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Table 1 Summary of the quality of studies

From: The use of traditional medicine in maternity care among African women in Africa and the diaspora: a systematic review

Quality assessment items

Brief description

Points awarded

Percentage/frequency of studies % (n)

Reference

Study methods

 Recall bias

Low risk

Prospective data collection

2

-

-

Some risk

Retrospective data collection within previous 12 months

1

33.3 (6)

[7, 26,27,28, 31, 42]

High risk

Retrospective data collection not within previous 12 months

0

66.7 (12)

[29, 30, 32,33,34,35,36,37,38,39,40,41]

 Piloted questionnaire (or interview schedule)

Any pilot, feasibility, pretest, or previous use of study materials

1

61.1 (11)

[28, 30,31,32, 34, 35, 37, 38, 40,41,42]

 Address potential sources of bias

Report efforts to address nonresponsive bias or information bias

1

16.7 (3)

[28, 30, 35]

 Adjust for potential confounders

Any adjustment of confounders in analyses of variables associated with TM use

1

27.8 (5)

[28, 31, 32, 37, 40]

Sampling

 Response rate

Where response rate = (number of participants in the study/number of people invited to take part) × 100

1

44.4 (8)

[7, 26, 29,30,31,32, 36, 40]

 Representative sampling strategy

Any attempt to achieve a sample of participants that represents the larger population from which they were drawn (but cannot be a single center sample)

1

16.7 (3)

[30, 35, 42]

Participant characteristics

 Specific diagnosis

Report participants’ diagnoses

1

22.2 (4)

[26, 29, 31, 39]

 Indicator of socioeconomic status

Report participants’ socioeconomic status

0.5

83.3 (15)

[7, 26,27,28,29,30, 32,33,34,35,36,37,38, 40, 41]

 Age

Report participants’ ages

0.5

88.9 (16)

[7, 26,27,28,29,30,31,32,33,34,35,36,37,38, 41, 42]

 Ethnicity

Report participants’ ethnicity

0.5

27.8 (5)

[26,27,28, 35, 42]

 Gender

Report participants’ gender

0.5

100 (18)

[7, 26,27,28,29,30,31,32,33,34,35,36,37,38,39,40,41,42]

TM use

 TM definition

Information about the definition of TM/a list of TM modalities provided to participants

2

27.8 (5)

[7, 30, 34, 35, 41]

 Use of TM modalities assessed

Report the prevalence of use of specific TM modalities

1

88.9 (16)

[7, 27,28,29,30,31,32,33,34,35,36,37,38,39, 41, 42]

 Frequency/duration of TM uses

Report how often or for what duration the TM were/are used by study participants

1

11.1 (3)

[35, 36, 42]

 Reasons for TM use

Report the reasons for the use of TM by study participants

2

61.1 (11)

[27, 29,30,31, 33, 34, 36,37,38,39, 42]