Maden, M., McMahon, N., Booth, A. orcid.org/0000-0003-4808-3880 et al. (3 more authors) (2018) Towards a theory-led meta-framework for considering socioeconomic health inequalities within systematic reviews. Journal of Clinical Epidemiology, 104. ISSN 0895-4356
Abstract
OBJECTIVE: To develop a theory-led framework to inform reviewers' understanding of what, how and why healthcare interventions may lead to differential effects across socio-economic groups. STUDY DESIGN AND SETTING: A meta-framework approach combined two theoretical perspectives (socio-economic health inequalities and complex interventions) into a single framework to inform socio-economic health inequality considerations in systematic reviews. RESULTS: Four theories relating to complexity within systematic reviews and 16 health inequalities intervention theories informed the development of a meta-framework. Factors relating to the type of intervention, implementation, context, participant response and mechanisms associated with differential effects across socio-economic groups were identified. The meta-framework can inform; reviewer discussions around how socio-economic status can moderate intervention effectiveness during question formulation, approaches to data extraction and help identify a priori analysis considerations. CONCLUSION: The meta-framework offers a transparent, practical, theory-led approach to inform a programme theory for what, how and why interventions work for different socio-economic status groups in systematic reviews. It can enhance existing guidance on conducting systematic reviews that consider health inequalities, increase awareness of how socio-economic status can moderate intervention effectiveness and encourage a greater engagement with theory throughout the review process.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2018 Published by Elsevier Inc. 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: | Equity; Framework; Methodology; Programme Theory; Systematic Review |
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: | 06 Sep 2018 11:04 |
Last Modified: | 19 Apr 2024 11:49 |
Status: | Published |
Publisher: | Elsevier |
Refereed: | Yes |
Identification Number: | 10.1016/j.jclinepi.2018.08.008 |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:135353 |
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Filename: Maden 2018 Towards a theory led meta-framework.pdf
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