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Definition and Yield of Inclusion Criteria for a Meta-Analysis of Patient Education Studies in Clinical Preventive Services

U.S. Food and Drug Administration

Patricia D. Mullen

University of Texas

Denise G. Simons-Morton

Baylor College of Medicine

Lawrence W. Green

University of California, San Francisco, School of Medicine

Douglas A. Mains

City of Dallas Health and Human Services

Shirli Eilat-Greenberg

Tel-Aviv University

Ralph F. Frankowski

University of Texas

Marianna C. Glenday

Institution of Transpersonal Psychology

Because selection of studies for a literature review influences conclusions, inclusion criteria are of utmost importance. For a metaanalysis of studies testing effects of patient education on preventive behaviors, we present the framework and concepts used for setting inclusion criteria for primary studies. We also present the yield in terms of number and distribution of studies that resulted from the inclusion criteria. Because we were interested in a diverse range of behaviors and a broad definition of patient education, we present a method for grouping behaviors by type of behavior change and describe parameters for subgrouping interventions by orientation and communication channel. Of 5,451 citations located and abstracts screened, 561 citations reporting potentially relevant studies were reviewed. Based on our inclusion criteria, 171 citations contained relevant studies, of which 64 studies (found in 62 citations) also met our acceptability criteria. We examine the effects of alternate inclusion criteria on the yield of primary studies and their distributions across the subgroupings.

Evaluation & the Health Professions, Vol. 14, No. 4, 388-411 (1991)
DOI: 10.1177/016327879101400402


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