Rohwer, A., Pfadenhauer, L., Burns, J. et al. (5 more authors) (2017) Logic models help make sense of complexity in systematic reviews and health technology assessments. Journal of Clinical Epidemiology, 83. pp. 37-47. ISSN 1878-5921
Abstract
OBJECTIVE: To describe the development and application of logic model templates for systematic reviews and health technology assessments (HTA) of complex interventions STUDY DESIGN AND SETTING: This study demonstrates the development of a method to conceptualise complexity and make underlying assumptions transparent. Examples from systematic reviews with specific relevance to sub-Saharan Africa (SSA) and other low- and middle-income countries (LMICs) illustrate its usefulness. RESULTS: Two distinct templates are presented: the system-based logic model, describing the system in which the interaction between participants, intervention and context takes place; and the process-orientated logic model, which displays the processes and causal pathways that lead from the intervention to multiple outcomes. CONCLUSION: Logic models can help authors of systematic reviews and HTAs to explicitly address and make sense of complexity, adding value by achieving a better understanding of the interactions between the intervention, its implementation and its multiple outcomes among a given population and context. They thus have the potential to help build systematic review capacity -in SSA and other LMICs - at an individual level, by equipping authors with a tool that facilitates the review process; and at a system-level, by improving communication between producers and potential users of research evidence.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2016 Elsevier Ltd. This is an author produced version of a paper subsequently published in Journal of Clinical Epidemiology. Uploaded in accordance with the publisher's self-archiving policy. Article available under the terms of the CC-BY-NC-ND licence (https://creativecommons.org/licenses/by-nc-nd/4.0/) |
Keywords: | Africa; analytical framework; complexity; conceptual framework; evidence synthesis; systems-based thinking |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > School of Health and Related Research (Sheffield) > ScHARR - Sheffield Centre for Health and Related Research |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 19 Sep 2016 08:55 |
Last Modified: | 04 Aug 2017 04:08 |
Published Version: | http://dx.doi.org/10.1016/j.jclinepi.2016.06.012 |
Status: | Published |
Publisher: | Elsevier |
Refereed: | Yes |
Identification Number: | 10.1016/j.jclinepi.2016.06.012 |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:104772 |