developing a protocol for a systematic review david mulcahy, kerry gray and kristin liabo
TRANSCRIPT
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Developing a protocol for a systematic review
David Mulcahy, Kerry Gray and Kristin Liabo
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• Decide on a research question• Look for studies that have already tried to answer
the question• Read the relevant studies that we find• Decide on whether the studies are of good quality• Write a report which sums up what the studies
conclude
What is a systematic review?
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• Something relevant to looked after children’s health
• Two meetings to decide on the topic • In discussions the following topics were
identified as important:
Our systematic review:
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What is the most important issue for looked after children’s health?
Mental health Bullying
Teenage pregnancies
Offending
Education Alcohol and drugs
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Interventions to help looked after children stay
in school
Education:
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What links education and health???????
Education helps with your mental
and physical development
Research has shown that you live a longer life if
you’ve got a good education
Education is important to health because it is likely to give you a better job, and
therefore more money
Education comes first. It prevents crime, drug use, alcohol use and therefore
improves your health.
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The case against education:
There is no direct relationship between education and health
Education is useful but not essential
I disagree with the choice of topic but I still want to be part of the review, and to make a
contribution
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• 44% of children looked after gained one GCSE or GNVQ (compared with 99.2%)
• 7% of children looked after gained at least 5 GCSEs at grade A* to C (compared with 69.7%)
• 63% of care leavers were in education, employment or training on their 19th birthday.
Source: Department for Children, Schools and Families. Statistical first release: Children looked after in England (including adoption and care leavers) year ending 31 March
2009. Released 13th of October 2009.
Background statistics:
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• So, we had a research question, then what?
• We needed a protocol
• What’s a protocol?
• A guideline for how we will carry out the systematic review
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Hard discussions and decisions:
–Which interventions?–What kinds of studies?–What kinds of outcomes?
Key questions for writing the protocol:
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Mental health
Exclusion numbers
Number of GCSEs/final year
exams
University/college/further
education/trainingTeachers’ reports
Young people’s views/self report
Employment
Interventions to help looked after children stay in
schoolOn benefits
Attendance
Outcomes:
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• Not always clear what we were doing• Compromises• Time consuming• Shifting membership was an issue
• A systematic review is in progress• Learning
Was it easy?