Data: Systematic Review Protocol

A. Get published Review Protocols from Campbell Collaboration.

On campbellcollaboration.org webpage, click “Campbell systematic Reviews journal”
The link takes you to the Wiley Online Library and you will need a library account to browse the contents. Click “Campbell Article Types”
Select “Protocol” from the list of types.
Total 248 results which can be further narrowed by selecting “Campbell subject Categories”.

B. Get published review protocols from Cochrane Reviews.

https://www.cochranelibrary.com/
Search ‘mathematical’ in the Title Abstract Keyword and get 1 result under the Cochrance Protocols tab.

C. Layout of the Protocol

  • Background
    • The problem, condition or issue
    • Intervention
    • How the intervention might work
    • Why it is important to do the review
    • Products of this systematic review
  • Objectives
  • Methodology
    • Criteria for including and excluding studies
      • Types of study designs
      • Time and language
      • Types of participants
      • Types of interventions
      • Duration of follow-up
      • Types of settings
    • Search strategy
    • Search terms
    • Description of methods used in primary research
    • Criteria for determination of independent findings
    • Details of study coding categories
    • Statistical procedures and conventions
    • Studies with multiple groups
    • Unit of analysis issues
    • investigation of heterogeneity
    • Sensitivity analysis
    • missing data and author queries
    • Treatment of qualitative research
  • Reference
  • Review Authors
  • Roles and responsibilities
  • Funding
  • Potential conflict of interest
  • Preliminary timeframe
  • Author declaration

Data: Library Database Search Syntax for Systematic Review

A. Research Question:

A systematic review study is planned with the purpose of investigating whether current educational programs are effective for developing problem solving in early childhood education.

B. Terms and Definitions

  • Educational Programs
  • Problem Solving
  • Early Childhood

A. Reference for Systematic Review

A. Library Platforms and Databases

  • EBSCO
    • CINAHL
  • OVID
    • MedLine
    • EMBASE
    • PsychINFO
  • ProQuest
    • ERIC
    • PsychINFO

Same platform has same interface, nut the subject headings are different. Same database on different platforms has the same keywords for titles and abstracts, but different heading and different truncation and proximity syntactic rules.

Statistics: Tools for Systematic Review and Meta-Analysis

A. Resource

B. Guidelines

  • Cooper & Hedges, 1994
  • Hedges & Olkin, 1985
  • Lipsey & Wilson, 2001
  • Borenstein, Hedges, Higgins, & Rothstein, 2008: Comprehensive Meta-Analysis Version 2.2.048

C. Review Process

  • Identification of studies
    • Name of the reviewer
    • Date of the review
    • Article: Author, date of publication, title, journal, issue number, pages, and credentials
  • General Information
    • Focus of study
    • Country of study
    • Variables being measured
    • Age range of participants
    • Location of the study
  • Study Research Questions
    • hypothesis
    • theoretical/empirical basis
  • Methods designs
    • Independent variables
    • Outcome variables
    • Measurement tools
  • Methods groups
    • Nonrandomized with treatment and control groups/repeated measures design
    • Number of groups
  • Methods sampling strategy
    • Explicitly stated/Implicit/not stated/unclear
    • sampling frame (telephone directory, electoral register, postcode, school listing)random selection/systematically/convenience
  • Sample information
    • number of participants in the study
    • if more than one group, the number of participants in each group
    • sex
    • socioeconomic status ethnicity
    • special educational need
    • region
    • control for bias from confounding variables and groups
    • baseline value for longitudinal study
  • Recruitment and consent
    • Method: letters of invitation, telephone, face-to-face
    • incentives
    • consent sought
  • Data collection
    • Methods: experimental, curriculum-based assessment, focus group, group interview, one-to-one interview, observation, self-completion questionnaire, self-completion report or diary, exams, clinical test, practical test, psychological test, school records, secondary data etc.
    • who collected the data
    • reliability
    • validity
  • Data analysis
    • statistical methods: descriptive, correlation, group differences (t test, ANOVA), growth curve analysis/multilevel modeling(HLM), structural equation modeling(SEM), path analysis, regression
  • Results and conclusion
    • Group means, SD, N, estimated effect size, appropriate SD, F, t test, significance, inverse variance weight

D. Statistics

  • Cohen’s kappa
  • Cohen’s d
  • effect size
  • aggregate/weighted mean effect size
  • 95% confidence interval: upper and lower
  • homogeneity of variance (Q statistic): Test if the mean effect size of the studies are significantly heterogeneous (p<.05), which means that there is more variability in the effect sizes than would be expected from sampling error and that the effect sized did not estimate common population mean (Lipsey & Wilson, 2001)
  • df: degrees of freedom
  • I square (%): the percentage of variability of the effect size that is attributable to true heterogeneity, that is, over and above the sampling error.
  • Outlier detection
  • mixed-effects model (consider studies as random effects): moderator analysis for heterogeneity (allow for population parameters to vary across studies, reducing the probability of committing a Type I error)
  • Proc GLM/ANOVA (consider studies as fixed effects): moderator analysis for heterogeneity
    • Region
    • Socioeconomic status
    • Geographical location
    • Education level
    • Setting
    • Language
    • sampling method
  • Statistical difference in the mean effect size of methodological feature of the study
    • confidence in effect size derivation (medium, high)
    • reliability (not reported, reported)
    • validity (not reported vs. reported
  • classic fail-safe N/Orwin’s fail-safe N: The number of missing null studies needed to bring the current mean effect size of the meta-analysis to .04. Threshhold is 5k+10, k is number of studies for the meta-analysis. If the N is greater than the 5k+10 limit then it is unlikely that publication bias poses a significant threat to the validity of findings of the meta-analysis.
    • Used to assess publication bias. eg. control for bias in studies (tightly controlled, loosely controlled, not controlled)

E. Purpose/Research Questions

  • Whether the treatment is associated with single effect or multiple effects?
  • Understand the variability of studies on the association of treatment with single or multiple effects, and explain the variable effects potentially through the study features (moderators). How do the effects of the treatment vary different study features?

F. Reference

SAS: Meta-Analysis CMH Example for Categorical Variable

A. Reference

B. Meta-Analysis

A meta-analysis is a statistical analysis that combines the results of multiple scientific studies. Meta-analysis can be performed when there are multiple scientific studies addressing the same question, with each individual study reporting measurements that are expected to have some degree of error. The aim then is to use approaches from statistics to derive a pooled estimate closest to the unknown common truth based on how this error is perceived.

Wikipedia
  • In meta-analysis, studies become observations.
  • Research collect data for meta-analysis by systematic review of the literature in the field, and compile data directly from the summary statistics in the publication.

C. Problem with simply lumping the data from different studies together

  • Not consider treatment-by-study interaction
  • Assume response rates are the same in all studies.

D. SAS Solution (follow Hamer and Simpson’s paper, but corrected the output from the paper)

  • Create data set with the results of 2 studies. B: Remitted; N:Not remitted; P: Placebo; D: Drug.
  • I have used B (Better) to indicate Remitted cases because Proc Freq test is based on column 1 and row 1 of the 2 by 2 table, so if we code R for Remitted cases then the remitted case will be in column 2 because the table is by alphabetical order and R is after N.
  • The Hamer and Simpson paper actually tested the null hypothesis for the non-effective cases rather than the effective cases.
data chm;
input study $ response $ trt $ cellfreq @@;
datalines;
study1	B	P	24	study1	N	P	3
study1	B	D	58	study1	N	D	30
study2	B	P	16	study2	N	P	57
study2	B	D	2	study2	N	D	10
;
run;
  • Run Cochran-Mantel-Haenszel Statistics using Proc Freq procedure with cmh option.
proc freq data=chm;
tables study*trt*response /cmh;
weight cellfreq;
run;

E. SAS Output

  • SAS chm table
  • Frequency table
  • Cochrane-Mantel-Haenszel test

F. Notes

  • The Mantel-Haenszel estimator of the common odds ratio assumed the estimation to be homogeneous among both studies.
  • The Mentel-Haenszel statistics tests the null hypothesis that the response rate is the same for the two treatments, after adjusting for possible differences in study response rates.
  • For Proc Freq testing options, make sure the group that you want to tested are in row 1 and column 1. It is also important to crosstab treatment as row and response as column, so the interpretation of the relative risk for the risk of improvement make sense. In Hamper and Simpon’s paper the crosstab has been transposed, therefore the relative risk output doesn’t make sense.

G. Interpretation

  • The CMH test statistics is 4.65 with a p-value of 0.03, therefore, we can reject the null hypothesis that there is no association between treatment and response. P-value lower than 0.05 indicates that the association between treatment and response remains strong after adjusting for study.
  • Relative Risk (Column 1) equals to 0.74 which means the probability of the improvement with the drug is 0.74 time the probability of the improvement with the placebo.
  • Relative Risk (Column 2) equals to 1.51 which means the probability of no improvement in the symptoms with the drug is 1.51 times the probability of no improvement with the placebo.
  • The Breslow-Day test has a large p-value of 0.295 which indicates there is no significant difference in the odds ratios among the studies.

* I will show the odds ratio and relative risk calculation in Excel in another post.

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