"Best fit" framework synthesis: refining the method.

"Best fit" framework synthesis: refining the method.
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DOI:
10.1186/1471-2288-13-37
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发表时间:
2013-03-13
影响因子:
4
通讯作者:
Rick J
Rick J
中科院分区:
医学3区
文献类型:
--
作者:
Carroll C;Booth A;Leaviss J;Rick J

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在本杂志上发表了第一个用于定性证据系统评价的证据合成“最佳拟合”方法的工作实例之后,该方法的创始人确定需要更充分地说明框架合成的这种特定衍生物的某些方面。因此,我们提出了第二个这样的工作的例子中,所有技术的定义和解释,并评估其适当性。该方法的具体特点包括开发新技术,以系统的方式确定理论;为综合建立一个先验框架;以及对综合进行“测试”。现有的质量评估、分析和综合方法的创新组合被用来完成这一过程。第二个工作实例是员工对工作场所戒烟干预措施的看法的定性证据合成,其中发现“最佳适合”方法是实用的,符合目的。该方法适合于产生特定于上下文的概念模型,用于描述或解释患者和其他群体的决策和健康行为。它提供了一个务实的手段,进行快速的定性证据合成和生成有关干预效果的方案理论,这可能是相关的研究人员和决策者。
Following publication of the first worked example of the “best fit” method of evidence synthesis for the systematic review of qualitative evidence in this journal, the originators of the method identified a need to specify more fully some aspects of this particular derivative of framework synthesis. We therefore present a second such worked example in which all techniques are defined and explained, and their appropriateness is assessed. Specified features of the method include the development of new techniques to identify theories in a systematic manner; the creation of an a priori framework for the synthesis; and the “testing” of the synthesis. An innovative combination of existing methods of quality assessment, analysis and synthesis is used to complete the process. This second worked example was a qualitative evidence synthesis of employees’ views of workplace smoking cessation interventions, in which the “best fit” method was found to be practical and fit for purpose. The method is suited to producing context-specific conceptual models for describing or explaining the decision-making and health behaviours of patients and other groups. It offers a pragmatic means of conducting rapid qualitative evidence synthesis and generating programme theories relating to intervention effectiveness, which might be of relevance both to researchers and policy-makers.
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