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Cochrane [NAME ] Group

Review proposal form : intervention reviews
 

Version 5, April 2014 Replace or delete all text in pink. Modify as necessary before use.

 

Please complete this form to outline your proposal for a Cochrane systematic review. Email the completed form to [email address] , or send to [name] , Managing Editor, Cochrane XXX Group, [postal address] . Ph: + XX XXXXXXXXX Fax: + XX XXXXXXXXX .

Before completing this form:

 

Proposed title

(see Handboo k s e ction 4.2.1 )

 

 

Contact person

(see Handbook Chapter 4.2.3 )

Name:

 

 

Review proposal and inclusion criteria

(see Handb o ok C h apter 5 )

Motivation for the review:

 

Review objective:

 

Types of study: ( section 5.5 )

 

Participants / population: ( section 5 .2 )

 

Intervention: ( section 5.3 )

 

Comparison:

Outcomes and adverse effects: ( section 5.4 )

Primary:

Secondary:

Subgroup analyses:  ( section 9.6 )

 

Other information:

 

Related Cochrane reviews, protocols or registered titles

 


Authors' responsibilities

By completing this form, you accept responsibility for preparing, maintaining and updating the review in accordance with Cochrane policy. The Cochrane Review Group (CRG) will provide as much support as possible to assist with the preparation of the review.

A draft protocol must be submitted to the CRG within six months. If drafts are not submitted before the agreed deadlines, or if we are unable to contact you for an extended period, the CRG has the right to de register the title or transfer the title to alternative authors. The CRG has the right to de register or transfer the title if it does not meet the standards of the CRG and/or The Cochrane Collaboration.

You accept responsibility for maintaining the review in light of new evidence, comments and criticisms, and other developments, and updating the review at least once every two years, or, if requested, transferring responsibility for maintaining the review to others as agreed with the CRG.

Publication in the Cochrane Database of Systematic Reviews

The support of the CRG in preparing your review is conditional upon your agreement to publish the protocol, finished review and subsequent updates the Cochrane Database of Systematic Reviews . By completing this form you undertake to publish this review in the Cochrane Database of Systematic Reviews before publishing elsewhere (concurrent publication in other journals may be allowed in certain circumstances with prior permission from the CRG)

I understand the commitment required to undertake a Cochrane Review, and agree to publish first in the Cochrane Database of Systematic Reviews .

Signed on behalf of the authors:

Form completed by:

Date:

 


Declaration of interest

Cochrane's general policy states: "Cochrane Reviews must be free of any real or perceived bias introduced by any financial relationships or other relationships or activities that readers could perceive to have influenced, or that give the appearance of potentially influencing the Cochrane Protocol or Review." (see Cochrane Editorial and Publishing Policy Resource: Conflicts of interest and Cochrane Reviews ).

Do the authors have any potential conflict of interest? Yes No

If yes, what are they?

 

 

Review context

Is the review subject to any specific funding?

 

Is there a deadline for completing the review?

 

Has the review already been completed or published elsewhere?

 

 

Proposed deadlines

Date you plan to submit a draft protocol: (within 6 months)

 

Date you plan to submit a draft review: (within 12 months)

 

 

Review authors

(see Handbook sectio n 4.2.2 )

Each person named as an author must make a substantial contribution to the conception and design, or analysis and interpretation of the data in the review. Please attach a brief CV for each author.

 


Contact person / Author 1

(see Handbook secti o n 4.2.3 )

Is the contact person an author of the review?

Yes No

Prefix (e.g. Ms, Dr):

 

Given name ( 名字 míngzi):

 

Middle initial(s):

 

Family name ( xìng):

 

Suffix (e.g. MD, PhD):

 

Web address:

 

Preferred full name for review byline:

e.g. John Smith = Smith JB; Chen Ming Yu = Chen MY

Do you already have a user account and password for the Archie database?

Yes No

Email address(es):

1)

2)

Job Title/Position:

 

Department:

 

Organisation:

 

Street/Address:

 

City:

 

Post/Zip code:

 

State/Province:

 

Country:

 

Telephone number:

 

Fax number:

 

Mobile/cell number:

 

Privacy:

As the contact person, your address and email will be published with the completed protocol or review. Your details will be stored on our central database, known as 'Archie', and may be accessed by Cochrane contributors. See Archie Privacy Policy . Within Archie, would you like to:

Hide your address and phone numbers: Hide your email address:

Country of origin:

 

Gender:

Female Male

What expertise do you bring to the review? (e.g. clinical, review methods, statistics)

 

Have you prepared a systematic review before?

Yes No

If yes, have you prepared a Cochrane Review?

If yes, please state most recent title:

Yes No

Are you already a member of another Cochrane Review Group?

If yes, which one(s)?

Yes No

At what level are you able to speak and write English?

 

Translating trials published in languages other than English is a vital role in Cochrane. If you speak any other languages and would be willing to do partial translations on behalf of other author teams, please let us know.

I would be willing to assist with translation of clinical trials published in the following language(s):

 


Author 2

You must have at least two authors to register a title. Copy this table for additional authors.

Prefix (e.g. Ms, Dr):

 

Given name ( 名字 míngzi):

 

Middle initial(s):

 

Family name ( xìng):

 

Suffix (e.g. MD, PhD):

 

Web address:

 

Preferred full name for review byline:

e.g. John Smith = Smith JB; Chen Ming Yu = Chen MY

Do you already have a user account and password for the Archie database?

Yes No

Email address(es):

1)

2)

Job Title/Position:

 

Department:

 

Organisation:

 

Street/Address:

 

City:

 

Post/Zip code:

 

State/Province:

 

Country:

 

Telephone number:

 

Fax number:

 

Mobile/cell number:

 

Privacy:

Your details will be stored on our central database, known as 'Archie', and may be accessed by Cochrane contributors. See Archie Privacy Policy .

Within Archie, would you like to:

Hide your address and phone numbers: Hide your email address:

Country of origin:

 

Gender:

Female Male

What expertise do you bring to the review? (e.g. clinical, review methods, statistics)

 

Have you prepared a systematic review before?

Yes No

If yes, have you prepared a Cochrane Review?

If yes, please state most recent title:

Yes No

Are you already a member of another Cochrane Review Group?

If yes, which one(s)?

Yes No

At what level are you able to speak and write English?

 

Translating trials published in languages other than English is a vital role in Cochrane. If you speak any other languages and would be willing to do partial translations on behalf of other author teams, please let us know.

I would be willing to assist with translation of clinical trials published in the following language(s):

 


Roles and responsibilities

Please advise who has agreed to undertake each of the following tasks:

Draft the protocol

 

Develop and run the search strategy

CRG to note if TSC will perform these tasks.

Obtain copies of studies

 

Select which studies to include (2 people)

 

Extract data from studies (2 people)

 

Enter data into RevMan

 

Carry out the analysis

 

Interpret the analysis

 

Draft the final review

 

Update the review

 

 

Team resources

Have you read the Cochrane Handbook for Systematic Reviews of Interventions ? (see handbook.cochrane.org )

Yes No

Do you require training?

If yes, on which topics?

Yes No

Have you attended a Cochrane Review training workshop?

If no, do you plan to?
( see www.cochrane.org/tags/news-events/workshops )

Which workshop did you/will you attend?

Yes No

Yes No

Which computer operating system do you use?

 

Have you downloaded and installed RevMan, the Cochrane review software? (see tech.cochrane.org/revman )

Yes No

Have you seen the Cochrane XXX Review Group website (see XXX )?

Yes No

Do you have access to these databases:

The Cochrane Library

MEDLINE

EMBASE

 

Yes No

Yes No

Yes No

Do you have access to a medical library?

If yes, can you order journal articles not held in the library?

Do you have access to advice from a medical librarian?

Yes No

Yes No

Yes No

Do you have access to reference management software (e.g. Endnote)?

If yes, which software, and what version?

Yes No

Do you have access to a statistician?

If yes, who?

Yes No

Do you have contact with consumer groups relevant to this review?

If yes, which one(s)?

Yes No

Have you identified appropriate time and resources to complete the review?

Yes No

Would you like to be assigned a mentor (an experienced author who has volunteered to help new authors)?

Yes No


Notes for authors completing the Review Proposal Form

Proposed Title

There are standard formats for Cochrane review titles (see Handbook section 4.2.1 ). Examples include:

  • [intervention] FOR [health problem / issue]
    e.g. St John’s wort for major depression
  • [intervention A] VERSUS [intervention B] FOR [health problem/ issue]
    e.g. Surgical versus non-surgical management for abdominal injury
  • [intervention] FOR [health problem/issue] IN [participant group]
    e.g. Interventions for preventing obesity in children

Reason for the Review

Why are you proposing to undertake this review? For example, is this review going to be part of a Masters or Doctorate; is it part of a larger project; is it particularly topical at the present time?

Description of proposal

Your proposal should not overlap with an existing Cochrane review. For a list of publications and registered titles, go to Cochrane Summaries . For further information, see Handbook chap t er 5 .

Objective

Give a short statement of the primary aim of the review, e.g. to assess the effects of your intervention.

Types of study

Outline the types of study that will be included in the review. Most Cochrane reviews of interventions focus on randomised controlled trials (RCTs). Are there any specific reasons why your review would need to include non-randomised studies? See Handbook section 5.5 .

Participants

Outline the types of populations to be included and excluded, with thought given to aspects such as demographic factors, the type/stage of disease/condition, or their setting. See Handbook section 5.2 .

Interventions and comparisons

Outline the details of the intervention you wish to investigate. Consider the dose, intensity, mode of delivery, and combinations of interventions. Are there variations you wish to exclude? What will the intervention be compared to, e.g. placebo, no intervention, standard care? See Handbook section 5.3 .

Outcomes

List the primary and secondary outcomes you wish to measure, including outcomes important to those experiencing the disease/condition as well as those treating them. Give thought to the inclusion of adverse effects as a primary outcome. Also consider how your outcomes may be measured, e.g. the type of scale or count likely to be used, and the timing of the measurement. See Handbook s e ction 5.4 .

Subgroup analyses

Outline any subgroups you plan to investigate for their influence on the size of the treatment effect, e.g. subgroups of the population, variations of the intervention, etc (see Handbook section 9.6 ).

Other information relevant to this proposal

Outline any other factors you plan to consider in your review, or other information you would like to provide, e.g. relevance to consumers, how this review complements other published Cochrane reviews.

Authors

Provide contact details for everyone who you expect to be an author of the review. For more information on authorship, see Handbook section 4.2.2 . You should have at least two authors, and should include someone with relevant content area expertise and someone with experience in writing a systematic review. Your team must possess, or have access to, the statistical skills required to extract, manipulate and interpret data from the included studies. Incorporating the perspectives of those affected by the intervention is highly recommended. Authors are responsible for ensuring the review will be updated in future.

Contact person

This person will be responsible for contact with the Review Group on behalf of the author team. The contact person does not have to be an author themselves. Contact details for this person will be published with the completed protocol or review. For more details, see Handbook section 4.2.3