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Climate change and health in North America: literature review protocol
- Sherilee L. Harper ORCID: orcid.org/0000-0001-7298-8765 1 ,
- Ashlee Cunsolo 2 ,
- Amreen Babujee 1 ,
- Shaugn Coggins 1 ,
- Mauricio Domínguez Aguilar 3 &
- Carlee J. Wright 1
Systematic Reviews volume 10 , Article number: 3 ( 2021 ) Cite this article
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Climate change is a defining issue and grand challenge for the health sector in North America. Synthesizing evidence on climate change impacts, climate-health adaptation, and climate-health mitigation is crucial for health practitioners and decision-makers to effectively understand, prepare for, and respond to climate change impacts on human health. This protocol paper outlines our process to systematically conduct a literature review to investigate the climate-health evidence base in North America.
A search string will be used to search CINAHL®, Web of Science™, Scopus®, Embase® via Ovid, and MEDLINE® via Ovid aggregator databases. Articles will be screened using inclusion/exclusion criteria by two independent reviewers. First, the inclusion/exclusion criteria will be applied to article titles and abstracts, and then to the full articles. Included articles will be analyzed using quantitative and qualitative methods.
This protocol describes review methods that will be used to systematically and transparently create a database of articles published in academic journals that examine climate-health in North America.
Peer Review reports
The direct and indirect impacts of climate change on human health continue to be observed globally, and these wide-ranging impacts are projected to continue to increase and intensify this century [ 1 , 2 ]. The direct climate change effects on health include rising temperatures, which increase heat-related mortality and morbidity [ 3 , 4 , 5 ], and increased frequency and intensity of storms, resulting in increased injury, death, and psychological stressors [ 2 , 6 , 7 , 8 ]. Indirect climate change impacts on health occur via altered environmental conditions, such as climate change impacts on water quality and quantity, which increase waterborne disease [ 9 , 10 , 11 , 12 , 13 ]; shifting ecosystems, which increase the risk of foodborne disease [ 14 , 15 , 16 ], exacerbate food and nutritional security [ 17 , 18 ], and change the range and distribution of vectors that cause vectorborne disease [ 19 , 20 ]; and place-based connections and identities, leading to psycho-social stressors and potential increases in negative mental health outcomes and suicide [ 6 , 8 ]. These wide-ranging impacts are not uniformly or equitably distributed: children, the elderly, those with pre-existing health conditions, those experiencing lower socio-economic conditions, women, and those with close connections to and reliance upon the local environment (e.g. Indigenous Peoples, farmers, fishers) often experience higher burdens of climate-health impacts [ 1 , 2 , 21 ]. Indeed, climate change impacts on human health not only are dependent on exposure to climatic and environmental changes, but also depend on climate change sensitivity and adaptive capacity—both of which are underpinned by the social determinants of health [ 1 , 22 , 23 ].
The inherent complexity, great magnitude, and widespread, inequitable, and intersectional distribution of climate change impacts on health present an urgent and grand challenge for the health sector this century [ 2 , 24 , 25 ]. Climate-health research and evidence is critical for informing effective, equitable, and timely adaptation responses and strategies. For instance, research continues to inform local to international climate change and health vulnerability and adaptation assessments [ 26 ]. However, to create evidence-based climate-health adaptation strategies, health practitioners, researchers, and policy makers must sift and sort through vast and often unmanageable amounts of information. Indeed, the global climate-health evidence base has seen exponential growth in recent years, with tens of thousands of articles published globally this century [ 22 , 25 , 27 , 28 ]. Even when resources are available to parse through the evidence base, the available research evidence may not be locally pertinent to decision-makers, may provide poor quality of evidence, may exclude factors important to decision-makers, may overlook temporal and geographical scales over which decision-makers have impact, and/or may not produce information in a timely manner [ 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 ].
Literature reviews that utilize systematic methods present a tool to efficiently and effectively integrate climate-health information and provide data to support evidence-based decision-making. Furthermore, literature reviews that use systematic methods are replicable and transparent, reduce bias, and are ultimately intended to improve reliability and accuracy of conclusions. As such, systematic approaches to identify, explore, evaluate, and synthesize literature separates insignificant, less rigorous, or redundant literature from the critical and noteworthy studies that are worthy of exploration and consideration [ 38 ]. As such, a systematic approach to synthesizing the climate-health literature provides invaluable information and adds value to the climate-health evidence base from which decision-makers can draw from. Therefore, we aim to systematically and transparently create a database of articles published in academic journals that examine climate-health in North America. As such, we outline our protocol that will be used to systematically identify and characterize literature at the climate-health nexus in North America.
This protocol was designed in accordance with the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) Guidelines [ 39 , 40 ] and presented in accordance with the PRISMA-P checklist.
Research questions
Research on climate change and human health encompasses a diverse range of health outcomes, climate change exposures, populations, and study designs. Given the breadth and depth of information needed by health practitioners and decision-makers, a variety of research questions will be examined (Table 1 ).
Search strategy
The search strategy, including the search string development and selection of databases, was developed in consultation with a research librarian and members of the research team (SLH, AC, and MDA). The search string contains terms related to climate change [ 41 , 42 ], human health outcomes [ 1 , 25 , 43 , 44 ], and study location (Table 2 ). Given the interdisciplinary nature of the climate-health nexus and to ensure that our search is comprehensive, the search string will be used to search five academic databases:
CINAHL® will be searched to capture unique literature not found in other databases on common disease and injury conditions, as well as other health topics;
Web of Science™ will be searched to capture a wide range of multi-disciplinary literature;
Scopus® will be searched to capture literature related to medicine, technology, science, and social sciences;
Embase® via Ovid will be searched to capture a vast range of biomedical sciences journals; and
MEDLINE® via Ovid will be searched to capture literature on biomedical and health sciences.
No language restrictions will be placed on the search. Date restrictions will be applied to capture literature published on or after 01 January 2013, in order to capture literature published after the Intergovernmental Panel on Climate Change (IPCC) Fifth Assessment Report (which assessed literature accepted for publication prior to 31 August 2013). An initial test search was conducted on June 10, 2019, and updated on February 14, 2020; however, the search will be updated to include literature published within the most recent full calendar year prior to publication.
To explore the sensitivity of our search and capture any missed articles, (1) a snowball search will be conducted on the reference lists of all the literature that meet the inclusion criteria and (2) a hand search of three relevant disciplinary journals will be conducted:
Environmental Health Perspectives , an open access peer-reviewed journal that is a leading disciplinary journal within environmental health sciences;
The Lancet , a peer-reviewed journal that is the leading disciplinary journal within public health sciences; and
Climatic Change , a peer-reviewed journal covering cross-disciplinary literature that is a leading disciplinary journal for climate change research.
Citations will be downloaded from the databases and uploaded into Mendeley™ reference management software to facilitate reference management, article retrieval, and removal of duplicate citations. Then, de-duplicated citations will be uploaded into DistillerSR® to facilitate screening.
Article selection
Inclusion and exclusion criteria.
To be included, articles must evaluate or examine the intersection of climate change and human health in North America (Fig. 1 ). Health is defined to include physical, mental, emotional, and social health and wellness [ 1 , 25 , 43 , 44 ] (Fig. 1 ). This broad definition will be used to examine the nuanced and complex direct and indirect impacts of climate change on human health. To examine the depth and breadth of climate change impacts on health, climate change contexts are defined to include seasonality, weather parameters, extreme weather events, climate, climate change, climate variability, and climate hazards [ 41 , 42 ] (Fig. 1 ). However, articles that discuss climate in terms of indoor work environments, non-climate hazards due to geologic events (e.g. earthquakes), and non-anthropogenic climate change (e.g. due to volcanic eruptions) will be excluded. This broad definition of climate change contexts will be used in order to examine the wide range and complexity of climate change impacts on human health. To be included, articles need to explicitly link health outcomes to climate change in the goal statement, methods section, and/or results section of the article. Therefore, articles that discuss both human health and climate change—but do not link the two together—will be excluded. The climate-health research has to take place in North America to be included. North America is defined to include Canada, the USA, and Mexico in order to be consistent with the IPCC geographical classifications; that is, in the Fifth Assessment Report, the IPCC began confining North America to include Canada, Mexico, and the USA [ 45 ] (Fig. 1 ). Articles published in any language will be eligible for inclusion. Articles need to be published online on or after 01 January 2013 to be included. No restrictions will be placed on population type (i.e. all human studies will be eligible for inclusion).
Inclusion and exclusion criteria to review climate change and health literature in North America
Level 1 screening
The title and abstract of each citation will be examined for relevance. A stacked questionnaire will be used to screen the titles and abstracts; that is, when a criterion is not met, the subsequent criteria will not be assessed. When all inclusion criteria are met and/or it is unclear whether or not an inclusion criterion is met (e.g. “unsure”), the article will proceed to Level 2 screening. If the article meets any exclusion criteria, it will not proceed to Level 2 screening. Level 1 screening will be completed by two independent reviewers, who will meet to resolve any conflicts via discussion. The level of agreement between reviewers will be evaluated by dividing the total number of conflicts by the total number of articles screened for Level 1.
Level 2 screening
The full text of all potentially relevant articles will be screened for relevance. A stacked questionnaire will also be used to screen the full texts. In Level 2 screening, only articles that meet all the inclusion criteria will be included in the review (i.e. “unsure” will not be an option). Level 2 screening will be completed by two independent reviewers, who will meet to resolve any conflicts via discussion. The level of agreement between reviewers will be evaluated by dividing the total number of conflicts by the total number of articles screened for Level 2 (Fig. 2 ).
Flow chart of screening questions for the literature review on climate change and health in North America
Data extraction and analysis
A data extraction form will be created in DistillerSR® ( Appendix 2 ) and will be tested by three data extractors on a sample of articles to allow for calibration on the extraction process (i.e. 5% of articles if greater than 50 articles, 10% of articles if less than or equal to 50 articles). After completing the calibration process, the form will be adapted based on feedback from the extractors to improve usability and accuracy. The data extractors will then use the data extraction form to complete data extraction. Reviewers will meet regularly to discuss and resolve any further issues in data extraction, in order to ensure the data extraction process remains consistent across reviewers.
Data will be extracted from original research papers (i.e. articles containing data collection and analysis) and review articles that reported a systematic methodology. This data extraction will focus on study characteristics, including the country that the data were collected in, focus of the study (i.e. climate change impact, adaptation, and/or mitigation), weather variables, climatic hazards, health outcomes, social characteristics, and future projections. The categories within each study characteristic will not be mutually exclusive, allowing more than one response/category to be selected under each study characteristic. For the country of study, Canada, the USA, and/or Mexico will be selected if the article describes data collection in each country respectively. Non-North American regions will be selected if the article not only collects data external to North America, but also includes data collection within Canada, the USA, and/or Mexico. For the study focus, data will be extracted on whether the article focuses on climate change impacts, adaptation, and/or mitigation within the goals, methods, and/or results sections of the article. Temperature, precipitation, and/or UV radiation will be selected for weather variables if the article utilizes these data in the goal, methods, and/or results sections. Data will be extracted on the following climatic hazards if the article addresses them in the goal, methods, and/or results sections: heat events (e.g. extreme heat, heat waves), cold events (e.g. extreme cold, winter storms), air quality (e.g. pollution, parts per million (PPM) data, greenhouse gas emissions), droughts, flooding, wildfires, hurricanes, wildlife changes (including changes in disease vectors such as ticks or mosquitos), vegetation changes (including changes in pollen), freshwater (including drinking water), ocean conditions (including sea level rise and ocean acidity/salinity/temperature changes), ice extent/stability/duration (including sea ice and freshwater ice), coastal erosion, permafrost changes, and/or environmental hazards (e.g. exposure to sewage, reduced crop productivity).
Data will be extracted on the following health outcomes if the article focuses on them within the goal, methods, and/or results sections: heat-related morbidity and/or mortality, respiratory outcomes (including asthma, chronic obstructive pulmonary disease), cardiovascular outcomes (including heart attacks or stroke), urinary outcomes (e.g. urinary tract infections, renal failure), dermatologic concerns, mental health and wellness (e.g. suicide, emotional health), fetal health/birth outcomes and/or maternal health, cold exposure, allergies, nutrition (including nutrient deficiency), waterborne disease, foodborne disease, vectorborne disease, injuries (including accidents), and general morbidity and/or mortality. Data on the following social characteristics will also be extracted from the articles if they are included in the goal, methods, and/or results sections of the article: access to healthcare, sex and/or gender, age, income, livelihood (including data on employment, occupation), ethnicity, culture, Indigenous Peoples, rural/remote communities (“rural”, “remote”, or similar terminology must be explicitly mentioned), urban communities (“urban”, “city”, “metropolitan”, or similar terminology must be explicitly used), coastal communities (use of “coastal”, or similar terms must be explicitly mentioned), residence location (zipcode/postal code, neighbourhood, etc.), level of education, and housing (e.g. data on size, age, number of windows, air conditioning). Finally, data will be collected on future projections, including projections that employ qualitative and/or quantitative methods that are included in the goal, methods, and/or results sections of the article.
Descriptive statistics and regression modelling will be used to examine publication trends. Data will be visualized through the use of maps, graphs, and other visualization techniques as appropriate. To enable replicability and transparency, a PRISMA flowchart will be created to illustrate the article selection process and reasons for exclusion. Additionally, qualitative thematic analyses will be conducted. These analyses will utilize constant-comparative approaches to identify patterns across articles through the identification, development, and refinement of codes and themes. Article excerpts will be grouped under thematic categories in order to explore connections in article characteristics, methodologies, and findings.
Quality appraisal of studies included in the systematic scoping review will be performed using a framework based on the Mixed Methods Appraisal Tool (MMAT) [ 46 ] and the Confidence in the Evidence from Reviews of Qualitative Research (CERQual) tool [ 47 ]. This will enable appraisal of evidence in reviews that contain qualitative, quantitative, and mixed methods studies, as well as appraisal of methodological limitations in included qualitative studies. These tools may be adapted to include additional questions as required in order to fit the scope and objectives of the review. A minimum of two reviewers will independently appraise the included articles and discuss judgements as needed. The findings will be made available as supplementary material for the review.
Climate-health literature reviews using systematic methods will be increasingly critical in the health sector, given the depth and breadth of the growing body of climate change and health literature, as well as the urgent need for evidence to inform climate-health adaptation and mitigation strategies. To support and encourage the systematic and transparent identification and synthesis of climate-health information, this protocol describes our approach to systematically and transparently create a database of articles published in academic journals that examine climate-health in North America.
Availability of data and materials
Not applicable.
Abbreviations
Confidence in the Evidence from Reviews of Qualitative Research
Intergovernmental Panel on Climate Change
Mixed Methods Appraisal Tool
Parts per million
Preferred Reporting Items for Systematic review and Meta-Analyses
Preferred Reporting Items for Systematic review and Meta-Analyses, Protocol Extension
- United States of America
Ultraviolet
Smith KR, Woodward A, Campbell-Lendrum D, Chadee DD, Honda Y, Liu Q, et al. Human health: impacts, adaptation, and co-benefits. In: Field CB, Barros VR, Dokken DJ, Mach KJ, Mastrandrea MD, Bilir TE, et al., editors. Climate Change 2014: impacts, adaptation, and vulnerability part A: global and sectoral aspects contribution of Working Group II to the Fifth Assessment Report of the Intergovernmental Panel on Climate Change. Cambridge, UK and New York, USA: Cambridge University Press; 2014. p. 709–54.
Google Scholar
Watts N, Amann M, Ayeb-Karlsson S, Belesova K, Bouley T, Boykoff M, et al. The Lancet Countdown on health and climate change: from 25 years of inaction to a global transformation for public health. Lancet. 2018;391(10120):581–630.
Article Google Scholar
Son JY, Liu JC, Bell ML. Temperature-related mortality: a systematic review and investigation of effect modifiers. Environ Res Lett. 2019;14:073004.
Campbell S, Remenyi TA, White CJ, Johnston FH. Heatwave and health impact research: a global review. Heal Place. 2018;53:210–8.
Sanderson M, Arbuthnott K, Kovats S, Hajat S, Falloon P. The use of climate information to estimate future mortality from high ambient temperature: a systematic literature review. PLoS One. 2017: e0180369.
Rataj E, Kunzweiler K, Garthus-Niegel S. Extreme weather events in developing countries and related injuries and mental health disorders - a systematic review. BMC Public Health. 2016;16:1020.
Saulnier DD, Brolin Ribacke K, von Schreeb J. No Calm after the storm: a systematic review of human health following flood and storm disasters. Prehosp Disaster Med. 2017;32(5):568–79.
Cunsolo A, Neville E. Ecological grief as a mental health response to climate change-related loss. Nat Clim Chang. 2018;8:275–81.
Levy K, Woster AP, Goldstein RS, Carlton EJ. Untangling the impacts of climate change on waterborne diseases: a systematic review of relationships between diarrheal diseases and temperature, rainfall, flooding, and drought. Environ Sci Technol. 2016;50:4905–22.
Article CAS Google Scholar
Semenza JC, Herbst S, Rechenburg A, Suk JE, Höser C, Schreiber C, et al. Climate change impact assessment of food- and waterborne diseases. Crit Rev Environ Sci Technol. 2012;42(8):857–90.
Cann K, Thomas D, Salmon R, W-J AP, Kay D. Extreme water-related weather events and waterborne disease. Epidemiol Infect. 2013;141:671–86.
Andrade L, O’Dwyer J, O’Neill E, Hynds P. Surface water flooding, groundwater contamination, and enteric disease in developed countries: a scoping review of connections and consequences. Environ Pollut. 2018;236:540–9.
Harper SL, Wright C, Masina S, Coggins S. Climate change, water, and human health research in the Arctic. Water Secur. 2020;10:100062.
Park MS, Park KH, Bahk GJ. Interrelationships between multiple climatic factors and incidence of foodborne diseases. Int J Environ Res Public Health. 2018;15:2482.
Lake IR, Barker GC. Climate change, foodborne pathogens and illness in higher-income countries. Curr Environ Heal Rep. 2018;5(1):187–96.
Lake IR, Gillespie IA, Bentham G, Nichols GL, Lane C, Adak GK, et al. A re-evaluation of the impact of temperature and climate change on foodborne illness. Epidemiol Infect. 2009;137(11):1538–47.
Lake IR, Hooper L, Abdelhamid A, Bentham G, Boxall AB. a. A, Draper A, et al. Climate change and food security: health impacts in developed countries. Environ Health Perspect. 2012;120(11):1520–6.
Springmann M, Mason-D’Croz D, Robinson S, Garnett T, Godfray HCJ, Gollin D, et al. Global and regional health effects of future food production under climate change: a modelling study. Lancet. 2016;387(10031):1937–46.
Campbell-Lendrum D, Manga L, Bagayoko M, Sommerfeld J. Climate change and vector-borne diseases: what are the implications for public health research and policy? Philos Trans R Soc London. 2015;370:20130552.
Sweileh WM. Bibliometric analysis of peer-reviewed literature on climate change and human health with an emphasis on infectious diseases. Glob Health. 2020;16(1):1–17.
Ford J. Indigenous health and climate change. Am J Public Health. 2012;102(7):1260–6.
Butler CD. Climate change, health and existential risks to civilization: a comprehensive review (1989–2013). Int J Environ Res Public Health. 2018;15(10):2266.
Tong S, Ebi K. Preventing and mitigating health risks of climate change. Environ Res. 2019;174:9–13.
Ebi KL, Hess JJ. The past and future in understanding the health risks of and responses to climate variability and change. Int J Biometeorol. 2017;61(S1):71–80.
Hosking J, Campbell-Lendrum D. How well does climate change and human health research match the demands of policymakers? A scoping review. Environ Health Perspect. 2012;120(8):1076–82.
Berry P, Enright PM, Shumake-Guillemot J, Villalobos Prats E, Campbell-Lendrum D. Assessing health vulnerabilities and adaptation to climate change: a review of international progress. Int J Environ Res Public Health. 2018;15(12):2626.
Verner G, Schütte S, Knop J, Sankoh O, Sauerborn R. Health in climate change research from 1990 to 2014: positive trend, but still underperforming. Glob Health Action. 2016;9:30723.
Ebi KL, Hasegawa T, Hayes K, Monaghan A, Paz S, Berry P. Health risks of warming of 1.5 °C, 2 °C, and higher, above pre-industrial temperatures. Environ Res Lett. 2018;13(6):063007.
Bäckstrand K. Civic science for sustainability: reframing the role of experts, policy-makers and citizens in environmental governance. Glob Environ Polit. 2003;3(4):24–41.
Susskind L, Jain R, Martyniuk A. Better environmental policy studies: how to design and conduct more effective analyses. Washington, DC: Island Press; 2001. p. 256.
Holmes J, Clark R. Enhancing the use of science in environmental policy-making and regulation. Environ Sci Policy. 2008;11(8):702–11.
Pearce T, Ford J, Duerden F, Smit B, Andrachuk M, Berrang-Ford L, et al. Advancing adaptation planning for climate change in the Inuvialuit Settlement Region (ISR): a review and critique. Reg Environ Chang. 2011;11(1):1–17.
Gearheard S, Shirley J. Challenges in community-research relationships: learning from natural science in Nunavut. Arctic. 2007;60(1):62–74.
Brownson R, Royer C, Ewing R, McBride T. Researchers and policymakers: travelers in parallel universes. Am J Prev Med. 2006;30(2):164–72.
Feldman P. Improving communication between researchers and policy makers in long-term care or, researchers are from Mars; policy makers are from Venus. Gerontologist. 2001;41(3):312–21.
Pearce TD, Ford JD, Laidler GJ, Smit B, Duerden F, Allarut M, et al. Community collaboration and climate change research in the Canadian Arctic. Polar Res. 2009;28(1):10–27.
Duerden F, Beasley E, Riewe R, Oakes J. Assessing community vulnerabilities to environmental change in the Inuvialuit region. Climate Change: Linking Traditional and Scientific Knowledge. Winnipeg, MB: Aboriginal Issues Press; 2006.
Mulrow CD. Rationale for systematic reviews. BMJ. 1994;309(6954):597–9.
Tricco A, Lillie E, Zarin W, O’Brien KK, Colquhoun H, Levac D. PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation. Ann Intern Med. 2018;169:467–73.
Moher D, Liberati A, Tetzlaff J, Altman D. The Prisma Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Ann Intern Med. 2009;151(4):264–9.
IPCC. In: Stocker TF, Qin D, Plattner G-K, Tignor M, Allen SK, Boschung J, et al., editors. Climate Change 2013: The Physical Science Basis. Contribution of Working Group I to the Fifth Assessment Report of the Intergovernmental Panel on Climate Change. Cambridge: Cambridge University Press; 2013. 1535 pp.
IPCC. Managing the risks of extreme events and disasters to advance climate change adaptation. A special report of Working Groups I and II of the Intergovernmental Panel on Climate Change. In: Field CB, Barros V, Stocker TF, Qin D, Dokken DJ, Ebi KL, et al., editors. Cambridge: Cambridge University Press; 2012. p. 582.
Woodward A, Smith KR, Campbell-Lendrum D, Chadee DD, Honda Y, Liu Q, et al. Climate change and health: on the latest IPCC report. Lancet. 2014;383(9924):1185–9.
Confalonieri U, Menne B, Akhtar R, Ebi KL, Hauengue M, Kovats RS, et al. Human Health. In: Parry ML, Canziani OF, Palutikof JP, van der Linden PJ, Hanson CE, editors. Climate change 2007: impacts, adaptation and vulnerability contribution of Working Group II to the Fourth Assessment Report of the Intergovernmental Panel on Climate Change. Cambridge: Cambridge University Press; 2007. p. 391–431.
IPCC. Climate Change 2014: Impacts, adaptation, and vulnerability. Part B: regional aspects. Contribution of Working Group II to the Fifth Assessment Report of the Intergovernmental Panel on Climate Change. In: Barros VR, Field CB, Dokken DJ, Mastrandrea MD, Mach KJ, Bilir TE, et al., editors. Climate change 2014 impacts, adaptation and vulnerability: part A: global and sectoral aspects. Cambridge, UK and New York, USA: Cambridge University Press; 2014. p. 688.
Hong Q, Pluye P, Fàbregues S, Bartlett G, Boardman F, Cargo M, et al. Mixed Methods Appraisal Tool (MMAT), Version 2018. Registration of copyright (#1148552), Canadian Intellectual Property Office, Industry Canada; 2018. p. 1–11.
Lewin S, Glenton C, Munthe-Kaas H, Carlsen B, Colvin CJ, Gülmezoglu M, et al. Using qualitative evidence in decision making for health and social interventions: an approach to assess confidence in findings from qualitative evidence syntheses (GRADE-CERQual). PLoS Med. 2015;12(10):1001895.
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Acknowledgements
We would like to thank Maria Tan at the University of Alberta Library for the advice, expertise and guidance provided in developing the search strategy for this protocol. Special thanks to those who assisted with methodology refinement, including Etienne de Jongh, Katharine Neale, and Tianna Rusnak.
Funding was provided by the Canadian Institutes for Health Research (to SLH and AC). The funding body had no role in the design of the study and collection, analysis, and interpretation of data and in writing the manuscript.
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Ashlee Cunsolo
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SLH, AC, and MDA contributed to the conceptualization, methodology, writing, and editing of the manuscript. AB contributed to the methodology, writing, and editing of the manuscript. SC contributed to the writing and editing of the manuscript. CJW contributed to visualization, writing, and editing of the manuscript. The authors have read and approved the final manuscript.
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Supplementary Information
13643_2020_1543_moesm1_esm.jpg.
Additional file 1.
Search strategy for CINAHL®, Web of Science™, Scopus®, Embase® via Ovid, and MEDLINE® via Ovid.
Data extraction form
- *Categories were not mutually exclusive; that is, more than one category could be selected
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Harper, S.L., Cunsolo, A., Babujee, A. et al. Climate change and health in North America: literature review protocol. Syst Rev 10 , 3 (2021). https://doi.org/10.1186/s13643-020-01543-y
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