Systematic Reviews and evidence based syntheses of research Pete Smith Department of Languages February 2013 Which of these would you trust to answer your question? • • • • Best practice is … The latest research shows that ….. A large scale study indicates … A high quality randomised trial by Prof Blogs supports … • Experts think that … • The overall body of research evidence indicates that … Norris & Ortega Effectiveness of L2 Instruction: A Research Synthesis and Quantitative Meta-analysis John Norris, Lourdes Ortega, Language Learning, Volume 50, Issue 3, pages 417–528, September 2000 Norris & Ortega This study employed (and reports in detail) systematic procedures for research synthesis and meta-analysis to summarize findings from experimental and quasi-experimental investigations into the effectiveness of L2 instruction published between 1980 and 1998. Comparisons of average effect sizes from 49 unique sample studies reporting sufficient data indicated that focused L2 instruction results in large target-oriented gains, that explicit types of instruction are more effective than implicit types, and that Focus on Form and Focus on Forms interventions result in equivalent and large effects. Further findings suggest that the effectiveness of L2 instruction is durable and that the type of outcome measures used in individual studies likely affects the magnitude of observed instructional effectiveness. Generalizability of findings is limited because the L2 type-of-instruction domain has yet to engage in rigorous empirical operationalization and replication of its central research constructs. Changes in research practices are recommended to enhance the future accumulation of knowledge about the effectiveness of L2 instruction. Doing more harm than good? • • • • • 20 years of guess work in ELT Cochrane Collaboration in 1996 Evidence Based Medicine 5000+ reviews now Evidence based decision making for social policy – NICE, EPPI, Campbell, Cabinet Office Policy Hub • Evidence based tokenism & objections The Cochrane Library • http://www.cochrane.org/cochranereviews/top The Cochrane Collaboration The Cochrane Library • Is aspirin a good treatment for migraines?? • http://www.dallasnews.com/health/headlin es/20110620-getting-help-for-migrainesand-why-aspirin-isnt-the-answer.ece • http://www.thecochranelibrary.com/view/0/i ndex.html Does praying for someone ill make them better ? • How would you find out? • Would a good randomised controlled trial answer the question? • Would a peer-refereed article by an expert in a high-impact, renowned journal provide a reliable answer? Why a systematic review might answer the Question • Sums up the best available research on a specific question. • Synthesizes the results of several studies. • Transparent procedures to find, evaluate and synthesize the results of relevant research. • Studies included in a review are screened for quality Cochrane reviews The Cochrane Handbook outlines eight general steps for preparing a systematic review: • Defining the review question and developing criteria for including studies • Searching for studies • Selecting studies and collecting data • Assessing risk of bias in included studies • Analysing data and undertaking meta-analyses • Addressing reporting biases • Presenting results and "summary of findings" tables • Interpreting results and drawing conclusions Campbell reviews • • • • • • • • • Clear inclusion & exclusion criteria An explicit search strategy Systematic coding and analysis of included studies Meta-analysis (where possible) a systematic search for unpublished reports (to avoid publication bias). international scope. A protocol (project plan) for the review is developed in advance and undergoes peer review. Study inclusion and coding decisions are accomplished by at least two reviewers who work independently and compare results. peer review and editorial review. EPPI • Evidence-informed policy and practice - basing policy and practice on sound evidence • Interest in systematic reviews and evidence-informed education and health promotion is part of a general move in the UK and elsewhere towards basing policy and professional practice on sound evidence. Systems, such as the Cochrane Collaboration and the Campbell Collaboration, have been set up to help professionals, policy makers and users base their decisions on up-to-date and reliable evidence by making the results of systematic reviews accessible. The two collaborations develop systems and methods in health care interventions (Cochrane Collaboration) and education and social care, employment and crime and justice (Campbell Collaboration). • http://eppi.ioe.ac.uk/cms/ Controlling for bias • • • • • • Transparency & replication (protocol) Literature searches (publication bias) Types of studies (selection bias) Sample selection (robustness) Meta-analysis where appropriate Limitations Strategy training • In 2004 we had a question • Does Strategy Training in language learning work? • http://eppi.ioe.ac.uk/cms/ Components • Protocol – prior to looking at data • Review – in depth • Update – evolution of body of evidence & dialogue Protocol • • • • • • • Title Question Background Objectives Initial scope of the review Criteria for considering studies for this review Types of studies – Mapping – In-depth review • • • • • Types of participants Types of interventions Types of outcome measures Search strategy for identification of studies Methods of the review Review BACKGROUND Aims and rationale for current review Definitional and conceptual issues Policy and practice background Research background Authors, funders and other users of the review Review questions IDENTIFYING AND DESCRIBING STUDIES: Studies included from searching and screening Characteristics of the included studies Identifying and describing studies: quality-assurance results IN-DEPTH REVIEW: RESULTS METHODS USED IN THE REVIEW User-involvement Identifying and describing studies In-depth review Selecting studies for the in-depth review Nature of involvement of users in the review and its impact (meta analysis or other synthesis) FINDINGS AND IMPLICATIONS Strengths and limitations of this systematic review Implications User perspectives Your review….. • What’s your question? • Outline the protocol for a systematic review
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