Evidence Synthesis to Inform NCD Prevention and Health Promotion

  • Tahna Pettman
  • Rebecca Armstrong
  • Belinda Burford
  • Jodie Doyle
  • Laurie Anderson
  • Elizabeth Waters


Making informed choices about the use of resources and the likely success of proposed NCD prevention and health promotion initiatives requires knowledge of what strategies have been previously evaluated. This information can be openly and curiously sought through the process of a systematic appraisal of the research evidence. This chapter provides a brief overview of the evidence synthesis process for those who are likely to draw upon evidence reviews to inform their practice. Subcomponents discussed include planning an evidence review, formulating answerable questions about health issues and inequalities, searching for relevant research, including evidence from nonhealth sectors, and appraising its strength and trustworthiness. An understanding of these processes, forming the basic steps of systematic review methodology, and the links between the steps provides a framework for those who need to engage with the evidence as part of an evidence-informed decision-making process.


Health Promotion Answerable Question Health Promotion Intervention Evidence Review Review Question 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. Anderson, L. M., Petticrew, M., Rehfuess, E., Armstrong, R., Ueffing, E., Baker, P., et al. (2011). Using logic models to capture complexity in systematic reviews. Research Synthesis Methods, 2(1), 33–42.CrossRefGoogle Scholar
  2. Armstrong, R., Doyle, J., Lamb, C., & Waters, E. (2006). Multi-sectoral health promotion and public health: The role of evidence. Journal of Public Health, 28(2), 168–172.PubMedCrossRefGoogle Scholar
  3. Armstrong, R., Jackson, N., Doyle, J., Waters, E., & Howes, F. (2005). It’s in your hands: The value of handsearching in conducting systematic reviews of public health interventions. Journal of Public Health, 27(4), 388–391.PubMedCrossRefGoogle Scholar
  4. Armstrong, R., Waters, E., Roberts, H., Anderson, L., Oliver, S., & Petticrew, M. (2008). Systematic reviews in public health. In K. Heggenhougen & S. Quah (Eds.), International encyclopedia of public health (Vol. 1, pp. 297–301). San Diego, CA: Academic Press.CrossRefGoogle Scholar
  5. Armstrong, R., Waters, E, Jackson, N, Oliver, S, Popay, J, Shepherd, et al. (2007). Guidelines for systematic reviews of health promotion and public health interventions. Accessed 1 Sept 2012.
  6. Australian Bureau of Statistics. (2006). 2039.0—Information paper: An introduction to socio-economic indexes for areas (SEIFA). B. Pink. Canberra: Australian Bureau of Statistics. Commonwealth of Australia.
  7. Balshem, H., Helfand, M., Schünemann, H. J., Oxman, A. D., Kunz, R., Brozek, J., et al. (2011). GRADE guidelines: 3. Rating the quality of evidence. Journal of Clinical Epidemiology, 64(4), 401–406.PubMedCrossRefGoogle Scholar
  8. Beahler, C. C., Sundheim, J. J., & Trapp, N. I. (2000). Information retrieval in systematic reviews: Challenges in the public health arena. American Journal of Preventive Medicine, 18(4), 6–10.PubMedCrossRefGoogle Scholar
  9. Core Public Health Journal Project. (2004). Core public health journal project (Ver 0.9). Retrieved March 18, 2005, from
  10. Evans, D., & Fitzgerald, M. (2002). The experience of physical restraint: A systematic review of qualitative research. Contemporary Nurse, 13(2–3), 126–135.PubMedCrossRefGoogle Scholar
  11. Evans, T., & Brown, H. (2003). Road traffic crashes: Operationalizing equity in the context of health sector reform. Injury Control and Safety Promotion, 10(1–2), 11–12.PubMedCrossRefGoogle Scholar
  12. Giles-Corti, B., Ryan, K., & Foster, S. (2012). Increasing density in Australia: Maximising the health benefits and minimising harm. Melbourne, Report to The National Heart Foundation of Australia.
  13. Grayson, L., & Gomersall, A. (2003). A difficult business: Finding the evidence for social science reviews. London: ESRC UK Centre for Evidence Based Policy and Practice, Queen Mary University of London. Working paper 19.Google Scholar
  14. Guyatt, G. H., Oxman, A. D., Kunz, R., Falck-Ytter, Y., Vist, G. E., Liberati, A., et al. (2008). Going from evidence to recommendations. British Medical Journal, 336(7652), 1049–1051.PubMedCrossRefGoogle Scholar
  15. Harden, A., Garcia, J., Oliver, S., Rees, R., Shepherd, J., Brunton, G., et al. (2004). Applying systematic review methods to studies of people’s views: An example from public health research. Journal of Epidemiology and Community Health, 58(9), 794–800.PubMedCrossRefGoogle Scholar
  16. Heath, G. W., Brownson, R. C., Kruger, J., Miles, R., Powell, K. E., Ramsey, L. T., & the Task Force on Community Preventive Services. (2006). The effectiveness of urban design and land use and transport policies and practices to increase physical activity: A aystematic review. Journal of Physical Activity and Health, 3(Suppl 1), S55–S76.Google Scholar
  17. Higgins, J. & Green, S., (Eds.). (2006). Cochrane handbook for systematic reviews of interventions. In The cochrane library. Chichester: John Wiley & Sons, Ltd.Google Scholar
  18. Husk, K., Lovell, R., Cooper, C., & Garside, R. (2013). Participation in environmental enhancement/conservation activities for health and well-being in adults (Protocol). Cochrane Database of Systematic Reviews, 2.Google Scholar
  19. Jackson, N., & Baker, P. (2005). Evidence based practice in public health: Workbook, Central Area Population Health Services, and Cochrane Public Health Group.
  20. Jackson, N., Gupta, S., Howes, F., Armstrong, R., Brunton, G., Rees, R., et al. (2005). Handsearching for health promotion and public health trials and systematic reviews. XIII Cochrane Colloquium, Melbourne, Australia.Google Scholar
  21. Kavanagh, J., & Oliver, S. (2008). Reflections on developing and using PROGRESS-Plus. Equity update: Cochrane Health Equity Field and Campbell Equity Methods Group. Ottawa, ON, Cochrane Health Equity Field 2.Google Scholar
  22. Lamar Soutter Library. (2004). The Lamar Soutter Library. Retrieved March 2005, from
  23. Lorenc, T., Petticrew, M., Welch, V., & Tugwell, P. (2013). What types of interventions generate inequalities? Evidence from systematic reviews. Journal of Epidemiology and Community Health, 67(2), 190–193.Google Scholar
  24. McQueen, D. V. (2001). Strengthening the evidence base for health promotion. Health Promotion International, 16(3), 261–268.PubMedCrossRefGoogle Scholar
  25. Moore, L., & Moore, G. F. (2011). Public health evaluation: Which designs work, for whom and under what circumstances? Journal of Epidemiology and Community Health, 65(7), 596–597.PubMedCrossRefGoogle Scholar
  26. Nebot, M. (2006). Health promotion evaluation and the principle of prevention. Epidemiology and Community Health, 60(1), 5–6.Google Scholar
  27. Nutbeam, D. (1998). Evaluating health promotion—Progress, problems and solutions. Health Promotion International, 13(1), 27–44.CrossRefGoogle Scholar
  28. Oxman, A., & Guyatt, G. (1993). The science of reviewing research. Annals of the New York Academy of Sciences, 703, 125–133.PubMedCrossRefGoogle Scholar
  29. Peersman, G., & Oakley, A. (2001). Learning from research. In S. Oliver & G. Peersman (Eds.), Using research for effective health promotion. Buckingham: Open University Press.Google Scholar
  30. Petticrew, M., & Roberts, H. (2003). Evidence, hierarchies, and typologies: Horses for courses. Journal of Epidemiology and Community Health, 57(7), 527–529.PubMedCrossRefGoogle Scholar
  31. Petticrew, M., & Roberts, H. (2006). Systematic reviews in the social sciences. Oxford: Blackwell Publishing Ltd.CrossRefGoogle Scholar
  32. Proctor, E., Silmere, H., Raghavan, R., Hovmand, P., Aarons, G., Bunger, A., et al. (2011). Outcomes for implementation research: Conceptual distinctions, measurement challenges, and research agenda. Administration and Policy in Mental Health and Mental Health Services Research, 38(2), 65–76.PubMedCrossRefGoogle Scholar
  33. Raphael, D. (2000). The question of evidence in health promotion. Health Promotion International, 15(4), 355–367.CrossRefGoogle Scholar
  34. Roberts, H., Petticrew, M., Liabo, K., & Macintyre, S. (2012). ‘The Anglo-Saxon disease’: A pilot study of the barriers to and facilitators of the use of randomised controlled trials of social programmes in an international context. Journal of Epidemiology and Community Health, 66(11), 1025–1029.Google Scholar
  35. Rychetnik, L., Frommer, M., Hawe, P., & Shiell, A. (2002). Criteria for evaluating evidence on public health interventions. Journal of Epidemiology and Community Health, 56(2), 119–127.PubMedCrossRefGoogle Scholar
  36. Rychetnik, L., Hawe, P., Waters, E., Barratt, A., & Frommer, M. (2004). A glossary for evidence based public health. Journal of Epidemiology and Community Health, 58(7), 538–545.PubMedCrossRefGoogle Scholar
  37. Waters, E., Armstrong, R., Doyle, J., Pettman, T., Hall, B., Priest, N. et al. (2011a). 7: Evidence in public health. In H. Keleher & C. MacDougall (Eds.), Understanding health promotion. South Melbourne, VIC: Oxford University Press.Google Scholar
  38. Waters, E., Hall, B. J., Armstrong, R., Doyle, J., Pettman, T. L., & de Silva-Sanigorski, A. (2011b). Essential components of public health evidence reviews: Capturing intervention complexity, implementation, economics and equity. Journal of Public Health, 33(3), 462–465.PubMedCrossRefGoogle Scholar
  39. Watt, A., Cameron, A., Sturm, L., Lathlean, T., Babidge, W., Blamey, S., et al. (2008). Rapid reviews versus full systematic reviews: An inventory of current methods and practice in health technology assessment. International Journal of Technology Assessment in Health Care, 24, 133–139.PubMedGoogle Scholar
  40. Whitehead, M. (1991). The concepts and principles of equity and health. Health Promotion International, 6(3), 217–228.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2013

Authors and Affiliations

  • Tahna Pettman
    • 1
  • Rebecca Armstrong
    • 1
  • Belinda Burford
    • 1
  • Jodie Doyle
    • 1
  • Laurie Anderson
    • 2
  • Elizabeth Waters
    • 1
  1. 1.Melbourne School of Population and Global HealthThe University of MelbourneCarltonAustralia
  2. 2.Department of Epidemiology, School of Public HealthUniversity of WashingtonWashington, DCUSA

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