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AJPH First Look, published online ahead of print Jan 31, 2006
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March 2006, Vol 96, No. 3 | American Journal of Public Health 515-522
© 2006 American Public Health Association
DOI: 10.2105/AJPH.2003.036343

PUBLIC HEALTH MATTERS

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

Paige Muellerleile, PhD and Brian Mullen, PhD

At the time this work was completed, Paige Muellerleile was with the Department of Psychology, University of Wisconsin–Marshfield, Marshfield, and Brian Mullen was with Department of Psychology, Syracuse University, Syracuse, New York.

Correspondence: Requests for reprints should be sent to Paige Muellerleile, PhD, University of Wisconsin-Marshfield, 2000 West Fifth Street, Marshfield, Wisconsin 54449 (e-mail: pmueller{at}uwc.edu).

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.




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