Qualitative Evidence Synthesis: Where Are We at?

Flemming, Kate; Noyes, Jane

doi:10.1177/1609406921993276

Cited by 148 publications

(159 citation statements)

References 57 publications

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“…This method combines approaches from both meta-ethnography and grounded theory and was originally developed to guide review of intervention needs, appropriateness, and effectiveness [ 26 , 28 ]. The approach of thematic synthesis is based on the method of thematic analysis used in primary qualitative research, however thematic synthesis enables new insights, interpretations and theories to be developed that has not been seen in the primary studies [ 29 ]. This meta-synthesis was prospectively registered with the International Prospective Register of Systematic Reviews (PROSPERO) (ID: CRD42020180051).…”

Section: Methodsmentioning

confidence: 99%

Facilitators and barriers for lifestyle change in people with prediabetes: a meta-synthesis of qualitative studies

et al. 2022

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Background The increasing prevalence of type 2 diabetes worldwide is a major global public health concern. Prediabetes is a reversible condition and is seen as the critical phase for the prevention of type 2 diabetes. The aim of this study is to identify and synthesize current evidence on the perceived barriers and facilitators of lifestyle change among people with prediabetes in terms of both initial change and lifestyle change maintenance. Methods A systematic literature search in six bibliographic databases was conducted in April 2021. Potential studies were assessed for eligibility based on pre-set criteria. Quality appraisal was done on the included studies, and the thematic synthesis approach was applied to synthesize and analyse the data from the included studies. Results Twenty primary studies were included, containing the experiences of 552 individuals. Thirteen studies reported participants perceived facilitators and barriers of lifestyle change when taking part in community-based lifestyle intervention programs, while seven studies reported on perceived facilitators and barriers of lifestyle change through consultations with health care professionals (no intervention involved). Three analytical themes illuminating perceived barriers and facilitators for lifestyle change were identified: 1) the individual’s evaluation of the importance of initiating lifestyle change, 2) the second theme was strategies and coping mechanisms for maintaining lifestyle changes and 3) the last theme was the significance of supportive relations and environments in initiating and maintaining lifestyle change. Conclusion Awareness of prediabetes and the perception of its related risks affects the motivation for lifestyle change in people at risk of type 2 diabetes; but this does not necessarily lead to lifestyle changes. Facilitators and barriers of lifestyle change are found to be in a complex interplay within multiple ecological levels, including the interpersonal, intrapersonal, environmental and policy level. An integrated understanding and analysis of the perceived barriers and facilitators of lifestyle change might inform people with prediabetes, healthcare professionals, and policy makers in terms of the need for psychological, social, and environmental support for this population.

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Section: Methodsmentioning

confidence: 99%

Facilitators and barriers for lifestyle change in people with prediabetes: a meta-synthesis of qualitative studies

et al. 2022

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“…Qualitative research can provide an understanding of women's perspectives and lived experiences that cannot be captured using quantitative methods alone (Braun & Clarke, 2019). Reviewing and thematically synthesising this literature allows for the development of a richer interpretation and conceptual understanding that goes beyond the findings of individual studies, producing novel findings that are greater than the sum of its parts (Barnett-Page & Thomas, 2009;Evans & Pearson, 2001;Flemming & Noyes, 2021). A scoping review of the literature revealed a plethora of qualitative research, confirming our supposition that a qualitative review would be the most appropriate method to address the research question.…”

Section: Introductionmentioning

confidence: 99%

Factors influencing health behaviour change during pregnancy: a systematic review and meta-synthesis

Rockliffe

Peters

Heazell

et al. 2021

Health Psychology Review

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Pregnancy is an opportune time for women to make healthy changes to their lifestyle, however, many women struggle to do so. Multiple reasons have been posited as to why this may be. This review aimed to synthesise this literature by identifying factors that influence women's health behaviour during pregnancy, specifically in relation to dietary behaviour, physical activity, smoking, and alcohol use. Bibliographic databases (MEDLINE, PsycINFO, CINAHL-P, MIDIRS) were systematically searched to retrieve studies reporting qualitative data regarding women's experiences or perceptions of pregnancy-related behaviour change relating to the four key behaviours. Based on the eligibility criteria, 30,852 records were identified and 92 studies were included. Study quality was assessed using the CASP tool and data were thematically synthesised. Three overarching themes were generated from the data. These were (1) A time to think about 'me', (2) Adopting the 'good mother' role, and (3) Beyond mother and baby. These findings provide an improved understanding of the various internal and external factors influencing women's health behaviour during the antenatal period. This knowledge provides the foundations from which future pregnancy-specific theories of behaviour change can be developed and highlights the importance of taking a holistic approach to maternal behaviour change in clinical practice.

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“…Qualitative evidence synthesis (QES) is a recognised method of integrating primary qualitative research findings in health and social care. 38 The methods of this QES are reported using the ENTREQ framework (online supplemental file 1). The research question and final search terms were ratified by a consensus panel of key stakeholders drawn from UK ambulance services and user advisory group of ESWs.…”

Section: Methodsmentioning

confidence: 99%

Mental health and help seeking among trauma-exposed emergency service staff: a qualitative evidence synthesis

et al. 2022

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ObjectivesTo identify factors and contexts that may contribute to mental health and recovery from psychological difficulties for emergency service workers (ESWs) exposed to occupational trauma, and barriers and facilitators to help-seeking behaviour among trauma-exposed ESWs.BackgroundESWs are at greater risk of stressor-related psychopathology than the general population. Exposure to occupational stressors and trauma contribute to the observed rates of post-trauma psychopathology in this occupational group with implications for workforce sustainability. Types of organisational interventions offered to trauma-exposed ESWs are inconsistent across the UK, with uncertainty around how to engage staff.DesignFour databases (OVID MEDLINE, EMBASE, PsycINFO and SCOPUS) were systematically searched from 1 January 1980 to March 2020, with citation tracking and reference chaining. A modified Critical Appraisal Skills Programme tool and quality appraisal prompts were used to identify fatally flawed studies. Qualitative studies of trauma-exposure in front-line ESWs were included, and data were extracted using a customised extraction table. Included studies were analysed using thematic synthesis.ResultsA qualitative evidence synthesis was conducted with 24 qualitative studies meeting inclusion criteria, as defined by the PerSPEcTiF framework. Fourteen descriptive themes emerged from this review, categorised into two overarching constructs: (1) factors contributing to mental health (such as the need for downtime, peer support and reassurance) and (2) factors influencing help-seeking behaviour (such as stigma, the content/form/mandatory nature of interventions, and mental health literacy issues including emotional awareness and education).ConclusionESWs reported disconnect between the organisations’ cultural positioning on trauma-related mental health, the reality of undertaking the role and the perceived applicability and usefulness of trauma interventions. Following traumatic exposure, ESWs identify benefitting from recovery time and informal support from trusted colleagues. A culture which encourages help seeking and open dialogue around mental health may reduce stigma and improve recovery from mental ill health associated with trauma exposure.

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Qualitative Evidence Synthesis: Where Are We at?

Cited by 148 publications

References 57 publications

Facilitators and barriers for lifestyle change in people with prediabetes: a meta-synthesis of qualitative studies

Facilitators and barriers for lifestyle change in people with prediabetes: a meta-synthesis of qualitative studies

Factors influencing health behaviour change during pregnancy: a systematic review and meta-synthesis

Mental health and help seeking among trauma-exposed emergency service staff: a qualitative evidence synthesis

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