Campbell Methods Group Protocol and Review Guidelines Campbell Methods Group Terri D. Pigott, Editor Emily Tanner-Smith, Associate Editor Joshua R. Polanin, Managing Editor Constituted May 2012 Guidelines for Methods Section of Protocols and Reviews At a minimum, the methods section of a protocol should include the following information: (Hold control to use hyperlinks.) I. Inclusion criteria a. Types of study designs b. Types of participants c. Types of interventions d. Types of outcome measures e. Any exclusion criteria II. Search Strategy III. Description of methods used in primary research IV. Criteria for determination of independent findings V. Details of study coding categories a. Study quality or risk of bias coding categories VI. Proposed Statistical procedures VII. Treatment of qualitative research At a minimum, the methods section of a review should include the following information: I. Inclusion criteria a. Types of study designs b. Types of participants c. Types of interventions d. Types of outcome measures e. Any exclusion criteria II. Search Strategy III. Criteria for determination of independent findings IV. Details of study coding categories a. Study quality or risk of bias coding categories V. Statistical procedures VI. Treatment of qualitative research Other Important Topics: A. Advanced Methodological Topics B. Helpful Online Resources Inclusion Criteria Methods This section should clearly describe the criteria that will be used to determine whether identified studies are eligible for inclusion in the systematic review. This includes but is not limited to inclusion/exclusion criteria related to eligible populations, interventions, comparisons, outcomes, and other study context characteristics. When editors of the protocol or review examine the inclusion criteria they will be critically evaluating the reviewers’ notions on how concept or intervention definitions correspond with research operations and outcomes. Considerable debate about the conclusions of a particular review may focus on these decisions by the reviewers. Some editors (and readers of the completed review) may find that the inclusion criteria are too broad – for example, they may believe that some intervention realizations and/or outcome measures are unrelated or irrelevant to the goals of an intervention. The reviewers should anticipate these concerns and propose to employ distinctions in outcomes as a potential moderator of study results (see below). Other editors may find the intervention and outcome definitions are too narrow. This may lead them to examine excluded studies to determine if they should, in fact, be included in the review. When evaluating this section, peer reviewers will answer such questions as: What characteristics of studies will lead to exclusion? Are the inclusion/exclusion criteria excessively broad or narrow for the given research question? Do the authors provide justification for inclusion and exclusion criteria? Will eligibility decisions be based on a reading of report titles? Abstracts? Full reports? Who will make the eligibility decisions? How will the authors handle disagreements about inclusion and exclusion? How will the reliability of relevance decisions be assessed? Do the authors provide an example of a study that is eligible for inclusion, and one that is not eligible for inclusion? Resources for Authors: C2 training materials on problem formulation Cochrane Handbook - Chapter 5: Defining the review question and developing criteria for including studies Petrosino, A.J. (1995). Specifying Inclusion Criteria for Meta-Analysis. Evaluation Review, 19, 274-295. Top Search Strategy This section should present the details of the proposed or completed search for studies. This should include a listing and description of the search strategy to be used to retrieve studies (e. g., reference databases, personal contacts, hand searches of journals). Further, the protocol/review should include a rationale for the choice of literature sources, especially with regard to how different sources will be used to complement one another in order to reduce potential differences in the outcome of retrieved studies versus those that may go undiscovered. The reviewers need to report the years covered and the keywords that will guide the search for reference databases and bibliographies. Information on the sources, keywords and the keyword searching strategies, and years covered by the literature search is a crucial aspect of the review methods. It gives the editors the best indication of the thoroughness and potential biases of the search and, therefore, how much credibility could be placed in the conclusions of the proposed review. Reviewers also need to describe the mechanisms they intend to use to retrieve potentially relevant documents, especially ones that are unpublished. In terms of future attempts at replication, it is the description of the literature search that will be examined first when scholars attempt to understand why different reviews on the same topic area have come to similar or conflicting conclusions. As far as it is possible, reviewers should take an international perspective when searching the literature. The evidence in a review should not be restricted by the nationality of investigators or samples or by language unless good justification exists. Peer reviewers will answer such questions as: Were all relevant electronic databases searched? Do the authors provide complete search terms for at least one electronic database? Does the search allow adequate combinations of search terms for specific databases? Does the search strategy target specific journals, if appropriate? Does the search strategy include a time frame, including the month and year last searched for all databases? Does the search strategy adequately attempt to locate unpublished and “grey” literature? Does the search strategy include international data sources, or a reasonable justification otherwise? Resources for Authors: C2 training materials on searching C2 information retrieval policy brief Cochrane Handbook - Chapter 6: Searching for studies Campbell Collaboration Online Webcast: Literature Searching Top Methods Used in Primary Research (Protocols Only) This section of a protocol should describe methodologies often found in the primary research covered by the review. This section focuses more on participant sampling procedures, research design, and measurement techniques than on conceptual intervention realizations. The reviewers should choose a few studies that exemplify the methods used by many studies and present the details of these investigations. This is important because it helps to clarify the justification for inclusion. Often peer reviewers or editors will not be familiar with the substantive area and this section will enumerate the typical methods utilized in these areas. Resources for Authors: C2 research design policy brief Top Criteria for Determination of Independent Findings This section should describe how the reviewers intend to handle circumstances in which a single evaluation of effectiveness provides data on multiple outcome measures. This can happen because several types of outcomes are measured within the same study (e.g., recidivism and school attendance within a study of intervention effects on juvenile delinquency) and/or because the same outcome is measured at multiple points in time. In such cases, the outcome measures are taken on the same sample of participants, and therefore, are not independent estimates of intervention or treatment effect. An explanation of the criteria used to determine whether multiple outcomes from the same or related evaluations are independent data points should be carefully spelled out. Resources for Authors: Finding What Works in Health Care: Standards for Systematic Reviews (Page 180) Top Coding Procedures This section should describe the characteristics of the included studies that will be retrieved and retained for further examination. The study outcomes of interest also should be described, and if some outcome measures are excluded a rationale should be given for this decision. All retrieved characteristics should be mentioned even if some of these characteristics eventually are not formally tested or discussed in the final paper. Authors should describe any information they plan to code to assess study quality in this subsection. This will alert the editors to characteristics reviewers might have omitted but believe are important to include. This subsection should also include information on how coding reliability will be established and monitored. The peer reviewers will answer such questions as: Is a codebook included in the review? Does the codebook include relevant codes for all general study, study context, sample, outcome, design, and effect size level variables? Does the review plan to code items to assess the quality or risk of bias of studies? (This might include information on design, unit of assignment, unit of analysis, attrition, fidelity of intervention, etc.) Does the review describe the number of coders at both the eligibility screening and full text coding stages? Does the review describe how reliability between coders was assessed at the eligibility screening and full text coding stages? Does it describe how any disagreements or problems with coder reliability are handled? Resources for Authors: C2 training materials on coding More C2 training materials on coding Dave Wilson’s materials on database structure Cochrane Handbook - Chapter 7: Selecting studies and collecting data Cochrane Handbook - Chapter 8: Assessing risk of bias in included studies Cochrane training materials on collecting data from relevant studies Campbell Collaboration Online Webcast: Coding Top Statistical Procedures This section should outline the procedures and conventions the reviewers will use to carry out the quantitative analysis of results. This important section details how the reviewers synthesize primary study results. Many conventions remain available to the reviewer and make it necessary for deliberate description. Greater clarity and description will help the editors and peer reviewers understand how conclusions are formed. Future reviewers will dissect this section for appropriate comparisons. Further, reviewers should include a discussion on the effect size metric and weighting procedures, heterogeneity statistics, and multivariate statistics. The reviewers should also enumerate explicitly the procedures of moderator and metaregression analyses. Any a prior hypotheses should be detailed and the procedures for conducting these analyses should be examined. Finally, the reviewer will describe the software package of choice. The peer reviewers will answer questions such as: What effect size metric(s) was used? Did the review provide justification for the chosen effect size? What weights were used? Does the author provide convincing rationale for using fixed or random effects weights? Does the review outline clearly any conversions that were needed to calculate any effect sizes? What techniques will be used to combine results of separate tests? If no quantitative synthesis of results will be carried out, what was the rationale for the use of the alternative approach? What techniques were used to assess and then analyze the variability in findings across tests? Were any adjustments to effect sizes used to remove bias? How was missing handled? How were outlier cases handled? What sensitivity analyses (i. e., tests of the impact of such decisions on the results of the review) will be carried out and how? What publication bias analysis will be carried out? How did the reviewers handle any dependent effect sizes (e.g., multiple effect sizes on similar measures from the same study)? What software package was used to conduct the analyses? Resources for Authors: Computing effect sizes: C2 training materials on computing effect sizes More C2 training materials on computing effect sizes More C2 training materials on computing effect sizes Dave Wilson’s materials on computing effect sizes Dave Wilson’s Effect Size Calculator ES – Effect size calculator Campbell Collaboration Online Webcast: Effect Size Calculation Campbell Collaboration Online Webcast: Calculating Effect Sizes, Advanced Campbell Collaboration Online Webcast: Effect Size Cluster Adjustments Top Statistical Analyses (Completed Reviews Only) What software package was used to conduct the analyses? What effect size metric(s) was used? Did the review provide justification for the chosen effect size? What weights were used? Does the author provide convincing rationale for using fixed or random effects weights? Does the review outline clearly any conversions that were needed to calculate any effect sizes? What techniques will be used to combine results of separate tests? If no quantitative synthesis of results will be carried out, what was the rationale for the use of the alternative approach? What techniques were used to assess and then analyze the variability in findings across tests? Were any adjustments to effect sizes used to remove bias? How was missing handled? How were outlier cases handled? What sensitivity analyses (i. e., tests of the impact of such decisions on the results of the review) will be carried out and how? What publication bias analysis will be carried out? How did the reviewers handle any dependent effect sizes (e.g., multiple effect sizes on similar measures from the same study)? Are confidence intervals provided along with all point estimates? Are graphical displays of study effects presented when appropriate? Do the authors appropriately examine and/or model heterogeneity in effect sizes, when appropriate? Do the authors provide justification for using statistical moderator analysis? Do the authors use the appropriate publication bias methods for their data? Do the authors discuss the quality and/or risk of bias in studies? Resources for Authors: Synthesizing effect sizes: C2 training materials on combining effect sizes Cochrane Handbook - Chapter 9: Analysing data and undertaking meta-analyses Cochrane training materials on summary statistics for dichotomous outcome data Cochrane training materials on combining studies Campbell Collaboration Online Webcast: Fixed vs. Random Effects Software resources: Comprehensive Meta-analysis SPSS macros for synthesizing effect sizes Stata macros for synthesizing effect sizes SAS macros for synthesizing effect sizes Stata ado files for synthesizing effect sizes R package for synthesizing effect sizes R package for synthesizing effect sizes Macros for robust standard error estimation MIX software for Excel Top Advanced Methodological Topics Although in the past rarely used, advanced methodological topics are increasingly becoming popular among meta-analysts. As such, if the review will use these techniques, the reviewer should take pains to describe these issues with advanced clarity. Often these techniques are not well-known to the editors or peer reviewers and therefore should be described with little assumptions of prior knowledge. Greater clarity will provide the editors and peer reviewers the opportunity to critique the review properly. The peer reviewer will answer such questions as: Does the review include advanced synthesis techniques (e.g., Bayesian meta-analysis, diagnostic/prognostic test accuracy, individual participant data, multivariate metaanalysis, etc.)? Do the authors provide justification for the use of these advanced techniques? Campbell Collaboration Online Webcast: Using Robust Standard Errors Top Treatment of Qualitative Research In the context of a Campbell review, qualitative studies in the relevant field can (a) contribute to the development of a more robust intervention by helping to define an intervention more precisely, (b) assist in the choice of outcome measures and assist in the development of valid research questions, and (c) help to understand heterogeneous results from studies of effect. When a review contains descriptions of qualitative research relevant to the topic of interest, the reviewers should operationally describe the (a) criteria for inclusion and exclusion of studies, (b) methods used in primary research, (c) criteria for determining independent findings and (d) characteristics of included studies in the same detail as they do for quantitative research. Resources for Authors: Finding what works in health care: Standards for Systematic Reviews (Page 173) Top Other General Methods Resources for Authors: C2 training materials on advanced topics C2 methods policy briefs Centre for Reviews and Dissemination guidelines for undertaking systematic reviews Single subject design research methods links Meta-analysis in Stata Meta-analysis in R Joanna Briggs Systematic Review Software Research Synthesis Methods Journal Systematic Reviews Journal Top