Evidence map›Paper›PMID 29069335›Full record

ArticleFamily practice2018

Uncovering the wisdom hidden between the lines: the Collaborative Reflexive Deliberative Approach.

Benjamin F Crabtree, William L Miller, Jane M Gunn, William E Hogg, Cathie M Scott, Jean-Frederic Levesque, Mark F Harris, Sabrina M Chase, Jenny R Advocat, Lisa M Halma and 1 more

Abstract read
In one paragraph

Article in Family practice, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Benjamin F CrabtreeDepartment of Family Medicine and Community Health, Rutgers Robert Wood Johnson Medical School, New Brunswick, USA.
William L MillerDepartment of Family Medicine; Lehigh Valley Health Network, Allentown, USA.
Jane M GunnDepartment of General Practice and Primary Health Care, University of Melbourne, Melbourne, Australia.
William E HoggC.T. Lamont Primary Health Care Research Centre, Bruyère Research Institute, Ottawa, Canada.
Cathie M ScottAlberta Centre for Child, Family and Community Research, Edmonton, Canada.
Jean-Frederic LevesqueCentre for Primary Health Care and Equity, University of New South Wales Australia, Sydney, Australia.
Mark F HarrisCentre for Primary Health Care and Equity, University of New South Wales Australia, Sydney, Australia.
Sabrina M ChaseRutgers Biomedical and Health Sciences (RBHS), Rutgers School of Nursing, Rutgers University, New Brunswick, USA.
Jenny R AdvocatSouthern Academic Primary Care Research Unit, School of Primary and Allied Health Care, Monash University, Clayton, Australia.
Lisa M HalmaZone Analytics and Reporting Services, Alberta Health Services, Edmonton, Canada.
Grant M RussellSouthern Academic Primary Care Research Unity, School of Primary and Allied Health Care, Monash University, Clayton, Australia.

Funding

CIHR PCH—103625
6 · The paper itself

Abstract

Background: Meta-analysis and meta-synthesis have been developed to synthesize results across published studies; however, they are still largely grounded in what is already published, missing the tacit 'between the lines' knowledge generated during many research projects that are not intrinsic to the main objectives of studies. Objective: To develop a novel approach to expand and deepen meta-syntheses using researchers' experience, tacit knowledge and relevant unpublished materials. Methods: We established new collaborations among primary health care researchers from different contexts based on common interests in reforming primary care service delivery and a diversity of perspectives. Over 2 years, the team met face-to-face and via tele- and video-conferences to employ the Collaborative Reflexive Deliberative Approach (CRDA) to discuss and reflect on published and unpublished results from participants' studies to identify new patterns and insights. Results: CRDA focuses on uncovering critical insights, interpretations hidden within multiple research contexts. For the process to work, careful attention must be paid to ensure sufficient diversity among participants while also having people who are able to collaborate effectively. Ensuring there are enough studies for contextual variation also matters. It is necessary to balance rigorous facilitation techniques with the creation of safe space for diverse contributions. Conclusions: The CRDA requires large commitments of investigator time, the expense of convening facilitated retreats, considerable coordination, and strong leadership. The process creates an environment where interactions among diverse participants can illuminate hidden information within the contexts of studies, effectively enhancing theory development and generating new research questions and strategies.

Indexed as

Health Care ReformInterprofessional RelationsHumansMeta-Analysis as TopicOrganizational InnovationPrimary Health CareProgram Evaluation

Identifiers

PMID29069335
PMCPMC5965090

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.