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Evidence synthesis methodology for questions relating to barriers and enablers in health care: a scoping review

2026-02Artigo científico Acesso aberto
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datacite.subject.fosCiências Médicas::Ciências da Saúde
datacite.subject.sdg03:Saúde de Qualidade
dc.contributor.authorStern, Cindy
dc.contributor.authorValenzuela, Chelsea
dc.contributor.authorWhitehorn, Ashley
dc.contributor.authorPollock, Danielle
dc.contributor.authorMinooee, Sonia
dc.contributor.authorGohil, Dilan
dc.contributor.authorZhu, Zheng
dc.contributor.authorKirkpatrick, Pamela
dc.contributor.authorLoureiro, Ricardo
dc.contributor.authorDavies, Ellen
dc.contributor.authorCardoso, Daniela
dc.contributor.authorMunn, Zachary
dc.contributor.authorCarrier, Judith
dc.contributor.authorPieper, Dawid
dc.contributor.authorCooper, Kay
dc.contributor.authorJia, Romy
dc.contributor.authorLoveday, Heather
dc.contributor.authorMartin, Priya
dc.contributor.authorSalmond, Susan
dc.contributor.authordos Santos, Kelli
dc.contributor.authorHabibi, Nahal
dc.contributor.authorLizarondo, Lucylynn
dc.contributor.editorAromataris, Edoardo
dc.date.accessioned2026-04-23T16:00:30Z
dc.date.available2026-04-23T16:00:30Z
dc.date.issued2026-02
dc.description
dc.description.abstractObjective: The objective of this scoping review was to map the range of methodologies and methods used to undertake evidence synthesis aimed at determining barriers and/or enablers in health care, and to inform further research relevant to synthesis methodology in this area. Introduction: Questions related to identifying and exploring barriers and/or enablers within health care are becoming increasingly popular. Currently, there are multiple approaches to synthesizing this evidence, and it is unclear whether a more consistent approach is warranted. Eligibility criteria: Evidence synthesis on barriers and/or enablers (facilitators) that included interest-holders at different levels of the health system were considered. Evidence synthesis projects had to include primary research studies and were published from 2010 to 2021. Literature reviews, narrative reviews, and umbrella reviews were excluded, as were reviews published in languages other than English. Methods: This scoping review followed JBI methodology and was based on a published a priori protocol and reported in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). A 3-step search strategy using a combination of key terms and index headings was undertaken in October 2021 via the following databases/resources: PubMed, Embase, CINAHL (EBSCOhost), PsycINFO (Ovid), Cochrane Database of Systematic Reviews, JBI Evidence Synthesis, and EPPI-Centre Systematic Reviews. An extensive piloting process for screening and selection, and data extraction was undertaken due to the large number of reviewers involved. All records were screened independently by 2 reviewers, and any disagreements were resolved through either a third reviewer or discussion with a panel of reviewers. Extraction was undertaken using a customized form, and data were analyzed using descriptive statistics. Data are presented via tables, figures, a word cloud, and an infographic, supplemented with a narrative synthesis. Results: Following completion of the search, 24,823 records were screened and 774 reviews were included in the scoping review. Systematic reviews were the most commonly used methodology (68%) to synthesize barrier and/or enabler questions. Reviews often included diverse types of evidence and involved an assessment of methodological quality (70%). Findings related to barriers and/or enablers were usually grouped and organized into categories, often by thematic methods (33%) or a narrative approach (20%). Incongruencies related to nomenclature, missing information, and methods used were evident across the large dataset. Conclusions: A variety of methodological approaches are being followed to undertake reviews focused on barriers and/or enablers in health care. The current state of the literature indicates that most authors answer these questions via the conduct of a systematic review and include diverse types of evidence. Further work is needed to determine whether authors are unclear when deciding on methodology and whether guidance is required.eng
dc.description.sponsorshipZM is supported by an NHMRC Investigator grant: 1195676.
dc.identifier.citationStern, C., Valenzuela, C., Whitehorn, A., Pollock, D., Minooee, S., Gohil, D. A., Zhu, Z., Kirkpatrick, P., Loureiro, R., Davies, E., Cardoso, D., Munn, Z., Carrier, J., Pieper, D., Cooper, K., Jia, R. M., Loveday, H., Martin, P., Salmond, S., ... Lizarondo, L. (2026). Evidence synthesis methodology for questions relating to barriers and enablers in health care: a scoping review. JBI Evidence Synthesis, 24(3), 459–513. https://doi.org/10.11124/JBIES-25-00265
dc.identifier.doi10.11124/jbies-25-00265
dc.identifier.eissn2689-8381
dc.identifier.issn2689-1859
dc.identifier.urihttp://hdl.handle.net/10400.8/16186
dc.language.isoeng
dc.peerreviewedyes
dc.publisherWolters Kluwer
dc.relationImproving the Synthesis of Medical Research: The Evidence Synthesis Taxonomy Initiative
dc.relation.hasversionhttps://journals.lww.com/jbisrir/fulltext/2026/03000/evidence_synthesis_methodology_for_questions.7.aspx
dc.relation.ispartofJBI Evidence Synthesis
dc.rights.uriN/A
dc.subjectBarriers
dc.subjectEnablers
dc.subjectEvidence synthesis
dc.subjectFacilitators
dc.subjectHealth care
dc.subjectMethodology
dc.titleEvidence synthesis methodology for questions relating to barriers and enablers in health care: a scoping revieweng
dc.typejournal article
dspace.entity.typePublication
oaire.awardNumber1195676
oaire.awardTitleImproving the Synthesis of Medical Research: The Evidence Synthesis Taxonomy Initiative
oaire.awardURIhttp://hdl.handle.net/10400.8/16185
oaire.citation.endPage513
oaire.citation.issue3
oaire.citation.startPage459
oaire.citation.titleJBI Evidence Synthesis
oaire.citation.volume24
oaire.fundingStreamInvestigator Grants
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameMoura Loureiro
person.givenNameRicardo Filipe
person.identifier.ciencia-id4C1B-73A3-AB53
person.identifier.orcid0000-0001-6135-2278
relation.isAuthorOfPublicationf2cc5100-2aac-48c3-9e2f-71ebab91987c
relation.isAuthorOfPublication.latestForDiscoveryf2cc5100-2aac-48c3-9e2f-71ebab91987c
relation.isProjectOfPublicationcd0515fb-d48b-4e35-bfe5-ca166ad89c09
relation.isProjectOfPublication.latestForDiscoverycd0515fb-d48b-4e35-bfe5-ca166ad89c09

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