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The Cochrane Collaboration Colloquium: Incorporating qualitative information in systematic reviews
The Cochrane Collaboration Colloquium: Incorporating qualitative information in systematic reviews
The Cochrane Collaboration Colloquium: Incorporating qualitative information in systematic reviews
The Cochrane Collaboration Colloquium: Incorporating qualitative information in systematic reviews
The Cochrane Collaboration Colloquium: Incorporating qualitative information in systematic reviews
The Cochrane Collaboration Colloquium: Incorporating qualitative information in systematic reviews
The Cochrane Collaboration Colloquium: Incorporating qualitative information in systematic reviews
The Cochrane Collaboration Colloquium: Incorporating qualitative information in systematic reviews
The Cochrane Collaboration Colloquium: Incorporating qualitative information in systematic reviews
The Cochrane Collaboration Colloquium: Incorporating qualitative information in systematic reviews
The Cochrane Collaboration Colloquium: Incorporating qualitative information in systematic reviews
The Cochrane Collaboration Colloquium: Incorporating qualitative information in systematic reviews
The Cochrane Collaboration Colloquium: Incorporating qualitative information in systematic reviews
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The Cochrane Collaboration Colloquium: Incorporating qualitative information in systematic reviews

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Jennie Popay speaking at the XIV Cochrane Colloquium in Dublin, Ireland

Jennie Popay speaking at the XIV Cochrane Colloquium in Dublin, Ireland

Published in: Health & Medicine, Technology
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  • Transcript

    • 1.
      • What is qualitative research?
      • What role could it have in Cochrane?
      • What challenges arise for CC if qualitative research is taken seriously?
      • Questions for debate and discussion not answers!
    • 2. It isn’t…
      • A way of measuring quality of life
      • A methods tool-kit
      • Always small scale
      • Anything that includes the consumers’ voice
      • The easy option for the non-numerate!
    • 3. It is a method of scientific enquiry that..
      • Illuminates why people act in the way they do and how action is shaped by social contexts
      • Dependent on conceptual not numerical analysis
      • Generalisable on basis of theory not statistical probability
    • 4. What role can qualitative research have in the collaboration?
      • Improving effectiveness reviews
      • Extending beyond questions of effectiveness:
    • 5. Improving Effectiveness Reviews
      • E.G. Helping to identify meaningful outcomes
      • Physiotherapy interventions to improve continence
              • Dignity v quality of life
    • 6. Extending Cochrane reviews:
        • Questions that QR might address:
        • Are interventions aimed at the ‘right’ problem?
        • How can evaluated interventions be improved?
        • How are effective interventions implemented in ‘real life’
        • Two examples
    • 7. The case of Directly Observed Therapy (DOTS) for the treatment of Tuberculosis
      • DOTS: WHO branded package of interventions including observing people take medication
      • Cochrane Review : reported absence of evidence for or against DOTS compared with people treating themselves
      • Volmick & Garner, 1997/02/06 CE003343
      • Systematic review of qualitative research on factors shaping people’s help seeking behaviour
      • Noyes & Popay, Journal of Advanced Nursing forthcoming
    • 8. What does the Qualitative Research systematic review contribute?
      • Questions appropriateness of interventions that assume
        • Barriers to cure are cultural
        • Patients are irresponsible
      • Highlights other barriers:
        • material e.g. poverty
        • Stigma
        • Social relationships of care
      • Reveals resourcefulness of people despite the barriers
      • Aids interpretation of results of trials in Cochrane review
      • Suggests ways of improving interventions: e.g. more support less inspection
    • 9. The case of medicine taking
      • Many Cochrane reviews focus on
        • effectiveness of medicines
        • improving compliance
      • Qualitative research review on medicine taking & compliance
      • Pound P et al. Social Science & Medicine 2005;61:133-155
    • 10. Rethinking non-compliance:
      • Four types of medicine taking strategies two involving active resistance :
        • passive accepters;
        • active accepters,
        • active modifiers
        • rejecters.
      • So what?
        • Do study results reflect the impact of these strategies through randomisation?
        • Can systematic reviews take account of this behavioural diversity?
        • What are the implications for implementation of ‘effective’ medicines?
      • Is the effectiveness of medicines best maximised by:
        • Promoting compliance with ‘recommended’ regimes
        • Working with patients to support active acceptance and modification
    • 11. Including qualitative research in Cochrane reviews: methodological challenges
      • Need to focus on the right challenges: the bridge in the distance not the edges of the sign
      • Systematic reviews of qualitative research can be:
        • Systematic
        • Transparent
        • And involve ‘consumers’
      • But other aspects of qualitative research review process different to established practice in Cochrane
    • 12. How the practice of effectiveness reviews and qualitative research review differ
      • Protocol: an enabling framework not a straight jacket
      • Review question(s ): may be revised as review proceeds
      • Review process: iterative not linear and/or staged
      • Searching: not always comprehensive, may involve sampling
      • Inclusion: on basis of methodological quality contentious.
      • Reproducibility : not inevitable
      • Qualitative research expertise : essential
    • 13. Including qualitative research in Cochrane reviews: Organisational Challenges:
      • Need discussion about:
        • Approach to & content of guidance
        • How product of QR reviews are included in review reports and the CC library
        • How reviewers are supported
      • When two ‘rivers’ meet
        • There will be some turbulence
        • but
        • Change & adaptation can create a new and more substantial river

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