Can we systematically review studies that evaluate complex interventions?

<h4>Background to the debate</h4>The UK Medical Research Council defines complex interventions as those comprising "a number of separate elements which seem essential to the proper functioning of the interventions although the 'active ingredient' of the intervention that i...

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Autores principales: Sasha Shepperd, Simon Lewin, Sharon Straus, Mike Clarke, Martin P Eccles, Ray Fitzpatrick, Geoff Wong, Aziz Sheikh
Formato: article
Lenguaje:EN
Publicado: Public Library of Science (PLoS) 2009
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Acceso en línea:https://doaj.org/article/ae8e4769d202426b84efd4b37f4ebe63
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spelling oai:doaj.org-article:ae8e4769d202426b84efd4b37f4ebe632021-12-02T19:55:53ZCan we systematically review studies that evaluate complex interventions?1549-12771549-167610.1371/journal.pmed.1000086https://doaj.org/article/ae8e4769d202426b84efd4b37f4ebe632009-08-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/19668360/?tool=EBIhttps://doaj.org/toc/1549-1277https://doaj.org/toc/1549-1676<h4>Background to the debate</h4>The UK Medical Research Council defines complex interventions as those comprising "a number of separate elements which seem essential to the proper functioning of the interventions although the 'active ingredient' of the intervention that is effective is difficult to specify." A typical example is specialist care on a stroke unit, which involves a wide range of health professionals delivering a variety of treatments. Michelle Campbell and colleagues have argued that there are "specific difficulties in defining, developing, documenting, and reproducing complex interventions that are subject to more variation than a drug". These difficulties are one of the reasons why it is challenging for researchers to systematically review complex interventions and synthesize data from separate studies. This PLoS Medicine Debate considers the challenges facing systematic reviewers and suggests several ways of addressing them.Sasha ShepperdSimon LewinSharon StrausMike ClarkeMartin P EcclesRay FitzpatrickGeoff WongAziz SheikhPublic Library of Science (PLoS)articleMedicineRENPLoS Medicine, Vol 6, Iss 8, p e1000086 (2009)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
spellingShingle Medicine
R
Sasha Shepperd
Simon Lewin
Sharon Straus
Mike Clarke
Martin P Eccles
Ray Fitzpatrick
Geoff Wong
Aziz Sheikh
Can we systematically review studies that evaluate complex interventions?
description <h4>Background to the debate</h4>The UK Medical Research Council defines complex interventions as those comprising "a number of separate elements which seem essential to the proper functioning of the interventions although the 'active ingredient' of the intervention that is effective is difficult to specify." A typical example is specialist care on a stroke unit, which involves a wide range of health professionals delivering a variety of treatments. Michelle Campbell and colleagues have argued that there are "specific difficulties in defining, developing, documenting, and reproducing complex interventions that are subject to more variation than a drug". These difficulties are one of the reasons why it is challenging for researchers to systematically review complex interventions and synthesize data from separate studies. This PLoS Medicine Debate considers the challenges facing systematic reviewers and suggests several ways of addressing them.
format article
author Sasha Shepperd
Simon Lewin
Sharon Straus
Mike Clarke
Martin P Eccles
Ray Fitzpatrick
Geoff Wong
Aziz Sheikh
author_facet Sasha Shepperd
Simon Lewin
Sharon Straus
Mike Clarke
Martin P Eccles
Ray Fitzpatrick
Geoff Wong
Aziz Sheikh
author_sort Sasha Shepperd
title Can we systematically review studies that evaluate complex interventions?
title_short Can we systematically review studies that evaluate complex interventions?
title_full Can we systematically review studies that evaluate complex interventions?
title_fullStr Can we systematically review studies that evaluate complex interventions?
title_full_unstemmed Can we systematically review studies that evaluate complex interventions?
title_sort can we systematically review studies that evaluate complex interventions?
publisher Public Library of Science (PLoS)
publishDate 2009
url https://doaj.org/article/ae8e4769d202426b84efd4b37f4ebe63
work_keys_str_mv AT sashashepperd canwesystematicallyreviewstudiesthatevaluatecomplexinterventions
AT simonlewin canwesystematicallyreviewstudiesthatevaluatecomplexinterventions
AT sharonstraus canwesystematicallyreviewstudiesthatevaluatecomplexinterventions
AT mikeclarke canwesystematicallyreviewstudiesthatevaluatecomplexinterventions
AT martinpeccles canwesystematicallyreviewstudiesthatevaluatecomplexinterventions
AT rayfitzpatrick canwesystematicallyreviewstudiesthatevaluatecomplexinterventions
AT geoffwong canwesystematicallyreviewstudiesthatevaluatecomplexinterventions
AT azizsheikh canwesystematicallyreviewstudiesthatevaluatecomplexinterventions
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