Can we systematically review studies that evaluate complex interventions?

<h4>Background to the debate</h4>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 i...

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Main Authors: Sasha Shepperd, Simon Lewin, Sharon Straus, Mike Clarke, Martin P Eccles, Ray Fitzpatrick, Geoff Wong, Aziz Sheikh
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2009-08-01
Series:PLoS Medicine
Online Access:https://journals.plos.org/plosmedicine/article/file?id=10.1371/journal.pmed.1000086&type=printable
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author Sasha Shepperd
Simon Lewin
Sharon Straus
Mike Clarke
Martin P Eccles
Ray Fitzpatrick
Geoff Wong
Aziz Sheikh
author_facet Sasha Shepperd
Simon Lewin
Sharon Straus
Mike Clarke
Martin P Eccles
Ray Fitzpatrick
Geoff Wong
Aziz Sheikh
author_sort Sasha Shepperd
collection DOAJ
description <h4>Background to the debate</h4>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.
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institution DOAJ
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language English
publishDate 2009-08-01
publisher Public Library of Science (PLoS)
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series PLoS Medicine
spelling doaj-art-ae8e4769d202426b84efd4b37f4ebe632025-08-20T03:20:09ZengPublic Library of Science (PLoS)PLoS Medicine1549-12771549-16762009-08-0168e100008610.1371/journal.pmed.1000086Can we systematically review studies that evaluate complex interventions?Sasha ShepperdSimon LewinSharon StrausMike ClarkeMartin P EcclesRay FitzpatrickGeoff WongAziz Sheikh<h4>Background to the debate</h4>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.https://journals.plos.org/plosmedicine/article/file?id=10.1371/journal.pmed.1000086&type=printable
spellingShingle Sasha Shepperd
Simon Lewin
Sharon Straus
Mike Clarke
Martin P Eccles
Ray Fitzpatrick
Geoff Wong
Aziz Sheikh
Can we systematically review studies that evaluate complex interventions?
PLoS Medicine
title Can we systematically review studies that evaluate complex interventions?
title_full Can we systematically review studies that evaluate complex interventions?
title_fullStr Can we systematically review studies that evaluate complex interventions?
title_full_unstemmed Can we systematically review studies that evaluate complex interventions?
title_short Can we systematically review studies that evaluate complex interventions?
title_sort can we systematically review studies that evaluate complex interventions
url https://journals.plos.org/plosmedicine/article/file?id=10.1371/journal.pmed.1000086&type=printable
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