Methodological Quality of Included Studies
The Mixed Methods Appraisal Tool (MMAT)44 used to
assess included quantitative, qualitative, and mixed-methods studies.
There was a meaningful variation in the methodological quality of the
included articles, with scores ranging from 25% to100%; the score of
each type of study is judged within its methodological scope as
presented in Table 2. Also, the distribution of study design with study
quality is presented in Table 3. The majority of studies (n=18, 50%)
were methodologically adequate (>75%), noting that design
and research perform were generally appropriate. Thirteen studies
(36.1%) in score 75%, four studies (11.1%) in score 50%, and one
study (2.8%) in score 25%.