气候变化与健康研究证据评估工具（CHANGE）
The CHANGE (Climate Health ANalysis Grading Evaluation) tool for weight of evidence reviews on climate change and health research.
机构信息
Department of Epidemiology, Mailman School of Public Health, Columbia University, 722 W 168th St, New York, NY, 10032, USA.
Soil and Crop Sciences, School of Integrative Plant Science, College of Agriculture and Life Sciences, Cornell University, Ithaca, NY, USA.
出版信息
Environ Health. 2024 Jan 19;23(1):7. doi: 10.1186/s12940-023-01040-4.
BACKGROUND
Climate change has been identified as one of the biggest threats to human health. Despite this claim, there are no standardized tools that assess the rigor of published literature for use in weight of evidence (WOE) reviews. Standardized assessment tools are essential for creating clear and comparable WOE reviews. As such, we developed a standardized tool for evaluating the quality of climate change and health studies focused on evaluating studies that quantify exposure-response relationships and studies that implement and/or evaluate adaptation interventions.
METHODS
The authors explored systematic-review methodology to enhance transparency and increase efficiency in summarizing and synthesizing findings from studies on climate change and health research. The authors adapted and extended existing WOE methods to develop the CHANGE (Climate Health ANalysis Grading Evaluation) tool. The resulting assessment tool has been refined through application and subsequent team input.
RESULTS
The CHANGE tool is a two-step standardized tool for systematic review of climate change and health studies of exposure-response relationships and adaptation intervention studies. Step one of the CHANGE tool aims to classify studies included in weight-of-evidence reviews and step two assesses the quality and presence of bias in the climate change and health studies.
CONCLUSION
The application of the CHANGE tool in WOE reviews of climate change and health will lead to increased comparability, objectivity, and transparency within this research area.
背景
气候变化已被确定为对人类健康的最大威胁之一。尽管有此说法，但目前尚无用于评估证据权重 (WOE) 综述中已发表文献严谨性的标准化工具。标准化评估工具对于创建清晰且可比的 WOE 综述至关重要。因此，我们开发了一种标准化工具，用于评估侧重于评估量化暴露-反应关系的研究和实施和/或评估适应干预措施的气候变化与健康研究的质量。
方法
作者探索了系统评价方法，以提高气候变化与健康研究的综述和综合研究结果的透明度和效率。作者改编和扩展了现有的 WOE 方法，以开发 CHANGE（气候健康分析分级评估）工具。该评估工具通过应用和随后的团队投入进行了改进。
结果
CHANGE 工具是一种用于评估暴露-反应关系和适应干预研究的气候变化与健康研究的系统评价的两步标准化工具。CHANGE 工具的第一步旨在对纳入证据权重综述的研究进行分类，第二步评估气候变化与健康研究的质量和存在的偏倚。
结论
在气候变化与健康的 WOE 综述中应用 CHANGE 工具将提高该研究领域的可比性、客观性和透明度。
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