Assessing the completeness and comparability of outcomes in systematic reviews addressing food security: protocol for a methodological study

Abstract Background Systematic reviews should specify all outcomes at the protocol stage. Pre-specification helps prevent outcome choice from being influenced by knowledge of included study results. Completely specified outcomes comprise five elements: (1) domain (title), (2) specific measurement (t...

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Main Authors: Solange Durão, Marianne Visser, Tamara Kredo, Ian J. Saldanha
Format: Article
Language:English
Published: BMC 2020-01-01
Series:Systematic Reviews
Subjects:
Online Access:https://doi.org/10.1186/s13643-019-1268-1
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author Solange Durão
Marianne Visser
Tamara Kredo
Ian J. Saldanha
author_facet Solange Durão
Marianne Visser
Tamara Kredo
Ian J. Saldanha
author_sort Solange Durão
collection DOAJ
description Abstract Background Systematic reviews should specify all outcomes at the protocol stage. Pre-specification helps prevent outcome choice from being influenced by knowledge of included study results. Completely specified outcomes comprise five elements: (1) domain (title), (2) specific measurement (technique/instrument), (3) specific metric (data format for analysis), (4) method of aggregation (how group data are summarised), and (5) time points. This study aims to assess the completeness of outcome pre-specification in systematic reviews of interventions to improve food security, specifically food availability, in low- and middle-income countries, as well as to assess the comparability of outcome elements across reviews reporting the same outcome domains. Methods We will examine systematic reviews from an ongoing overview of systematic reviews, which assessed the effects of interventions addressing food insecurity through improving food production, access, or utilisation compared with no intervention or a different intervention, on nutrition outcomes. We will examine the original protocols; if unavailable, we will examine the “Methods” section of the systematic reviews’ most recent version. One investigator will identify and group all outcome domains that the authors of the included protocols intended to measure in the systematic review and a second investigator will verify the domains. For outcome domains reported in at least 25% of protocols, one author will extract data using a pre-specified form and a second author will verify the data. We will use descriptive statistics to report the number, types, and degree of specification of outcomes in included protocols. We will assess the extent of completeness of outcome pre-specification based on the number of outcome elements (out of five). We will assess comparability of outcome domains through examining how individual elements are described across SRs reporting the same outcome domains. Discussion Our findings will contribute to understanding about the best approach to pre-specify outcomes for systematic reviews and primary research in the field of food security.
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spelling doaj.art-4f3137724eec41a7bf8ceadad2c89c702022-12-21T16:52:29ZengBMCSystematic Reviews2046-40532020-01-01911510.1186/s13643-019-1268-1Assessing the completeness and comparability of outcomes in systematic reviews addressing food security: protocol for a methodological studySolange Durão0Marianne Visser1Tamara Kredo2Ian J. Saldanha3Cochrane South Africa, South African Medical Research CouncilCentre for Evidence-based Health Care, Department of Interdisciplinary Health, Faculty of Medicine and Health Sciences, Stellenbosch UniversityCochrane South Africa, South African Medical Research CouncilCenter for Evidence Synthesis in Health, Department of Health Services, Policy and Practice (Primary) and Department of Epidemiology (Secondary), Brown University School of Public HealthAbstract Background Systematic reviews should specify all outcomes at the protocol stage. Pre-specification helps prevent outcome choice from being influenced by knowledge of included study results. Completely specified outcomes comprise five elements: (1) domain (title), (2) specific measurement (technique/instrument), (3) specific metric (data format for analysis), (4) method of aggregation (how group data are summarised), and (5) time points. This study aims to assess the completeness of outcome pre-specification in systematic reviews of interventions to improve food security, specifically food availability, in low- and middle-income countries, as well as to assess the comparability of outcome elements across reviews reporting the same outcome domains. Methods We will examine systematic reviews from an ongoing overview of systematic reviews, which assessed the effects of interventions addressing food insecurity through improving food production, access, or utilisation compared with no intervention or a different intervention, on nutrition outcomes. We will examine the original protocols; if unavailable, we will examine the “Methods” section of the systematic reviews’ most recent version. One investigator will identify and group all outcome domains that the authors of the included protocols intended to measure in the systematic review and a second investigator will verify the domains. For outcome domains reported in at least 25% of protocols, one author will extract data using a pre-specified form and a second author will verify the data. We will use descriptive statistics to report the number, types, and degree of specification of outcomes in included protocols. We will assess the extent of completeness of outcome pre-specification based on the number of outcome elements (out of five). We will assess comparability of outcome domains through examining how individual elements are described across SRs reporting the same outcome domains. Discussion Our findings will contribute to understanding about the best approach to pre-specify outcomes for systematic reviews and primary research in the field of food security.https://doi.org/10.1186/s13643-019-1268-1Outcome pre-specificationOutcomes reporting biasSystematic review methodsFood security
spellingShingle Solange Durão
Marianne Visser
Tamara Kredo
Ian J. Saldanha
Assessing the completeness and comparability of outcomes in systematic reviews addressing food security: protocol for a methodological study
Systematic Reviews
Outcome pre-specification
Outcomes reporting bias
Systematic review methods
Food security
title Assessing the completeness and comparability of outcomes in systematic reviews addressing food security: protocol for a methodological study
title_full Assessing the completeness and comparability of outcomes in systematic reviews addressing food security: protocol for a methodological study
title_fullStr Assessing the completeness and comparability of outcomes in systematic reviews addressing food security: protocol for a methodological study
title_full_unstemmed Assessing the completeness and comparability of outcomes in systematic reviews addressing food security: protocol for a methodological study
title_short Assessing the completeness and comparability of outcomes in systematic reviews addressing food security: protocol for a methodological study
title_sort assessing the completeness and comparability of outcomes in systematic reviews addressing food security protocol for a methodological study
topic Outcome pre-specification
Outcomes reporting bias
Systematic review methods
Food security
url https://doi.org/10.1186/s13643-019-1268-1
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