Evidence-based mental health promotion resource - health.vic.gov.au

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Evidence-based mental health promotion resource115Selecting reviews for this resourceStudy selectionInitially, the search focused on systematic reviews of evidence. Where possible,searches were limited to ‘reviews’. While this approach may include narrative reviews,it is an effective search strategy. We also used a systematic review filter (see ‘Searchstrategy’) where relevant and where databases would allow this function.We included reviews if they:• contained primary research or were reviews of primary research• were published after 1998• focused on one or more of the review foci (social isolation, freedom fromdiscrimination and violence, and access to economic resources).We excluded reviews if they:• included poorly evaluated evidence• focused on treatment rather than prevention.We aimed to include the best available evidence. That is, we searched for systematicreviews that summarised good quality interventions. While randomised controlled trialsare the most rigorously evaluated interventions, they are not always the most appropriatestudy design for health promotion. In some cases, it may be unethical to randomisea study; in other cases, the cost of a randomised controlled study may be prohibitive.Observational studies have thus been more commonly conducted to address mentalhealth promotion. It is important to note that some systematic reviews do not includethese types of intervention. We were committed, therefore, to a multi-strategic searchingprocess that would identify the best available, most appropriate evidence.Internal study selection processA range of research groups have developed approaches to assess the quality ofqualitative systematic reviews. Elements of the work conducted by the Centers forDisease Control and Prevention, Rychetnik and Frommer (the National Public HealthPartnership) and Guyatt (the National Heart Foundation) were used to assess thequality of reviews included in this resource. This process was based on the criteriadeveloped by the Deakin University team who worked on a review of cardiovasculardisease and diabetes for the Department of Human Services (Garrard et al. 2004).The following three selection procedures were applied:1. Selection criteria were applied by two reviewers to reviews identified in the final search.2. Any discrepancies were discussed. Both criteria for inclusion/exclusion and qualitywere considered.3. Additional studies and reviews identified through grey literature or expert committeewere then considered as described above.
116 Evidence-based mental health promotion resourceExpert review panelA panel of experts was appointed to provide advice, identify published and unpublishedliterature and review a full draft of the resource. Each expert was consulted individuallyin late 2003 and asked to provide feedback on the following questions:• What body of evidence are you most familiar with?• Have you been involved in any systematic reviews?• What systematic reviews are you familiar with?• What grey literature sources are you familiar with?• What promising strategies not yet evaluated are you aware of?• Are you aware of any other innovative, successful interventions?Once we developed a final draft of the resource, we sent it to the experts andrepresentatives from VicHealth and the Department of Human Services to consider theevidence included and highlight gaps, based on their professional expertise.Data sourcesA critique of methods of systematic reviewing health education literature identifiedMedline, PsychInfo and EMBASE as the most appropriate data sources. These sources’level of indexing is more sophisticated than that of others, so more likely to identify theappropriate literature (Taub 2001). We searched using Medline and PsychInfo (becauseDeakin University has access to these databases) but also:• the Cochrane Library (including the Database of Abstracts of Reviews of Effectiveness)• CINAHL• APAIS-Health• AMI on Nursing and Allied Health.
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Evidence-based mental health promotion resource - health.vic.gov.au

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