Table 2 CERQual Qualitative Evidence Profile– overall assessment of confidence
Finding | CERQual- assessment* | Explanation of assessment | Contributing studies |
|---|---|---|---|
1. External stigma prevents engagement and retention in treatment | High confidence | Methodological limitations: No or minor concerns. Coherence, relevance and the fit of the data: Minor concerns. | 15 studies Bates 2021; Bishop 2019; De Maeyer 2011; Gordon 2011; Granerud 2015; Green 2014; Harris 2015; Hewell 2017; Korthuis 2010; Livingston 2018; Richert 2015; Silva 2021, Tanner 2011; Toft 2013 |
2. Being identified as in OMT contributed to an increased experience of stigma | High confidence | Methodological limitations: No or minor concerns. Coherence, relevance and the fit of the data: Minor concerns. | 17 studies Bates 2021; Belseth 2016; Bishop 2019; De Maeyer 2011; Gordon 2011; Granerud 2015; Green 2014; Harris 2015; Hewell 2017; Korthuis 2010; Marchand 2020; Notley 2014; Notley 2015;; Silva 2021; Tanner 2011; Woo 2017; Yadav 2019 |
3. Inadequate knowledge and expertise among healthcare providers affected patient’s treatment experience | Moderate confidence | Methodological limitations: Minor concerns.Coherence and relevance: No or minor concerns. The fit of the data: Moderate concerns. | 12 studies Bates 2021; Gordon 2011; Granerud 2015; Green 2014; Hewell 2017; Johnson 2014; Lachapelle 2021; Livingston 2018; Notley 2014; Van Hout 2018; Woo 2017, Yadav 2019 |
4. Quality of communication between personnel and patients impacts patients’ engagement with treatment and treatment outcomes | High confidence | Methodological limitations: Minor concerns.Coherence , relevance and the fit of the data: No or minor concerns. | 18 studies Belseth 2016; Bishop 2019; De Maeyer 2011; Gordon 2011; Granerud 2015; Green 2014; Harris 2015; Hewell 2017; Korthuis 2010; Lachapelle 2021; Livingston 2018; Marchand 2020; Notley 2014; Notley 2015; Silva 2021; Tanner 2011; Toft 2013; Yadav 2019 |
5. Patients wanted help with many aspects of their lives not just medication | Moderate confidence | Methodological limitations: Moderate concerns. Coherence and the fit of the data: No or minor concerns. Relevance: Moderate concerns. | 15 studies Bishop 2019; De Maeyer 2011; Granerud 2015; Harris 2015; Hewell 2017; Korthuis 2010; Lachapelle 2021; Notley 2014; Notley 2015; Richert 2015; Silva 2021; Sohler 2013; Tanner 2011; Van Hout 2018; Yadav 2019 |
6. Balancing positive expectations of OMT with treatment stigma . | Low confidence | Methodological limitations: Moderate concerns. Coherence and the fit of the data and relevance: serious concerns | 8 studies Bates 2021; De Maeyer 2011; Harris 2015; Granerud 2015; Green 2014; Notley 2015; Silva 2021; Tanner 2011 |