Can we systematically review studies that evaluate complex interventions?

Abstract:

BACKGROUND TO THE DEBATE:The UK Medical Research Council defines complex interventions as those comprising "a number of separate elements which seem essential to the proper functioning of the interventions although the 'active ingredient' of the intervention that is effective is difficult to specify." A typical example is specialist care on a stroke unit, which involves a wide range of health professionals delivering a variety of treatments. Michelle Campbell and colleagues have argued that there are "specific difficulties in defining, developing, documenting, and reproducing complex interventions that are subject to more variation than a drug". These difficulties are one of the reasons why it is challenging for researchers to systematically review complex interventions and synthesize data from separate studies. This PLoS Medicine Debate considers the challenges facing systematic reviewers and suggests several ways of addressing them.

journal_name

PLoS Med

journal_title

PLoS medicine

authors

Shepperd S,Lewin S,Straus S,Clarke M,Eccles MP,Fitzpatrick R,Wong G,Sheikh A

doi

10.1371/journal.pmed.1000086

subject

Has Abstract

pub_date

2009-08-01 00:00:00

pages

e1000086

issue

8

eissn

1549-1277

issn

1549-1676

journal_volume

6

pub_type

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