Reading summary #2 short assignment
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Meeting the Challenges of Evidence-Based Policy:
The Campbell Collaboration
By ANTHONY PETROSINO, ROBERT F. BORUCH, HALUK SOYDAN, LORNA DUGGAN, and JULIO SANCHEZ-MECA
Anthony Petrosino is a research fellow at the Center of Evaluation, American Acad- emy of Arts and Sciences and coordinator for the Campbell Crime and Justice Group.
Robert F. Boruch is University Trustee Professor at the University of Pennsylvania Graduate School of Education and cochair of the Campbell Collaboration Steering Group.
Haluk Soydan is the director of the Center for Evaluation at the Center for Evalua- tion, Swedish National Board of Health and Welfare and a cochair of the Campbell Col- laboration Steering Group.
Lorna Duggan is a forensic psychiatrist in the United Kingdom and reviewer for the Cochrane Collaboration.
Julio Sanchez-Meca is a psychology professor at the University of Murcia in Spain and the director of the Unit for Meta-Analysis.
ABSTRACT: Evidence-based policy has much to recommend it, but it also faces significant challenges. These challenges reside not only in the dilemmas faced by policy makers but also in the quality of the evaluation evidence. Some of these problems are most effectively ad- dressed by rigorous syntheses of the literature known as systematic reviews. Other problems remain, including the range of quality in systematic reviews and their general failure to be updated in light of new evidence or disseminated beyond the research community. Based on the precedent established in health care by the international Cochrane Collaboration, the newly formed Campbell Collaboration will prepare, maintain, and make accessible systematic reviews of re- search on the effects of social and educational interventions. Through mechanisms such as rigorous quality control, electronic publication, and worldwide coverage of the literature, the Campbell Collaboration seeks to meet challenges posed by evidence-based policy.
NOTE: We appreciate the assistance of Maureen Matkovich and colleagues at the National Criminal Justice Reference Service who supplied the data in Figure 1. The first author’s work was supported by grants from the Mellon Foundation to the Center for Evaluation and from the Home Office to Cambridge University. Thanks to Brandon C. Welsh for his comments on earlier drafts of the article.
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DONALD Campbell (1969) was aninfluential psychologist who wrote persuasively about the need for governments to take evaluation evidence into account in decisions about social programs. He also recog- nized, however, the limitations of the evidence-based approach and the fact that government officials would be faced with a number of political di- lemmas that confined their use of re- search. The limits of evidence-based
policy and practice, however, reside not only in the political pressures faced by decision makers when im- plementing laws and administrative directives or determining budgets; they also reside in problems with the research evidence.
Questions such as, What works to reduce crime in communities? are not easily answered. The studies that bear on these questions are often scattered across different fields and written in different languages, are sometimes disseminated in obscure or inaccessible outlets, and can be of such questionable quality that inter- pretation is risky at best. How can policy and practice be informed, if not persuaded, by such a fragmented knowledge base comprising evalu- ative studies that range in quality? Which study, or set of studies, if any at all, ought to be used to influence policy? What methods ought to be used to appraise and analyze a set of separate studies bearing on the same question? And how can the findings be disseminated in such a way that the very people Donald Campbell cared about-the decision makers in
government and elsewhere-receive findings from these analyses that
they trust were not the product of advocacy?
Donald Campbell unfortunately did not live long enough to bear wit- ness to the creation of the interna- tional collaboration named in his honor that ambitiously attempts to address some of the challenges posed by evidence-based policy. The Camp- bell Collaboration was created to pre- pare, update, and disseminate sys- tematic reviews of evidence on what works relevant to social and educa- tional intervention (see http:// campbell.gse.upenn.edu). The target audience will include decision makers at all levels of government, practitioners, citizens, media, and researchers.
This article begins with a discus- sion of the rationale for the Campbell Collaboration. We then describe the precedent established by the Cochrane Collaboration in health care. This is followed by an overview of the advent and early progress of the Campbell Collaboration. We con- clude with the promise of the Camp- bell Collaboration in meeting the challenges posed by evidence-based policy.
RATIONALE
Surge of interest in evidence-based policy There are many influences on
decisions or beliefs about what ought to be done to address problems like crime, illiteracy, and unemployment. Influential factors include ideology, politics, costs, ethics, social back- ground, clinical experience, expert opinion, and anecdote (for example,
16
Lipton 1992). The evidence-based approach stresses moving beyond these factors to also consider the results of scientific studies. Although few writers have articulated the deterministic view that the term &dquo;evidence-based&dquo; suggests, it is clear that the vast majority of writers argue that decision makers need to- at the very least-be aware of the research evidence that bears on poli- cies under consideration (for exam-
ple, Davies, Nutley, and Smith 2000). Certainly the implicit or explicit goal of research-funding agencies has always been to influence policy through science (Weiss and Petrosino 1999), and there have always been individuals who have articulated the need for an evidence-based approach (for example, Fischer 1978). But there has been a surge of interest, particularly in the 1990s, in argu- ments for research-, science-, or evi- dence-based policy (for example, Amann 2000; Boruch, Petrosino, and Chalmers 1999; Nutley and Davies 1999; Wiles 2001). One indirect gauge of this surge is
the amount of academic writing on the topic. For example, in Sherman’s (1999) argument for evidence-based policing, decisions about where to target police strategies would be based on epidemiological data about the nature and scope of problems. The kinds of interventions employed, and how long they were kept in place, would be guided by careful eval- uative studies, preferably random- ized field trials. Cullen and Gendreau (2000) and MacKenzie (2000) are among those who made similar arguments about correc- tional treatment. Davies (1999), Fitz-
Gibbon (1999), MacDonald (1999), and Sheldon and Chilvers (2000), among others, articulated views about evidence-based education and social welfare.
A more persuasive indicator that evidence-based policy is having some impact is initiatives undertaken by governments since the late 1990s. Whether due to growing pragmatism or pressures for accountability on how public funds are spent, the evidence-based approach is begin- ning to take root. For example, the United Kingdom is promoting evidence-based policy in medicine and the social sectors vigorously (for example, Davies, Nutley, and Smith 2000; Wiles 2001). In 1997, its Labour government was elected using the slogan, &dquo;What counts is what works&dquo; (Davies, Nutley, and Smith 2000). The 1998 U.K. Crime Reduction Programme was greatly influenced by both the University of Maryland report to Congress on crime prevention (Sherman et al.
1997) and the Home OfBce’s own syn- theses (Nuttall, Goldblatt, and Lewis 1998). In Sweden, the National Board of Health and Welfare was commissioned by the government to draft a program for advancing knowledge in the social services to ensure they are evidence based (National Board of Health and Wel- fare 2001).
In the United States, the Govern- ment Performance and Review Act of 1993 was implemented to hold fed- eral agencies responsible for identi- fying measurable objectives and reaching them. This has led to the development of performance indica- tors to assess whether there is value
17
added by agencies. The 1998 reauthorization of the Safe and Drug Free Schools and Communities Act
required that programs funded under the law be research based. The news media now commonly ask why police are not using research-based eyewitness identification techniques (Gawande 2001) or why schools use ineffective drug prevention pro- grams (for example, Cohn 2001).
All of these signs seem to indicate more than a passing interest in evi- dence-based policy. As Boruch (1997) noted, different policy questions require different types of scientific evidence. To implement the most effective interventions to ameliorate
problems, careful evaluations are needed. An evidence-based approach to what works therefore requires that these evaluations be gathered, appraised, and analyzed and that the results be made accessible to influ- ence relevant decisions whenever
appropriate and possible.
Challenges to evidence-based policy: Evaluation studies
If evidence-based policy requires that we cull prior evaluation studies, researchers face significant chal- lenges in doing so. For one, the rele- vant evaluations are not tidily reported in a single source that we can consult. Instead they are scat- tered across different academic fields. For example, medical, psycho- logical, educational, and economic researchers more routinely include crime measures as dependent vari- ables in their studies (for example, Greenberg and Shroder 1997). These evaluations are as relevant as those
reported in justice journals.
Coinciding with fragmentation, evaluation studies are not regularly published in academic journals or in outlets that are readily accessible. Instead a large percentage of evaluative research resides in what
Sechrest, White, and Brown (1979) called the fugitive literature. These are government reports, disserta- tions and master’s theses, conference papers, technical documents, and other literature that is difficult to obtain. Lipsey (1992), in his review of delinquency prevention and treat- ment studies, found 4 in 10 were reported in this literature. Although some may argue that unpublished studies are of lesser quality because they have not been subjected to blind peer review as journal articles are, this is an empirical question worthy of investigation. Such an assertion, at the very least, ignores the high- quality evaluations done by private research firms. Evaluators in such entities do not have organizational incentives to publish in peer- reviewed journals, as professors or university-based researchers do.
Relevant studies are not reported solely within the confines of the United States or other English- speaking nations. Recently the Kellogg Foundation supported an international project that has identi- fied more than 30 national evalua- tion societies, including those in Brazil, Ghana, Korea, Sri Lanka, Thailand, and Zimbabwe (see http:// home.wmis.net/~russon/icce/ /
eorg.htm). One argument is that it is not important to consider evalua- tions conducted outside of one’s
jurisdiction because the cultural con- text will be very different. This is
18
FIGURE 1 CUMULATIVE GROWTH OF EVALUATION STUDIES:
NATIONAL CRIMINAL JUSTICE REFERENCE SERVICE DATABASE
SOURCE: The National Criminal Justice Reference Service (www.ncjrs.org).
another assertion worthy of empiri- cal test. Harlen (1997) noted that many in education believe evaluative studies and findings from different jurisdictions are not relevant to each other. This ignores the reality that interventions are widely dissemi- nated across jurisdiction without concern for context. For example, the officer-led drug prevention program known as D.A.R.E. (Drug Abuse Resistance Education) is now in 44 nations (Weiss and Petrosino 1999). Harlen (1997) suggested that we must investigate the role of context across these evaluations. This is most effectively done through rigor- ous research reviews. Such reviews, however, are difficult with interna- tional literature without translation
capabilities.
Another challenge to gathering evaluative studies is that there is no finite time by which the production of this evidence stops. Research, includ- ing evaluation, is cumulatively increasing (Boruch, Petrosino, and Chalmers 1999). An example is pro- vided in Figure 1. Consider the cumulative growth of studies in- dexed either as evaluation or as evaluative study by the National Criminal Justice Reference Service for its database of abstracts. The data underscore the challenge faced in coping with the burgeoning evalua- tion literature.
It would be good to identify and acquire all relevant evaluations and keep abreast of new studies as they become available. It would be even better if all evaluations were of
19
similar methodological quality and came to the same conclusion about the effectiveness of the intervention.
Unfortunately not all evaluations are created equal. The results across studies of the same intervention will often differ, and sometimes those dif- ferences will be related to the quality of the methods used (see Weisburd, Lum, and Petrosino 2001). This high- lights the importance of appraising evaluation studies for methodologi- cal quality.
Challenges to evidence-based policy: Reviewing methods
But what is the best way to draw
upon these existing evaluation stud- ies to understand what works and
develop evidence-based policy? Cer- tainly, relying on one or a few studies when others are available is very risky because it ignores evidence. For example, relying on one study if five relevant studies have been com-
pleted means that we ignore 80 per- cent of the evidence (Cook et al.
1992). It is true that the one study we pick may be representative of all the other studies, but as mentioned pre- viously, studies in an area often con- flict rather than converge. Evalua- tion studies themselves are part of a sampling distribution and may differ because of chance probability. Until we do a reasonable job of collecting those other studies, an assertion of convergence based on an inadequate sampling of studies is unsupported.
Criminologists have generally understood the problem of drawing conclusions from incomplete evi- dence and have a half century’s expe- rience in conducting broad surveys of the literature to identify relevant
evaluations (for example, Bailey 1966; Kirby 1954; Lipton, Martinson, and Wilks 1975; Logan 1972; Witmer and Tufts 1954). Although a few of these earlier syntheses were remark- ably exhaustive, the science of reviewing that developed in the 1970s focused attention on the meth-
ods used in reviews of research.
Methods for analyzing separate but similar studies have a century of
experience (Chalmers, Hedges, and Cooper in press), but it was not until the 1970s that reviews became scru- tinized like primary reports of sur- veys and experiments. This was ironic, as some of the most influential and widely cited articles across fields were literature reviews (Chalmers, Hedges, and Cooper in press). Begin- ning in the 1970s, not only were the traditional reviews of evaluations under attack, but the modern statis- tical foundation for meta-analysis or quantitative analysis of study results was also being developed (for example, Glass, McGaw, and Smith 1981; Hedges and Olkin 1985). Research confirmed that traditional
reviews, in which researchers make relative judgments about what works by using some unknown and inexplicit process of reasoning, were fraught with potential for bias (Coo- per and Hedges 1994). Quinsey (1983) underscored how such bias could affect conclusions about research following his review of research on sex offender treatment
effects: &dquo;The difference in recidivism across these studies is truly remark- able ; clearly by selectively contem- plating the various studies, one can conclude anything one wants&dquo; (101).
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One major problem noted with regard to traditional reviews was their lack of explicitness about the methods used, such as why certain studies were included, the search methods used, and how the studies were analyzed. This includes the cri- teria used to judge whether an inter- vention was effective or not. Consider the debate over the conclusions in the
Lipton, Martinson, and Wilks (1975) summary of more than 200 correc- tional program evaluations, briskly reported first by Martinson (1974). Despite finding that nearly half of the evaluations reported in Martin- son’s article had at least one statisti-
cally significant fmding in favor of treatment, his overall conclusions were gloomy about the prospects of correctional intervention. The crite- rion for success was not readily apparent, but it must have been strict (Palmer 1975). These earlier reviews, like
Martinson’s (1974), were also prob- lematic because they seemed to rely on statistical significance as the cri- terion for judging whether an inter- vention was successful. This later
proved to be problematic, as research showed that statistical significance is the function not only of the size of the treatment effect but of method-
ological factors such as sample size (for example, Lipsey 1990). For exam- ple, large and meaningful effects reported in studies with small sam- ples would be statistically insignifi- cant ; the investigator and traditional reviewer would consider the finding evidence that treatment did not suc- ceed. Given that most social science research uses small samples, moder- ate and important intervention
effects have often been interpreted as statistically insignificant and there- fore as treatment failures.
Systematic reviews
Evidence-based policy requires overcoming these and other prob- lems with the evaluation studies and methods for reviewing them. There is consensus among those who advo- cate evidence-based policy that sys- tematic reviews are an important tool in this process (Davies 1999; Nutley, Davies, and Tilley 2000). In systematic reviews, researchers attempt to gather relevant evalua- tive studies, critically appraise them, and come to judgments about what works using explicit, transparent, state-of-the-art methods. Systematic reviews will include detail about each stage of the decision process, including the question that guided the review, the criteria for studies to be included, and the methods used to search for and screen evaluation
reports. It will also detail how analy- ses were done and how conclusions were reached.
The foremost advantage of sys- tematic reviews is that when done well and with full integrity, they pro- vide the most reliable and compre- hensive statement about what works. Such a final statement, after sifting through the available research, may be, &dquo;We know little or nothing-proceed with caution.&dquo; This can guide funding agencies and researchers toward an agenda for a new generation of evaluation studies. This can also include feedback to
funding agencies where additional process, implementation, and theory-
21
driven studies would be critical to
implement. Systematic reviews, therefore, are
reviews in which rigorous methods are employed regardless of whether meta-analysis is undertaken to sum- marize, analyze, and combine study findings. When meta-analysis is
used, however, estimates of the aver- age impact across studies, as well as how much variation there is and why, can be provided. Meta-analysis can generate clues as to why some programs are more effective in some
settings and others are not. Meta- analysis is also critical in ruling out the play of chance when combining results (Hedges and Olkin 1985).
Systematic reviews have other byproducts. They can reconcile dif- ferences between studies. Because each study document is scrutinized, systematic reviews can underscore deficiencies in report writing and lead to better systems for collecting data required by reviewers. Reviews also ensure that relevant evalua- tions-which may have been ignored and long forgotten-are eternally utilized. It is satisfying to investiga- tors to find their studies still consid- ered 20 years or more after comple- tion (Petrosino forthcoming).
Systematic reviews have been influential. This is understandable, as Weiss (1978) predicted that policy makers would find good syntheses of research compelling because they would reconcile conflicting studies when possible and provide a compre- hensive resource for their aides to consult. Hunt (1997) discussed how the results from meta-analysis con- tradicted conclusions in earlier tradi- tional reviews, in areas such as
psychotherapy, class size, and school funding. Palmer (1994) noted that meta-analyses like Lipsey’s (1992) helped to counter the prevailing pes- simism about the efficacy of correc- tional treatment generated by ear- lier reviews.
Challenges to evidence- based policy: Current systematic reviews
There seems to be growing conver- gence among researchers and others that systematic reviews are a critical tool for evidence-based policy (for example, Nutley, Davies, and Tilley 2000). This is reflected in the deci- sion by the United Kingdom’s most prestigious social science funding agency, the Economic and Social Research Council, to support an evidence-based policy and practice initiative featuring systematic reviews (see http://www.esrc.ac.uk/ EBPesrcUKcentre.htm). On closer scrutiny, however, we find that there are some challenges to the use of sys- tematic reviews in evidence-based
policy as they are currently done. One problem is that there is often
a lack of transparency in the review process. Completed syntheses are generally submitted to peer- reviewed journals, long after the research question has been deter- mined and the methods selected.
Except for rare occasions in which reviewers submit a grant proposal for funding, researchers do not a pri- ori describe why they are doing the review and what methods they will employ. Without transparent pro- cesses from beginning to end, ex post facto decisions that can influence a review and slant it knowingly or
22
unknowingly toward one conclusion or another are possible. This is espe- cially important in persuading policy makers who want to be sure that research is not the product of slick advocacy.
Because there is no uniform qual- ity control process, systematic reviews, like evaluations, range on a continuum of quality. In some cases, the quality is due to the methods
employed. Some reviewers may use meta-analytic methods but inade- quately describe their decision pro- cess. Other reviews may detail ex- haustive search processes but then use questionable methods for analy- sis. It is difficult for even the discern-
ing reader to know how trustworthy the findings are from a particular review. In other cases, the quality of the review is due to the way it is
reported. Sometimes the nature of the outlet dictates how explicit and transparent the reviewers can be. Some reviews, particularly those pre- pared for academic print journals with concerns about page lengths, are briskly written. Dissertations and technical reports are usually very detailed but are less accessible to readers. Systematic reviews may all contain Materials and Methods sections, but the level of detail in each may vary depending on the dis- semination outlet.
Policy makers and other inter- ested users of research have a wide
range of questions about what works to which they want answers. Although funding agencies will spon- sor reviews at times to meet these information needs, reviews are gen- erally conducted because of the
interests of individual researchers. For example, in criminology, offender treatment has been a controversial and popular topic and the target of most systematic review activity (Petrosino 2000). Other important areas for review such as police train- ing, services for crime victims, court backlog interventions, and so on have been inadequately covered. Evi- dence-based policy requires that evaluations in these areas be synthe- sized, even if they are less relevant to longstanding criminological debates.
Even if reviews did cover many more questions than they currently do, they are often not disseminated in such ways that decision makers and the public can get them. All too often, reviews are published by academics in peer-reviewed journals, outlets that are not consulted by policy mak- ers. In fact, decision makers often get their information about research from news media, which can selec- tively cover only a few of the thou- sands of evaluative studies relevant to crime and justice reported each year (Weiss and Singer 1988). Tyden (1996) wrote that publishing an aca- demic paper to disseminate to policy makers was akin to shooting it over a wall, blindly, into water. The path to utilization by decision makers was haphazard at best.
To examine dissemination further, we analyzed the citations for 302 meta-analyses reported by Lipsey and Wilson (1993) of psychological and educational treatment studies.
Nearly two-thirds listed in the refer- ence section were published in aca- demic journals. These were scattered across 93 journals during the years
23
covered (1977-1991). Only the Review of Educational Research pub- lished an average of one review or more per year. Unless researchers were using other unknown mecha- nisms such as oral briefings and internal memos to communicate to decision makers, it seems very unlikely that this evidence got into the hands of anyone other than research specialists working in nar- row areas.
Most systematic reviews also tend to be one-off exercises, conducted only as funding, interest, or time per- mits. Rarely are they updated to take into account new studies that are rel- evant to the review, a challenge that is more significant given the cumula- tive growth of evaluation reports highlighted in Figure 1. Yet years may go by before an investigator pur- sues funding to update an existing review. The methodology and statis- tical foundation for meta-analysis is still rapidly evolving, with improved techniques and new software being developed to solve data problems. It is rare to find reviews that take into account these new techniques, con- ducting analyses to determine if results using different methods converge. Some reviewers publish in print
journals, an inefficient method for disseminating reviews. Because print journals find them too costly, cases in which reviewers take into account cogent criticisms by others and conduct reanalysis are rarely reported. Unlike medical journals, criminological journals do not have a strong tradition in routinely printing letters to the editor that respond to criticisms with additional analyses.
Some journals also have lengthy lag times between submission and publi- cation, delaying the dissemination of evidence even further.
THE COCHRANE COLLABORATION
Are there ways of overcoming challenges to using systematic reviews in evidence-based policy? A precedent for doing so was estab- lished in the health care field. Archie Cochrane was a noted epidemiologist who wrote persuasively about the need for medical practitioners to take scientific evidence into account in their practice. Cochrane (1972) lamented the fact that although ran- domized trials had shown some prac- tices to be effective and others harm-
ful, clinical practitioners and medical schools were ignoring the informa- tion. He later (Cochrane 1979) won- dered why the medical sciences had not yet organized all relevant trials into subspecialties so that decision makers could take such evidence into account. A prot6g6 of Cochrane, an obstetrician turned researcher named Iain Chalmers, soon identi- fied and reviewed randomized trials relevant to childbirth and prenatal interventions (see www.cochrane.
org). In the early 1990s, the U.K.
National Health Service (NHS), under the direction of Sir Michael
Peckham, initiated the Research and Development Programme with the goal of establishing an evidence- based resource for health care. Because of the success of their earlier
project on childbirth and pregnancy studies, Chalmers and his colleagues
24
were asked to extend this effort to all areas of health care intervention. The U.K. Cochrane Centre was estab-
lished, with core funding from the NHS, to begin the work. It soon
became clear that the amount of work far surpassed the capacity of one center or one nation to take into account. In 1993, in honor of his men- tor, Chalmers and his colleagues launched the international Cochrane Collaboration to &dquo;help people make well-informed decisions about healthcare by preparing, maintain- ing and promoting the accessibility of systematic reviews of the effects of healthcare interventions.&dquo; In just 8 years, the Cochrane Collaboration has been able to organize thousands of individuals worldwide to contrib- ute to its work. Much more informa- tion about the Cochrane Collabora- tion can be found at its Web site, www.cochrane. org. But the Cochrane Collaboration, in a very brief time, established a number of mechanisms to address challenges to using systematic reviews in evi- dence-based health care policy.
For example, collaborative review groups (CRGs) are responsible for the core work of systematic review- ing. CRGs are international net- works of individuals interested in
particular health areas such as breast cancer, epilepsy, injuries, and stroke. Each CRG has an editorial
board, generally comprising persons with scientific or practical expertise in the area, who are responsible for quality control of protocols (plans) and completed drafts of reviews.
It is useful to examine how a Cochrane review is prepared. First, individuals approach the CRG in
which the intended topic area seems appropriate. Once a title for the pro- posed review is agreed on, it is circu- lated to ensure that no other similar reviews are being prepared by reviewers from other CRGs. Reduc-
ing overlap and duplication is a cru- cial goal for the Cochrane Collabora- tion, as scarce resources must be used judiciously. Reviews are needed in so many areas of health care that wide coverage is a priority. Once the title is agreed on, the reviewers must then submit a protocol for the review. The protocol is a detailed plan that spells out a priori the question to be answered, the background to the issue, and the methods to be employed. The protocol then goes through a round or two of criticism by the CRG editors. It must conform to a certain template to facilitate elec- tronic publication using the
Cochrane Collaboration’s software, Review Manager, or RevMan. Once the protocol is approved, it is pub- lished in the next edition of the quar- terly electronic publication, the Cochrane Library, and made avail- able to all subscribers for comment and criticism. The editorial board must decide which criticisms should be taken into account.
The reviewers then prepare the review according to the protocol. Although deviation from the plan is sometimes necessary, the protocol forces a prospective, transparent pro- cess. Post hoc changes are readily detected, and analyses can be done to determine if they altered findings. After the reviewers conduct the review and write up a draft, it too is submitted to the CRG editorial board. Once the review draft is
25
completed, the editors critique it
again. It is also sent to external read- ers, including researchers as well as practitioners and patients. This round of criticism is designed to improve the methods in the review and to ensure that the final review is written as accessibly as possible to a nonresearch audience, including health care patients, providers, and citizens. For each completed Cochrane review, the Cochrane Con- sumer Network crafts a one-page synopsis written accessibly for patients and other consumers and posts the synopses at its Web site (see http://www.cochrane.org/cochrane/ consumer.htm). Once the review is approved, it is published in the next issue of the Cochrane Library and again made available for external criticism by subscribers. Again the editors and the reviewers have to determine which of these criticisms ought to be taken into account in a subsequent review update. Cochrane reviews must be updated every 2 years, to take into account new stud- ies meeting eligibility criteria.
Another important mechanism for the Cochrane Collaboration is the methods groups. These are interna- tional networks of individuals who conduct systematic reviews focused on the methods used in systematic reviews and primary studies. For example, a methods group might col- lect all systematic reviews in which randomized trials are compared to nonrandomized trials. In this review, they would seek to determine if there is a consistent relationship between the reporting of random assignment and results. Their objective is to
make sure that decisions in reviews, such as setting eligibility criteria, be informed as much as possible by evi- dence. The Cochrane Collaboration is also facilitated by 15 centers around the world; they promote the interests of the collaboration within host coun-
tries, train people in doing system- atic reviews, and identify potential collaborators and end users. Finally Cochrane fields and networks, such as the Cochrane Consumer Network, focus on dimensions of health care other than health problems and work to ensure that their priorities are reflected in systematic reviews.
The main product of the Cochrane Collaboration is the Cochrane
Library. This electronic publication is updated quarterly and made avail- able via the World Wide Web or
through CD-ROMs mailed to sub- scribers. The January 2001 issue con- tained 1000 completed reviews and 832 protocols (or plans for a review) in one central location using the same format. Wolf (2000) noted that the uniformity allows the reader to understand and fmd all of the neces-
sary information in each review, fa- cilitating training and use. Another important feature of the Cochrane Library is the Cochrane Controlled Trials Register (CCTR). The CCTR has more than a quarter million cita- tions to randomized trials relevant to health care, an important resource in assisting reviewers find studies so they can prepare and maintain their reviews.
Empirical studies have reported that Cochrane syntheses are more rigorous than non-Cochrane system- atic reviews and meta-analyses pub-
26
lished in medical journals. For exam- ple, Jadad and his colleagues (1998) found that Cochrane reviews pro- vided more detail, were more likely to test for methodological effects, were less likely to be restricted by lan- guage barriers, and were updated more than print journal reviews. The Cochrane Library is quickly becom- ing recognized as the best single source of evidence on the effective- ness of health care interventions
(Egger and Davey-Smith 1998). Reviews by the Cochrane Collabora- tion are frequently used to generate and support guidelines by govern- ment agencies such as the National Institute for Clinical Excellence (for example, see Chalmers, Hedges, and Cooper in press). In 1999, the U.S. National Institutes of Health made the Cochrane Library available to all 16000 of its employees. It is now accessible by all doctors in Brazil, the U.K. NHS, and all U.K. universities (Mark Starr, personal communica- tion, 2001). Finally the queen recog- nized Iain Chalmers for his efforts with the United Kingdom’s greatest honor: knighthood!
Thus the Cochrane Collaboration has been able to meet many of the
challenges posed by evidence-based policy in health care. By requiring detailed protocols, the Cochrane Col- laboration addresses the lack of
transparency in most systematic reviews of research. Through rigor- ous quality control, they produce commendable reviews. By publishing electronically, dissemination is
quickened, and the ability to update and correct the reviews in light of new evidence is realized. By provid-
ing an unbiased, single source for evi- dence and producing reviews, abstracts, and synopses for different audiences, they facilitate utilization.
THE CAMPBELL COLLABORATION
With the success of the Cochrane
Collaboration, the same type of orga- nization was soon suggested for re- viewing social and educational eval- uations. Adrian Smith (1996), president of the Royal Statistical So- ciety, issued a challenge when he said,
As ordinary citizens ... we are, through the media, confronted daily with contro- versy and debate across a whole spec- trum of public policy issues. Obvious topi- cal examples include education-what does work in the classroom?-and penal policy-what is effective in reducing reoffending? Perhaps there is an opportu- nity ... to launch a campaign directed at developing analogues to the Cochrane
Collaboration, to provide suitable evi- dence bases in other areas besides medi- cine [emphasis added]. (378)
A number of individuals across different fields and professions orga- nized and met to determine how best to meet this challenge. Several ex- ploratory meetings were held during 1999, including two headed by the School of Public Policy at University College-London, and one organized in Stockholm by the National Board of Health and Welfare. These meet-
ings, which included researchers and members of the policy and practice communities, provided evidence that the development of an infrastructure
27
similar to Cochrane’s for social and educational intervention including criminal justice should be vigorously pursued (Davies, Petrosino, and Chalmers 1999; www.ucl.ac.uk/spp/ publications/campbell.htm).
Early days and progress The Campbell Collaboration was
officially inaugurated in February 2000 at a meeting in Philadelphia, with more than 80 individuals from 12 nations participating. The Camp- bell Collaboration was founded on nine principles developed first by the Cochrane Collaboration (see Table 1). At the February 2000 inaugural meeting, it was agreed that the head- quarters (secretariat) should reside at the University of Pennsylvania. An international eight-member steering group was officially desig- nated to guide its early development.
The first three Campbell coordi- nating groups (similar to Cochrane’s CRGs) were created to facilitate sys- tematic reviews in their areas: edu-
cation, social welfare, and crime and justice. The Campbell Education Coordinating Group is focused on developing protocols and reviews in the following critical areas: truancy, mathematics learning, science learn- ing, information technology learning, work-related learning and transfer- able skills, assessment and learning, comprehensive school reform, school leadership and management, profes- sional education, and economics and education. The Campbell Social Wel- fare Coordinating Group has also organized itself into several areas: social work, transportation, housing, social casework with certain ethnic
clientele, child welfare, and
TABLE 1
PRINCIPLES OF THE
CAMPBELL COLLABORATION
SOURCE: C2 Steering Group (2001).
employment programs within the welfare system. The early progress of the Campbell Crime and Justice Coordinating Group is described elsewhere in this issue (see Farrington and Petrosino 2001). The Campbell Collaboration
Methods Group was developed to increase the precision of Campbell reviews by conducting reviews to investigate the role of methodologi- cal and statistical procedures used in systematic reviews, as well as char- acteristics in original studies (see httpJ/web.missouri.edu/~c2method). Three methods subgroups were cre- ated during the past year, including statistics, quasi-experiments, and
28
FIGURE 2 C2-SPECTR
SOURCE: Petrosino et al. (2000).
process and implementation sub- groups. In conjunction with the Campbell secretariat and the coordi- nating groups, the methods group has taken the lead in developing a preliminary quality control process based on the Cochrane model (see Appendix A). The Campbell Commu- nication and Dissemination Group will develop best practice in translat- ing results to a variety of end users, including policy makers, practitio- ners, media, and the public.
To facilitate the work of reviewers, the Campbell Collaboration Social, Psychological, Educational and Criminological Trials Register (C2- SPECTR) is in development. As
Figure 2 shows, preliminary work toward C2-SPECTR has already identified more than 10000 citations to randomized or possibly ran- domized trials (Petrosino et al. 2000), and this has now been augmented with new additions to the data file. Like the CCTR in health care, C2- SPECTR should serve as a produc- tive resource and facilitate prepara- tion and maintenance of reviews. Plans to build a complimentary data- base of nonrandomized evaluations are being discussed.
During 2000, Campbell and Cochrane groups mutually partici- pated in the NHS Wider Public Health Project (see www.york.ac.uk/
29
crd/publications/wphp.htm), an attempt to collate evidence from sys- tematic reviews relevant to the United Kingdom’s intended health policies. As the NHS now considers education, social welfare, and crimi- nal justice directly or indirectly related to public health, Campbell groups were involved (for example, Petrosino 2000). Several hundred
systematic-or possibly system- atic-reviews were identified in these areas and can now be used to
help us map the terrain and identify target areas where high-quality reviews are needed.
Funding from the Ministry of Social Affairs of Denmark has been
acquired to establish a Campbell Center in Copenhagen to facilitate efforts in the Nordic region. Resources have also been secured to create the Meta-Analysis Unit at the University of Murcia in Spain (see http://www.um.es/sip/unidadmal. html), the first step in developing a Campbell Center for Mediterranean nations. Objectives of these centers include facilitating reviews through training, identifying end users and collaborators, and promoting dissem- ination and utilization.
These are just a few of the many developments in the early days of the Campbell Collaboration. Although the collaboration anticipates creat- ing an electronic publication that will make available C2-SPECTR and other helpful resources, its critical product will be high-quality system- atic reviews. For the Campbell Col- laboration to achieve the kind of suc- cess Cochrane has obtained in the health care field, it will have to ensure that these reviews are as
unbiased and technically sound as possible. Appendix B provides a pre- liminary model of stages in a Camp- bell review.
CONCLUSION
Donald Campbell articulated an evidence-based approach before the methods of systematic reviewing and meta-analysis became staples of empirical inquiry. Still we think he would be pleased with the efforts of hundreds of individuals who are
working worldwide to advance the international collaboration that bears his name.
The challenges of evidence-based policy are many We think the Camp- bell Collaboration will help to meet some of them. For example, with rig- orous quality control and protocols, the Campbell Collaboration will attempt to produce the same level of transparency with unbiased reviews for which the Cochrane Collabora- tion is lauded. Through electronic publication of reviews in a single source (that is, Campbell Library), it will attempt to extend beyond com- municating with researchers and facilitate dissemination and utiliza- tion by decision makers and ordinary citizens. Maintaining reviews, taking into account evidence worldwide, and preparing reviews using the best sci- ence available should enhance the use of Campbell reviews.
Systematic reviews are certainly an important tool for evidence-based policy, but like Campbell before us, we do not wish to zealously oversell scientific evidence. Systematic reviews will not resolve all enduring political and academic conflicts, nor
30
will they often-if at all-provide neat and tidy prescriptions to deci- sion makers on what they ought to do. In their proper role in evidence- based policy, they will enlighten by explicitly revealing what is known from scientific evidence and what is not. They will also generate more questions to be resolved. One unan- ticipated benefit in the short life of the Campbell Collaboration is the sustained forum it provides for dis- cussions about evaluation design and how to engage people from around the world.
Criminology is a noble profession because it aims to reduce the misery stemming from crime and injustice. To the extent that this collaboration can fulfill Don Campbell’s vision of assisting people in making well- informed decisions, it will help crimi- nologists stay true to criminology’s original and noble intent.
APPENDIX A A FLOW CHART OF THE STEPS IN THE CAMPBELL REVIEW
QUALITY CONTROL PROCESS
SOURCE: C2 Steering Group (2001 ).
APPENDIX B STAGES OF A CAMPBELL SYSTEMATIC REVIEW
31
SOURCE: C2 Steering Group (2001).
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