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AJPH First Look, published online ahead of print Jan 31, 2006
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American Journal of Public Health, 10.2105/AJPH.2003.036343

Public Health Matters

Sufficiency and Stability of Evidence for Public Health Interventions using Cumulative Meta-Analysis

Paige Muellerleile 1* Brian Mullen 2

1 University of Wisconsin--Marshfield/Wood County
2 Syracuse University

* To whom correspondence should be addressed. E-mail: pmueller{at}uwc.edu.


  Abstract

We propose cumulative meta-analysis as the procedure of completing a new meta-analysis at each successive wave in a research database. Two facets of cumulative knowledge are considered: the first, sufficiency, refers to whether the meta-analytic database adequately demonstrates that a public health intervention works. The second, stability, refers to the shifts over time in the accruing evidence about whether a public health intervention works.

We used a hypothetical data set to develop the indicators of sufficiency and stability,and then applied them to existing, published datasets. Our discussion centers on the implications of the use of this procedure in evaluating public health interventions.

Key Words: Health Financing, Health Service Delivery, Statistics/Evaluation/Research




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