Exploring Local Literature Bias: A Critical Evaluation of Iranian Trials on the Efficacy of Psychotherapy for Chronic Pain
Publish place: Hospital Practices and Research، Vol: 8، Issue: 1
Publish Year: 1402
نوع سند: مقاله ژورنالی
زبان: English
View: 58
This Paper With 12 Page And PDF Format Ready To Download
- Certificate
- من نویسنده این مقاله هستم
استخراج به نرم افزارهای پژوهشی:
شناسه ملی سند علمی:
JR_HPR-8-1_002
تاریخ نمایه سازی: 6 آبان 1402
Abstract:
Background: Seeking local evidence on treatment efficacy is necessary if cultural factors are involved, as in psychotherapy for Chronic Pain (CP). Yet, local evidence is known to be prone to bias, making it difficult to reach reliable conclusions.Objectives: This study aimed to critically evaluate our local evidence on the efficacy of psychotherapy on quality of life and disability in CP. It has been elaborated that, with some requirements, common meta-analytic tools can be utilized to detect and correct local evidence bias.Methods: The protocol was registered on PROSPERO, Record [deleted for blind review]. Elmnet, Pubmed, and ProQuest were searched for randomized trials. A multilevel meta-analysis was used to capture the hierarchical structure of the data, and robust variance estimation was used for inference. Several moderation analyses were conducted, and publication and other related sources of bias were examined.Results: Forty-two trials were initially included. Six were excluded before the analysis due to serious reporting problems undermining their validity. The SMD from ۱۸۵ effect sizes was ۱.۰۸ [.۸۷, ۱.۳]. The funnel plot showed a strong bias. The bias-corrected estimate from a regression-based method was ۰.۴۵ [۰.۰۴, ۰.۸۷], and from the trim-and-fill was ۰.۷۵ [۰.۴۸, ۱.۰].Conclusion: While our original estimate was large, the corrected estimation showed a medium effect, fairly comparable to the international estimates. Current evidence on different sources of bias in our literature suggests low quality and questionable research practice as the first suspects for our local evidence bias.
Keywords:
Authors
Ali Zia-Tohidi
Faculty of Management and Accounting, Farabi Campus, University of Tehran, Qom, Iran
Zahra Shamshiri
Faculty of Management and Accounting, Farabi Campus, University of Tehran, Qom, Iran
Fatemeh Askari
Faculty of Management and Accounting, Farabi Campus, University of Tehran, Qom, Iran
Manijeh Firoozi
Department of Psychology, Faculty of Psychology and Education, University of Tehran, Tehran, Iran