ArticleBMJ global health2019
Formulating questions to explore complex interventions within qualitative evidence synthesis.
Article in BMJ global health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 108 papers, 29 of them syntheses that pooled 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.
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.
Who cites it
108 citing papers in PubMed, 29 syntheses or guidelines pooled it.
- Views and experiences of weight management for people living with mobility‑limiting conditions, intellectual disabilities or severe mental illness: a qualitative evidence synthesis.The Cochrane database of systematic reviews · 2026Pooled it
- Dog-assisted interventions for children and adults with mental health or neurodevelopmental conditions: systematic review.The British journal of psychiatry : the journal of mental science · 2026Pooled it
- Roles and functions of social workers in long-term care for older adults in East and North-East Asia: a mixed-methods systematic review since 2000.Frontiers in public health · 2026Pooled it
- A systematic review of foraging as lifestyle, livelihood, and landscape management strategy.Ambio · 2026Pooled it
- Economic costs of health and social care for a child with a life-limiting condition in their last year of life: a systematic review.BMJ paediatrics open · 2025Pooled it
- Can we ever have evidence-based decision making in orthopaedics? A qualitative evidence synthesis and conceptual framework.BMC medical informatics and decision making · 2025Pooled it
- Parents' experiences of family-based physical activity interventions: a systematic review and qualitative evidence synthesis.The international journal of behavioral nutrition and physical activity · 2025Pooled it
- Exploring the design and impact of integrated health and social care services for children and young people living in underserved populations: a systematic review.BMC public health · 2025Pooled it
- Pooled it
- The effectiveness and usability of online, group-based interventions for people with severe obesity: a systematic review and meta-analysis.International journal of obesity (2005) · 2025Pooled it
- Examining Challenges to Co-Design Digital Health Interventions With End Users: Systematic Review.Journal of medical Internet research · 2025Pooled it
- A systematic review of users experiences of using digital interventions within psychosis: a thematic synthesis of qualitative research.Social psychiatry and psychiatric epidemiology · 2025Pooled it
- Facilitators and barriers affecting the implementation of e-health for chronic respiratory diseases in remote settings: a qualitative evidence synthesis.BMC health services research · 2025Pooled it
- Effectiveness of smartphone app-based interventions after surgery on quality of recovery among cancer patients: a systematic review and meta-analysis.Annals of medicine · 2024Pooled it
- Barriers and Facilitators to Dental Care Services Utilization Among Children With Disabilities: A Systematic Review and Thematic Synthesis.Health expectations : an international journal of public participation in health care and health policy · 2024Pooled it
- Rehabilitation of back pain in the pediatric population: a mixed studies systematic review.Chiropractic & manual therapies · 2024Pooled it
- Implementation of policy and management interventions to improve health and care workforce capacity to address the COVID-19 pandemic response: a systematic review.Human resources for health · 2023Pooled it
- Parents' Perceptions of Children's and Adolescents' Use of Electronic Devices to Promote Physical Activity: Systematic Review of Qualitative Evidence.JMIR mHealth and uHealth · 2023Pooled it
- Qualitative systematic review of general practitioners' (GPs') views and experiences of providing postnatal care.BMJ open · 2023Pooled it
- A guide to using technological applications to facilitate systematic reviews.Worldviews on evidence-based nursing · 2022Pooled it
48 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
When making decisions about complex interventions, guideline development groups need to factor in the sociocultural acceptability of an intervention, as well as contextual factors that impact on the feasibility of that intervention. Qualitative evidence synthesis offers one method of exploring these issues. This paper considers the extent to which current methods of question formulation are meeting this challenge. It builds on a rapid review of 38 different frameworks for formulating questions. To be useful, a question framework should recognise context (as setting, environment or context); acknowledge the criticality of different stakeholder perspectives (differentiated from the target population); accommodate elements of time/timing and place; be sensitive to qualitative data (eg, eliciting themes or findings). None of the identified frameworks satisfied all four of these criteria. An innovative question framework, PerSPEcTiF, is proposed and retrospectively applied to a published WHO guideline for a complex intervention. Further testing and evaluation of the PerSPEcTiF framework is required.
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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.