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Table 3 Meta-analytic methods used in the NICE public health intervention appraisals to synthesise the effectiveness evidence

From: A review of the quantitative effectiveness evidence synthesis methods used in public health intervention guidelines

Reference number

Articles

Evidence type

Quality grading of evidence

Includes RCTs only

Final outcome

Description of main outcome

Outcome measure statistic

Type of synthesis

M-A: Fixed or Random (F/R)

Lumping multiple interventions in comparison

Potential intervention components

Details of intervention components

Presentation of results

Assessed publication bias

Software

NG105

Evidence review 1: Multi-agency partnerships

E,CE

\(\checkmark \)

 

\(\checkmark \)

Suicide rate

RR

MA

nr

\(\checkmark \)

  

Txt

 

nr

NG105

Evidence review 4: Information, advice, education and training

E,CE

\(\checkmark \)

 

\(\checkmark \)

Suicide attempts

RR / change in %

MA

nr

\(\checkmark \)

\(\checkmark \)

Components that provide information, advice, education for staff or public.

Txt

 

nr

NG105

Evidence review 6: Reducing access to means

E,CE

\(\checkmark \)

 

\(\checkmark \)

Suicide rate

IRR / difference in number

MA

nr

\(\checkmark \)

\(\checkmark \)

Physical barriers, surveillance, encouraging help-seeking.

T

 

nr

NG102

Evidence review 3: Offering behavioural support to promote health and wellbeing

E, CE, DM

\(\checkmark \)

 

\(\checkmark \)

Weight change

MD

MA

R

\(\checkmark \)

  

FP/Txt

 

RevMan

NG103

Evidence review 2: Increasing flu vaccination uptake in children

E,CE

\(\checkmark \)

  

Uptake of vaccinations

RR

MA

R

   

FP/Txt/T

 

RevMan

NG103

Evidence review 3: Increasing flu vaccination uptake in clinical risk groups

E,CE

\(\checkmark \)

  

Uptake of vaccinations

RR

MA

R

   

FP/Txt/T

 

RevMan

NG103

Evidence review 4: Increasing flu vaccination uptake in health and social care staff

E,CE

\(\checkmark \)

  

Uptake of vaccinations

RR

MA

R

   

FP/Txt/T

 

RevMan

NG92

Non NHS treatments for smoking cessation

E

\(\checkmark \)

\(\checkmark \)

\(\checkmark \)

Smoking cessation

OR

MA

R

   

FP/Txt

 

Revman

NG58

Evidence review 3 - The effectiveness and efficiency of service delivery models for health, social care and voluntary and community sector organisations at meeting the needs of people with a severe mental illness who also misuse substances

E

\(\checkmark \)

\(\checkmark \)

\(\checkmark \)

Mental and physical health outcomes (including mortality, recovery and relapse, physical morbidity)

RR

MA

R

   

FP/Txt

 

RevMan

NG55

Evidence review 2 - Assessment

E

\(\checkmark \)

 

\(\checkmark \)

Recidivism

Area under curve

MA

R

   

FP/Txt

 

R (meta-for)

NG48

Evidence review 1

E

\(\checkmark \)

 

\(\checkmark \)

Plaque index / gingival index

SMD

MA

R

\(\checkmark \)

\(\checkmark \)

Assessments of oral health, maintaining access to dental ser- vices, staff training, oral health education, providing oral health resources.

FP/Txt

 

Stata

NG44

Evidence review 2 - Community engagement 2015 - Brunton

E

\(\checkmark \)

 

\(\checkmark \)

Self-efficacy post test outcome

SMD

MA

R

 

\(\checkmark \)

Community engage- ment components: coalitions, collabo- rations, stakeholder involvement, advisory groups or partnerships.

FP/Txt

 

Stata (metareg)

NG44

Evidence review 3 - Community engagement 2015 - Stokes

E

\(\checkmark \)

\(\checkmark \)

\(\checkmark \)

Behavioural outcomes

SMD

MA

R

   

FP/Txt

\(\checkmark \)

Stata (metareg)

Reference number

articles

Evidence type

Quality grading of evidence

Includes RCTs only

Final outcome

Description of main outcome

Outcome measure statistic

Type of synthesis

M-A: Fixed or Random (F/R)

Lumping multiple interventions in comparison

Potential intervention components

Details of intervention components

Presentation of results

Assessed publication bias

Software

PH54

Evidence review 1 - A systematic review and economic evaluation - a short report

E, CE

\(\checkmark \)

\(\checkmark \)

 

Physical activity (self-report or objectively monitored), physical fitness (e.g. maximal oxygen uptake (VO2max), health outcomes (e.g. blood pressure), adverse events (e.g. musculoskeletal injury), and uptake and adherence to ERS.

MD

MA

R

 

\(\checkmark \)

Combination of coun- selling, written materi- als, supervised exercise training.

FP/Txt

 

RevMan

PH53

Evidence review 1a

E

\(\checkmark \)

\(\checkmark \)

\(\checkmark \)

BOCF weight change

MD

MA

F

\(\checkmark \)

\(\checkmark \)

Multi-component weight management programmes.

FP/Txt

 

RevMan

PH53

Evidence review 1b

E

\(\checkmark \)

\(\checkmark \)

\(\checkmark \)

BOCF weight change

MD

MA

R

\(\checkmark \)

\(\checkmark \)

Multi-component weight management programmes.

FP/Txt/T

 

nr

PH53

Evidence review 1c

E

\(\checkmark \)

\(\checkmark \)

\(\checkmark \)

BOCF weight change

MD

MA

R

\(\checkmark \)

\(\checkmark \)

Multi-component weight management programmes.

FP/Txt/T

 

nr

PH48

Review 2 – Effectiveness of smoking cessation interventions in acute and maternity services

E

\(\checkmark \)

\(\checkmark \)

\(\checkmark \)

Abstinence from smoking at least six months after the start of the intervention

OR

MA

F

   

FP/Txt

 

RevMan

PH48

Review 3 – Barriers & facilitators for smoking cessation interventions in acute and maternity services

E

\(\checkmark \)

 

\(\checkmark \)

Impact of stopping smoking shortly before surgery on surgery outcomes / complications

RR

MA

R

   

FP/Txt

 

RevMan

PH48

Review 4 – Effectiveness of smoking cessation interventions in mental health services

E

\(\checkmark \)

\(\checkmark \)

\(\checkmark \)

Participants who made successful quit attempts

OR

MA

R

\(\checkmark \)

\(\checkmark \)

Pharmacological, psychological, be- havioural, or self-help intervention components

FP/Txt

\(\checkmark \)

RevMan

PH47

Review of effectiveness and cost effectiveness

E, CE

\(\checkmark \)

\(\checkmark \)

\(\checkmark \)

BMI, Zbmi

SMD

MA

R

\(\checkmark \)

\(\checkmark \)

Diet, physical activity, behaviour change inter- vention components.

FP/Txt

\(\checkmark \)

Stata

PH44

Review of effectiveness and barriers and facilitators

E

\(\checkmark \)

 

\(\checkmark \)

Self-reported physical activity

Mean, RR

MA

R

   

FP/Txt

 

RevMan

PH38

Evidence reviews

E, CE, DM

\(\checkmark \)

\(\checkmark \)

\(\checkmark \)

Progression to T2 Diabetes

Other

MA

R

\(\checkmark \)

  

FP

 

RevMan

PH38

R2 systematic review and meta-analysis of lifestyle, pharmacological and surgical interventions

E

\(\checkmark \)

\(\checkmark \)

\(\checkmark \)

Progression to T2 Diabetes

HR

MA and NMA

R

\(\checkmark \)

\(\checkmark \)

Lifestyle, drug, and sur- gical intervention com- ponents.

FP/Txt

 

RevMan

  1. Notation: E: effectiveness, CE: cost-effectiveness, DM: decision model, RR: risk ratio, MD: mean difference, OR: odds ratio, SMD: standardised mean difference, HR: hazard ratio, MA: meta-analysis, NMA: network meta-analysis, nr: not reported, R: random effects, F: fixed effect, Txt: text, T: table, FP: forest plot