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Critical Appraisal Skills Programme (CASP) part of Better Value Healthcare Ltd www.casp-uk.net
CASP Checklist: 10 questions to help you make sense of a Qualitative research
How to use this appraisal tool: Three broad issues need to be considered when appraising a
qualitative study:
Are the results of the study valid? (Section A)
What are the results? (Section B)
Will the results help locally? (Section C)
The 10 questions on the following pages are designed to help you think about these issues
systematically. The first two questions are screening questions and can be answered quickly.
If the answer to both is “yes”, it is worth proceeding with the remaining questions. There is
some degree of overlap between the questions, you are asked to record a “yes”, “no” or
“can’t tell” to most of the questions. A number of italicised prompts are given after each
question. These are designed to remind you why the question is important. Record your
reasons for your answers in the spaces provided.
About: These checklists were designed to be used as educational pedagogic tools, as part of a
workshop setting, therefore we do not suggest a scoring system. The core CASP checklists
(randomised controlled trial & systematic review) were based on JAMA 'Users’ guides to the
medical literature 1994 (adapted from Guyatt GH, Sackett DL, and Cook DJ), and piloted with
health care practitioners.
For each new checklist, a group of experts were assembled to develop and pilot the checklist
and the workshop format with which it would be used. Over the years overall adjustments
have been made to the format, but a recent survey of checklist users reiterated that the basic
format continues to be useful and appropriate.
Referencing: we recommend using the Harvard style citation, i.e.: Critical Appraisal Skills
Programme (2018). CASP (insert name of checklist i.e. Qualitative) Checklist. [online] Available
at: URL. Accessed: Date Accessed.
©CASP this work is licensed under the Creative Commons Attribution – Non-Commercial-
Share A like. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-
sa/3.0/ www.casp-uk.net
2
Section A: Are the results valid?
1. Was there a clear
statement of the aims of
the research?
Yes HINT: Consider
• what was the goal of the research
• why it was thought important
• its relevance
Can’t Tell
No
Comments:
2. Is a qualitative
methodology
appropriate?
Yes HINT: Consider
• If the research seeks to interpret or
illuminate the actions and/or subjective
experiences of research participants
• Is qualitative research the tight
methodology for addressing the
research goal
Can’t Tell
No
Comments:
Is it worth continuing?
3. Was the research
design appropriate to
address the aims of the
research?
Yes HINT: Consider
• if the researcher has justified the
research design (e.g. have they
discussed how they decided which
method to use)
Can’t Tell
No
Comments:
PICo (population, phenomenon of interest, context) or SPICE (setting, perspective, phenomenon of interest, context, evaluation)
Miss out on rich information when use quantitative methods, e.g. survey data limited to the questions asked.
This looks at longer term engagement.
3
4. Was the recruitment
strategy appropriate to
the aims of the
research?
Yes HINT: Consider
• If the researcher has explained how the
participants were selected
• If they explained why the participants
they selected were the most
appropriate to provide access to the
type of knowledge sought by the study
• If there are any discussions around
recruitment (e.g. why some people
chose not to take part)
Can’t Tell
No
Comments:
5. Was the data collected in
a way that addressed the
research issue?
Yes HINT: Consider
• If the setting for the data collection was
justified
• If it is clear how data were collected (e.g.
focus group, semi-structured interview
etc.)
• If the researcher has justified the methods
chosen
• If the researcher has made the methods
explicit (e.g. for interview method, is there
an indication of how interviews are
conducted, or did they use a topic guide)
• If methods were modified during the
study. If so, has the researcher
explained how and why
• If the form of data is clear (e.g. tape
recordings, video material, notes etc.)
• If the researcher has discussed
saturation of data
Can’t Tell
No
Comments:
4
6. Has the relationship
between researcher and
participants been
adequately considered?
Yes HINT: Consider
• If the researcher critically
examined their own role,
potential bias and influence
during (a) formulation of the
research questions (b) data
collection, including sample
recruitment and choice of
location
• How the researcher responded to
events during the study and
whether they considered the
implications of any changes in the
research design
Can’t Tell
No
Comments:
Section B: What are the results?
7. Have ethical issues been
taken into consideration?
Yes HINT: Consider
• If there are sufficient details of how the
research was explained to participants for
the reader to assess whether ethical
standards were maintained
• If the researcher has discussed issues
raised by the study (e.g. issues around
informed consent or confidentiality or how
they have handled the effects of the study
on the participants during and after the
study)
• If approval has been sought from
the ethics committee
Can’t Tell
No
Comments:
Researchers may have had an influence.
5
8. Was the data analysis
sufficiently rigorous?
Yes HINT: Consider
• If there is an in-depth description of the
analysis process
• If thematic analysis is used. If so, is it clear
how the categories/themes were derived
from the data
• Whether the researcher explains how the
data presented were selected from the
original sample to demonstrate the analysis
process
• If sufficient data are presented to support
the findings
• To what extent contradictory data are
taken into account
• Whether the researcher critically examined
their own role, potential bias and influence
during analysis and selection of data for
presentation
Can’t Tell
No
Comments:
9. Is there a clear statement
of findings?
Yes HINT: Consider whether
• If the findings are explicit
• If there is adequate discussion of the
evidence both for and against the
researcher’s arguments
• If the researcher has discussed the
credibility of their findings (e.g.
triangulation, respondent validation, more
than one analyst)
• If the findings are discussed in relation to
the original research question
Can’t Tell
No
Comments:
Brief description of analysis.
Findings may not be generalizable.
6
Section C: Will the results help locally?
10. How valuable is the
research?
HINT: Consider
• If the researcher discusses the
contribution the study makes to existing
knowledge or understanding (e.g. do they
consider the findings in relation to current
practice or policy, or relevant research-
based literature
• If they identify new areas where research
is necessary
• If the researchers have discussed whether
or how the findings can be transferred to
other populations or considered other
ways the research may be used
Comments:

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CASP Tool for Qualitative Studies (Sample Answers - September 19 and 27, 2018 webinars)

  • 1. Critical Appraisal Skills Programme (CASP) part of Better Value Healthcare Ltd www.casp-uk.net CASP Checklist: 10 questions to help you make sense of a Qualitative research How to use this appraisal tool: Three broad issues need to be considered when appraising a qualitative study: Are the results of the study valid? (Section A) What are the results? (Section B) Will the results help locally? (Section C) The 10 questions on the following pages are designed to help you think about these issues systematically. The first two questions are screening questions and can be answered quickly. If the answer to both is “yes”, it is worth proceeding with the remaining questions. There is some degree of overlap between the questions, you are asked to record a “yes”, “no” or “can’t tell” to most of the questions. A number of italicised prompts are given after each question. These are designed to remind you why the question is important. Record your reasons for your answers in the spaces provided. About: These checklists were designed to be used as educational pedagogic tools, as part of a workshop setting, therefore we do not suggest a scoring system. The core CASP checklists (randomised controlled trial & systematic review) were based on JAMA 'Users’ guides to the medical literature 1994 (adapted from Guyatt GH, Sackett DL, and Cook DJ), and piloted with health care practitioners. For each new checklist, a group of experts were assembled to develop and pilot the checklist and the workshop format with which it would be used. Over the years overall adjustments have been made to the format, but a recent survey of checklist users reiterated that the basic format continues to be useful and appropriate. Referencing: we recommend using the Harvard style citation, i.e.: Critical Appraisal Skills Programme (2018). CASP (insert name of checklist i.e. Qualitative) Checklist. [online] Available at: URL. Accessed: Date Accessed. ©CASP this work is licensed under the Creative Commons Attribution – Non-Commercial- Share A like. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc- sa/3.0/ www.casp-uk.net
  • 2. 2 Section A: Are the results valid? 1. Was there a clear statement of the aims of the research? Yes HINT: Consider • what was the goal of the research • why it was thought important • its relevance Can’t Tell No Comments: 2. Is a qualitative methodology appropriate? Yes HINT: Consider • If the research seeks to interpret or illuminate the actions and/or subjective experiences of research participants • Is qualitative research the tight methodology for addressing the research goal Can’t Tell No Comments: Is it worth continuing? 3. Was the research design appropriate to address the aims of the research? Yes HINT: Consider • if the researcher has justified the research design (e.g. have they discussed how they decided which method to use) Can’t Tell No Comments: PICo (population, phenomenon of interest, context) or SPICE (setting, perspective, phenomenon of interest, context, evaluation) Miss out on rich information when use quantitative methods, e.g. survey data limited to the questions asked. This looks at longer term engagement.
  • 3. 3 4. Was the recruitment strategy appropriate to the aims of the research? Yes HINT: Consider • If the researcher has explained how the participants were selected • If they explained why the participants they selected were the most appropriate to provide access to the type of knowledge sought by the study • If there are any discussions around recruitment (e.g. why some people chose not to take part) Can’t Tell No Comments: 5. Was the data collected in a way that addressed the research issue? Yes HINT: Consider • If the setting for the data collection was justified • If it is clear how data were collected (e.g. focus group, semi-structured interview etc.) • If the researcher has justified the methods chosen • If the researcher has made the methods explicit (e.g. for interview method, is there an indication of how interviews are conducted, or did they use a topic guide) • If methods were modified during the study. If so, has the researcher explained how and why • If the form of data is clear (e.g. tape recordings, video material, notes etc.) • If the researcher has discussed saturation of data Can’t Tell No Comments:
  • 4. 4 6. Has the relationship between researcher and participants been adequately considered? Yes HINT: Consider • If the researcher critically examined their own role, potential bias and influence during (a) formulation of the research questions (b) data collection, including sample recruitment and choice of location • How the researcher responded to events during the study and whether they considered the implications of any changes in the research design Can’t Tell No Comments: Section B: What are the results? 7. Have ethical issues been taken into consideration? Yes HINT: Consider • If there are sufficient details of how the research was explained to participants for the reader to assess whether ethical standards were maintained • If the researcher has discussed issues raised by the study (e.g. issues around informed consent or confidentiality or how they have handled the effects of the study on the participants during and after the study) • If approval has been sought from the ethics committee Can’t Tell No Comments: Researchers may have had an influence.
  • 5. 5 8. Was the data analysis sufficiently rigorous? Yes HINT: Consider • If there is an in-depth description of the analysis process • If thematic analysis is used. If so, is it clear how the categories/themes were derived from the data • Whether the researcher explains how the data presented were selected from the original sample to demonstrate the analysis process • If sufficient data are presented to support the findings • To what extent contradictory data are taken into account • Whether the researcher critically examined their own role, potential bias and influence during analysis and selection of data for presentation Can’t Tell No Comments: 9. Is there a clear statement of findings? Yes HINT: Consider whether • If the findings are explicit • If there is adequate discussion of the evidence both for and against the researcher’s arguments • If the researcher has discussed the credibility of their findings (e.g. triangulation, respondent validation, more than one analyst) • If the findings are discussed in relation to the original research question Can’t Tell No Comments: Brief description of analysis. Findings may not be generalizable.
  • 6. 6 Section C: Will the results help locally? 10. How valuable is the research? HINT: Consider • If the researcher discusses the contribution the study makes to existing knowledge or understanding (e.g. do they consider the findings in relation to current practice or policy, or relevant research- based literature • If they identify new areas where research is necessary • If the researchers have discussed whether or how the findings can be transferred to other populations or considered other ways the research may be used Comments: