GRADE-CERQual publications

Simon Lewin, Claire Glenton, Heather Munthe-Kaas, Benedicte Carlsen, Christopher J. Colvin, Metin Gülmezoglu, Jane Noyes, Andrew Booth, Ruth Garside, and Arash Rashidian. "Using qualitative evidence in decision making for health and social interventions: an approach  to assess confidence in findings from qualitative evidence syntheses (GRADE-CERQual)." PLoS Med 12, no. 10 (2015) 001895.

Colvin, C., Wainwright, M., Noyes, J., Munthe-Kaas, H., Garside, R., Carlsen, B., Rashidian, A., Booth, A., Glenton, C., Bohren, M., Lewin, S., Tuncalp, O. (In Press). Confidence in the Evidence from Reviews of Qualitative research (CERQual): Development and Future Directions of a Novel Approach. In Chandler J, McKenzie J, Boutron I, Welch V (editors) Cochrane Methods. Cochrane DB Syst Rev 2015 Suppl 1: 45-47. FULL TEXT

Keep posted for the upcoming series on guidance on how to apply the GRADE_CERQual approach!

Publications that have used the GRADE-CERQual approach

Munabi-Babigumira S, Glenton C, Lewin S, Fretheim A, Nabudere H. Factors that influence the provision of intrapartum and postnatal care by skilled birth attendants in low- and middle-income countries: a qualitative evidence synthesis. Cochrane Database of Systematic Reviews 2017, Issue 11. Art. No.: CD011558. DOI: 10.1002/14651858.CD011558.pub2. FULL TEXT

Ames HMR, Glenton C, Lewin S. Parents' and informal caregivers' views and experiences of communication about routine childhood vaccination: a synthesis of qualitative evidence. Cochrane Database of Systematic Reviews 2017, Issue 2. Art. No.: CD011787. DOI: 10.1002/14651858.CD011787.pub2. FULL TEXT

 Downe, S., Finlayson, K., Tunçalp, Ӧ & Metin Gülmezoglu, A. (2015). What matters to women: a systematic scoping review to identify the processes and outcomes of antenatal care provision that are important to healthy pregnant women. BJOG (Published Online Dec.24). ABSTRACT

Lewin S, Bosch-Capblanch X, Oliver S, Akl EA, Vist GE, et al. Guidance for Evidence-Informed Policies about Health Systems: Assessing How Much Confidence to Place in the Research Evidence. PLoS Med. 2012; 9(3): e1001187.

WHO. Optimizing health worker roles to improve access to key maternal and newborn health interventions through task shifting. 2012. Geneva: World Health Organization. Available at www.optimizemnh Capblanch X, Oliver S, Akl EA, Vist GE, et al. Guidance for Evidence-Informed Policies about Health Systems: Assessing How Much Confidence to Place in the Research Evidence. PLoS Med. 2012; 9(3): (Accessed on 15 April 2014)

Alonso-Coello P, Schünemann H, Moberg J, Brignardello-Petersen R, Akl E, et al. GRADE Evidence to Decision (EtD) frameworks: 1. A systematic and transparent approach to making well-informed healthcare choices: 1. Introduction. Submitted to PLOS Medicine.

Colvin CJ, de Heer J, Winterton L, Mellenkamp M, Glenton C, Noyes J, Lewin S, Rashidian A. A systematic review of qualitative evidence on barriers and facilitators to the implementation of task-shifting in midwifery services. Midwifery. 2013; 29(10):1211-21.

Glenton C, Colvin CJ, Carlsen B, Swartz A, Lewin S, Noyes J, Rashidian A. Barriers and facilitators to the implementation of lay health worker programmes to improve access to maternal and child health: qualitative evidence synthesis. Cochrane Database of Systematic Reviews. 2013 (10). Art. No.: CD010414.

Rashidian A, Shakibazadeh E, Karimi- Shahanjarini A, Glenton C, Noyes J, Lewin S, Colvin C, Laurant M. Barriers and facilitators to the implementation of doctor-nurse substitution strategies in primary care: qualitative evidence synthesis (Protocol). Cochrane Database of Systematic Reviews. 2013, 2: CD010412.

Munthe-Kaas HM, Hammerstrøm KT et al. Effekt av og erfaringer med kontinuitetsfremmende tiltak i barnevernsinstitusjoner. Report from Kunnskapssenteret no. 4−2013. Oslo: Norwegian Knowledge Centre for the Health Services. 2013.

Bohren MA, Hunter EC, Munthe-Kaas HM, Souza JP, Vogel JP, Gülmezoglu AM. Facilitators and barriers to facility-based delivery in low- and middle-income countries: a qualitative evidence synthesis. Reproductive Health. 2014; 11(1):71.

Bohren MA, Vogel JP, Hunter EC, Lutsiv O, Kudesia K, Souza JP, Aguiar C, Saraiva F, Diniz A, Tunçalp Ö, Javadi D, Oladapo OT, Khosla R, Hindin MJ, Gülmezoglu AM. The mistreatment of women during childbirth in health facilities globally: A mixed-methods systematic review. (Submitted for publication, 2015).

Lewin S, Glenton C, Munthe-Kaas H, Owolabi O, Pileggi V, Sorhaindo A, Sporstøl Fønhus M. Factors affecting the implementation of task shifting for abortion care: qualitative evidence synthesis. In: WHO. Health worker roles in providing safe abortion care and post abortion contraception. Geneva: World Health Organization. In review, 2015.

Whitaker R, Hendry M, Booth A, Carter B, Charles J, Craine N, Edwards RT, Lyons M, Noyes J, Pasterfield D, Rycroft-Malone J, Williams N.Intervention Now To Eliminate Repeat Unintended Pregnancy in Teenagers (INTERUPT): a systematic review of intervention effectiveness and cost-effectiveness, qualitative and realist synthesis of implementation factors and user engagement. BMJ Open. 2014;4(4):e004733. doi: 10.1136/bmjopen-2013-004733.

Jordan et al. Factors that impact on the use of mechanical ventilation weaning protocols in critically ill adults and children: a qualitative evidence-synthesis. Submitted for publication, Cochrane Library


Boeiji, R., va Wesel, F., Alisic, E. (2011). Making a difference towards a method for weighing the evidence in a qualitative synthesis. Journal of Evaluation in Clinical Practice, 17, 657-663

Campbell R, Pound P, Morgan M, Daker-White G, Britten N, Pill R, et al. Evaluating meta-ethnography:
systematic analysis and synthesis of qualitative research. Health Technol Assess 2011;15(43).

Dixon-Woods, M., Cavers, D., Agarwal, S., Annandale, E., Arthur, A., Harvey, J., Hsu, R., Katbamna, S, Olsen, R., Smith, L., Riley, R., Sutton, A,J. (2006).Conducting a critical interpretive synthesis of the literature on access to healthcare by vulnerable groups. BMC Medical Research Methodology, 6:35.

Cesario, S., Morin, K., Santa-Donato, A. (2001). Evaluating the Level of Evidence of Qualitative Research. JOGNN, 31(6), 708-714

Britten N, Campbell R, Pope C, Donovan J, Morgan M, Pill R. Using meta ethnography to synthesise qualitative research: a worked example. J Health Serv Res Policy. 2002 Oct;7(4):209-15

Lorenc, T., Pearson, M., Jamal, F., Cooper, C. and Garside, R. (2012), The role of systematic reviews of qualitative evidence in evaluating interventions: a case study. Res. Synth. Method, 3: 1-10. doi: 10.1002/jrsm.1036


Santiago-Delefosse, M., Gavin, A., Bruchez, C., Stephen, S.L., & Roux, P. (01/2016). Quality of Qualitative Research in the Health Sciences: Analysis of the Common Criteria Present in 58 Assessment Guidelines by Expert Users. Social Science & Medicine. FULL TEXT
Bowen, G.A.(2008). Naturalistic inquiry and the saturation concept: a research note. Qualitative Research, 8,137.

Dixon-Woords, M., Shaw, R.L., Smith, J.A. (2004). The problem of appraising qualitative research. Qual Saf Health Care, 13,223-225

M Dixon-Woods, R L Shaw, S Agarwal, J A Smith, Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007; 19: 349-357.

Garside, R. Should we appraise the quality of qualitative research reports for systematic reviews, and if so, how? Innovations: The European journal of social science research 2014; 27 (1):67 - 79

Walsh D, Downe S. Appraising the quality of qualitative research. Midwifery. 2006; 22(2):108-19.


Kneale, D., Thomas, J., & Harris, K. (2015). Developing and Optimising the Use of Logic Models in Systematic Reviews: Exploring Practice and Good Practice in the Use of Programme Theory in Reviews. PLoS ONE, 10(11), e0142187. FULL TEXT

GRADE-CERQual translated

Summary of CERQual in Chinese. HERE