - Tucker JD AU - Carlsen B 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 JO - Implementation Science VL - 13 IS - SP - EP - PY - 2018 ER -

Science Communicator Platform

Authors

Authors Affiliations

Abstract