Improving the usefulness of a tool for appraising the quality of qualitative, quantitative and mixed methods studies, the <scp>Mixed Methods Appraisal Tool</scp> (<scp>MMAT</scp>)

Hong, Quan Nha; Gonzalez-Reyes, Araceli; Pluye, Pierre

doi:10.1111/jep.12884

Cited by 460 publications

(390 citation statements)

References 37 publications

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“…The Mixed‐Methods Appraisal Tool version 2011 was applied to all eligible studies . This 27‐item checklist, designed and validated for systematic reviews, allowed for concomitantly appraising qualitative, quantitative, and mixed‐methods studies . Predefined data extraction fields, including study quality indicators, were designed by the first (RR) and last (MW) authors.…”

Section: Methodsmentioning

confidence: 99%

“…28,29 This 27-item checklist, designed and validated for systematic reviews, allowed for concomitantly appraising qualitative, quantitative, and mixed-methods studies. 30 Predefined data extraction fields, including study quality indicators, were designed by the first (RR) and last (MW) authors. Three reviewers piloted the data extraction sheet, with each reviewer conducting five pilot reviews before a final version of the data extraction sheet was drafted.…”

Section: Methodsmentioning

confidence: 99%

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Spiritual assessment and spiritual care offerings as a standard of care in pediatric oncology: A recommendation informed by a systematic review of the literature

Robert

Stavinoha

Jones

et al. 2019

Pediatric Blood & Cancer

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Children with cancer and their families experience shifts in spiritual wellness from diagnosis through treatment and survivorship or bereavement. An interdisciplinary team conducted a systematic review of quantitative and qualitative research on spiritual assessments, interventions, and outcomes in childhood cancer following PRISMA guidelines using a PROSPERO registered protocol. Thirty‐nine well‐designed studies were included in the final analysis. The findings from this systematic review indicate the need for early spiritual assessment with offering of continued support for the spiritual functioning of children with cancer and their families as a standard of care.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Spiritual assessment and spiritual care offerings as a standard of care in pediatric oncology: A recommendation informed by a systematic review of the literature

Robert

Stavinoha

Jones

et al. 2019

Pediatric Blood & Cancer

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“…Two independent reviewers then appraised study quality using the Mixed Methods Appraisal Tool (v-2011, McGill University, Montreal, Canada), 15 resolving discrepancies through discussion. We selected the appraisal tool as it has been used extensively in prior systematic reviews, 16 and allows for the critical appraisal of qualitative, quantitative and/or mixed methods studies. This tool is preferable to the use of multiple tools, which may not allow for inter-study comparisons.…”

Section: Methodsmentioning

confidence: 99%

Interventions to improve school-based eye-care services in low- and middle-income countries: a systematic review

Burnett

Yashadhana

Lee

et al. 2018

Bull. World Health Organ.

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ObjectiveTo review interventions improving eye-care services for schoolchildren in low- and middle-income countries.MethodsWe searched online databases (CINAHL, Embase®, ERIC, MEDLINE®, ProQuest, PubMed® and Web of ScienceTM) for articles published between January 2000 and May 2018. Eligible studies evaluated the delivery of school-based eye-care programmes, reporting results in terms of spectacle compliance rates, quality of screening or attitude changes. We considered studies to be ineligible if no follow-up data were reported. Two authors screened titles, abstracts and full-text articles, and we extracted data from eligible full-text articles using the availability, accessibility, acceptability and quality rights-based conceptual framework.FindingsOf 24 559 publications screened, 48 articles from 13 countries met the inclusion criteria. Factors involved in the successful provision of school-based eye-care interventions included communication between health services and schools, the willingness of schools to schedule sufficient time, and the support of principals, staff and parents. Several studies found that where the numbers of eye-care specialists are insufficient, training teachers in vision screening enables the provision of a good-quality and cost–effective service. As well as the cost of spectacles, barriers to seeking eye-care included poor literacy, misconceptions and lack of eye health knowledge among parents.ConclusionThe provision of school-based eye-care programmes has great potential to reduce ocular morbidity and developmental delays caused by childhood vision impairment and blindness. Policy-based support, while also attempting to reduce misconceptions and stigma among children and their parents, is crucial for continued access.

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“…This suggests the need for clarification of some criteria in the MMAT, particularly those related to qualitative and nonrandomized studies, for which lower agreement was observed. In addition, in interviews conducted with MMAT users to explore their views and experiences of the MMAT, concerns were raised about whether the tool included enough criteria to judge the quality of studies and criteria that were difficult to judge, in particular the criteria for qualitative and mixed methods studies [14]. This suggests a need to improve the content validity of the MMAT.…”

Section: What Is the Implication And What Should Change Now?mentioning

confidence: 99%

Improving the content validity of the mixed methods appraisal tool: a modified e-Delphi study

Hong

Pluye

Fàbregues

et al. 2019

Journal of Clinical Epidemiology

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487

306

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Objective: The mixed methods appraisal tool (MMAT) was developed for critically appraising different study designs. This study aimed to improve the content validity of three of the five categories of studies in the MMAT by identifying relevant methodological criteria for appraising the quality of qualitative, survey, and mixed methods studies.Study Design and Setting: First, we performed a literature review to identify critical appraisal tools and extract methodological criteria. Second, we conducted a two-round modified e-Delphi technique. We asked three method-specific panels of experts to rate the relevance of each criterion on a five-point Likert scale.Results: A total of 383 criteria were extracted from 18 critical appraisal tools and a literature review on the quality of mixed methods studies, and 60 were retained. In the first and second rounds of the e-Delphi, 73 and 56 experts participated, respectively. Consensus was reached for six qualitative criteria, eight survey criteria, and seven mixed methods criteria. These results led to modifications of eight of the 11 MMAT (version 2011) criteria. Specifically, we reformulated two criteria, replaced four, and removed two. Moreover, we added six new criteria.Conclusion: Results of this study led to improve the content validity of this tool, revise it, and propose a new version (MMAT version 2018). Ó

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Improving the usefulness of a tool for appraising the quality of qualitative, quantitative and mixed methods studies, the Mixed Methods Appraisal Tool (MMAT)

Abstract: On the basis of the results of this study, we make several recommendations for improving the MMAT. This will contribute to greater usefulness of the MMAT.

Cited by 460 publications

References 37 publications

Spiritual assessment and spiritual care offerings as a standard of care in pediatric oncology: A recommendation informed by a systematic review of the literature

Spiritual assessment and spiritual care offerings as a standard of care in pediatric oncology: A recommendation informed by a systematic review of the literature

Interventions to improve school-based eye-care services in low- and middle-income countries: a systematic review

Improving the content validity of the mixed methods appraisal tool: a modified e-Delphi study

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