Research Article

Development of a Care Bundle for Stroke Survivors with Psychological Symptoms: Evidence Summary and Delphi Study

Table 4

Evaluation results.
(a)

GuidelineScope and purposeStakeholder involvementRigour of developmentClarity of presentationApplicabilityEditorial independenceNumbers of domain (≥60%)Numbers of domain (≥30%)

ASA/AHA, 201865.2856.9480.2191.6728.1383.3345
NSF, 201787.5095.8381.7783.3369.7993.7566
CSBPR, 201675.9372.2267.3690.7456.9410056
ASA/AHA, 201677.7862.9641.6774.0731.9410046
RCP, 201688.8986.1180.2183.3359.3897.9256
CSBPR, 201575.9372.2267.3690.7456.9410056

(b)

Items (expert consensus)Evaluation (yes/no/unclear/not applicable)

Is the source of the opinion clearly identified?Yes
Does the source of opinion have standing in the field of expertise?Yes
Are the interests of the relevant population the central focus of the opinion?Yes
Is the stated position the result of an analytical process, and is there logic in the opinion expressed?Yes
Is there reference to the extant literature?Yes
Is any incongruence with the literature/sources logically defended?No

(c)

Items (systematic review)EngSaundersGravenGinkelHackettFirthGoyalLyuZouZouAuWaits

Did the research questions and inclusion criteria for the review include the components of PICO?YesYesYesNoYesYesYesYesYesYesYesYes
Did the report of the review contain an explicit statement that the review methods were established prior to the conduct of the review and did the report justify any significant deviations from the protocol?NoYesNoNoYesYesNoYesYesNoNoNo
Did the review authors explain their selection of the study designs for inclusion in the review?YesYesYesNoYesYesYesYesYesYesNoNo
Did the review authors use a comprehensive literature search strategy?YesYesPartial YesPartial YesYesYesPartial yesPartial yesPartial yesPartial yesPartial yesYes
Did the review authors perform study selection in duplicate?YesYesYesNoYesYesYesYesYesYesYesYes
Did the review authors perform data extraction in duplicate?YesYesNoNoYesNoYesYesYesYesYesYes
Did the review authors provide a list of excluded studies and justify the exclusions?NoYesNoNoYesYesNoNoNoNoNoNo
Did the review authors describe the included studies in adequate detail?YesYesYesYesYesYesYesYesYesYesNoYes
Did the review authors use a satisfactory technique for assessing the risk of bias (RoB) in individual studies that were included in the review?YesYesYesNoYesPartial YesYesYesYesYesYesYes
Did the review authors report on the sources of funding for the studies included in the review?NoNoNoNoNoNoNoNoNoNoNoNo
If meta-analysis was performed, did the review authors use appropriate methods for statistical combination of results?YesYesYesNo meta-analysisYesYesYesYesYesYesYesYes
If meta-analysis was performed, did the review authors assess the potential impact of RoB in individual studies on the results of the meta-analysis or other evidence synthesis?YesYesYesNo meta-analysisYesYesYesYesYesYesYesYes
Did the review authors account for RoB in individual studies when interpreting/discussing the results of the review?YesYesYesNoYesYesYesYesYesYesYesYes
Did the review authors provide a satisfactory explanation for, and discussion of, any heterogeneity observed in the results of the review?YesYesYesNoYesYesYesYesYesYesYesYes
If they performed quantitative synthesis did the review authors carry out an adequate investigation of publication bias (small study bias) and discuss its likely impact on the results of the review?NoYesNoNoYesYesYesNoNoNoNoNo
Did the review authors report any potential sources of conflict of interest, including any funding they received for conducting the review?YesYesNoYesYesNoYesYesYesYesYesYes

These five systematic reviews are mentioned in the evidence summary of JBI.
(d)

Items (randomized controlled trial)VahlbergJohanssonDanseur

Was true randomization used for assignment of participants to treatment groups?YesUnclearYes
Was allocation to treatment groups concealed?YesNoYes
Were treatment groups similar at the baseline?UnclearYesYes
Were participants blind to treatment assignment?NoNot ApplicableNot Applicable
Were those delivering treatment blind to treatment assignment?NoNot ApplicableNot Applicable
Were outcomes assessors blind to treatment assignment?YesNoNo
Were treatment groups treated identically other than the intervention of interest?YesYesYes
Was follow-up complete and if not, were differences between groups in terms of their follow-up adequately described and analyzed?YesNoNo
Were participants analyzed in the groups to which they were randomized?YesNoNo
Were outcomes measured in the same way for treatment groups?YesYesYes
Were outcomes measured in a reliable way?YesYesYes
Was appropriate statistical analysis used?YesYesYes
Was the trial design appropriate, and any deviations from the standard RCT design (individual randomization, parallel groups) accounted for in the conduct and analysis of the trial?YesYesYes

(e)

Items (cross-sectional study)VerdonschotZhi

Were the criteria for inclusion in the sample clearly defined?YesYes
Were the study subjects and the setting described in detail?YesYes
Was the exposure measured in a valid and reliable way?YesYes
Were objective, standard criteria used for measurement of the condition?YesYes
Were confounding factors identified?YesNo
Were strategies to deal with confounding factors stated?YesNo
Were the outcomes measured in a valid and reliable way?YesYes
Was appropriate statistical analysis used?YesYes