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Table 2 Definitions of the components of the GRADE-CERQual for the context of this umbrella review (adapted from [44])

From: Barriers and enablers to the implementation of patient-reported outcome and experience measures (PROMs/PREMs): protocol for an umbrella review

Component

Definition

Guiding questions

Methodological limitations

The extent to which there are concerns about the design or conduct of the reviews that contributed evidence to an individual umbrella review finding

What is the methodological quality of reviews supporting a specific barrier or enabler to the implementation of PROMs/PREMs?

Coherence

An assessment of how clear and cogent the fit is between the data from the reviews and an umbrella review finding that synthesizes that data

How clear and logical is the fit between a specific barrier or enabler to the implementation of PROMs/PREMs and the reviews supporting this factor?

Adequacy of data

An overall determination of the degree of richness and quantity of data supporting an umbrella review finding

What is the richness and quantity of the data supporting a specific barrier or enabler to the implementation of PROMs/PREMs?

Relevancy

The extent to which the body of evidence from the reviews supporting an umbrella review finding is applicable to the context (perspective or population, phenomenon of interest, setting) specified in the umbrella review question

How well do the reviews support a specific barrier or enabler to the implementation of PROMs/PREMs that apply to the umbrella review context?