Synthesizing diverse evidence: the use of primary qualitative data analysis methods and logic models in public health reviews
Synthesizing diverse evidence: the use of primary qualitative data analysis methods and logic models in public health reviews
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DOI：
10.1016/j.puhe.2010.01.002
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发表时间：
2010-02-01
期刊：
影响因子：
5.2
通讯作者：
Goyder, E.
中科院分区：
文献类型：
--
作者：
Baxter, S.;Killoran, A.;Goyder, E.
目的：公共卫生证据的性质对传统的系统性评价过程提出了挑战，人们越来越认识到需要包括更广泛的工作，包括观察性研究和定性研究，但联合收割机不同来源的方法仍然不发达。本文的目的是报告一种新的方法在公共卫生领域的证据审查的应用。该方法使不同的证据类型进行合成，以研究公共卫生环境和outcomes.Study设计之间的潜在关系：这项研究借鉴了以前的工作，由国家卫生与临床卓越研究所的概念框架。它应用并进一步扩展了这项工作，以综合有关一个特定的公共卫生领域的证据：增强员工的心理健康在workplace.Methods：该方法利用主题分析技术从主要的研究，连同概念建模，探索因素和结果之间的潜在关系。该方法使一个逻辑框架能够从不同的文件集中构建出来，说明元素和元素之间的关联如何影响员工的福祉。虽然认识到潜在的批评的方法，它建议，逻辑模型可以是一个有用的方式来检查公共卫生的因素和结果之间的关系的复杂性，并突出潜在的干预措施和进一步的研究领域。使用的技术，从主要的定性研究也可能有助于综合不同的文件类型。(C)2010年，皇家公共卫生学会。由爱思唯尔有限公司出版。保留所有权利。
Objectives: The nature of public health evidence presents challenges for conventional systematic review processes, with increasing recognition of the need to include a broader range of work including observational studies and qualitative research, yet with methods to combine diverse sources remaining underdeveloped. The objective of this paper is to report the application of a new approach for review of evidence in the public health sphere. The method enables a diverse range of evidence types to be synthesized in order to examine potential relationships between a public health environment and outcomes.Study design: The study drew on previous work by the National Institute for Health and Clinical Excellence on conceptual frameworks. It applied and further extended this work to the synthesis of evidence relating to one particular public health area: the enhancement of employee mental well-being in the workplace.Methods: The approach utilized thematic analysis techniques from primary research, together with conceptual modelling, to explore potential relationships between factors and outcomes.Results: The method enabled a logic framework to be built from a diverse document set that illustrates how elements and associations between elements may impact on the well-being of employees.Conclusions: Whilst recognizing potential criticisms of the approach, it is suggested that logic models can be a useful way of examining the complexity of relationships between factors and outcomes in public health, and of highlighting potential areas for interventions and further research. The use of techniques from primary qualitative research may also be helpful in synthesizing diverse document types. (C) 2010 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.