Presenting the results of Cochrane Systematic Reviews to a consumer audience: a qualitative study

Medical Decision Making : an International Journal of the Society for Medical Decision Making
Claire GlentonHelen Dilkes

Abstract

To develop and obtain feedback about a summary format for Cochrane reviews that is accessible to a consumer audience, without oversimplification or incorrect presentation. We developed 3 versions of a Plain Language Summary (PLS) format of a Cochrane Systematic Review. Using a semi-structured interview guide we tested these versions among 34 members of the public in Norway, Argentina, Canada, and Australia. The authors analyzed feedback, identified problems, and generated new solutions before retesting to produce a final version of a Plain Language Summary format. Participants preferred results presented as words, supplemented by numbers in a table. There was a lack of understanding regarding the difference between a review and an individual study, that the effect is rarely an exact number, that evidence can be of low or high quality, and that level of quality is a separate issue from intervention effect. Participants also found it difficult to move between presentations of dichotomous and continuous outcomes. Rephrasing the introduction helped participants grasp the concept of a review. Confidence intervals were largely ignored or misunderstood. Our attempts to explain them were only partially successful. Text modifiers (''pro...Continue Reading

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Citations

Dec 4, 2012·BMC Medical Informatics and Decision Making·Jessica M AmelingL Ebony Boulware
Sep 26, 2013·Systematic Reviews·Miranda W LangendamHolger J Schünemann
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