guide to reviewing published evidence for use in hia - lho england - 2006
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How to use this Guide
This Guide provides a step-by-step framework
to assist practitioners in reviewing literature
for use in a health impact assessment (HIA).
A literature review is an essential component
of the evidence used in the appraisal stage
(see Figure). As there may be limited time andresources available, this guide presents both
essential components that must be included,
even in a brief literature review, and additional
elements than can be included when resources
(including time and skills) permit, for more
comprehensive literature reviews.
When using this Guide, please consider what
type of review you are undertaking. If you are
yourself making (or commissioning) a new
review of original research papers, this resourceshould help you ensure your review is rigorous.
When commissioning a review, consider what
is practical within the available resources (time
and people/money) as well as what standards
are wanted.
This Guide may also be used to help appraise
the quality of an existing review, whether based
on original studies or drawing on one or more
reviews by other authors. In this case each review
will provide ‘second-hand’ reports of severaloriginal studies. This resource aims to help you
judge the quality of the review process that other
authors have applied.
A glossary of key terms used in this Guide
can be found at www.lho.org.uk/HIA/
ReviewingEvidence.aspx
The need for this Guide
Evidence in HIA includes:• published evidence from elsewhere (eg
peer-reviewed journal articles and ‘grey'
literature)
• local data (eg community proles, census data)
• stakeholder experience (write-ups from
stakeholder workshops, surveys, etc.) (see
Figure).
This Guide is limited to helping the reader
to review published evidence, both scientic
(research) literature in peer-reviewed journals
and grey literature, mostly internal documents
from a range of disparate organisations,
including other HIAs. This then needs to be
integrated with the other sources of evidence.
Reviewing evidence for use in HIA presents a
number of challenges:
• A f ocus on complex and/or multiple
interventions or policy proposals, and their
diverse effects on determinants of health.
• Diversity of the evidence – relevant
disciplines, study designs, quality criteria
and sources of information. Because of the
wide range of interventions and approaches
that may contribute to improving health andthe broad range of health impacts, there is
a need to search, obtain and appraise a
broad literature.
A Guide to ReviewingPublished Evidence for use
in Health Impact Assessment
Screening
Recommendations
Scoping
Infuencing decisions
Proposalappraisal
Publishedevidence
Localdata
Stakeholders'experience
Use of evidence in an HIA framework
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• Need for, but paucity of, evidence on the
reversibility of adverse factors damaging
to health (most evidence is of associations
between factors and adverse effects, not
studies of reversing these).
• Need to seek evidence about potential
impacts on inequalities as well as on overalleffects.
• Broad range of stakeholders involved.
• Need to apply HIA within the realities of
policy-making, planning and decision-making
processes, which can often mean short time
scales and limited resources.
• Pragmatic need to inform decision-makers,
even if evidence is sparse.
These factors have implications for
commissioning and conducting literature
reviews to ensure ethical use of evidence. For
more detail see Mindell et al. (2004)*.
Types of literature review
A number of terms are used to describe the
approaches to conducting literature reviews.
More information on types of literature review
and different approaches to conducting them
can be found at: www.lho.org.uk/hia/Reviewing
EvidenceHIA.aspxIn this Guide we use two terms: brief and more
comprehensive. While it is acknowledged
that a comprehensive, systematic review of
all relevant literature will provide the best
evidence, such reviews generally take many
person-months (or years) to complete and
require resources not generally available to
those conducting HIA. In practice, brief reviews
are generally conducted, taking a few days or
weeks. These have been of variable quality.Critical appraisal of such reviews is hampered
when the methods used are not explicitly
stated.
Training organisations
• Critical Appraisal Skills Programme, Oxford
http://www.phru.nhs.uk/casp/casp.htm
• Centre for Reviews and Dissemination – Systematic
reviews and critical appraisal
http://www.york.ac.uk/inst/crd/crdtraining.htm#sr
• National Training and Research Appraisal Group – Critical
appraisal of qualitative research http://www.ntrag.co.uk
Weblinks
• Catalogue of evidence-based
medicine/healthcare websites:
http://www.herts.ac.uk/lis/subjects/
health/ebm.htm#ebmint
• Health Impact Assessment:
http://www.publichealth.nice.org.uk/
hiagateway
This Guide indicates the minimum criteria that
are essential in any literature review, however
brief or however limited the resources, and also
suggests additional elements to be included
when circumstances permit, to add to the
robustness of a review’s conclusions.
Nine steps to reviewing theevidence
The following tables provide details on the
nine steps reviewers should follow. Less-
experienced reviewers will nd it helpful to
work through the steps in the order presented,
to ensure the review process proceeds in
rational stages. More experienced reviewers
will be familiar with the steps involved in
carrying out a review, and may want to focus
on certain areas to conrm particular aspects
of good practice.
Reviewing evidence is an iterative process.
The question/s to be answered need to be
formulated at the beginning (step A), but the
availability and content of primary studies
and/or reviews (steps B, E and F) often rene
the question/s remaining to be answered. For
example, to answer the question ‘What are
the potential impacts of congestion charging
on health and inequalities?’ , an absence of
specic evidence on congestion charging might
generate less specic questions on the impacts
of congestion, trafc reduction, access, or job
losses. Although framing the question is the rst
step, it will often need to be revised.
Those conducting a literature review should
be familiar with the basic concepts of critical
appraisal (assessing the quality and relevance
of evidence) and research methods. Some
organisations offer critical appraisal training in
the UK (see below).
*Mindell J, Boaz A, Joffe M, Curtis S, Birley M. Enhancing the evidence base for health impact assessment. Journal of
Epidemiology and Community Health 2004; 58(7): 546-551. http://jech.bmjjournals.com/cgi/reprint/58/7/546.pdf
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S t e p C
: P u r p o s e , o r g a n i s a t i o n
a n d s t r u c t u r e
E s s e n t i a l s t e p s i n a b r i e f l i t e r a t u r e r e v i e w
A d d i t i o n a l e l e m e n t s f o r a m o r e
c o m p r e h e n s i v e l i t e r a
t u r e r e v i e w
T i p s
a n d r e s o u r c e s
C 1 . T h e o r g a n i s a t i o n p r o d u c i n g t h e r e v i e w , a n d
t h e p
u r p o s e o f t h e r e v i e w , s h o u l d b e s t a t e d
c l e a r l y
C 2 . I t s h o u l d b e c l e a r w h o i s c o n d u c t i n g t h
e
l i t e r a
t u r e r e v i e w ( n a m e a n d p o s i t i o n )
I f s e v e r a l s t a f f a r e i n v o l v e d , i t s h o u l d b e c l e a r w h o
i s r e s p o n s i b l e f o r w h i c h r
o l e
C 3 . T h e r e v i e w s h o u l d b e s t r u c t u r e d t o i n c l u d e :
• t h e
r e v i e w q u e s t i o n
• d e t a i l s o f t h e l i t e r a t u r e s e a r c h c o n d u
c t e d
( S t e p E )
• n d i n g s ( S t e p s F a n d G )
• r e f
e r e n c e s f o r a l l a r t i c l e s a n d r e p o r t s
i n c
l u d e d
• c o n c l u s i o n s ( S t e p H )
• d a t e o f c o m p l e t i o n o f l i t e r a t u r e r e v i e w
T h e r e v i e w c o u l d a l s o i n c l u d e :
• w h o c o n t r i b u t e d t o f o r m u l a t i n g t h e r e v i e w
q u e s t i o n / s ?
• a s u m m a r y o f e a c h s t u
d y i n c l u d e d
• c r i t i c a l a p p r a i s a l o f e a c h a r t i c l e o r r e p o r t
i n c l u d e d ( S t e p F )
• d i s c u s s i o n o f t h e a u t h o r ' s b i a s e s a n d v a l u e s
A b r i e
f r e v i e w m a y b e b a s e d o n e x i s t i n g r e v i e w s a n d / o r
o n p r i m a r y r e s e a r c h r e p o r t s
C 4 . T h e r e v i e w s h o u l d b e r e a d b y a t l e a s t o n e
p e r s o n n o t i n v o l v e d i n c o n d u c t i n g i t
T h e r e v i e w s h o u l d b e s u b j e c t t o e x t e r n a l p e e r
r e v i e w b e f o r e d i s s e m i n a t i o n , a n d d e t a i l s o f t h e
p e e r - r e v i e w p r o c e s s s h o u l d b e n o t e d
F o r c o n d e n c e i n t h e u n b i a s e d n a t u r e o f t h e
r e v i e w , t h e w o r k s h o u l d b
e s t e e r e d b y p e e r s o r a
s u i t a b l e a d v i s o r y p a n e l , i n c l u d i n g s t a k e h o l d e r s
T h e C
R D s y s t e m a t i c r e v i e w o f P u b l i c W
a t e r F l u o r i d a t i o n
h a d a
n e x p e r t A d v i s o r y B o a r d :
h t t p : / / w w w . y o r k . a c . u k / i n s t / c r d / p d f / u o r i d . p d f
N H S S e r v i c e D e l i v e r y a n d O r g a n i s a t i o n
( S D O ) r e v i e w s
t e n d t o i n v o l v e a d v i s o r y g r o u p s e g N u r s e i n n o v a t i o n s
f o r p a
t i e n t s i n t h e c o m m u n i t y w i t h C O P D : a n e x t e n d e d
s y s t e m a t i c r e v i e w :
h t t p : / / w w w . i c h s . q m u l . a c . u k / r e s e a r c h / g p
p c / p u b l i c h e a l t h
I f i t i s e n v i s a g e d t h a t t h e
l i t e r a t u r e r e v i e w w i l l b e
u s e d b e y o n d t h i s H I A , a d a t e f o r u p d a t i n g s h o u l d
b e p l a n n e d
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S t e p E
: L i t e r a t u r e s e a r c h
E s s e n t i a l s t e p s i n a b r i e f l i t e r a t u r e r e v i e w
A d d i t i o n a l e l e m e n t s
f o r a m o r e
c o m p r e h e n s i v e l i t e r
a t u r e r e v i e w
T i p
s a n d r e s o u r c e s
T h e l i t e r a
t u r e r e v i e w s h o u l d b e e x p l i c i t a b o
u t t h e
s e a r c h s t r a t e g i e s u s e d . S p e c i c i s s u e s t h a
t n e e d
t o b e r e c
o r d e d i n c l u d e :
I n v o l v e a l i b r a r i a n o r i n f o r m a t i o n s p e c i a l i s t o n
s e a r c h t e r m s , s e a r c h s t r a t e g i e s a n d d a t a b a s e s
h t t p : / / w w w . e v i d e n c e n e t w o r k . o r g
E 1 . R a n g e o f y e a r s ( p u b l i c a t i o n d a t e s ) i n c
l u d e d
E 2 . L i t e r
a t u r e d a t a b a s e / s s e a r c h e d
h t t p : / / e v i d e n c e n e t w o r k . o r g / r e s o u r c e s . h
t m l
E 3 . D e t a
i l s o f s e a r c h t e r m s u s e d
Y o u m a y w i s h t o k e e p y o u r s e a r c h t e
r m s b r o a d t o
i d e
n t i f y t h e f u l l r a n g e o f r e l e v a n t i n f o r m a t i o n , b u t t h i s
m a
y m e a n b e i n g o v e r w h e l m e d w i t h t h e n u m b e r o f
h i t s
. W h e n s h o r t o f t i m e , a i m f o r s p e c i c i t y r a t h e r t h a n
s e n
s i t i v i t y ( a h i g h r a t i o o f r e l e v a n t t o
i r r e l e v a n t h i t s )
E 4 . L a n g u a g e s o f a r t i c l e s i n c l u d e d
E 5 . L i s t o f e x p e r t s c o n t a c t e d ( i f a n y )
E 6 . W h e
t h e r g r e y l i t e r a t u r e w a s i n c l u d e d ,
a n d
h o w
i t w a s i d e n t i e d
S p e c i f y s e a r c h c r i t e r i a a n d s o u r c e s u
s e d , e . g . I n t e r n e t ,
c o n
t a c t w i t h o r g a n i s a t i o n s , d a t e / s o f s e a r c h
S e a r c h c i t e d r e f e r e n c e s f r o m a r t i c l e s i d e n t i e d
H a n d - s e a r c h c o n t e n t s o f p o t e n t i a l l y r e l e v a n t
j o u r n a l s
E 7 . N u m
b e r o f a r t i c l e s o r r e p o r t s i d e n t i e d
b y t h e
s e a r
c h t h a t c o n t r i b u t e t o t h e l i t e r a t u r e
r e v i e w
A t a l l y s h o u l d b e k e p t o f :
• t o t a l n u m b e r o f i t e m s
i d e n t i e d b e f o r e i n c l u s i o n
a n d e x c l u s i o n c r i t e r i a
a r e a p p l i e d
• n u m b e r t h a t m e e t i n c
l u s i o n c r i t e r i a
• n u m b e r e x c l u d e d ( w i t h r e a s o n s )
I d e a l l y , t w o i n d e p e n d e n
t a s s e s s o r s s h o u l d a p p l y t h e
i n c l u s i o n a n d e x c l u s i o n
c r i t e r i a
I t i s
i m p o r t a n t t o e n s u r e r e m o v a l o f d
u p l i c a t e r e c o r d s
o f i d e n t i c a l p a p e r s f o u n d i n d i f f e r e n t d a t a b a s e s . W h e r e
a s
e r i e s o f a r t i c l e s p r e s e n t d i f f e r e n t r e s u l t s f r o m t h e
s a m
e s t u d y p o p u l a t i o n , i t i s v a l i d t o i n c l u d e t h e s e , b u t
w h e r e s i m i l a r r e s u l t s a r e r e p o r t e d m o r e t h a n o n c e ( e . g .
v e
- y e a r a n d 1 0 - y e a r f o l l o w - u p ; o r a n i d e n t i c a l s t u d y
r e p
o r t e d i n d i f f e r e n t p a p e r s ) , e n s u r e
t h e r e i s n o d o u b l e -
c o u
n t i n g w h e n c o n s i d e r i n g t h e w e i g h
t o f e v i d e n c e
E 8 . C o m
m e n t s o n a n y c o n s t r a i n t s , e . g . i f t h e
l i t e r a
t u r e r e v i e w w a s l i m i t e d b y t i m e , a
c c e s s
t o d a t a b a s e s , o r i n a b i l i t y t o o b t a i n c o p
i e s o f
p a p e r s
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S t e p F : C r i t i c a l a p p r a i s a l
E s s e n t i a l s t e p s i n a b r i e f l i t e r a t u r e r e v i e w
A d d i t i o n a l e l e m e n t s f o r a m o r e
c o m p r e h e n s i v e l i t e r a
t u r e r e v i e w
T i p s
a n d r e s o u r c e s
F 1 . A n y w e a k n e s s e s i n a s t u d y t h a t m a y a
f f e c t
y o u r
c o n d e n c e i n i t s c o n c l u s i o n ( w h i c
h m a y
a f f e c
t t h e q u a l i t y o f t h e l i t e r a t u r e r e v i e w
)
s h o u
l d b e e x p l i c i t l y n o t e d , e . g . l a c k o f
i m p a
r t i a l i t y o f s o u r c e s ; s u i t a b i l i t y a n d r i g o u r
o f r e s e a r c h m e t h o d s ( i n c l u d i n g s u f c i e
n t
s a m p l e s i z e ) ; h o w f a r c o n c l u s i o n s a r e
s u p p
o r t e d b y r e s u l t s
A p p l y a p p r o p r i a t e q u a l i t y
c r i t e r i a a c c o r d i n g t o
t h e s t u d y d e s i g n o f e a c h
a r t i c l e o r l i t e r a t u r e
r e v i e w i d e n t i e d f o r i n c l u s i o n i n t h e r e v i e w ( i f s u c h
a t o o l e x i s t s )
I t m a y b e m o r e e f c i e n t i n a t i m e - l i m i t e d r e v i e w t o u s e
r e l e v a
n t c r i t i c a l a p p r a i s a l t o o l s , o r t o s p e c i f y a f e w ‘ f a t a l
a w s ’ t o l o o k o u t f o r ,
e . g . w
h e n a p p r a i s i n g a n e x i s t i n g r e v i e w
, i f t h e s e a r c h
s t r a t e
g y i s s o i n a d e q u a t e ( o r n o t s p e c i
e d a t a l l ) t h a t
t h e r e
v i e w n d i n g s a r e m e a n i n g l e s s , y o
u m a y e x c l u d e i t
w i t h o u t f u r t h e r a p p r a i s a l
F o r e x a m p l e s o f q u a l i t y a p p r a i s a l t o o l s :
h t t p : / / w w w . l h o . o r g . u
k / v i e w R e s o u r c e . a s
p x ? i d = 1 0 6 1 6
w w w . n h m r c . g o v . a u / p u b l i c a t i o n s / s y n o p s
e s / c p 6 5 s y n . h t m
h t t p : / / w w w . f h i . s e / t e m p l a t e s / P a g e_
1 3 0 5 . a s p x
F 2 . I t s h o u l d b e s t a t e d e x p l i c i t l y i f a n y a r t i c
l e s
o r r e p o r t s h a v e b e e n e x c l u d e d o n t h e
g r o u n d s o f q u a l i t y
R e p o r t o n a n y m e t h o d u s e d t o g r a d e t h e
q u a l i t y o f e a c h p a p e r ( e . g . s t r o n g – w e a k ; 1 – 5 ;
g o o d e n o u g h / n o t g o o d e n o u g h )
I f t h e
l i t e r a t u r e i s s p a r s e , t h e r e m a y b e
a n e e d t o i n c l u d e
l o w e r - q u a l i t y s t u d i e s o r a r t i c l e s b u t t h e i r d e c i e n c i e s
s h o u l d b e h i g h l i g h t e d w h e n d i s c u s s i n g
t h e s t u d y a n d
i t s n d i n g s a n d d r a w i n g c o n c l u s i o n s . H o w e v e r , a l o w e r -
q u a l i t y s t u d y m a y b e a n s w e r i n g a d i f f e r e n t q u e s t i o n , o r
b e f r o
m a r e a l - l i f e s e t t i n g , s o m a y h a v e
b e t t e r e x t e r n a l
v a l i d i t y
Q u a l i t y s h o u l d b e a p p r a i s e d b y t w o i n d e p e n d e n t
a s s e s s o r s , a n d d i s c r e p a n c i e s d e t a i l e d
I f q u a l i t y c r i t e r i a a r e u s e d
t o e x c l u d e s t u d i e s ,
s p e c i f y h o w t h i s w a s d o n
e a n d d e t a i l t h e s t u d i e s
e x c l u d e d
F r a m i n g t
h e q u e s t i o n / s , c o n d u c t i n g t h e l i t e r
a t u r e s e a r c h a n d r e v i e w i n g t h e l i t e r a t u r e a r e a l l p a r t s o f a n i t e r a t i v e
p r o c e s s , a s f i n d i n g s c a n s u g g e s t
f u r t h e r q u e s t i o n s
t h a t t h e n n e e d t o b e a n s w e r e d , o r m a y c l a r i f y e a r l i e r q u e s t i o n s .
I t i s t h e r e f o r e
h e l p f u l t o d e s c r i b e h o w
y o u r e a c h e d y o u r c o n c l u s i o n s ,
t o c l a r i f y t h e
p r o c e s s f o l l o w e d .
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S t e p G
: I n t e r p r e t a t i o n
E s s e n t i a l s t e p s i n a b r i e f l i t e r a t u r e r e v i e w
i n c l u d e :
A d d i t i o n a l e l e m e n t s f o r a m o r e
c o m p r e h e n s i v e l i t e r a
t u r e r e v i e w
i n c l u d e :
T i p s
a n d r e s o u r c e s
D e t a i l s o f m e t h o d / s u s e d
f o r e x t r a c t i n g d a t a f r o m
i n d i v i d u a l a r t i c l e s a n d r e p o r t s
G 1 . D e t a
i l s o f a n y p r o c e s s o r m e t h o d s u s e
d t o
c o m b i n e a n d s y n t h e s i s e t h e n d i n g s o
f t h e
s t u d i e s r e v i e w e d ( e i t h e r q u a n t i t a t i v e o r
q u a l i t a t i v e / n a r r a t i v e m e t h o d s )
M e t h o d s o f s y n t h e s i s i n g
s t u d y n d i n g s ( e . g .
t h e m a t i c a n a l y s i s , c o n t e n t a n a l y s i s a r o u n d t h e m e s
o r q u e s t i o n s , o r m e t a - a n a l y s i s i f a p p r o p r i a t e ) . A r e
t h e t e c h n i q u e s a p p l i e d a p p r o p r i a t e ? ( e . g . s t a t i s t i c s )
I s t h e r e h e t e r o g e n e i t y b e
t w e e n s t u d i e s ?
S e e H
D A p a p e r o n i n t e g r a t i n g q u a l i t a t i v e a n d q u a n t i t a t i v e
r e s e a
r c h :
h t t p : / / w w w . p u b l i c h e a l t h . n i c e . o r g . u k / p a g e . a
s p x ? 0 = 5 0 2 6 9 5
E S R C
p r o j e c t o n n a r r a t i v e s y n t h e s i s :
w w w . c c s r . a c . u k / m e t h o d s / p r o j e c t s / p o s t e
r s / p o p a y . s h t m l
G 2 . D i s c u s s i o n o f g a p s i n t h e e v i d e n c e f o u
n d b y
t h e l i t e r a t u r e s e a r c h
G 3 . F a c t o r s a f f e c t i n g t h e q u a l i t y o f t h e l i t e r a t u r e
r e v i e
w ( e . g . b i a s , c o n f o u n d i n g o f a r t i c l e s ,
s e a r c h ; S t e p E )
I s t h e r e a n y s u g g e s t i o n o f p u b l i c a t i o n b i a s ?
T h e s
m a l l e r o r s h o r t e r a s t u d y , t h e l o w e
r i t s p o w e r t o
d e t e c
t a r e a l d i f f e r e n c e . I f m o s t s m a l l s t u d i e s s h o w l a r g e
p o s i t i v e e f f e c t s , t h i s m a y b e d u e t o s e l e
c t i v e p u b l i c a t i o n o f
p o s i t i v e s t u d i e s . T h i s c a n b e a s s e s s e d
f o r m a l l y .
G 4 . I f a p p l i c a b l e , s p e c i c c o n s i d e r a t i o n o f t h e
e v i d e n c e f o r e f f e c t i v e n e s s o f i n t e r v e n t i o n s o r
m i t i g
a t i o n m e a s u r e s
G 5 . I f a v a i l a b l e , s p e c i c c o n s i d e r a t i o n o f t h
e
e v i d e n c e f o r e f f e c t o n i n e q u a l i t i e s
G 6 . I f a v a i l a b l e , s p e c i c c o n s i d e r a t i o n o f t h
e
e v i d e n c e f r o m e c o n o m i c a p p r a i s a l s
G 7 . A s u m m a r y o f a l l s t u d i e s i n c l u d e d i n t h
e
r e v i e
w – m u s t c o n t a i n f u l l r e f e r e n c e s f o r t h e
s t u d i e s
I d e a l l y , a s u m m a r y o f a l l
s t u d i e s s h o u l d a l s o
c o n t a i n :
• s t u d y d e s i g n , l o c a t i o n
a n d c o n t e x t
• m e t h o d s u s e d t o c o l l e c t i n f o r m a t i o n ( e . g .
s u r v e y d e s i g n )
• m e t h o d s u s e d t o a n a l y s e i n f o r m a t i o n
• r e s u l t s a n d c o n c l u s i o n
s d r a w n
w w w . e v i d e n c e n e t w o r k . o r g / c g i - w i n / e n e t .
e x e / b i b l i o v i e w ? 4 0 6
w w w . e d u c a t i o n . e x . a c . u k / d l l / s t u d y s k i l l s / h
a r v a r d_
r e f e r e
n c i n g . h t m
w w w . r d g . a c . u k / s t u d y s k i l l s / s t u d y % 2 0 g u i d e s /
r e f e r e
n c e s % 2 0 2 . h t m
C i t e T
h e m R
i g h t : r e f e r e n c i n g m a d e e a s y –
h t t p : / / n o r t h u m b r i a . a c . u k / s d / c e n t r a l / l i b r a r y / i r / o r g i n f o /
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Acknowledgements
This work was undertaken by the London Health Observatory, which received funding from
the Department of Health (grant number 030 0072, Policy Research Programme). The
views expressed in this publication are those of the authors and not necessarily those of the
Department of Health.
This document was developed by:
Dr J Biddulph, University College London
Ms A Boaz, Queen Mary University of London
Ms A Boltong, London Health Observatory
Professor S Curtis, Queen Mary University of London
Dr M Joffe, Imperial College London
Dr K Lock, London School of Hygiene & Tropical Medicine
Dr J Mindell, London Health Observatory
Ms L Taylor, former Health Development Agency
Thanks to the Advisory Group and all those who took part in the research, discussions of
previous drafts, piloting and peer reviewing this resource for their valuable contributions.
London Health Observatory
The London Health Observatory (LHO) was set up in 2001 following the government White
Paper Saving Lives – Our Healthier Nation (1999). The LHO brings together the
information and know-how needed to analyse and research health in the capital. It also has a role in
helping all those working to improve the health of Londoners to make better use of health and health-
related information. The LHO is part of a national network of public health observatories, and has alead role on health inequalities, social exclusion, regeneration and tobacco. http://www.lho.org.uk
Further printed copies of this resource can be obtained from: London Health Observatory,
11–13 Cavendish Square, London W1G 0AN Tel: 020 7307 2826, Email: [email protected]
This Guide is also available on the LHO website:
• as a pdf to download: http://www.lho.org.uk/viewResource.aspx?id=10846
A report to the Department of Health describing the work undertaken to develop this Guide can be
found on the London Health Observatory website at www.lho.org.uk/HIA/ReviewingEvidence.aspx
Mindell J, Biddulph JP, Boaz A, Boltong A, Curtis S, Joffe M, Lock K, Taylor L. A Guide to Reviewing Evidence
for use in Health Impact Assessment. London: London Health Observatory, 2006.ISBN: 0-9542956-5-X © London Health Observatory 2006
Your feedback on this Guide will be used to produce a second
edition in 2008. Please send comments to [email protected]