Network Meta-analysis to Evaluate the Effectiveness of Interventions to Increase the Uptake of Smoke Alarms
Open Access
- 29 November 2011
- journal article
- research article
- Published by Oxford University Press (OUP) in Epidemiologic Reviews
- Vol. 34 (1), 32-45
- https://doi.org/10.1093/epirev/mxr015
Abstract
This study is the first known to use network meta-analysis to simultaneously evaluate the effectiveness of interventions to increase the prevalence of functioning smoke alarms in households with children. The authors identified 24 primary studies from a systematic review of reviews and of more recently published primary studies, of which 23 (17 randomized controlled trials and 6 nonrandomized comparative studies) were included in 1 of the following 2 network meta-analyses: 1) possession of a functioning alarm: interventions that were more “intensive” (i.e., included components providing equipment (with or without fitting), home inspection, or both, in addition to education) generally were more effective. The intervention containing all of the aforementioned components was identified as being the most likely to be the most effective (probability (best) = 0.66), with an odds ratio versus usual care of 7.15 (95% credible interval: 2.40, 22.73); 2) type of battery-powered alarms: ionization alarms with lithium batteries were most likely to be the best type for increasing functioning possession (probability (best) = 0.69). Smoke alarm promotion programs should ensure they provide the combination of interventions most likely to be effective.Keywords
This publication has 37 references indexed in Scilit:
- Multivariate meta‐analysis: Potential and promiseStatistics in Medicine, 2011
- Validation of a HOME Injury SurveyInjury Prevention, 2009
- Bias Modelling in Evidence SynthesisJournal of the Royal Statistical Society Series A: Statistics in Society, 2008
- Use of Indirect and Mixed Treatment Comparisons for Technology AssessmentPharmacoEconomics, 2008
- Simultaneous comparison of multiple treatments: combining direct and indirect evidenceBMJ, 2005
- Providing child safety equipment to prevent injuries: randomised controlled trialBMJ, 2004
- Combination of direct and indirect evidence in mixed treatment comparisonsStatistics in Medicine, 2004
- Bayesian Measures of Model Complexity and FitJournal of the Royal Statistical Society Series B: Statistical Methodology, 2002
- Systematic review: Systematic review of controlled trials of interventions to promote smoke alarmsArchives of Disease in Childhood, 2000
- Surveillance and Prevention of Residential-Fire InjuriesNew England Journal of Medicine, 1996