| Ref ID | 507 |
| First Author | Z. Zhelev |
| Journal | SYSTEMATIC REVIEWS |
| Year Of Publishing | 2013 |
| URL | https://pubmed.ncbi.nlm.nih.gov/23680077/ |
| Keywords |
• Cochrane • Diagnostic • Stakeholder |
| Problem(s) |
• Lack of clinical expert/ stakeholder/ user perspective • Unwieldy/ difficult to read |
| Article Type | Empirical |
| Article Subtype | Survey/questionnaire of authors opinions/practices |
| First Author Country | United Kingdom |
| Aim | To assess how healthcare decision makers, who varied in their knowledge and experience with test accuracy research and systematic reviews, read and made sense of diagnostic test accuracy reviews. A qualitative study with a purposive sample of clinicians, researchers and policy makers (n = 21) took part in a series of think-aloud interviews, using the first three diagnostic test accuracy reviews published in the Cochrane library |
| Level of Investigation | Descriptive |
| Summary of Findings | Participants unfamiliar with the design and methodology of diagnostic test accuracy reviews found the reviews largely inaccessible and experienced a range of difficulties stemming mainly from the mismatch between background knowledge and level of explanation provided in the text. Experience with systematic reviews of interventions did not guarantee better understanding and, in some cases, led to confusion and misinterpretation. These difficulties were further exacerbated by poor layout and presentation, which affected even those with relatively good knowledge of diagnostic test accuracy reviews and had a negative impact not only on their understanding of the reviews but also on their motivation to engage with the text. |
| Number of systematic reviews included | 3 |
| Number of eligible systematic reviews assessed | 3 |
| Treatment impacted | No |
| Treatment impacted description | |
| Interpretation impacted | Not Applicable |
| Interpretation impacted description |