ArticleImplementation science : IS2018
Applying GRADE-CERQual to qualitative evidence synthesis findings-paper 6: how to assess relevance of the data.
Article in Implementation science : IS, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 131 papers, 61 of them syntheses that pooled it.
What it found
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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.
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.
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Who cites it
131 citing papers in PubMed, 61 syntheses or guidelines pooled it.
- Stakeholder Perspectives on the Integration of AI in Diabetes Care: Systematic Review of Qualitative Studies.Journal of medical Internet research · 2026Pooled it
- Healthcare Professionals' Perceptions of Decision-Making for Older Patients with Cancer Receiving Systemic Therapy: A Systematic Review and Qualitative Evidence Synthesis.Annals of geriatric medicine and research · 2026Pooled it
- Perception and lived experience of movement in patients with fibromyalgia: a qualitative systematic review with meta-synthesis and meta-summary.Clinical rheumatology · 2026Pooled it
- Patients' experiences with musculoskeletal spinal pain: a qualitative systematic review.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026Pooled it
- Interventions to safely and effectively reduce (taper) use of opioids in chronic non-cancer pain: a systematic review.Health technology assessment (Winchester, England) · 2026Pooled it
- Women's perceptions of urinary incontinence during the postpartum period: systematic review of qualitative evidence.BMC pregnancy and childbirth · 2026Pooled it
- Patient satisfaction with advanced practice physiotherapy internationally: A systematic mixed studies review.PloS one · 2026Pooled it
- Pooled it
- Patient Needs Regarding Cardiac Rehabilitation: A Systematic Review and Meta-Ethnographic Synthesis.Journal of the American Heart Association · 2025Pooled it
- Behavioural factors influencing hand hygiene practices across domestic, institutional and public community settings: a systematic review and qualitative meta-synthesis.BMJ global health · 2025Pooled it
- Patient and provider perspective with the use of a central intake system (CIS) for surgical waitlist management: a systematic review.BMJ open · 2025Pooled it
- Patients' Needs Regarding Work-Focused Healthcare: A Qualitative Evidence Synthesis.Journal of occupational rehabilitation · 2025Pooled it
- Safer opioid supply clients' values and preferences: a systematic review and thematic synthesis of qualitative research.BMJ mental health · 2025Pooled it
- Factors that affect the provision of medical abortion services in Australian primary care: a mixed methods systematic review.The Medical journal of Australia · 2025Pooled it
- Perceptions of, Barriers to, and Facilitators of the Use of AI in Primary Care: Systematic Review of Qualitative Studies.Journal of medical Internet research · 2025Pooled it
- Examining the lived experience of dementia with Lewy bodies through qualitative research: A systematic review.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025Pooled it
- Barriers and facilitators to maternal healthcare in East Africa: a systematic review and qualitative synthesis of perspectives from women, their families, healthcare providers, and key stakeholders.BMC pregnancy and childbirth · 2025Pooled it
- Perspectives of HPV vaccine decision-making among young adults: A qualitative systematic review and evidence synthesis.PloS one · 2025Pooled it
- The educational pathway to Advanced Practice for the physiotherapist: A systematic mixed studies review.PloS one · 2025Pooled it
- Barriers and facilitators of access to maternity care for African-born women living in Australia: a meta-synthesis of qualitative evidence.Systematic reviews · 2024Pooled it
71 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
16 authors.
Funding
Abstract
backgroundThe GRADE-CERQual (Confidence in Evidence from Reviews of Qualitative research) approach has been developed by the GRADE (Grading of Recommendations Assessment, Development and Evaluation) Working Group. The approach has been developed to support the use of findings from qualitative evidence syntheses in decision-making, including guideline development and policy formulation. CERQual includes four components for assessing how much confidence to place in findings from reviews of qualitative research (also referred to as qualitative evidence syntheses): (1) methodological limitations, (2) coherence, (3) adequacy of data and (4) relevance. This paper is part of a series providing guidance on how to apply CERQual and focuses on CERQual's relevance component.
methodsWe developed the relevance component by searching the literature for definitions, gathering feedback from relevant research communities and developing consensus through project group meetings. We tested the CERQual relevance component within several qualitative evidence syntheses before agreeing on the current definition and principles for application.
resultsWhen applying CERQual, we define relevance as the extent to which the body of data from the primary studies supporting a review finding is applicable to the context (perspective or population, phenomenon of interest, setting) specified in the review question. In this paper, we describe the relevance component and its rationale and offer guidance on how to assess relevance in the context of a review finding. This guidance outlines the information required to assess relevance, the steps that need to be taken to assess relevance and examples of relevance assessments.
conclusionsThis paper provides guidance for review authors and others on undertaking an assessment of relevance in the context of the CERQual approach. Assessing the relevance component requires consideration of potentially important contextual factors at an early stage in the review process. We expect the CERQual approach, and its individual components, to develop further as our experiences with the practical implementation of the approach increase.
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Registered trials
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.