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. 2021 Jan 18;11(1):e041379. doi: 10.1136/bmjopen-2020-041379

Table 3.

Level of evidence for each study design

Research design* Level of evidence Abbreviation
Descriptive research
 Systematic review of descriptive studies 1 Des-1
 Prevalence study with analytical component 2 Des-2
 Case series and prevalence study without analytical component 3 Des-3
 Case report 4 Des-4
Experimental research
 Systematic review/meta-analysis of experimental studies 1 Exp-1
 Randomised controlled trial 2 Exp-2
 Group quasi-experimental study (a.k.a. non-RCT) 3 Exp-3
 Quasi-experimental study with single subject 4 Exp-4
 Observational research
 Systematic review/meta-analysis of observational studies 1 Obs-1
 Cohort study 2 Obs-2
 Case-control 3 Obs-3
 Analytical cross-sectional study 4 Obs-4
Qualitative research
 Systematic review/meta-synthesis of qualitative studies 1 Qual-1
 Group qualitative studies with more rigour† 2 Qual-2
 Group qualitative studies with less rigour 3 Qual-3
 Qualitative study with a single informant 4 Qual-4

1=Highest level of evidence; 4=lowest level of evidence.

*The following terminology of Tomlin and Borgetto’s model has been modified to align with the included research designs in this study: association/correlation studies=prevalence studies with analytical component; normative/descriptive studies=prevalence studies without analytical component; individual case studies=case report; controlled-clinical trials=group quasi-experimental study; single-subject studies=quasi-experimental study with single subject; pre-existing groups comparisons with covariate analysis=cohort study; one-group pre–post studies=analytical cross-sectional study.

†Rigour was subjectively assessed and based on the number of included participants, amount of collected data and detailed explanation how the study was conducted.

RCT, randomised controlled trial.