Browsing by Author "Tugwell, Peter"

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    Extending the PRISMA. statement to equity-focused systematic reviews (PRISMA-E. 2012) : explanation and elaboration
    (2016) Welch, Vivian; Petticrew, Mark; Petkovic, Jennifer; Moher, David; Waters, Elizabeth; White, Howard; Tugwell, Peter; Pantoja Calderón, Tomás
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    Improving social justice in observational studies: protocol for the development of a global and Indigenous STROBE-equity reporting guideline
    (2023) Funnell, Sarah; Jull, Janet; Mbuagbaw, Lawrence; Welch, Vivian; Dewidar, Omar; Wang, Xiaoqin; Lesperance, Miranda; Ghogomu, Elizabeth; Rizvi, Anita; Akl, Elie A.; Avey, Marc T.; Antequera, Alba; Bhutta, Zulfiqar A.; Chamberlain, Catherine; Craig, Peter; Cuervo, Luis G.; Dicko, Alassane; Ellingwood, Holly; Feng, Cindy; Francis, Damian; Greer-Smith, Regina; Hardy, Billie-Jo; Harwood, Matire; Hatcher-Roberts, Janet; Horsley, Tanya; Juando-Prats, Clara; Kasonde, Mwenya; Kennedy, Michelle; Kredo, Tamara; Krentel, Alison; Kristjansson, Elizabeth; Langer, Laurenz; Little, Julian; Loder, Elizabeth; Magwood, Olivia; Mahande, Michael J.; Melendez-Torres, G. J.; Moore, Ainsley; Niba, Loveline L.; Nicholls, Stuart G.; Nkangu, Miriam N.; Lawson, Daeria O.; Obuku, Ekwaro; Okwen, Patrick; Pantoja Calderón, Tomás; Petkovic, Jennifer; Petticrew, Mark; Pottie, Kevin; Rader, Tamara; Ramke, Jacqueline; Riddle, Alison; Shamseer, Larissa; Sharp, Melissa; Shea, Bev; Tanuseputro, Peter; Tugwell, Peter; Tufte, Janice; Von Elm, Erik; Waddington, Hugh S.; Wang, Harry; Weeks, Laura; Wells, George; White, Howard; Wiysonge, Charles S.; Wolfenden, Luke; Young, Taryn
    Background Addressing persistent and pervasive health inequities is a global moral imperative, which has been highlighted and magnified by the societal and health impacts of the COVID-19 pandemic. Observational studies can aid our understanding of the impact of health and structural oppression based on the intersection of gender, race, ethnicity, age and other factors, as they frequently collect this data. However, the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guideline, does not provide guidance related to reporting of health equity. The goal of this project is to develop a STROBE-Equity reporting guideline extension. Methods We assembled a diverse team across multiple domains, including gender, age, ethnicity, Indigenous background, disciplines, geographies, lived experience of health inequity and decision-making organizations. Using an inclusive, integrated knowledge translation approach, we will implement a five-phase plan which will include: (1) assessing the reporting of health equity in published observational studies, (2) seeking wide international feedback on items to improve reporting of health equity, (3) establishing consensus amongst knowledge users and researchers, (4) evaluating in partnership with Indigenous contributors the relevance to Indigenous peoples who have globally experienced the oppressive legacy of colonization, and (5) widely disseminating and seeking endorsement from relevant knowledge users. We will seek input from external collaborators using social media, mailing lists and other communication channels. Discussion Achieving global imperatives such as the Sustainable Development Goals (e.g., SDG 10 Reduced inequalities, SDG 3 Good health and wellbeing) requires advancing health equity in research. The implementation of the STROBE-Equity guidelines will enable a better awareness and understanding of health inequities through better reporting. We will broadly disseminate the reporting guideline with tools to enable adoption and use by journal editors, authors, and funding agencies, using diverse strategies tailored to specific audiences.
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    Setting priorities for knowledge translation of Cochrane reviews for health equity: evidence for equity
    (2017) Tugwell, Peter; Petkovic, Jennifer; Welch, Vivian; Vincent, Jennifer; Bhutta, Zulfiqar A.; Churchill, Rachel; De Savigny, Don; Mbuagbaw, Lawrence; Pantoja Calderón, Tomás
    Abstract Background A focus on equity in health can be seen in many global development goals and reports, research and international declarations. With the development of a relevant framework and methods, the Campbell and Cochrane Equity Methods Group has encouraged the application of an ‘equity lens’ to systematic reviews, and many organizations publish reviews intended to address health equity. The purpose of the Evidence for Equity (E4E) project was to conduct a priority-setting exercise and apply an equity lens by developing a knowledge translation product comprising summaries of systematic reviews from the Cochrane Library. E4E translates evidence from systematic reviews into ‘friendly front end’ summaries for policy makers. Methods The following topic areas with high burdens of disease globally, were selected for the pilot: diabetes/obesity, HIV/AIDS, malaria, nutrition, and mental health/depression. For each topic area, a “stakeholder panel” was assembled that included policymakers and researchers. A systematic search of Cochrane reviews was conducted for each area to identify equity-relevant interventions with a meaningful impact. Panel chairs developed a rating sheet which was used by all panels to rank the importance of these interventions by: 1) Ease of Implementation; 2) Health System Requirements; 3)Universality/Generalizability/Share of Burden; and 4) Impact on Inequities/Effect on equity. The ratings of panel members were averaged for each intervention and criterion, and interventions were ordered according to the average overall ratings. Results Stakeholder panels identified the top 10 interventions from their respective topic areas. The evidence on these interventions is being summarized with an equity focus and the results posted online, at http://methods.cochrane.org/equity/e4e-series . Conclusions This method provides an explicit approach to setting priorities by systematic review groups and funders for providing decision makers with evidence for the most important equity-relevant interventions.
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    Use of telephone care in a cardiovascular disease management programme for type 2 diabetes patients in Santiago, Chile
    (2006) Piette, John D.; Lange Haensgen, Ilta Anita H.; Issel, Michelle; Campos Romero, Solange; Bustamante Troncoso, Claudia Raquel; Sapag Muñoz de la Peña, Jaime; Poblete A., Fernando; Tugwell, Peter; O'Connor, Annette M.
    Objectives: In 2004, the Chilean National Ministry of Health instituted a cardiovascular disease (CVD) management programme aimed at improving diabetes care among patients treated in the public healthcare system. We sought to identify the characteristics of patients participating in the CVD programme and the feasibility of extending its reach through structured nurse telephone contacts between outpatient encounters. Methods: We surveyed 569 low-income adults with type 2 diabetes treated in public clinics of Santiago, to assess patients’ participation in the CVD programme and willingness to use telephone care services. Surveys were linked to information from medical records. Results: One-third of patients met the target of two visits to the CVD programme in the previous 6 months, and an additional 32% made more than three visits. Use of the CVD programme was associated with greater patient satisfaction, even after controlling for potential confounders. However, 27% of patients had inadequate programme contact, and many of these patients were in poor health. Many CVD programme participants reported difficulties with lifestyle changes, and greater contact with the CVD programme was not associated with healthier behaviours. Most patients (95%) reported telephone access and 37% had used the telephone to contact their clinic. The majority of patients would be willing to use telephone care for additional behaviour change and emotional support. Patients with fewer CVD programme visits were particularly likely to report willingness to use telephone care. Discussion: Clinic-based CVD disease management services reach a large number of socio-economically vulnerable Chileans with diabetes. However, barriers to access remain, and planned telephone care services may increase the reach of self-management support.