what to include in the introduction of literature review

How to write a literature review introduction (+ examples)

The introduction to a literature review serves as your reader’s guide through your academic work and thought process. Explore the significance of literature review introductions in review papers, academic papers, essays, theses, and dissertations. We delve into the purpose and necessity of these introductions, explore the essential components of literature review introductions, and provide step-by-step guidance on how to craft your own, along with examples.

Why you need an introduction for a literature review

When you need an introduction for a literature review, what to include in a literature review introduction, examples of literature review introductions, steps to write your own literature review introduction.

A literature review is a comprehensive examination of the international academic literature concerning a particular topic. It involves summarizing published works, theories, and concepts while also highlighting gaps and offering critical reflections.

In academic writing , the introduction for a literature review is an indispensable component. Effective academic writing requires proper paragraph structuring to guide your reader through your argumentation. This includes providing an introduction to your literature review.

It is imperative to remember that you should never start sharing your findings abruptly. Even if there isn’t a dedicated introduction section .

Instead, you should always offer some form of introduction to orient the reader and clarify what they can expect.

There are three main scenarios in which you need an introduction for a literature review:

• Academic literature review papers: When your literature review constitutes the entirety of an academic review paper, a more substantial introduction is necessary. This introduction should resemble the standard introduction found in regular academic papers.
• Literature review section in an academic paper or essay: While this section tends to be brief, it’s important to precede the detailed literature review with a few introductory sentences. This helps orient the reader before delving into the literature itself.
• Literature review chapter or section in your thesis/dissertation: Every thesis and dissertation includes a literature review component, which also requires a concise introduction to set the stage for the subsequent review.

You may also like: How to write a fantastic thesis introduction (+15 examples)

It is crucial to customize the content and depth of your literature review introduction according to the specific format of your academic work.

In practical terms, this implies, for instance, that the introduction in an academic literature review paper, especially one derived from a systematic literature review , is quite comprehensive. Particularly compared to the rather brief one or two introductory sentences that are often found at the beginning of a literature review section in a standard academic paper. The introduction to the literature review chapter in a thesis or dissertation again adheres to different standards.

Here’s a structured breakdown based on length and the necessary information:

Academic literature review paper

The introduction of an academic literature review paper, which does not rely on empirical data, often necessitates a more extensive introduction than the brief literature review introductions typically found in empirical papers. It should encompass:

• The research problem: Clearly articulate the problem or question that your literature review aims to address.
• The research gap: Highlight the existing gaps, limitations, or unresolved aspects within the current body of literature related to the research problem.
• The research relevance: Explain why the chosen research problem and its subsequent investigation through a literature review are significant and relevant in your academic field.
• The literature review method: If applicable, describe the methodology employed in your literature review, especially if it is a systematic review or follows a specific research framework.
• The main findings or insights of the literature review: Summarize the key discoveries, insights, or trends that have emerged from your comprehensive review of the literature.
• The main argument of the literature review: Conclude the introduction by outlining the primary argument or statement that your literature review will substantiate, linking it to the research problem and relevance you’ve established.
• Preview of the literature review’s structure: Offer a glimpse into the organization of the literature review paper, acting as a guide for the reader. This overview outlines the subsequent sections of the paper and provides an understanding of what to anticipate.

By addressing these elements, your introduction will provide a clear and structured overview of what readers can expect in your literature review paper.

Regular literature review section in an academic article or essay

Most academic articles or essays incorporate regular literature review sections, often placed after the introduction. These sections serve to establish a scholarly basis for the research or discussion within the paper.

In a standard 8000-word journal article, the literature review section typically spans between 750 and 1250 words. The first few sentences or the first paragraph within this section often serve as an introduction. It should encompass:

• An introduction to the topic: When delving into the academic literature on a specific topic, it’s important to provide a smooth transition that aids the reader in comprehending why certain aspects will be discussed within your literature review.
• The core argument: While literature review sections primarily synthesize the work of other scholars, they should consistently connect to your central argument. This central argument serves as the crux of your message or the key takeaway you want your readers to retain. By positioning it at the outset of the literature review section and systematically substantiating it with evidence, you not only enhance reader comprehension but also elevate overall readability. This primary argument can typically be distilled into 1-2 succinct sentences.

In some cases, you might include:

• Methodology: Details about the methodology used, but only if your literature review employed a specialized method. If your approach involved a broader overview without a systematic methodology, you can omit this section, thereby conserving word count.

By addressing these elements, your introduction will effectively integrate your literature review into the broader context of your academic paper or essay. This will, in turn, assist your reader in seamlessly following your overarching line of argumentation.

Introduction to a literature review chapter in thesis or dissertation

The literature review typically constitutes a distinct chapter within a thesis or dissertation. Often, it is Chapter 2 of a thesis or dissertation.

Some students choose to incorporate a brief introductory section at the beginning of each chapter, including the literature review chapter. Alternatively, others opt to seamlessly integrate the introduction into the initial sentences of the literature review itself. Both approaches are acceptable, provided that you incorporate the following elements:

• Purpose of the literature review and its relevance to the thesis/dissertation research: Explain the broader objectives of the literature review within the context of your research and how it contributes to your thesis or dissertation. Essentially, you’re telling the reader why this literature review is important and how it fits into the larger scope of your academic work.
• Primary argument: Succinctly communicate what you aim to prove, explain, or explore through the review of existing literature. This statement helps guide the reader’s understanding of the review’s purpose and what to expect from it.
• Preview of the literature review’s content: Provide a brief overview of the topics or themes that your literature review will cover. It’s like a roadmap for the reader, outlining the main areas of focus within the review. This preview can help the reader anticipate the structure and organization of your literature review.
• Methodology: If your literature review involved a specific research method, such as a systematic review or meta-analysis, you should briefly describe that methodology. However, this is not always necessary, especially if your literature review is more of a narrative synthesis without a distinct research method.

By addressing these elements, your introduction will empower your literature review to play a pivotal role in your thesis or dissertation research. It will accomplish this by integrating your research into the broader academic literature and providing a solid theoretical foundation for your work.

Comprehending the art of crafting your own literature review introduction becomes significantly more accessible when you have concrete examples to examine. Here, you will find several examples that meet, or in most cases, adhere to the criteria described earlier.

Example 1: An effective introduction for an academic literature review paper

To begin, let’s delve into the introduction of an academic literature review paper. We will examine the paper “How does culture influence innovation? A systematic literature review”, which was published in 2018 in the journal Management Decision.

The entire introduction spans 611 words and is divided into five paragraphs. In this introduction, the authors accomplish the following:

• In the first paragraph, the authors introduce the broader topic of the literature review, which focuses on innovation and its significance in the context of economic competition. They underscore the importance of this topic, highlighting its relevance for both researchers and policymakers.
• In the second paragraph, the authors narrow down their focus to emphasize the specific role of culture in relation to innovation.
• In the third paragraph, the authors identify research gaps, noting that existing studies are often fragmented and disconnected. They then emphasize the value of conducting a systematic literature review to enhance our understanding of the topic.
• In the fourth paragraph, the authors introduce their specific objectives and explain how their insights can benefit other researchers and business practitioners.
• In the fifth and final paragraph, the authors provide an overview of the paper’s organization and structure.

In summary, this introduction stands as a solid example. While the authors deviate from previewing their key findings (which is a common practice at least in the social sciences), they do effectively cover all the other previously mentioned points.

Example 2: An effective introduction to a literature review section in an academic paper

The second example represents a typical academic paper, encompassing not only a literature review section but also empirical data, a case study, and other elements. We will closely examine the introduction to the literature review section in the paper “The environmentalism of the subalterns: a case study of environmental activism in Eastern Kurdistan/Rojhelat”, which was published in 2021 in the journal Local Environment.

The paper begins with a general introduction and then proceeds to the literature review, designated by the authors as their conceptual framework. Of particular interest is the first paragraph of this conceptual framework, comprising 142 words across five sentences:

“ A peripheral and marginalised nationality within a multinational though-Persian dominated Iranian society, the Kurdish people of Iranian Kurdistan (a region referred by the Kurds as Rojhelat/Eastern Kurdi-stan) have since the early twentieth century been subject to multifaceted and systematic discriminatory and exclusionary state policy in Iran. This condition has left a population of 12–15 million Kurds in Iran suffering from structural inequalities, disenfranchisement and deprivation. Mismanagement of Kurdistan’s natural resources and the degradation of its natural environmental are among examples of this disenfranchisement. As asserted by Julian Agyeman (2005), structural inequalities that sustain the domination of political and economic elites often simultaneously result in environmental degradation, injustice and discrimination against subaltern communities. This study argues that the environmental struggle in Eastern Kurdistan can be asserted as a (sub)element of the Kurdish liberation movement in Iran. Conceptually this research is inspired by and has been conducted through the lens of ‘subalternity’ ” ( Hassaniyan, 2021, p. 931 ).

In this first paragraph, the author is doing the following:

• The author contextualises the research
• The author links the research focus to the international literature on structural inequalities
• The author clearly presents the argument of the research
• The author clarifies how the research is inspired by and uses the concept of ‘subalternity’.

Thus, the author successfully introduces the literature review, from which point onward it dives into the main concept (‘subalternity’) of the research, and reviews the literature on socio-economic justice and environmental degradation.

While introductions to a literature review section aren’t always required to offer the same level of study context detail as demonstrated here, this introduction serves as a commendable model for orienting the reader within the literature review. It effectively underscores the literature review’s significance within the context of the study being conducted.

Examples 3-5: Effective introductions to literature review chapters

The introduction to a literature review chapter can vary in length, depending largely on the overall length of the literature review chapter itself. For example, a master’s thesis typically features a more concise literature review, thus necessitating a shorter introduction. In contrast, a Ph.D. thesis, with its more extensive literature review, often includes a more detailed introduction.

Numerous universities offer online repositories where you can access theses and dissertations from previous years, serving as valuable sources of reference. Many of these repositories, however, may require you to log in through your university account. Nevertheless, a few open-access repositories are accessible to anyone, such as the one by the University of Manchester . It’s important to note though that copyright restrictions apply to these resources, just as they would with published papers.

Master’s thesis literature review introduction

The first example is “Benchmarking Asymmetrical Heating Models of Spider Pulsar Companions” by P. Sun, a master’s thesis completed at the University of Manchester on January 9, 2024. The author, P. Sun, introduces the literature review chapter very briefly but effectively:

PhD thesis literature review chapter introduction

The second example is Deep Learning on Semi-Structured Data and its Applications to Video-Game AI, Woof, W. (Author). 31 Dec 2020, a PhD thesis completed at the University of Manchester . In Chapter 2, the author offers a comprehensive introduction to the topic in four paragraphs, with the final paragraph serving as an overview of the chapter’s structure:

PhD thesis literature review introduction

The last example is the doctoral thesis Metacognitive strategies and beliefs: Child correlates and early experiences Chan, K. Y. M. (Author). 31 Dec 2020 . The author clearly conducted a systematic literature review, commencing the review section with a discussion of the methodology and approach employed in locating and analyzing the selected records.

Having absorbed all of this information, let’s recap the essential steps and offer a succinct guide on how to proceed with creating your literature review introduction:

• Contextualize your review : Begin by clearly identifying the academic context in which your literature review resides and determining the necessary information to include.
• Outline your structure : Develop a structured outline for your literature review, highlighting the essential information you plan to incorporate in your introduction.
• Literature review process : Conduct a rigorous literature review, reviewing and analyzing relevant sources.
• Summarize and abstract : After completing the review, synthesize the findings and abstract key insights, trends, and knowledge gaps from the literature.
• Craft the introduction : Write your literature review introduction with meticulous attention to the seamless integration of your review into the larger context of your work. Ensure that your introduction effectively elucidates your rationale for the chosen review topics and the underlying reasons guiding your selection.

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What is a Literature Review? How to Write It (with Examples)

A literature review is a critical analysis and synthesis of existing research on a particular topic. It provides an overview of the current state of knowledge, identifies gaps, and highlights key findings in the literature. 1 The purpose of a literature review is to situate your own research within the context of existing scholarship, demonstrating your understanding of the topic and showing how your work contributes to the ongoing conversation in the field. Learning how to write a literature review is a critical tool for successful research. Your ability to summarize and synthesize prior research pertaining to a certain topic demonstrates your grasp on the topic of study, and assists in the learning process. 

Table of Contents

• What is the purpose of literature review? 
• a. Habitat Loss and Species Extinction: 
• b. Range Shifts and Phenological Changes: 
• c. Ocean Acidification and Coral Reefs: 
• d. Adaptive Strategies and Conservation Efforts: 
• How to write a good literature review 
• Choose a Topic and Define the Research Question: 
• Decide on the Scope of Your Review: 
• Select Databases for Searches: 
• Conduct Searches and Keep Track: 
• Review the Literature: 
• Organize and Write Your Literature Review: 
• Frequently asked questions 

What is a literature review?

A well-conducted literature review demonstrates the researcher’s familiarity with the existing literature, establishes the context for their own research, and contributes to scholarly conversations on the topic. One of the purposes of a literature review is also to help researchers avoid duplicating previous work and ensure that their research is informed by and builds upon the existing body of knowledge.

What is the purpose of literature review?

A literature review serves several important purposes within academic and research contexts. Here are some key objectives and functions of a literature review: 2  

• Contextualizing the Research Problem: The literature review provides a background and context for the research problem under investigation. It helps to situate the study within the existing body of knowledge. 
• Identifying Gaps in Knowledge: By identifying gaps, contradictions, or areas requiring further research, the researcher can shape the research question and justify the significance of the study. This is crucial for ensuring that the new research contributes something novel to the field. 
• Understanding Theoretical and Conceptual Frameworks: Literature reviews help researchers gain an understanding of the theoretical and conceptual frameworks used in previous studies. This aids in the development of a theoretical framework for the current research. 
• Providing Methodological Insights: Another purpose of literature reviews is that it allows researchers to learn about the methodologies employed in previous studies. This can help in choosing appropriate research methods for the current study and avoiding pitfalls that others may have encountered. 
• Establishing Credibility: A well-conducted literature review demonstrates the researcher’s familiarity with existing scholarship, establishing their credibility and expertise in the field. It also helps in building a solid foundation for the new research. 
• Informing Hypotheses or Research Questions: The literature review guides the formulation of hypotheses or research questions by highlighting relevant findings and areas of uncertainty in existing literature. 

Literature review example

Let’s delve deeper with a literature review example: Let’s say your literature review is about the impact of climate change on biodiversity. You might format your literature review into sections such as the effects of climate change on habitat loss and species extinction, phenological changes, and marine biodiversity. Each section would then summarize and analyze relevant studies in those areas, highlighting key findings and identifying gaps in the research. The review would conclude by emphasizing the need for further research on specific aspects of the relationship between climate change and biodiversity. The following literature review template provides a glimpse into the recommended literature review structure and content, demonstrating how research findings are organized around specific themes within a broader topic. 

Literature Review on Climate Change Impacts on Biodiversity:

Climate change is a global phenomenon with far-reaching consequences, including significant impacts on biodiversity. This literature review synthesizes key findings from various studies: 

a. Habitat Loss and Species Extinction:

Climate change-induced alterations in temperature and precipitation patterns contribute to habitat loss, affecting numerous species (Thomas et al., 2004). The review discusses how these changes increase the risk of extinction, particularly for species with specific habitat requirements. 

b. Range Shifts and Phenological Changes:

Observations of range shifts and changes in the timing of biological events (phenology) are documented in response to changing climatic conditions (Parmesan & Yohe, 2003). These shifts affect ecosystems and may lead to mismatches between species and their resources. 

c. Ocean Acidification and Coral Reefs:

The review explores the impact of climate change on marine biodiversity, emphasizing ocean acidification’s threat to coral reefs (Hoegh-Guldberg et al., 2007). Changes in pH levels negatively affect coral calcification, disrupting the delicate balance of marine ecosystems. 

d. Adaptive Strategies and Conservation Efforts:

Recognizing the urgency of the situation, the literature review discusses various adaptive strategies adopted by species and conservation efforts aimed at mitigating the impacts of climate change on biodiversity (Hannah et al., 2007). It emphasizes the importance of interdisciplinary approaches for effective conservation planning. 

How to write a good literature review

Writing a literature review involves summarizing and synthesizing existing research on a particular topic. A good literature review format should include the following elements. 

Introduction: The introduction sets the stage for your literature review, providing context and introducing the main focus of your review. 

• Opening Statement: Begin with a general statement about the broader topic and its significance in the field. 
• Scope and Purpose: Clearly define the scope of your literature review. Explain the specific research question or objective you aim to address. 
• Organizational Framework: Briefly outline the structure of your literature review, indicating how you will categorize and discuss the existing research. 
• Significance of the Study: Highlight why your literature review is important and how it contributes to the understanding of the chosen topic. 
• Thesis Statement: Conclude the introduction with a concise thesis statement that outlines the main argument or perspective you will develop in the body of the literature review. 

Body: The body of the literature review is where you provide a comprehensive analysis of existing literature, grouping studies based on themes, methodologies, or other relevant criteria. 

• Organize by Theme or Concept: Group studies that share common themes, concepts, or methodologies. Discuss each theme or concept in detail, summarizing key findings and identifying gaps or areas of disagreement. 
• Critical Analysis: Evaluate the strengths and weaknesses of each study. Discuss the methodologies used, the quality of evidence, and the overall contribution of each work to the understanding of the topic. 
• Synthesis of Findings: Synthesize the information from different studies to highlight trends, patterns, or areas of consensus in the literature. 
• Identification of Gaps: Discuss any gaps or limitations in the existing research and explain how your review contributes to filling these gaps. 
• Transition between Sections: Provide smooth transitions between different themes or concepts to maintain the flow of your literature review. 

Conclusion: The conclusion of your literature review should summarize the main findings, highlight the contributions of the review, and suggest avenues for future research. 

• Summary of Key Findings: Recap the main findings from the literature and restate how they contribute to your research question or objective. 
• Contributions to the Field: Discuss the overall contribution of your literature review to the existing knowledge in the field. 
• Implications and Applications: Explore the practical implications of the findings and suggest how they might impact future research or practice. 
• Recommendations for Future Research: Identify areas that require further investigation and propose potential directions for future research in the field. 
• Final Thoughts: Conclude with a final reflection on the importance of your literature review and its relevance to the broader academic community. 

Conducting a literature review

Conducting a literature review is an essential step in research that involves reviewing and analyzing existing literature on a specific topic. It’s important to know how to do a literature review effectively, so here are the steps to follow: 1  

Choose a Topic and Define the Research Question:

• Select a topic that is relevant to your field of study. 
• Clearly define your research question or objective. Determine what specific aspect of the topic do you want to explore? 

Decide on the Scope of Your Review:

• Determine the timeframe for your literature review. Are you focusing on recent developments, or do you want a historical overview? 
• Consider the geographical scope. Is your review global, or are you focusing on a specific region? 
• Define the inclusion and exclusion criteria. What types of sources will you include? Are there specific types of studies or publications you will exclude? 

Select Databases for Searches:

• Identify relevant databases for your field. Examples include PubMed, IEEE Xplore, Scopus, Web of Science, and Google Scholar. 
• Consider searching in library catalogs, institutional repositories, and specialized databases related to your topic. 

Conduct Searches and Keep Track:

• Develop a systematic search strategy using keywords, Boolean operators (AND, OR, NOT), and other search techniques. 
• Record and document your search strategy for transparency and replicability. 
• Keep track of the articles, including publication details, abstracts, and links. Use citation management tools like EndNote, Zotero, or Mendeley to organize your references. 

Review the Literature:

• Evaluate the relevance and quality of each source. Consider the methodology, sample size, and results of studies. 
• Organize the literature by themes or key concepts. Identify patterns, trends, and gaps in the existing research. 
• Summarize key findings and arguments from each source. Compare and contrast different perspectives. 
• Identify areas where there is a consensus in the literature and where there are conflicting opinions. 
• Provide critical analysis and synthesis of the literature. What are the strengths and weaknesses of existing research? 

Organize and Write Your Literature Review:

• Literature review outline should be based on themes, chronological order, or methodological approaches. 
• Write a clear and coherent narrative that synthesizes the information gathered. 
• Use proper citations for each source and ensure consistency in your citation style (APA, MLA, Chicago, etc.). 
• Conclude your literature review by summarizing key findings, identifying gaps, and suggesting areas for future research. 

The literature review sample and detailed advice on writing and conducting a review will help you produce a well-structured report. But remember that a literature review is an ongoing process, and it may be necessary to revisit and update it as your research progresses. 

Frequently asked questions

A literature review is a critical and comprehensive analysis of existing literature (published and unpublished works) on a specific topic or research question and provides a synthesis of the current state of knowledge in a particular field. A well-conducted literature review is crucial for researchers to build upon existing knowledge, avoid duplication of efforts, and contribute to the advancement of their field. It also helps researchers situate their work within a broader context and facilitates the development of a sound theoretical and conceptual framework for their studies.

Literature review is a crucial component of research writing, providing a solid background for a research paper’s investigation. The aim is to keep professionals up to date by providing an understanding of ongoing developments within a specific field, including research methods, and experimental techniques used in that field, and present that knowledge in the form of a written report. Also, the depth and breadth of the literature review emphasizes the credibility of the scholar in his or her field.  

Before writing a literature review, it’s essential to undertake several preparatory steps to ensure that your review is well-researched, organized, and focused. This includes choosing a topic of general interest to you and doing exploratory research on that topic, writing an annotated bibliography, and noting major points, especially those that relate to the position you have taken on the topic. 

Literature reviews and academic research papers are essential components of scholarly work but serve different purposes within the academic realm. 3 A literature review aims to provide a foundation for understanding the current state of research on a particular topic, identify gaps or controversies, and lay the groundwork for future research. Therefore, it draws heavily from existing academic sources, including books, journal articles, and other scholarly publications. In contrast, an academic research paper aims to present new knowledge, contribute to the academic discourse, and advance the understanding of a specific research question. Therefore, it involves a mix of existing literature (in the introduction and literature review sections) and original data or findings obtained through research methods. 

Literature reviews are essential components of academic and research papers, and various strategies can be employed to conduct them effectively. If you want to know how to write a literature review for a research paper, here are four common approaches that are often used by researchers.  Chronological Review: This strategy involves organizing the literature based on the chronological order of publication. It helps to trace the development of a topic over time, showing how ideas, theories, and research have evolved.  Thematic Review: Thematic reviews focus on identifying and analyzing themes or topics that cut across different studies. Instead of organizing the literature chronologically, it is grouped by key themes or concepts, allowing for a comprehensive exploration of various aspects of the topic.  Methodological Review: This strategy involves organizing the literature based on the research methods employed in different studies. It helps to highlight the strengths and weaknesses of various methodologies and allows the reader to evaluate the reliability and validity of the research findings.  Theoretical Review: A theoretical review examines the literature based on the theoretical frameworks used in different studies. This approach helps to identify the key theories that have been applied to the topic and assess their contributions to the understanding of the subject.  It’s important to note that these strategies are not mutually exclusive, and a literature review may combine elements of more than one approach. The choice of strategy depends on the research question, the nature of the literature available, and the goals of the review. Additionally, other strategies, such as integrative reviews or systematic reviews, may be employed depending on the specific requirements of the research.

The literature review format can vary depending on the specific publication guidelines. However, there are some common elements and structures that are often followed. Here is a general guideline for the format of a literature review:  Introduction:   Provide an overview of the topic.  Define the scope and purpose of the literature review.  State the research question or objective.  Body:   Organize the literature by themes, concepts, or chronology.  Critically analyze and evaluate each source.  Discuss the strengths and weaknesses of the studies.  Highlight any methodological limitations or biases.  Identify patterns, connections, or contradictions in the existing research.  Conclusion:   Summarize the key points discussed in the literature review.  Highlight the research gap.  Address the research question or objective stated in the introduction.  Highlight the contributions of the review and suggest directions for future research.

Both annotated bibliographies and literature reviews involve the examination of scholarly sources. While annotated bibliographies focus on individual sources with brief annotations, literature reviews provide a more in-depth, integrated, and comprehensive analysis of existing literature on a specific topic. The key differences are as follows: 

References 

• Denney, A. S., & Tewksbury, R. (2013). How to write a literature review.  Journal of criminal justice education ,  24 (2), 218-234. 
• Pan, M. L. (2016).  Preparing literature reviews: Qualitative and quantitative approaches . Taylor & Francis. 
• Cantero, C. (2019). How to write a literature review.  San José State University Writing Center . 

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Writing a Literature Review

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A literature review is a document or section of a document that collects key sources on a topic and discusses those sources in conversation with each other (also called synthesis ). The lit review is an important genre in many disciplines, not just literature (i.e., the study of works of literature such as novels and plays). When we say “literature review” or refer to “the literature,” we are talking about the research ( scholarship ) in a given field. You will often see the terms “the research,” “the scholarship,” and “the literature” used mostly interchangeably.

Where, when, and why would I write a lit review?

There are a number of different situations where you might write a literature review, each with slightly different expectations; different disciplines, too, have field-specific expectations for what a literature review is and does. For instance, in the humanities, authors might include more overt argumentation and interpretation of source material in their literature reviews, whereas in the sciences, authors are more likely to report study designs and results in their literature reviews; these differences reflect these disciplines’ purposes and conventions in scholarship. You should always look at examples from your own discipline and talk to professors or mentors in your field to be sure you understand your discipline’s conventions, for literature reviews as well as for any other genre.

A literature review can be a part of a research paper or scholarly article, usually falling after the introduction and before the research methods sections. In these cases, the lit review just needs to cover scholarship that is important to the issue you are writing about; sometimes it will also cover key sources that informed your research methodology.

Lit reviews can also be standalone pieces, either as assignments in a class or as publications. In a class, a lit review may be assigned to help students familiarize themselves with a topic and with scholarship in their field, get an idea of the other researchers working on the topic they’re interested in, find gaps in existing research in order to propose new projects, and/or develop a theoretical framework and methodology for later research. As a publication, a lit review usually is meant to help make other scholars’ lives easier by collecting and summarizing, synthesizing, and analyzing existing research on a topic. This can be especially helpful for students or scholars getting into a new research area, or for directing an entire community of scholars toward questions that have not yet been answered.

What are the parts of a lit review?

Most lit reviews use a basic introduction-body-conclusion structure; if your lit review is part of a larger paper, the introduction and conclusion pieces may be just a few sentences while you focus most of your attention on the body. If your lit review is a standalone piece, the introduction and conclusion take up more space and give you a place to discuss your goals, research methods, and conclusions separately from where you discuss the literature itself.

Introduction:

• An introductory paragraph that explains what your working topic and thesis is
• A forecast of key topics or texts that will appear in the review
• Potentially, a description of how you found sources and how you analyzed them for inclusion and discussion in the review (more often found in published, standalone literature reviews than in lit review sections in an article or research paper)
• Summarize and synthesize: Give an overview of the main points of each source and combine them into a coherent whole
• Analyze and interpret: Don’t just paraphrase other researchers – add your own interpretations where possible, discussing the significance of findings in relation to the literature as a whole
• Critically Evaluate: Mention the strengths and weaknesses of your sources
• Write in well-structured paragraphs: Use transition words and topic sentence to draw connections, comparisons, and contrasts.

Conclusion:

• Summarize the key findings you have taken from the literature and emphasize their significance
• Connect it back to your primary research question

How should I organize my lit review?

Lit reviews can take many different organizational patterns depending on what you are trying to accomplish with the review. Here are some examples:

• Chronological : The simplest approach is to trace the development of the topic over time, which helps familiarize the audience with the topic (for instance if you are introducing something that is not commonly known in your field). If you choose this strategy, be careful to avoid simply listing and summarizing sources in order. Try to analyze the patterns, turning points, and key debates that have shaped the direction of the field. Give your interpretation of how and why certain developments occurred (as mentioned previously, this may not be appropriate in your discipline — check with a teacher or mentor if you’re unsure).
• Thematic : If you have found some recurring central themes that you will continue working with throughout your piece, you can organize your literature review into subsections that address different aspects of the topic. For example, if you are reviewing literature about women and religion, key themes can include the role of women in churches and the religious attitude towards women.
• Qualitative versus quantitative research
• Empirical versus theoretical scholarship
• Divide the research by sociological, historical, or cultural sources
• Theoretical : In many humanities articles, the literature review is the foundation for the theoretical framework. You can use it to discuss various theories, models, and definitions of key concepts. You can argue for the relevance of a specific theoretical approach or combine various theorical concepts to create a framework for your research.

What are some strategies or tips I can use while writing my lit review?

Any lit review is only as good as the research it discusses; make sure your sources are well-chosen and your research is thorough. Don’t be afraid to do more research if you discover a new thread as you’re writing. More info on the research process is available in our "Conducting Research" resources .

As you’re doing your research, create an annotated bibliography ( see our page on the this type of document ). Much of the information used in an annotated bibliography can be used also in a literature review, so you’ll be not only partially drafting your lit review as you research, but also developing your sense of the larger conversation going on among scholars, professionals, and any other stakeholders in your topic.

Usually you will need to synthesize research rather than just summarizing it. This means drawing connections between sources to create a picture of the scholarly conversation on a topic over time. Many student writers struggle to synthesize because they feel they don’t have anything to add to the scholars they are citing; here are some strategies to help you:

• It often helps to remember that the point of these kinds of syntheses is to show your readers how you understand your research, to help them read the rest of your paper.
• Writing teachers often say synthesis is like hosting a dinner party: imagine all your sources are together in a room, discussing your topic. What are they saying to each other?
• Look at the in-text citations in each paragraph. Are you citing just one source for each paragraph? This usually indicates summary only. When you have multiple sources cited in a paragraph, you are more likely to be synthesizing them (not always, but often
• Read more about synthesis here.

The most interesting literature reviews are often written as arguments (again, as mentioned at the beginning of the page, this is discipline-specific and doesn’t work for all situations). Often, the literature review is where you can establish your research as filling a particular gap or as relevant in a particular way. You have some chance to do this in your introduction in an article, but the literature review section gives a more extended opportunity to establish the conversation in the way you would like your readers to see it. You can choose the intellectual lineage you would like to be part of and whose definitions matter most to your thinking (mostly humanities-specific, but this goes for sciences as well). In addressing these points, you argue for your place in the conversation, which tends to make the lit review more compelling than a simple reporting of other sources.

• UConn Library
• Literature Review: The What, Why and How-to Guide
• Introduction

Literature Review: The What, Why and How-to Guide — Introduction

• Getting Started
• How to Pick a Topic
• Strategies to Find Sources
• Evaluating Sources & Lit. Reviews
• Tips for Writing Literature Reviews
• Writing Literature Review: Useful Sites
• Citation Resources
• Other Academic Writings

What are Literature Reviews?

So, what is a literature review? "A literature review is an account of what has been published on a topic by accredited scholars and researchers. In writing the literature review, your purpose is to convey to your reader what knowledge and ideas have been established on a topic, and what their strengths and weaknesses are. As a piece of writing, the literature review must be defined by a guiding concept (e.g., your research objective, the problem or issue you are discussing, or your argumentative thesis). It is not just a descriptive list of the material available, or a set of summaries." Taylor, D.  The literature review: A few tips on conducting it . University of Toronto Health Sciences Writing Centre.

Goals of Literature Reviews

What are the goals of creating a Literature Review?  A literature could be written to accomplish different aims:

• To develop a theory or evaluate an existing theory
• To summarize the historical or existing state of a research topic
• Identify a problem in a field of research 

Baumeister, R. F., & Leary, M. R. (1997). Writing narrative literature reviews .  Review of General Psychology , 1 (3), 311-320.

What kinds of sources require a Literature Review?

• A research paper assigned in a course
• A thesis or dissertation
• A grant proposal
• An article intended for publication in a journal

All these instances require you to collect what has been written about your research topic so that you can demonstrate how your own research sheds new light on the topic.

Types of Literature Reviews

What kinds of literature reviews are written?

Narrative review: The purpose of this type of review is to describe the current state of the research on a specific topic/research and to offer a critical analysis of the literature reviewed. Studies are grouped by research/theoretical categories, and themes and trends, strengths and weakness, and gaps are identified. The review ends with a conclusion section which summarizes the findings regarding the state of the research of the specific study, the gaps identify and if applicable, explains how the author's research will address gaps identify in the review and expand the knowledge on the topic reviewed.

• Example : Predictors and Outcomes of U.S. Quality Maternity Leave: A Review and Conceptual Framework:  10.1177/08948453211037398  

Systematic review : "The authors of a systematic review use a specific procedure to search the research literature, select the studies to include in their review, and critically evaluate the studies they find." (p. 139). Nelson, L. K. (2013). Research in Communication Sciences and Disorders . Plural Publishing.

• Example : The effect of leave policies on increasing fertility: a systematic review:  10.1057/s41599-022-01270-w

Meta-analysis : "Meta-analysis is a method of reviewing research findings in a quantitative fashion by transforming the data from individual studies into what is called an effect size and then pooling and analyzing this information. The basic goal in meta-analysis is to explain why different outcomes have occurred in different studies." (p. 197). Roberts, M. C., & Ilardi, S. S. (2003). Handbook of Research Methods in Clinical Psychology . Blackwell Publishing.

• Example : Employment Instability and Fertility in Europe: A Meta-Analysis:  10.1215/00703370-9164737

Meta-synthesis : "Qualitative meta-synthesis is a type of qualitative study that uses as data the findings from other qualitative studies linked by the same or related topic." (p.312). Zimmer, L. (2006). Qualitative meta-synthesis: A question of dialoguing with texts .  Journal of Advanced Nursing , 53 (3), 311-318.

• Example : Women’s perspectives on career successes and barriers: A qualitative meta-synthesis:  10.1177/05390184221113735

Literature Reviews in the Health Sciences

• UConn Health subject guide on systematic reviews Explanation of the different review types used in health sciences literature as well as tools to help you find the right review type
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How To Write A Literature Review - A Complete Guide

Table of Contents

A literature review is much more than just another section in your research paper. It forms the very foundation of your research. It is a formal piece of writing where you analyze the existing theoretical framework, principles, and assumptions and use that as a base to shape your approach to the research question.

Curating and drafting a solid literature review section not only lends more credibility to your research paper but also makes your research tighter and better focused. But, writing literature reviews is a difficult task. It requires extensive reading, plus you have to consider market trends and technological and political changes, which tend to change in the blink of an eye.

Now streamline your literature review process with the help of SciSpace Copilot. With this AI research assistant, you can efficiently synthesize and analyze a vast amount of information, identify key themes and trends, and uncover gaps in the existing research. Get real-time explanations, summaries, and answers to your questions for the paper you're reviewing, making navigating and understanding the complex literature landscape easier.

In this comprehensive guide, we will explore everything from the definition of a literature review, its appropriate length, various types of literature reviews, and how to write one.

What is a literature review?

A literature review is a collation of survey, research, critical evaluation, and assessment of the existing literature in a preferred domain.

Eminent researcher and academic Arlene Fink, in her book Conducting Research Literature Reviews , defines it as the following:

“A literature review surveys books, scholarly articles, and any other sources relevant to a particular issue, area of research, or theory, and by so doing, provides a description, summary, and critical evaluation of these works in relation to the research problem being investigated.

Literature reviews are designed to provide an overview of sources you have explored while researching a particular topic, and to demonstrate to your readers how your research fits within a larger field of study.”

Simply put, a literature review can be defined as a critical discussion of relevant pre-existing research around your research question and carving out a definitive place for your study in the existing body of knowledge. Literature reviews can be presented in multiple ways: a section of an article, the whole research paper itself, or a chapter of your thesis.

A literature review does function as a summary of sources, but it also allows you to analyze further, interpret, and examine the stated theories, methods, viewpoints, and, of course, the gaps in the existing content.

As an author, you can discuss and interpret the research question and its various aspects and debate your adopted methods to support the claim.

What is the purpose of a literature review?

A literature review is meant to help your readers understand the relevance of your research question and where it fits within the existing body of knowledge. As a researcher, you should use it to set the context, build your argument, and establish the need for your study.

What is the importance of a literature review?

The literature review is a critical part of research papers because it helps you:

• Gain an in-depth understanding of your research question and the surrounding area
• Convey that you have a thorough understanding of your research area and are up-to-date with the latest changes and advancements
• Establish how your research is connected or builds on the existing body of knowledge and how it could contribute to further research
• Elaborate on the validity and suitability of your theoretical framework and research methodology
• Identify and highlight gaps and shortcomings in the existing body of knowledge and how things need to change
• Convey to readers how your study is different or how it contributes to the research area

How long should a literature review be?

Ideally, the literature review should take up 15%-40% of the total length of your manuscript. So, if you have a 10,000-word research paper, the minimum word count could be 1500.

Your literature review format depends heavily on the kind of manuscript you are writing — an entire chapter in case of doctoral theses, a part of the introductory section in a research article, to a full-fledged review article that examines the previously published research on a topic.

Another determining factor is the type of research you are doing. The literature review section tends to be longer for secondary research projects than primary research projects.

What are the different types of literature reviews?

All literature reviews are not the same. There are a variety of possible approaches that you can take. It all depends on the type of research you are pursuing.

Here are the different types of literature reviews:

Argumentative review

It is called an argumentative review when you carefully present literature that only supports or counters a specific argument or premise to establish a viewpoint.

Integrative review

It is a type of literature review focused on building a comprehensive understanding of a topic by combining available theoretical frameworks and empirical evidence.

Methodological review

This approach delves into the ''how'' and the ''what" of the research question —  you cannot look at the outcome in isolation; you should also review the methodology used.

Systematic review

This form consists of an overview of existing evidence pertinent to a clearly formulated research question, which uses pre-specified and standardized methods to identify and critically appraise relevant research and collect, report, and analyze data from the studies included in the review.

Meta-analysis review

Meta-analysis uses statistical methods to summarize the results of independent studies. By combining information from all relevant studies, meta-analysis can provide more precise estimates of the effects than those derived from the individual studies included within a review.

Historical review

Historical literature reviews focus on examining research throughout a period, often starting with the first time an issue, concept, theory, or phenomenon emerged in the literature, then tracing its evolution within the scholarship of a discipline. The purpose is to place research in a historical context to show familiarity with state-of-the-art developments and identify future research's likely directions.

Theoretical Review

This form aims to examine the corpus of theory accumulated regarding an issue, concept, theory, and phenomenon. The theoretical literature review helps to establish what theories exist, the relationships between them, the degree the existing approaches have been investigated, and to develop new hypotheses to be tested.

Scoping Review

The Scoping Review is often used at the beginning of an article, dissertation, or research proposal. It is conducted before the research to highlight gaps in the existing body of knowledge and explains why the project should be greenlit.

State-of-the-Art Review

The State-of-the-Art review is conducted periodically, focusing on the most recent research. It describes what is currently known, understood, or agreed upon regarding the research topic and highlights where there are still disagreements.

Can you use the first person in a literature review?

When writing literature reviews, you should avoid the usage of first-person pronouns. It means that instead of "I argue that" or "we argue that," the appropriate expression would be "this research paper argues that."

Do you need an abstract for a literature review?

Ideally, yes. It is always good to have a condensed summary that is self-contained and independent of the rest of your review. As for how to draft one, you can follow the same fundamental idea when preparing an abstract for a literature review. It should also include:

• The research topic and your motivation behind selecting it
• A one-sentence thesis statement
• An explanation of the kinds of literature featured in the review
• Summary of what you've learned
• Conclusions you drew from the literature you reviewed
• Potential implications and future scope for research

Here's an example of the abstract of a literature review

Is a literature review written in the past tense?

Yes, the literature review should ideally be written in the past tense. You should not use the present or future tense when writing one. The exceptions are when you have statements describing events that happened earlier than the literature you are reviewing or events that are currently occurring; then, you can use the past perfect or present perfect tenses.

How many sources for a literature review?

There are multiple approaches to deciding how many sources to include in a literature review section. The first approach would be to look level you are at as a researcher. For instance, a doctoral thesis might need 60+ sources. In contrast, you might only need to refer to 5-15 sources at the undergraduate level.

The second approach is based on the kind of literature review you are doing — whether it is merely a chapter of your paper or if it is a self-contained paper in itself. When it is just a chapter, sources should equal the total number of pages in your article's body. In the second scenario, you need at least three times as many sources as there are pages in your work.

Quick tips on how to write a literature review

To know how to write a literature review, you must clearly understand its impact and role in establishing your work as substantive research material.

You need to follow the below-mentioned steps, to write a literature review:

• Outline the purpose behind the literature review
• Search relevant literature
• Examine and assess the relevant resources
• Discover connections by drawing deep insights from the resources
• Structure planning to write a good literature review

1. Outline and identify the purpose of  a literature review

As a first step on how to write a literature review, you must know what the research question or topic is and what shape you want your literature review to take. Ensure you understand the research topic inside out, or else seek clarifications. You must be able to the answer below questions before you start:

• How many sources do I need to include?
• What kind of sources should I analyze?
• How much should I critically evaluate each source?
• Should I summarize, synthesize or offer a critique of the sources?
• Do I need to include any background information or definitions?

Additionally, you should know that the narrower your research topic is, the swifter it will be for you to restrict the number of sources to be analyzed.

2. Search relevant literature

Dig deeper into search engines to discover what has already been published around your chosen topic. Make sure you thoroughly go through appropriate reference sources like books, reports, journal articles, government docs, and web-based resources.

You must prepare a list of keywords and their different variations. You can start your search from any library’s catalog, provided you are an active member of that institution. The exact keywords can be extended to widen your research over other databases and academic search engines like:

• Google Scholar
• Microsoft Academic
• Science.gov

Besides, it is not advisable to go through every resource word by word. Alternatively, what you can do is you can start by reading the abstract and then decide whether that source is relevant to your research or not.

Additionally, you must spend surplus time assessing the quality and relevance of resources. It would help if you tried preparing a list of citations to ensure that there lies no repetition of authors, publications, or articles in the literature review.

3. Examine and assess the sources

It is nearly impossible for you to go through every detail in the research article. So rather than trying to fetch every detail, you have to analyze and decide which research sources resemble closest and appear relevant to your chosen domain.

While analyzing the sources, you should look to find out answers to questions like:

• What question or problem has the author been describing and debating?
• What is the definition of critical aspects?
• How well the theories, approach, and methodology have been explained?
• Whether the research theory used some conventional or new innovative approach?
• How relevant are the key findings of the work?
• In what ways does it relate to other sources on the same topic?
• What challenges does this research paper pose to the existing theory
• What are the possible contributions or benefits it adds to the subject domain?

Be always mindful that you refer only to credible and authentic resources. It would be best if you always take references from different publications to validate your theory.

Always keep track of important information or data you can present in your literature review right from the beginning. It will help steer your path from any threats of plagiarism and also make it easier to curate an annotated bibliography or reference section.

4. Discover connections

At this stage, you must start deciding on the argument and structure of your literature review. To accomplish this, you must discover and identify the relations and connections between various resources while drafting your abstract.

A few aspects that you should be aware of while writing a literature review include:

• Rise to prominence: Theories and methods that have gained reputation and supporters over time.
• Constant scrutiny: Concepts or theories that repeatedly went under examination.
• Contradictions and conflicts: Theories, both the supporting and the contradictory ones, for the research topic.
• Knowledge gaps: What exactly does it fail to address, and how to bridge them with further research?
• Influential resources: Significant research projects available that have been upheld as milestones or perhaps, something that can modify the current trends

Once you join the dots between various past research works, it will be easier for you to draw a conclusion and identify your contribution to the existing knowledge base.

5. Structure planning to write a good literature review

There exist different ways towards planning and executing the structure of a literature review. The format of a literature review varies and depends upon the length of the research.

Like any other research paper, the literature review format must contain three sections: introduction, body, and conclusion. The goals and objectives of the research question determine what goes inside these three sections.

Nevertheless, a good literature review can be structured according to the chronological, thematic, methodological, or theoretical framework approach.

Literature review samples

1. Standalone

2. As a section of a research paper

How SciSpace Discover makes literature review a breeze?

SciSpace Discover is a one-stop solution to do an effective literature search and get barrier-free access to scientific knowledge. It is an excellent repository where you can find millions of only peer-reviewed articles and full-text PDF files. Here’s more on how you can use it:

Find the right information

Find what you want quickly and easily with comprehensive search filters that let you narrow down papers according to PDF availability, year of publishing, document type, and affiliated institution. Moreover, you can sort the results based on the publishing date, citation count, and relevance.

Assess credibility of papers quickly

When doing the literature review, it is critical to establish the quality of your sources. They form the foundation of your research. SciSpace Discover helps you assess the quality of a source by providing an overview of its references, citations, and performance metrics.

Get the complete picture in no time

SciSpace Discover’s personalized suggestion engine helps you stay on course and get the complete picture of the topic from one place. Every time you visit an article page, it provides you links to related papers. Besides that, it helps you understand what’s trending, who are the top authors, and who are the leading publishers on a topic.

Make referring sources super easy

To ensure you don't lose track of your sources, you must start noting down your references when doing the literature review. SciSpace Discover makes this step effortless. Click the 'cite' button on an article page, and you will receive preloaded citation text in multiple styles — all you've to do is copy-paste it into your manuscript.

Final tips on how to write a literature review

A massive chunk of time and effort is required to write a good literature review. But, if you go about it systematically, you'll be able to save a ton of time and build a solid foundation for your research.

We hope this guide has helped you answer several key questions you have about writing literature reviews.

Would you like to explore SciSpace Discover and kick off your literature search right away? You can get started here .

Frequently Asked Questions (FAQs)

1. how to start a literature review.

• What questions do you want to answer?

• What sources do you need to answer these questions?

• What information do these sources contain?

• How can you use this information to answer your questions?

2. What to include in a literature review?

• A brief background of the problem or issue

• What has previously been done to address the problem or issue

• A description of what you will do in your project

• How this study will contribute to research on the subject

3. Why literature review is important?

The literature review is an important part of any research project because it allows the writer to look at previous studies on a topic and determine existing gaps in the literature, as well as what has already been done. It will also help them to choose the most appropriate method for their own study.

4. How to cite a literature review in APA format?

To cite a literature review in APA style, you need to provide the author's name, the title of the article, and the year of publication. For example: Patel, A. B., & Stokes, G. S. (2012). The relationship between personality and intelligence: A meta-analysis of longitudinal research. Personality and Individual Differences, 53(1), 16-21

5. What are the components of a literature review?

• A brief introduction to the topic, including its background and context. The introduction should also include a rationale for why the study is being conducted and what it will accomplish.

• A description of the methodologies used in the study. This can include information about data collection methods, sample size, and statistical analyses.

• A presentation of the findings in an organized format that helps readers follow along with the author's conclusions.

6. What are common errors in writing literature review?

• Not spending enough time to critically evaluate the relevance of resources, observations and conclusions.

• Totally relying on secondary data while ignoring primary data.

• Letting your personal bias seep into your interpretation of existing literature.

• No detailed explanation of the procedure to discover and identify an appropriate literature review.

7. What are the 5 C's of writing literature review?

• Cite - the sources you utilized and referenced in your research.

• Compare - existing arguments, hypotheses, methodologies, and conclusions found in the knowledge base.

• Contrast - the arguments, topics, methodologies, approaches, and disputes that may be found in the literature.

• Critique - the literature and describe the ideas and opinions you find more convincing and why.

• Connect - the various studies you reviewed in your research.

8. How many sources should a literature review have?

When it is just a chapter, sources should equal the total number of pages in your article's body. if it is a self-contained paper in itself, you need at least three times as many sources as there are pages in your work.

9. Can literature review have diagrams?

• To represent an abstract idea or concept

• To explain the steps of a process or procedure

• To help readers understand the relationships between different concepts

10. How old should sources be in a literature review?

Sources for a literature review should be as current as possible or not older than ten years. The only exception to this rule is if you are reviewing a historical topic and need to use older sources.

11. What are the types of literature review?

• Argumentative review

• Integrative review

• Methodological review

• Systematic review

• Meta-analysis review

• Historical review

• Theoretical review

• Scoping review

• State-of-the-Art review

12. Is a literature review mandatory?

Yes. Literature review is a mandatory part of any research project. It is a critical step in the process that allows you to establish the scope of your research, and provide a background for the rest of your work.

But before you go,

• Six Online Tools for Easy Literature Review
• Evaluating literature review: systematic vs. scoping reviews
• Systematic Approaches to a Successful Literature Review
• Writing Integrative Literature Reviews: Guidelines and Examples

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• What is a Literature Review? | Guide, Template, & Examples

What is a Literature Review? | Guide, Template, & Examples

Published on 22 February 2022 by Shona McCombes . Revised on 7 June 2022.

What is a literature review? A literature review is a survey of scholarly sources on a specific topic. It provides an overview of current knowledge, allowing you to identify relevant theories, methods, and gaps in the existing research.

There are five key steps to writing a literature review:

• Search for relevant literature
• Evaluate sources
• Identify themes, debates and gaps
• Outline the structure
• Write your literature review

A good literature review doesn’t just summarise sources – it analyses, synthesises, and critically evaluates to give a clear picture of the state of knowledge on the subject.

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Table of contents

Why write a literature review, examples of literature reviews, step 1: search for relevant literature, step 2: evaluate and select sources, step 3: identify themes, debates and gaps, step 4: outline your literature review’s structure, step 5: write your literature review, frequently asked questions about literature reviews, introduction.

• Quick Run-through
• Step 1 & 2

When you write a dissertation or thesis, you will have to conduct a literature review to situate your research within existing knowledge. The literature review gives you a chance to:

• Demonstrate your familiarity with the topic and scholarly context
• Develop a theoretical framework and methodology for your research
• Position yourself in relation to other researchers and theorists
• Show how your dissertation addresses a gap or contributes to a debate

You might also have to write a literature review as a stand-alone assignment. In this case, the purpose is to evaluate the current state of research and demonstrate your knowledge of scholarly debates around a topic.

The content will look slightly different in each case, but the process of conducting a literature review follows the same steps. We’ve written a step-by-step guide that you can follow below.

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Writing literature reviews can be quite challenging! A good starting point could be to look at some examples, depending on what kind of literature review you’d like to write.

• Example literature review #1: “Why Do People Migrate? A Review of the Theoretical Literature” ( Theoretical literature review about the development of economic migration theory from the 1950s to today.)
• Example literature review #2: “Literature review as a research methodology: An overview and guidelines” ( Methodological literature review about interdisciplinary knowledge acquisition and production.)
• Example literature review #3: “The Use of Technology in English Language Learning: A Literature Review” ( Thematic literature review about the effects of technology on language acquisition.)
• Example literature review #4: “Learners’ Listening Comprehension Difficulties in English Language Learning: A Literature Review” ( Chronological literature review about how the concept of listening skills has changed over time.)

You can also check out our templates with literature review examples and sample outlines at the links below.

Download Word doc Download Google doc

Before you begin searching for literature, you need a clearly defined topic .

If you are writing the literature review section of a dissertation or research paper, you will search for literature related to your research objectives and questions .

If you are writing a literature review as a stand-alone assignment, you will have to choose a focus and develop a central question to direct your search. Unlike a dissertation research question, this question has to be answerable without collecting original data. You should be able to answer it based only on a review of existing publications.

Make a list of keywords

Start by creating a list of keywords related to your research topic. Include each of the key concepts or variables you’re interested in, and list any synonyms and related terms. You can add to this list if you discover new keywords in the process of your literature search.

• Social media, Facebook, Instagram, Twitter, Snapchat, TikTok
• Body image, self-perception, self-esteem, mental health
• Generation Z, teenagers, adolescents, youth

Search for relevant sources

Use your keywords to begin searching for sources. Some databases to search for journals and articles include:

• Your university’s library catalogue
• Google Scholar
• Project Muse (humanities and social sciences)
• Medline (life sciences and biomedicine)
• EconLit (economics)
• Inspec (physics, engineering and computer science)

You can use boolean operators to help narrow down your search:

Read the abstract to find out whether an article is relevant to your question. When you find a useful book or article, you can check the bibliography to find other relevant sources.

To identify the most important publications on your topic, take note of recurring citations. If the same authors, books or articles keep appearing in your reading, make sure to seek them out.

You probably won’t be able to read absolutely everything that has been written on the topic – you’ll have to evaluate which sources are most relevant to your questions.

For each publication, ask yourself:

• What question or problem is the author addressing?
• What are the key concepts and how are they defined?
• What are the key theories, models and methods? Does the research use established frameworks or take an innovative approach?
• What are the results and conclusions of the study?
• How does the publication relate to other literature in the field? Does it confirm, add to, or challenge established knowledge?
• How does the publication contribute to your understanding of the topic? What are its key insights and arguments?
• What are the strengths and weaknesses of the research?

Make sure the sources you use are credible, and make sure you read any landmark studies and major theories in your field of research.

You can find out how many times an article has been cited on Google Scholar – a high citation count means the article has been influential in the field, and should certainly be included in your literature review.

The scope of your review will depend on your topic and discipline: in the sciences you usually only review recent literature, but in the humanities you might take a long historical perspective (for example, to trace how a concept has changed in meaning over time).

Remember that you can use our template to summarise and evaluate sources you’re thinking about using!

Take notes and cite your sources

As you read, you should also begin the writing process. Take notes that you can later incorporate into the text of your literature review.

It’s important to keep track of your sources with references to avoid plagiarism . It can be helpful to make an annotated bibliography, where you compile full reference information and write a paragraph of summary and analysis for each source. This helps you remember what you read and saves time later in the process.

You can use our free APA Reference Generator for quick, correct, consistent citations.

To begin organising your literature review’s argument and structure, you need to understand the connections and relationships between the sources you’ve read. Based on your reading and notes, you can look for:

• Trends and patterns (in theory, method or results): do certain approaches become more or less popular over time?
• Themes: what questions or concepts recur across the literature?
• Debates, conflicts and contradictions: where do sources disagree?
• Pivotal publications: are there any influential theories or studies that changed the direction of the field?
• Gaps: what is missing from the literature? Are there weaknesses that need to be addressed?

This step will help you work out the structure of your literature review and (if applicable) show how your own research will contribute to existing knowledge.

• Most research has focused on young women.
• There is an increasing interest in the visual aspects of social media.
• But there is still a lack of robust research on highly-visual platforms like Instagram and Snapchat – this is a gap that you could address in your own research.

There are various approaches to organising the body of a literature review. You should have a rough idea of your strategy before you start writing.

Depending on the length of your literature review, you can combine several of these strategies (for example, your overall structure might be thematic, but each theme is discussed chronologically).

Chronological

The simplest approach is to trace the development of the topic over time. However, if you choose this strategy, be careful to avoid simply listing and summarising sources in order.

Try to analyse patterns, turning points and key debates that have shaped the direction of the field. Give your interpretation of how and why certain developments occurred.

If you have found some recurring central themes, you can organise your literature review into subsections that address different aspects of the topic.

For example, if you are reviewing literature about inequalities in migrant health outcomes, key themes might include healthcare policy, language barriers, cultural attitudes, legal status, and economic access.

Methodological

If you draw your sources from different disciplines or fields that use a variety of research methods , you might want to compare the results and conclusions that emerge from different approaches. For example:

• Look at what results have emerged in qualitative versus quantitative research
• Discuss how the topic has been approached by empirical versus theoretical scholarship
• Divide the literature into sociological, historical, and cultural sources

Theoretical

A literature review is often the foundation for a theoretical framework . You can use it to discuss various theories, models, and definitions of key concepts.

You might argue for the relevance of a specific theoretical approach, or combine various theoretical concepts to create a framework for your research.

Like any other academic text, your literature review should have an introduction , a main body, and a conclusion . What you include in each depends on the objective of your literature review.

The introduction should clearly establish the focus and purpose of the literature review.

If you are writing the literature review as part of your dissertation or thesis, reiterate your central problem or research question and give a brief summary of the scholarly context. You can emphasise the timeliness of the topic (“many recent studies have focused on the problem of x”) or highlight a gap in the literature (“while there has been much research on x, few researchers have taken y into consideration”).

Depending on the length of your literature review, you might want to divide the body into subsections. You can use a subheading for each theme, time period, or methodological approach.

As you write, make sure to follow these tips:

• Summarise and synthesise: give an overview of the main points of each source and combine them into a coherent whole.
• Analyse and interpret: don’t just paraphrase other researchers – add your own interpretations, discussing the significance of findings in relation to the literature as a whole.
• Critically evaluate: mention the strengths and weaknesses of your sources.
• Write in well-structured paragraphs: use transitions and topic sentences to draw connections, comparisons and contrasts.

In the conclusion, you should summarise the key findings you have taken from the literature and emphasise their significance.

If the literature review is part of your dissertation or thesis, reiterate how your research addresses gaps and contributes new knowledge, or discuss how you have drawn on existing theories and methods to build a framework for your research. This can lead directly into your methodology section.

A literature review is a survey of scholarly sources (such as books, journal articles, and theses) related to a specific topic or research question .

It is often written as part of a dissertation , thesis, research paper , or proposal .

There are several reasons to conduct a literature review at the beginning of a research project:

• To familiarise yourself with the current state of knowledge on your topic
• To ensure that you’re not just repeating what others have already done
• To identify gaps in knowledge and unresolved problems that your research can address
• To develop your theoretical framework and methodology
• To provide an overview of the key findings and debates on the topic

Writing the literature review shows your reader how your work relates to existing research and what new insights it will contribute.

The literature review usually comes near the beginning of your  dissertation . After the introduction , it grounds your research in a scholarly field and leads directly to your theoretical framework or methodology .

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How To Structure Your Literature Review

3 options to help structure your chapter.

By: Amy Rommelspacher (PhD) | Reviewer: Dr Eunice Rautenbach | November 2020 (Updated May 2023)

Writing the literature review chapter can seem pretty daunting when you’re piecing together your dissertation or thesis. As  we’ve discussed before , a good literature review needs to achieve a few very important objectives – it should:

• Demonstrate your knowledge of the research topic
• Identify the gaps in the literature and show how your research links to these
• Provide the foundation for your conceptual framework (if you have one)
• Inform your own  methodology and research design

To achieve this, your literature review needs a well-thought-out structure . Get the structure of your literature review chapter wrong and you’ll struggle to achieve these objectives. Don’t worry though – in this post, we’ll look at how to structure your literature review for maximum impact (and marks!).

But wait – is this the right time?

Deciding on the structure of your literature review should come towards the end of the literature review process – after you have collected and digested the literature, but before you start writing the chapter. 

In other words, you need to first develop a rich understanding of the literature before you even attempt to map out a structure. There’s no use trying to develop a structure before you’ve fully wrapped your head around the existing research.

Equally importantly, you need to have a structure in place before you start writing , or your literature review will most likely end up a rambling, disjointed mess. 

Importantly, don’t feel that once you’ve defined a structure you can’t iterate on it. It’s perfectly natural to adjust as you engage in the writing process. As we’ve discussed before , writing is a way of developing your thinking, so it’s quite common for your thinking to change – and therefore, for your chapter structure to change – as you write. 

Need a helping hand?

Like any other chapter in your thesis or dissertation, your literature review needs to have a clear, logical structure. At a minimum, it should have three essential components – an  introduction , a  body   and a  conclusion . 

Let’s take a closer look at each of these.

1: The Introduction Section

Just like any good introduction, the introduction section of your literature review should introduce the purpose and layout (organisation) of the chapter. In other words, your introduction needs to give the reader a taste of what’s to come, and how you’re going to lay that out. Essentially, you should provide the reader with a high-level roadmap of your chapter to give them a taste of the journey that lies ahead.

Here’s an example of the layout visualised in a literature review introduction:

Your introduction should also outline your topic (including any tricky terminology or jargon) and provide an explanation of the scope of your literature review – in other words, what you  will   and  won’t   be covering (the delimitations ). This helps ringfence your review and achieve a clear focus . The clearer and narrower your focus, the deeper you can dive into the topic (which is typically where the magic lies). 

Depending on the nature of your project, you could also present your stance or point of view at this stage. In other words, after grappling with the literature you’ll have an opinion about what the trends and concerns are in the field as well as what’s lacking. The introduction section can then present these ideas so that it is clear to examiners that you’re aware of how your research connects with existing knowledge .

2: The Body Section

The body of your literature review is the centre of your work. This is where you’ll present, analyse, evaluate and synthesise the existing research. In other words, this is where you’re going to earn (or lose) the most marks. Therefore, it’s important to carefully think about how you will organise your discussion to present it in a clear way. 

The body of your literature review should do just as the description of this chapter suggests. It should “review” the literature – in other words, identify, analyse, and synthesise it. So, when thinking about structuring your literature review, you need to think about which structural approach will provide the best “review” for your specific type of research and objectives (we’ll get to this shortly).

There are (broadly speaking)  three options  for organising your literature review.

Option 1: Chronological (according to date)

Organising the literature chronologically is one of the simplest ways to structure your literature review. You start with what was published first and work your way through the literature until you reach the work published most recently. Pretty straightforward.

The benefit of this option is that it makes it easy to discuss the developments and debates in the field as they emerged over time. Organising your literature chronologically also allows you to highlight how specific articles or pieces of work might have changed the course of the field – in other words, which research has had the most impact . Therefore, this approach is very useful when your research is aimed at understanding how the topic has unfolded over time and is often used by scholars in the field of history. That said, this approach can be utilised by anyone that wants to explore change over time .

For example , if a student of politics is investigating how the understanding of democracy has evolved over time, they could use the chronological approach to provide a narrative that demonstrates how this understanding has changed through the ages.

Here are some questions you can ask yourself to help you structure your literature review chronologically.

• What is the earliest literature published relating to this topic?
• How has the field changed over time? Why?
• What are the most recent discoveries/theories?

In some ways, chronology plays a part whichever way you decide to structure your literature review, because you will always, to a certain extent, be analysing how the literature has developed. However, with the chronological approach, the emphasis is very firmly on how the discussion has evolved over time , as opposed to how all the literature links together (which we’ll discuss next ).

Option 2: Thematic (grouped by theme)

The thematic approach to structuring a literature review means organising your literature by theme or category – for example, by independent variables (i.e. factors that have an impact on a specific outcome).

As you’ve been collecting and synthesising literature , you’ll likely have started seeing some themes or patterns emerging. You can then use these themes or patterns as a structure for your body discussion. The thematic approach is the most common approach and is useful for structuring literature reviews in most fields.

For example, if you were researching which factors contributed towards people trusting an organisation, you might find themes such as consumers’ perceptions of an organisation’s competence, benevolence and integrity. Structuring your literature review thematically would mean structuring your literature review’s body section to discuss each of these themes, one section at a time.

Here are some questions to ask yourself when structuring your literature review by themes:

• Are there any patterns that have come to light in the literature?
• What are the central themes and categories used by the researchers?
• Do I have enough evidence of these themes?

PS – you can see an example of a thematically structured literature review in our literature review sample walkthrough video here.

Option 3: Methodological

The methodological option is a way of structuring your literature review by the research methodologies used . In other words, organising your discussion based on the angle from which each piece of research was approached – for example, qualitative , quantitative or mixed  methodologies.

Structuring your literature review by methodology can be useful if you are drawing research from a variety of disciplines and are critiquing different methodologies. The point of this approach is to question  how  existing research has been conducted, as opposed to  what  the conclusions and/or findings the research were.

For example, a sociologist might centre their research around critiquing specific fieldwork practices. Their literature review will then be a summary of the fieldwork methodologies used by different studies.

Here are some questions you can ask yourself when structuring your literature review according to methodology:

• Which methodologies have been utilised in this field?
• Which methodology is the most popular (and why)?
• What are the strengths and weaknesses of the various methodologies?
• How can the existing methodologies inform my own methodology?

3: The Conclusion Section

Once you’ve completed the body section of your literature review using one of the structural approaches we discussed above, you’ll need to “wrap up” your literature review and pull all the pieces together to set the direction for the rest of your dissertation or thesis.

The conclusion is where you’ll present the key findings of your literature review. In this section, you should emphasise the research that is especially important to your research questions and highlight the gaps that exist in the literature. Based on this, you need to make it clear what you will add to the literature – in other words, justify your own research by showing how it will help fill one or more of the gaps you just identified.

Last but not least, if it’s your intention to develop a conceptual framework for your dissertation or thesis, the conclusion section is a good place to present this.

Example: Thematically Structured Review

In the video below, we unpack a literature review chapter so that you can see an example of a thematically structure review in practice.

Let’s Recap

In this article, we’ve  discussed how to structure your literature review for maximum impact. Here’s a quick recap of what  you need to keep in mind when deciding on your literature review structure:

• Just like other chapters, your literature review needs a clear introduction , body and conclusion .
• The introduction section should provide an overview of what you will discuss in your literature review.
• The body section of your literature review can be organised by chronology , theme or methodology . The right structural approach depends on what you’re trying to achieve with your research.
• The conclusion section should draw together the key findings of your literature review and link them to your research questions.

If you’re ready to get started, be sure to download our free literature review template to fast-track your chapter outline.

Psst… there’s more!

This post is an extract from our bestselling short course, Literature Review Bootcamp . If you want to work smart, you don't want to miss this .

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27 Comments

Great work. This is exactly what I was looking for and helps a lot together with your previous post on literature review. One last thing is missing: a link to a great literature chapter of an journal article (maybe with comments of the different sections in this review chapter). Do you know any great literature review chapters?

I agree with you Marin… A great piece

I agree with Marin. This would be quite helpful if you annotate a nicely structured literature from previously published research articles.

Awesome article for my research.

I thank you immensely for this wonderful guide

It is indeed thought and supportive work for the futurist researcher and students

Very educative and good time to get guide. Thank you

Great work, very insightful. Thank you.

Thanks for this wonderful presentation. My question is that do I put all the variables into a single conceptual framework or each hypothesis will have it own conceptual framework?

Thank you very much, very helpful

This is very educative and precise . Thank you very much for dropping this kind of write up .

Pheeww, so damn helpful, thank you for this informative piece.

I’m doing a research project topic ; stool analysis for parasitic worm (enteric) worm, how do I structure it, thanks.

comprehensive explanation. Help us by pasting the URL of some good “literature review” for better understanding.

great piece. thanks for the awesome explanation. it is really worth sharing. I have a little question, if anyone can help me out, which of the options in the body of literature can be best fit if you are writing an architectural thesis that deals with design?

I am doing a research on nanofluids how can l structure it?

Beautifully clear.nThank you!

Lucid! Thankyou!

Brilliant work, well understood, many thanks

I like how this was so clear with simple language 😊😊 thank you so much 😊 for these information 😊

Insightful. I was struggling to come up with a sensible literature review but this has been really helpful. Thank you!

You have given thought-provoking information about the review of the literature.

Thank you. It has made my own research better and to impart your work to students I teach

I learnt a lot from this teaching. It’s a great piece.

I am doing research on EFL teacher motivation for his/her job. How Can I structure it? Is there any detailed template, additional to this?

You are so cool! I do not think I’ve read through something like this before. So nice to find somebody with some genuine thoughts on this issue. Seriously.. thank you for starting this up. This site is one thing that is required on the internet, someone with a little originality!

I’m asked to do conceptual, theoretical and empirical literature, and i just don’t know how to structure it

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Literature Reviews

• Overview of Literature Reviews and Systematic Reviews
• How to Get Started and Developing a Research Question
• Finding and Evaluating Sources
• Citations This link opens in a new window
• Synthesizing Sources
• Writing the Literature Review
• Systematic Reviews This link opens in a new window
• Suggested Readings
• Elements of a Literature Review
• Introduction
• Reference List

All literature reviews contain the following elements:

See the tabs to right for further explanation of each of these elements.

The introduction to a literature review should include the following:

• Define the topic to provide context for the review
• Identify trends in previous publications
• Give your reasoning for reviewing the literature (Why is it necessary? What is your point of view?)
• Explain the criteria that was used to conduct the search
• Indicate how the review is organized

The body of the literature review will discuss each source. Find patterns and ways to tie the main points together. This can be organized thematically, chronologically, or methodologically.

Thematic-organized around a topic or issue

Chronological-organized according to when the articles were published or according to when trends took place

Methodological-organized by the methods used by the researchers

The conclusion should summarize the literature review. Discuss any implications drawn from the literature and what further research is needed.

A reference list at the end of a literature review is essential. Citing all sources gives credit to the authors of the literature, allows others to find the literature for evaluation or their own research, and helps to avoid plagiarism. For more information on creating a reference list, see our Citation Styles guide.

Adding Content & Organizing the Review

The literature review is about both content and form.  In terms of content, keep in mind that your literature review is intended to:

• Set up a theoretical framework for your own research
• Show a clear understanding of the key concepts/ideas/studies/models related to your topic
• Demonstrate knowledge about the history of your research area and any related controversies
• Illustrate that you are able to evaluate and synthesize the work of others
• Clarify significant definitions and terminology
• Develop a space in your discipline for your research

Some questions to ask yourself when you begin to write your first draft include:

• How will my literature review be organized: Chronologically, thematically, conceptually, methodologically or a combination?
• What section headings will I be using?
• How do the various studies relate to each other?
• What contributions do they make to the field?
• What are the limitations of a study/where are the gaps in the research?
• And finally but most importantly, how does my own research fit into what has already been done?

Some questions to ask after the first draft:

• Is there a logical flow from section to section, paragraph to paragraph, sentence to sentence?
• Does the content proceed from topic to topic?
• Does your conclusion match your introduction?
• Were you consistent in documenting and using the correct citation style?

Attribution

The content of this page was developed from Chapter 8, "Writing a Literature Review" in:

Frederiksen, L., & Phelps, S. F. (2017). Literature reviews for education and nursing graduate students. Rebus Community.  https://open.umn.edu/opentextbooks/textbooks/literature-reviews-for-education-and-nursing-graduate-students

• << Previous: Synthesizing Sources
• Next: Systematic Reviews >>
• Last Updated: Nov 30, 2023 1:07 PM
• URL: https://libguides.chapman.edu/literature_reviews

Literature Reviews

What this handout is about.

This handout will explain what literature reviews are and offer insights into the form and construction of literature reviews in the humanities, social sciences, and sciences.

Introduction

OK. You’ve got to write a literature review. You dust off a novel and a book of poetry, settle down in your chair, and get ready to issue a “thumbs up” or “thumbs down” as you leaf through the pages. “Literature review” done. Right?

Wrong! The “literature” of a literature review refers to any collection of materials on a topic, not necessarily the great literary texts of the world. “Literature” could be anything from a set of government pamphlets on British colonial methods in Africa to scholarly articles on the treatment of a torn ACL. And a review does not necessarily mean that your reader wants you to give your personal opinion on whether or not you liked these sources.

What is a literature review, then?

A literature review discusses published information in a particular subject area, and sometimes information in a particular subject area within a certain time period.

A literature review can be just a simple summary of the sources, but it usually has an organizational pattern and combines both summary and synthesis. A summary is a recap of the important information of the source, but a synthesis is a re-organization, or a reshuffling, of that information. It might give a new interpretation of old material or combine new with old interpretations. Or it might trace the intellectual progression of the field, including major debates. And depending on the situation, the literature review may evaluate the sources and advise the reader on the most pertinent or relevant.

But how is a literature review different from an academic research paper?

The main focus of an academic research paper is to develop a new argument, and a research paper is likely to contain a literature review as one of its parts. In a research paper, you use the literature as a foundation and as support for a new insight that you contribute. The focus of a literature review, however, is to summarize and synthesize the arguments and ideas of others without adding new contributions.

Why do we write literature reviews?

Literature reviews provide you with a handy guide to a particular topic. If you have limited time to conduct research, literature reviews can give you an overview or act as a stepping stone. For professionals, they are useful reports that keep them up to date with what is current in the field. For scholars, the depth and breadth of the literature review emphasizes the credibility of the writer in his or her field. Literature reviews also provide a solid background for a research paper’s investigation. Comprehensive knowledge of the literature of the field is essential to most research papers.

Who writes these things, anyway?

Literature reviews are written occasionally in the humanities, but mostly in the sciences and social sciences; in experiment and lab reports, they constitute a section of the paper. Sometimes a literature review is written as a paper in itself.

Let’s get to it! What should I do before writing the literature review?

If your assignment is not very specific, seek clarification from your instructor:

• Roughly how many sources should you include?
• What types of sources (books, journal articles, websites)?
• Should you summarize, synthesize, or critique your sources by discussing a common theme or issue?
• Should you evaluate your sources?
• Should you provide subheadings and other background information, such as definitions and/or a history?

Find models

Look for other literature reviews in your area of interest or in the discipline and read them to get a sense of the types of themes you might want to look for in your own research or ways to organize your final review. You can simply put the word “review” in your search engine along with your other topic terms to find articles of this type on the Internet or in an electronic database. The bibliography or reference section of sources you’ve already read are also excellent entry points into your own research.

Narrow your topic

There are hundreds or even thousands of articles and books on most areas of study. The narrower your topic, the easier it will be to limit the number of sources you need to read in order to get a good survey of the material. Your instructor will probably not expect you to read everything that’s out there on the topic, but you’ll make your job easier if you first limit your scope.

Keep in mind that UNC Libraries have research guides and to databases relevant to many fields of study. You can reach out to the subject librarian for a consultation: https://library.unc.edu/support/consultations/ .

And don’t forget to tap into your professor’s (or other professors’) knowledge in the field. Ask your professor questions such as: “If you had to read only one book from the 90’s on topic X, what would it be?” Questions such as this help you to find and determine quickly the most seminal pieces in the field.

Consider whether your sources are current

Some disciplines require that you use information that is as current as possible. In the sciences, for instance, treatments for medical problems are constantly changing according to the latest studies. Information even two years old could be obsolete. However, if you are writing a review in the humanities, history, or social sciences, a survey of the history of the literature may be what is needed, because what is important is how perspectives have changed through the years or within a certain time period. Try sorting through some other current bibliographies or literature reviews in the field to get a sense of what your discipline expects. You can also use this method to consider what is currently of interest to scholars in this field and what is not.

Strategies for writing the literature review

Find a focus.

A literature review, like a term paper, is usually organized around ideas, not the sources themselves as an annotated bibliography would be organized. This means that you will not just simply list your sources and go into detail about each one of them, one at a time. No. As you read widely but selectively in your topic area, consider instead what themes or issues connect your sources together. Do they present one or different solutions? Is there an aspect of the field that is missing? How well do they present the material and do they portray it according to an appropriate theory? Do they reveal a trend in the field? A raging debate? Pick one of these themes to focus the organization of your review.

Convey it to your reader

A literature review may not have a traditional thesis statement (one that makes an argument), but you do need to tell readers what to expect. Try writing a simple statement that lets the reader know what is your main organizing principle. Here are a couple of examples:

The current trend in treatment for congestive heart failure combines surgery and medicine. More and more cultural studies scholars are accepting popular media as a subject worthy of academic consideration.

Consider organization

You’ve got a focus, and you’ve stated it clearly and directly. Now what is the most effective way of presenting the information? What are the most important topics, subtopics, etc., that your review needs to include? And in what order should you present them? Develop an organization for your review at both a global and local level:

First, cover the basic categories

Just like most academic papers, literature reviews also must contain at least three basic elements: an introduction or background information section; the body of the review containing the discussion of sources; and, finally, a conclusion and/or recommendations section to end the paper. The following provides a brief description of the content of each:

• Introduction: Gives a quick idea of the topic of the literature review, such as the central theme or organizational pattern.
• Body: Contains your discussion of sources and is organized either chronologically, thematically, or methodologically (see below for more information on each).
• Conclusions/Recommendations: Discuss what you have drawn from reviewing literature so far. Where might the discussion proceed?

Organizing the body

Once you have the basic categories in place, then you must consider how you will present the sources themselves within the body of your paper. Create an organizational method to focus this section even further.

To help you come up with an overall organizational framework for your review, consider the following scenario:

You’ve decided to focus your literature review on materials dealing with sperm whales. This is because you’ve just finished reading Moby Dick, and you wonder if that whale’s portrayal is really real. You start with some articles about the physiology of sperm whales in biology journals written in the 1980’s. But these articles refer to some British biological studies performed on whales in the early 18th century. So you check those out. Then you look up a book written in 1968 with information on how sperm whales have been portrayed in other forms of art, such as in Alaskan poetry, in French painting, or on whale bone, as the whale hunters in the late 19th century used to do. This makes you wonder about American whaling methods during the time portrayed in Moby Dick, so you find some academic articles published in the last five years on how accurately Herman Melville portrayed the whaling scene in his novel.

Now consider some typical ways of organizing the sources into a review:

• Chronological: If your review follows the chronological method, you could write about the materials above according to when they were published. For instance, first you would talk about the British biological studies of the 18th century, then about Moby Dick, published in 1851, then the book on sperm whales in other art (1968), and finally the biology articles (1980s) and the recent articles on American whaling of the 19th century. But there is relatively no continuity among subjects here. And notice that even though the sources on sperm whales in other art and on American whaling are written recently, they are about other subjects/objects that were created much earlier. Thus, the review loses its chronological focus.
• By publication: Order your sources by publication chronology, then, only if the order demonstrates a more important trend. For instance, you could order a review of literature on biological studies of sperm whales if the progression revealed a change in dissection practices of the researchers who wrote and/or conducted the studies.
• By trend: A better way to organize the above sources chronologically is to examine the sources under another trend, such as the history of whaling. Then your review would have subsections according to eras within this period. For instance, the review might examine whaling from pre-1600-1699, 1700-1799, and 1800-1899. Under this method, you would combine the recent studies on American whaling in the 19th century with Moby Dick itself in the 1800-1899 category, even though the authors wrote a century apart.
• Thematic: Thematic reviews of literature are organized around a topic or issue, rather than the progression of time. However, progression of time may still be an important factor in a thematic review. For instance, the sperm whale review could focus on the development of the harpoon for whale hunting. While the study focuses on one topic, harpoon technology, it will still be organized chronologically. The only difference here between a “chronological” and a “thematic” approach is what is emphasized the most: the development of the harpoon or the harpoon technology.But more authentic thematic reviews tend to break away from chronological order. For instance, a thematic review of material on sperm whales might examine how they are portrayed as “evil” in cultural documents. The subsections might include how they are personified, how their proportions are exaggerated, and their behaviors misunderstood. A review organized in this manner would shift between time periods within each section according to the point made.
• Methodological: A methodological approach differs from the two above in that the focusing factor usually does not have to do with the content of the material. Instead, it focuses on the “methods” of the researcher or writer. For the sperm whale project, one methodological approach would be to look at cultural differences between the portrayal of whales in American, British, and French art work. Or the review might focus on the economic impact of whaling on a community. A methodological scope will influence either the types of documents in the review or the way in which these documents are discussed. Once you’ve decided on the organizational method for the body of the review, the sections you need to include in the paper should be easy to figure out. They should arise out of your organizational strategy. In other words, a chronological review would have subsections for each vital time period. A thematic review would have subtopics based upon factors that relate to the theme or issue.

Sometimes, though, you might need to add additional sections that are necessary for your study, but do not fit in the organizational strategy of the body. What other sections you include in the body is up to you. Put in only what is necessary. Here are a few other sections you might want to consider:

• Current Situation: Information necessary to understand the topic or focus of the literature review.
• History: The chronological progression of the field, the literature, or an idea that is necessary to understand the literature review, if the body of the literature review is not already a chronology.
• Methods and/or Standards: The criteria you used to select the sources in your literature review or the way in which you present your information. For instance, you might explain that your review includes only peer-reviewed articles and journals.

Questions for Further Research: What questions about the field has the review sparked? How will you further your research as a result of the review?

Begin composing

Once you’ve settled on a general pattern of organization, you’re ready to write each section. There are a few guidelines you should follow during the writing stage as well. Here is a sample paragraph from a literature review about sexism and language to illuminate the following discussion:

However, other studies have shown that even gender-neutral antecedents are more likely to produce masculine images than feminine ones (Gastil, 1990). Hamilton (1988) asked students to complete sentences that required them to fill in pronouns that agreed with gender-neutral antecedents such as “writer,” “pedestrian,” and “persons.” The students were asked to describe any image they had when writing the sentence. Hamilton found that people imagined 3.3 men to each woman in the masculine “generic” condition and 1.5 men per woman in the unbiased condition. Thus, while ambient sexism accounted for some of the masculine bias, sexist language amplified the effect. (Source: Erika Falk and Jordan Mills, “Why Sexist Language Affects Persuasion: The Role of Homophily, Intended Audience, and Offense,” Women and Language19:2).

Use evidence

In the example above, the writers refer to several other sources when making their point. A literature review in this sense is just like any other academic research paper. Your interpretation of the available sources must be backed up with evidence to show that what you are saying is valid.

Be selective

Select only the most important points in each source to highlight in the review. The type of information you choose to mention should relate directly to the review’s focus, whether it is thematic, methodological, or chronological.

Use quotes sparingly

Falk and Mills do not use any direct quotes. That is because the survey nature of the literature review does not allow for in-depth discussion or detailed quotes from the text. Some short quotes here and there are okay, though, if you want to emphasize a point, or if what the author said just cannot be rewritten in your own words. Notice that Falk and Mills do quote certain terms that were coined by the author, not common knowledge, or taken directly from the study. But if you find yourself wanting to put in more quotes, check with your instructor.

Summarize and synthesize

Remember to summarize and synthesize your sources within each paragraph as well as throughout the review. The authors here recapitulate important features of Hamilton’s study, but then synthesize it by rephrasing the study’s significance and relating it to their own work.

Keep your own voice

While the literature review presents others’ ideas, your voice (the writer’s) should remain front and center. Notice that Falk and Mills weave references to other sources into their own text, but they still maintain their own voice by starting and ending the paragraph with their own ideas and their own words. The sources support what Falk and Mills are saying.

Use caution when paraphrasing

When paraphrasing a source that is not your own, be sure to represent the author’s information or opinions accurately and in your own words. In the preceding example, Falk and Mills either directly refer in the text to the author of their source, such as Hamilton, or they provide ample notation in the text when the ideas they are mentioning are not their own, for example, Gastil’s. For more information, please see our handout on plagiarism .

Revise, revise, revise

Draft in hand? Now you’re ready to revise. Spending a lot of time revising is a wise idea, because your main objective is to present the material, not the argument. So check over your review again to make sure it follows the assignment and/or your outline. Then, just as you would for most other academic forms of writing, rewrite or rework the language of your review so that you’ve presented your information in the most concise manner possible. Be sure to use terminology familiar to your audience; get rid of unnecessary jargon or slang. Finally, double check that you’ve documented your sources and formatted the review appropriately for your discipline. For tips on the revising and editing process, see our handout on revising drafts .

Works consulted

We consulted these works while writing this handout. This is not a comprehensive list of resources on the handout’s topic, and we encourage you to do your own research to find additional publications. Please do not use this list as a model for the format of your own reference list, as it may not match the citation style you are using. For guidance on formatting citations, please see the UNC Libraries citation tutorial . We revise these tips periodically and welcome feedback.

Anson, Chris M., and Robert A. Schwegler. 2010. The Longman Handbook for Writers and Readers , 6th ed. New York: Longman.

Jones, Robert, Patrick Bizzaro, and Cynthia Selfe. 1997. The Harcourt Brace Guide to Writing in the Disciplines . New York: Harcourt Brace.

Lamb, Sandra E. 1998. How to Write It: A Complete Guide to Everything You’ll Ever Write . Berkeley: Ten Speed Press.

Rosen, Leonard J., and Laurence Behrens. 2003. The Allyn & Bacon Handbook , 5th ed. New York: Longman.

Troyka, Lynn Quittman, and Doug Hesse. 2016. Simon and Schuster Handbook for Writers , 11th ed. London: Pearson.

You may reproduce it for non-commercial use if you use the entire handout and attribute the source: The Writing Center, University of North Carolina at Chapel Hill

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Literature Review Tips for the Introduction and Discussion Sections

A literature review is a summary of studies related to a particular area of research. It identifies and summarizes all the relevant research conducted on a particular topic. It is important that your literature review is focused . Therefore, you should choose a limited number of studies that are central to your topic rather than trying to collect a wide range of studies that might not be closely connected.

Literature reviews help you accomplish the following:

• Evaluate past research  Collecting relevant resources will help you see what research has already been done. This will also help avoid duplication.
• Identify experts It is important to identify credible researchers who have knowledge in a given field, in order to seek their help if you get stuck with certain aspects of your research.
• Identify key questions  Your ultimate aim is to bring something new to the conversation. Collecting resources will help you determine the important questions that need to be addressed.
• Determine methodologies used in past studies Knowing how others have approached a particular topic will give you the opportunity to identify problems and find new ways to research and study a topic. If the reported methodology was successful, you can use it and save time that you would otherwise be spending on optimization.

Presenting Literature Review in the Introduction and Discussion Sections

There are many benefits to presenting literature reviews in the introduction and discussion sections of your manuscripts . However, there are differences in how you can present literature reviews in each section.

What Should be Included in the Literature Review of the Introduction Section?

The literature reviewed in the introduction should:

• Introduce the topic
• Establish the significance of the study
• Provide an overview of the relevant literature
• Establish a context for the study using the literature
• Identify knowledge gaps
• Illustrate how the study will advance knowledge on the topic

As you can see, literature review plays a significant role in the introduction section. However, there are some things that you should avoid doing in this section. These include:

• Elaborating on the studies mentioned in the literature review
• Using studies from the literature review to aggressively support your research
• Directly quoting studies from the literature review

It is important to know how to integrate the literature review into the introduction in an effective way. Although you can mention other studies, they should not be the focus. Instead, focus on using the literature review to aid in setting a foundation for the manuscript.

What Goes in the Literature Review of the Discussion Section?

Literature reviews play an important role in the discussion section of a manuscript . In this section, your findings should be the focus, rather than those of other researchers. Therefore, you should only use the studies mentioned in the literature review as support and evidence for your study.

There are three ways in which you can use literature reviews in the discussion section:

• To Provide Context for Your Study Using studies from the literature review helps to set the foundation for how you will reveal your findings and develop your ideas.
• Compare your Findings to Other Studies You can use previous literature as a backdrop to compare your new findings. This helps describe and also advance your ideas.
• State the Contribution of Your Study In addition to developing your ideas, you can use literature reviews to explain how your study contributes to the field of study.

However, there are three common mistakes that researchers make when including literature reviews in the discussion section. First, they mention all sorts of studies, some of which are not even relevant to the topic under investigation. Second, instead of citing the original article, they cite a related article that mentions the original article. Lastly, some authors cite previous work solely based on the abstract, without even going through the entire paper.

We hope this article helps you effectively present your literature review in both the introduction as well as the discussion section of your manuscript. You can also mention any other tips that will add to this article in the comments section below.

References:

[1]  http://www.math.montana.edu/jobo/phdprep/documents/phd6.pdf 

[2]  https://libguides.unf.edu/c.php?g=177129&p=1163732

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Writing: Literature Review Basics

• What is Synthesis?
• Organizing Your Research
• Paraphrasing, Summary, or Direct Quotation?
• Introductions
• Conclusions
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The Most Important Thing

The best time to write an introduction is AFTER you write the body of your paper.

Well, how do you know what to introduce until after you've figured out what you want to say?

The best time to write an introduction is as one of the last things you do.

Basic Introduction Template

For any other sort of scholarly writing, the following basic structure works well for an introduction:

• What has been said or done on this topic?  
• What is the problem with what has been said or done?
• What will you offer to solve the problem?  (The answer to this is your thesis statement.)
• How does your solution address necessary change?

Writing an Introduction

The job of an introduction is to preview what you are going to say so the audience knows what is coming.  A good introduction starts out generally and works towards a specific statement of what you intend to discuss in your writing. 

The introduction explains the focus and establishes the importance of the subject. It discusses what kind of work has been done on the topic and identifies any controversies within the field or any recent research which has raised questions about earlier assumptions. It may provide background or history, and it indicates why the topic is important, interesting, problematic, or relevant in some way.  It concludes with a purpose or thesis statement. In a stand-alone literature review, this statement will sum up and evaluate the state of the art in this field of research; in a review that is an introduction or preparatory to a larger work, such as the Culminating Project, it will suggest how the review findings will lead to the research the writer proposes to undertake.

In a literature review, an introduction may contain the following:

• A concise definition of a topic under consideration (this may be a descriptive or argumentative thesis, or proposal), as well as the scope of the related literature being investigated. (Example: If the topic under consideration is ‘women’s wartime diaries’, the scope of the review may be limited to published or unpublished works, works in English, works from a particular location, time period, or conflict, etc.)  
• The introduction should also note what topics are being included and what are intentional exclusions. (Example: “This review will not explore the diaries of adolescent girls.”)
• A final sentence should signal the list of key topics that will be used to discuss the selected sources.

Many theories have been proposed to explain what motivates human behavior. Although the literature covers a wide variety of such theories, this review will focus on five major themes which emerge repeatedly throughout the literature reviewed. These themes are incorporation of the self-concept into traditional theories of motivation, the influence of rewards on motivation, the increasing importance of internal forces of motivation, autonomy and self-control as sources of motivation, and narcissism as an essential component of motivation. Although the literature presents these themes in a variety of contexts, this paper will primarily focus on their application to self-motivation.

Let's break that apart.

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Literature Reviews

• What is a literature review?
• Steps in the Literature Review Process
• Define your research question
• Determine inclusion and exclusion criteria
• Choose databases and search
• Review Results
• Synthesize Results
• Analyze Results
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What is a Literature Review?

A literature or narrative review is a comprehensive review and analysis of the published literature on a specific topic or research question. The literature that is reviewed contains: books, articles, academic articles, conference proceedings, association papers, and dissertations. It contains the most pertinent studies and points to important past and current research and practices. It provides background and context, and shows how your research will contribute to the field. 

A literature review should: 

• Provide a comprehensive and updated review of the literature;
• Explain why this review has taken place;
• Articulate a position or hypothesis;
• Acknowledge and account for conflicting and corroborating points of view

From  S age Research Methods

Purpose of a Literature Review

A literature review can be written as an introduction to a study to:

• Demonstrate how a study fills a gap in research
• Compare a study with other research that's been done

Or it can be a separate work (a research article on its own) which:

• Organizes or describes a topic
• Describes variables within a particular issue/problem

Limitations of a Literature Review

Some of the limitations of a literature review are:

• It's a snapshot in time. Unlike other reviews, this one has beginning, a middle and an end. There may be future developments that could make your work less relevant.
• It may be too focused. Some niche studies may miss the bigger picture.
• It can be difficult to be comprehensive. There is no way to make sure all the literature on a topic was considered.
• It is easy to be biased if you stick to top tier journals. There may be other places where people are publishing exemplary research. Look to open access publications and conferences to reflect a more inclusive collection. Also, make sure to include opposing views (and not just supporting evidence).

Source: Grant, Maria J., and Andrew Booth. “A Typology of Reviews: An Analysis of 14 Review Types and Associated Methodologies.” Health Information & Libraries Journal, vol. 26, no. 2, June 2009, pp. 91–108. Wiley Online Library, doi:10.1111/j.1471-1842.2009.00848.x.

Meryl Brodsky : Communication and Information Studies

Hannah Chapman Tripp : Biology, Neuroscience

Carolyn Cunningham : Human Development & Family Sciences, Psychology, Sociology

Larayne Dallas : Engineering

Janelle Hedstrom : Special Education, Curriculum & Instruction, Ed Leadership & Policy ​

Susan Macicak : Linguistics

Imelda Vetter : Dell Medical School

For help in other subject areas, please see the guide to library specialists by subject .

Periodically, UT Libraries runs a workshop covering the basics and library support for literature reviews. While we try to offer these once per academic year, we find providing the recording to be helpful to community members who have missed the session. Following is the most recent recording of the workshop, Conducting a Literature Review. To view the recording, a UT login is required.

• October 26, 2022 recording
• Last Updated: Oct 26, 2022 2:49 PM
• URL: https://guides.lib.utexas.edu/literaturereviews

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The Research Proposal

83 Components of the Literature Review

Krathwohl (2005) suggests and describes a variety of components to include in a research proposal.  The following sections present these components in a suggested template for you to follow in the preparation of your research proposal.

Introduction

The introduction sets the tone for what follows in your research proposal – treat it as the initial pitch of your idea.  After reading the introduction your reader should:

• Understand what it is you want to do;
• Have a sense of your passion for the topic;
• Be excited about the study´s possible outcomes.

As you begin writing your research proposal it is helpful to think of the introduction as a narrative of what it is you want to do, written in one to three paragraphs.  Within those one to three paragraphs, it is important to briefly answer the following questions:

• What is the central research problem?
• How is the topic of your research proposal related to the problem?
• What methods will you utilize to analyze the research problem?
• Why is it important to undertake this research? What is the significance of your proposed research?  Why are the outcomes of your proposed research important, and to whom or to what are they important?

Note : You may be asked by your instructor to include an abstract with your research proposal.  In such cases, an abstract should provide an overview of what it is you plan to study, your main research question, a brief explanation of your methods to answer the research question, and your expected findings. All of this information must be carefully crafted in 150 to 250 words.  A word of advice is to save the writing of your abstract until the very end of your research proposal preparation.  If you are asked to provide an abstract, you should include 5-7 key words that are of most relevance to your study. List these in order of relevance.

Background and significance

The purpose of this section is to explain the context of your proposal and to describe, in detail, why it is important to undertake this research. Assume that the person or people who will read your research proposal know nothing or very little about the research problem.  While you do not need to include all knowledge you have learned about your topic in this section, it is important to ensure that you include the most relevant material that will help to explain the goals of your research.

While there are no hard and fast rules, you should attempt to address some or all of the following key points:

• State the research problem and provide a more thorough explanation about the purpose of the study than what you stated in the introduction.
• Present the rationale for the proposed research study. Clearly indicate why this research is worth doing.  Answer the “so what?” question.
• Describe the major issues or problems to be addressed by your research. Do not forget to explain how and in what ways your proposed research builds upon previous related research.
• Explain how you plan to go about conducting your research.
• Clearly identify the key or most relevant sources of research you intend to use and explain how they will contribute to your analysis of the topic.
• Set the boundaries of your proposed research, in order to provide a clear focus. Where appropriate, state not only what you will study, but what will be excluded from your study.
• Provide clear definitions of key concepts and terms. As key concepts and terms often have numerous definitions, make sure you state which definition you will be utilizing in your research.

Literature Review

This is the most time-consuming aspect in the preparation of your research proposal and it is a key component of the research proposal. As described in Chapter 5 , the literature review provides the background to your study and demonstrates the significance of the proposed research. Specifically, it is a review and synthesis of prior research that is related to the problem you are setting forth to investigate.  Essentially, your goal in the literature review is to place your research study within the larger whole of what has been studied in the past, while demonstrating to your reader that your work is original, innovative, and adds to the larger whole.

As the literature review is information dense, it is essential that this section be intelligently structured to enable your reader to grasp the key arguments underpinning your study. However, this can be easier to state and harder to do, simply due to the fact there is usually a plethora of related research to sift through. Consequently, a good strategy for writing the literature review is to break the literature into conceptual categories or themes, rather than attempting to describe various groups of literature you reviewed.  Chapter V, “ The Literature Review ,” describes a variety of methods to help you organize the themes.

Here are some suggestions on how to approach the writing of your literature review:

• Think about what questions other researchers have asked, what methods they used, what they found, and what they recommended based upon their findings.
• Do not be afraid to challenge previous related research findings and/or conclusions.
• Assess what you believe to be missing from previous research and explain how your research fills in this gap and/or extends previous research

It is important to note that a significant challenge related to undertaking a literature review is knowing when to stop.  As such, it is important to know how to know when you have uncovered the key conceptual categories underlying your research topic.  Generally, when you start to see repetition in the conclusions or recommendations, you can have confidence that you have covered all of the significant conceptual categories in your literature review.  However, it is also important to acknowledge that researchers often find themselves returning to the literature as they collect and analyze their data.  For example, an unexpected finding may develop as one collects and/or analyzes the data and it is important to take the time to step back and review the literature again, to ensure that no other researchers have found a similar finding.  This may include looking to research outside your field.

This situation occurred with one of the authors of this textbook´s research related to community resilience.  During the interviews, the researchers heard many participants discuss individual resilience factors and how they believed these individual factors helped make the community more resilient, overall.  Sheppard and Williams (2016) had not discovered these individual factors in their original literature review on community and environmental resilience. However, when they returned to the literature to search for individual resilience factors, they discovered a small body of literature in the child and youth psychology field. Consequently, Sheppard and Williams had to go back and add a new section to their literature review on individual resilience factors. Interestingly, their research appeared to be the first research to link individual resilience factors with community resilience factors.

Research design and methods

The objective of this section of the research proposal is to convince the reader that your overall research design and methods of analysis will enable you to solve the research problem you have identified and also enable you to accurately and effectively interpret the results of your research. Consequently, it is critical that the research design and methods section is well-written, clear, and logically organized.  This demonstrates to your reader that you know what you are going to do and how you are going to do it.  Overall, you want to leave your reader feeling confident that you have what it takes to get this research study completed in a timely fashion.

Essentially, this section of the research proposal should be clearly tied to the specific objectives of your study; however, it is also important to draw upon and include examples from the literature review that relate to your design and intended methods.  In other words, you must clearly demonstrate how your study utilizes and builds upon past studies, as it relates to the research design and intended methods.  For example, what methods have been used by other researchers in similar studies?

While it is important to consider the methods that other researchers have employed, it is equally important, if not more so, to consider what methods have not been employed but could be.  Remember, the methods section is not simply a list of tasks to be undertaken. It is also an argument as to why and how the tasks you have outlined will help you investigate the research problem and answer your research question(s).

Tips for writing the research design and methods section:

• Specify the methodological approaches you intend to employ to obtain information and the techniques you will use to analyze the data.
• Specify the research operations you will undertake and he way you will interpret the results of those operations in relation to the research problem.
• Go beyond stating what you hope to achieve through the methods you have chosen. State how you will actually do the methods (i.e. coding interview text, running regression analysis, etc.).
• Anticipate and acknowledge any potential barriers you may encounter when undertaking your research and describe how you will address these barriers.
• Explain where you believe you will find challenges related to data collection, including access to participants and information.

Preliminary suppositions and implications

The purpose of this section is to argue how and in what ways you anticipate that your research will refine, revise, or extend existing knowledge in the area of your study. Depending upon the aims and objectives of your study, you should also discuss how your anticipated findings may impact future research.  For example, is it possible that your research may lead to a new policy, new theoretical understanding, or a new method for analyzing data?  How might your study influence future studies?  What might your study mean for future practitioners working in the field?  Who or what may benefit from your study?  How might your study contribute to social, economic, environmental issues?  While it is important to think about and discuss possibilities such as these, it is equally important to be realistic in stating your anticipated findings.  In other words, you do not want to delve into idle speculation.  Rather, the purpose here is to reflect upon gaps in the current body of literature and to describe how and in what ways you anticipate your research will begin to fill in some or all of those gaps.

The conclusion reiterates the importance and significance of your research proposal and it provides a brief summary of the entire proposed study.  Essentially, this section should only be one or two paragraphs in length. Here is a potential outline for your conclusion:

• Discuss why the study should be done. Specifically discuss how you expect your study will advance existing knowledge and how your study is unique.
• Explain the specific purpose of the study and the research questions that the study will answer.
• Explain why the research design and methods chosen for this study are appropriate, and why other design and methods were not chosen.
• State the potential implications you expect to emerge from your proposed study,
• Provide a sense of how your study fits within the broader scholarship currently in existence related to the research problem.

As with any scholarly research paper, you must cite the sources you used in composing your research proposal.  In a research proposal, this can take two forms: a reference list or a bibliography.  A reference list does what the name suggests, it lists the literature you referenced in the body of your research proposal.  All references in the reference list, must appear in the body of the research proposal.  Remember, it is not acceptable to say “as cited in …”  As a researcher you must always go to the original source and check it for yourself.  Many errors are made in referencing, even by top researchers, and so it is important not to perpetuate an error made by someone else. While this can be time consuming, it is the proper way to undertake a literature review.

In contrast, a bibliography , is a list of everything you used or cited in your research proposal, with additional citations to any key sources relevant to understanding the research problem.  In other words, sources cited in your bibliography may not necessarily appear in the body of your research proposal.  Make sure you check with your instructor to see which of the two you are expected to produce.

Overall, your list of citations should be a testament to the fact that you have done a sufficient level of preliminary research to ensure that your project will complement, but not duplicate, previous research efforts. For social sciences, the reference list or bibliography should be prepared in American Psychological Association (APA) referencing format. Usually, the reference list (or bibliography) is not included in the word count of the research proposal. Again, make sure you check with your instructor to confirm.

An Introduction to Research Methods in Sociology Copyright © 2019 by Valerie A. Sheppard is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License , except where otherwise noted.

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How do I Write a Literature Review?: #5 Writing the Review

• Step #1: Choosing a Topic
• Step #2: Finding Information
• Step #3: Evaluating Content
• Step #4: Synthesizing Content
• #5 Writing the Review
• Citing Your Sources

WRITING THE REVIEW 

You've done the research and now you're ready to put your findings down on paper. When preparing to write your review, first consider how will you organize your review.

The actual review generally has 5 components:

Abstract  -  An abstract is a summary of your literature review. It is made up of the following parts:

• A contextual sentence about your motivation behind your research topic
• Your thesis statement
• A descriptive statement about the types of literature used in the review
• Summarize your findings
• Conclusion(s) based upon your findings

Introduction :   Like a typical research paper introduction, provide the reader with a quick idea of the topic of the literature review:

• Define or identify the general topic, issue, or area of concern. This provides the reader with context for reviewing the literature.
• Identify related trends in what has already been published about the topic; or conflicts in theory, methodology, evidence, and conclusions; or gaps in research and scholarship; or a single problem or new perspective of immediate interest.
• Establish your reason (point of view) for reviewing the literature; explain the criteria to be used in analyzing and comparing literature and the organization of the review (sequence); and, when necessary, state why certain literature is or is not included (scope)  - 

Body :  The body of a literature review contains your discussion of sources and can be organized in 3 ways-

• Chronological -  by publication or by trend
• Thematic -  organized around a topic or issue, rather than the progression of time
• Methodical -  the focusing factor usually does not have to do with the content of the material. Instead, it focuses on the "methods" of the literature's researcher or writer that you are reviewing

You may also want to include a section on "questions for further research" and discuss what questions the review has sparked about the topic/field or offer suggestions for future studies/examinations that build on your current findings.

Conclusion :  In the conclusion, you should:

Conclude your paper by providing your reader with some perspective on the relationship between your literature review's specific topic and how it's related to it's parent discipline, scientific endeavor, or profession.

Bibliography :   Since a literature review is composed of pieces of research, it is very important that your correctly cite the literature you are reviewing, both in the reviews body as well as in a bibliography/works cited. To learn more about different citation styles, visit the " Citing Your Sources " tab.

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Writing the Introduction/Background of a Research Article

Writing the introduction and background of a research article can be daunting. Where do you start? What information should you include?

A great place to start is creating an argument structure for why your research topic is relevant and important. This structure should clearly walk the reader through current, relevant literature and lead them to the gap in the literature that your topic fills. To do this I use the following 4-step argument creation structure.

• Create argument funnel questions/statements
• Harvest article quotes that explain/backup each of the argument funnel questions/statements
• Organize article quotes to best support each section of the argument funnel
• Write prose that utilizes the article quotes to progress your argument from most well known to your specific topic

1. Argument Funnel Creation

Create an argument funnel with statements that take the reader form the most well known and widely accepted knowledge connected to my topic down to your specific research topic.

Completed Argument Funnel Example

When creating your funnel statements think about what research exists related to your topic. Where are the gaps in the existing literature? How do you know those are the gaps? If you get stuck, think about the 50,000 ft view of your topic and how you would explain the necessity of your research to people not in your field.

2. Harvesting Article Quotes

Find research articles that pertain to each of your funnel statements to back them up with evidence. As you find the articles put them into a citation manager (e.g., Zotero) now to save yourself time later. While reading the articles, pull (copy and paste) article quotes/excerpts that MAY be relevant. Pull more than you think you need, especially duplicates of the same idea by different authors to strengthen your argument. Store your quotes/excerpts in a document organized by your funnel statements with in-text citations with the page number you pulled it from. The National Academy of Engineering reports can be valuable top of funnel resources.

3. Organizing Article Quotes

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4. Writing Prose

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• Published: 01 May 2024

Digital technologies for construction sustainability: Status quo, challenges, and future prospects

• Weisheng Lu 1 ,
• Jinfeng Lou 1 ,
• Benjamin Kwaku Ababio 1 ,
• Ray Y. Zhong 2 ,
• Zhikang Bao 3 ,
• Xiao Li 4 &
• Fan Xue 1  

npj Materials Sustainability volume  2 , Article number:  10 ( 2024 ) Cite this article

Metrics details

• Civil engineering
• Environmental impact

The nexus between digital technologies (DTs) and sustainability in the built environment has attracted increasing research interest in recent years, yet understanding DT utilization and its impact on construction processes remains fragmented. To address this gap, this study conducts a systematic review of the construction sustainability literature to analyze and synthesize research findings on the application of DTs at various stages of the construction lifecycle. We undertake an in-depth content analysis of 72 articles, with findings revealing that prominent DTs for construction sustainability include building information modeling, the Internet of Things, big data, and artificial intelligence. We also identify that the application of DTs for sustainability across the construction lifecycle is clustered in four areas: namely (1) integration and collaboration; (2) optimization, simulation, and decision-making; (3) tracking, monitoring, and control; and (4) training. Based on existing knowledge gaps, future research opportunities are identified, including the development of integrated and interoperable systems, long-term performance and resilience, and advanced simulation and modeling techniques. This study contributes to the literature on construction digitalization by offering a complete overview of research investigations in relation to construction sustainability and identifying research crucial to advancing a DT-enabled sustainable built environment.

Introduction

The construction industry is not just about erecting buildings and infrastructure; it plays a vital role in economic and social development, contributing approximately USD200 billion to global GDP and providing over 220 million jobs 1 . The sector embodies a continuous lifecycle that integrates design, construction, operation & maintenance (O&M), and end of life, where each stage is interlinked and connected to the overall functionality and sustainability of the built environment 2 . The initial design sets the blueprint for sustainable and efficient use of resources 3 , 4 , and this design is materialized in the construction phase 5 . The O&M period extends over the longest phase of a structure’s life, emphasizing energy efficiency and environmental stewardship 6 . Finally, end-of-life is a critical component in the recycling and repurposing of materials 7 , 8 .

The construction industry has long been associated with significant environmental impacts, including resource consumption, waste generation, and carbon emissions 9 , 10 , 11 . It produces 45–65% of the waste dumped in landfills, contributing 35% of the world’s CO 2 emissions 12 . As the focus of the global community on sustainable development intensifies 13 , the construction sector faces an imperative to evolve. Sustainable practices meet the needs of the present without compromising the ability of future generations to meet their own needs 14 . ‘Construction sustainability’, therefore, is the implementation of such practices in construction industry activities 15 , encompassing three core dimensions: environmental protection, social responsibility, and economic viability 16 .

In responding to sustainability challenges, digital technologies (DTs) are a potentially transformative tool. DTs include information and communication technologies (ICTs) that manage information through digital binary computer language. In construction, they range from standalone systems to integrated and web-based technologies, which aid in data capture, storage, processing, display, and communication during various procurement stages. By streamlining processes, reducing waste, and enabling better decision-making, DTs promise to significantly advance the sustainability agenda in construction.

Despite growing recognition of their potential, the academic landscape reveals a fragmented understanding of DTs’ impact on sustainability in construction. Research studies vary in focus, methodology, and findings, making it challenging for industry stakeholders to form a cohesive view of the role of DTs in promoting sustainability. This fragmentation presents a critical barrier to effectively leveraging DTs for sustainable construction practices. To bridge this knowledge gap, this study conducts a systematic review of the construction sustainability literature. The goal is to compile, analyze, and synthesize research findings to present a clear, coherent picture of how DTs are being used to foster sustainability in construction. By critically examining the interplay between DT application and sustainable practices, we aim to identify successful strategies and highlight areas urging further exploration.

Prominent digital technologies in the construction sustainability literature

Reviewing the content of 72 articles in the construction sustainability literature, DTs frequently referenced and thoroughly examined were collected and organized in a Sankey diagram (see Fig. 1 ). Some DTs have received particular attention in the literature, e.g. building information modeling (BIM) and Internet of Things (IoT), while others have remained under-researched in relation to sustainability, e.g. unmanned aerial vehicles (UAV) and cloud computing. The diagram also reveals that DTs are employed for construction sustainability purposes mostly at the design and O&M stages of the construction lifecycle, typically as a standalone technology or paired with one other technology to achieve better performance.

The papers reviewed are categorized according to the number of technologies, the name of the primary technology, and the stage at which the technologies are applied.

Figure 2 presents the distribution in the literature of key DTs for construction sustainability from 2020 to the present. BIM is the most frequently mentioned DT in the sustainability literature, with a peak of 10 research articles published between 2021 and 2022. The results indicate the continuation of a trend, with 17 identifying BIM as a top research theme in the DT-sustainability literature. This is attributable to the function of BIM as a collaborative platform and a means for integrating other DTs at different stages of the construction lifecycle. Studies relating BIM to sustainability in construction processes have seen a steady rise since the inception of BIM, with its application traversing design, construction, and O&M lifecycle stages. This suggests the vital role of BIM in improving sustainability through collaboration, visual representation, and optimization. IoT, with its use of sensors and actuators, has also been extensively discussed in the literature as essential to gathering sustainability-related data. Studies indicate the utilization of IoT in monitoring and controlling energy usage of buildings, optimizing resource use, and enhancing safety on site, all of which enable informed decisions on sustainability-related issues. Big data is also an important DT leveraging the vast amount of data generated throughout the project lifecycle by IoTs and other sources. There is a strong link between big data and IoT in the current body of knowledge, with both concepts often discussed together in optimization studies, environmental assessments, and risk and safety management. Artificial intelligence (AI) and machine learning (ML) in sustainability are gradually gaining momentum. Their ability to process huge amounts of heterogeneous data using computational power is vital for extracting insights into sustainable decision-making that effectively improves construction processes.

BIM is the most widely used technology for construction sustainability in recent years (2020–2023).

Other prominent DTs in construction sustainability are virtual reality (VR) and augmented reality (AR). Studies involving VR and AR cite their role in construction planning, where these DTs can be used for simulating interactive experiences and reviewing sustainability scenarios such as energy-efficient installations and user comfort. VR and AR technologies have been articulated in existing literature as early design optimization and visualization toolsets promoting a deeper understanding of sustainability features and fostering a sense of commitment towards sustainable outcomes. UAVs, or drones, are another type of DT increasingly used in construction, for surveying, inspection, and monitoring. In the construction sustainability literature, the application of UAVs has been discussed in hazard identification, safe work processes, and waste reduction. Cloud computing has also been identified as relevant to construction sustainability for its potential in providing centralized platforms for information management, communication, and collaboration throughout the project lifecycle. However, many recent studies are shifting their attention to blockchain technology as an enabler of construction sustainability, through providing transparent and immutable records and facilitating the integration of sustainable practices, such as material reuse and tracking. Little attention has been given to digital twins and cyber-physical systems (CPS) in sustainability research, though there has been an increasing trend in recent years for their potential to revolutionize construction sustainability by enabling real-time monitoring, optimization, and performance improvement throughout the project lifecycle.

Based on the results of our review of the literature, the DTs most closely associated with sustainability in the construction industry are BIM, IoT, AI, ML, VR, AR, UAV, robots, blockchain, and CPS. The overall growth in the application of these DTs for construction sustainably is likely to continue as the DT potential progressively permeates the entire lifecycle of construction products and services.

Application of digital technologies in construction sustainability

In examining the application of digital technologies to construction sustainability, it is crucial to analyze their impacts across different stages of the construction lifecycle: design, construction, O&M, and end of life.

In the design stage, recent literature indicates there is a growing nexus of DTs that enhance sustainability. Prominent examples include BIM in its 6D form, AR/VR, and AI for design. Six-dimensional BIM transcends traditional 3D modeling by integrating time (4D), cost (5D), and sustainability (6D) considerations, such as energy performance 18 , resource efficiency 19 , carbon emissions reduction 20 , and retrofit process simulation 21 . The emphasis is on the lifecycle approach 22 , where BIM informs decisions right from the design phase to reduce environmental impact and promote green building practices. AR/VR technologies have evolved to significantly improve design visualization and stakeholder engagement 23 , with discussions extending into the realm of the metaverse, which offers immersive spaces for interaction. The metaverse can benefit sustainability by facilitating the participation of the majority of people in decisions about how to utilize resources more efficiently 24 . AI, particularly in generative design 25 , is leveraged to create multiple sustainable design alternatives based on specific constraints and goals, focusing on material usage reduction 26 and energy efficiency optimization 27 .

The construction stage sees the critical role of blockchain, IoT, radio-frequency identification (RFID), digital twins, and UAVs in advancing sustainability. Blockchain’s potential lies in enhancing transparency and accountability in construction processes 28 , 29 , while smart contracts facilitate complex agreements and compliance with sustainability standards 30 . They can streamline procurement processes 31 , enhance supply chain management 32 , and facilitate more efficient project management 33 , 34 , leading to reduced waste and improved resource allocation. The role of IoT in sustainable construction is growing, with a focus on real-time data collection and monitoring 35 . IoT devices, such as sensors and wearables, are used to track resource utilization and environmental conditions 36 , thus aiding in optimizing resource use and reducing energy consumption 37 . RFID, one of the most powerful IoT technologies, has been extensively employed for effective logistics management, deemed crucial in reducing the carbon footprint of construction activities 38 by enabling accurate tracking of materials, tools, and equipment. RFID systems help in minimizing losses, reducing waste, and ensuring that materials are sourced and used sustainably. In addition, the integration of digital twins in the construction process represents a significant advancement. A digital twin is a virtual replica of a physical building that can be used for monitoring, simulation, and analysis 39 , 40 . Optimized construction efficiency is achievable through digital twins, which help streamline workflows, allocate resources efficiently, and monitor construction progress in real-time. This reduces the risks of delays and material waste by providing active and accurate information 41 . By creating a virtual representation of the construction project, digital twins enable a more dynamic and responsive approach to construction management, further enhancing sustainability. UAVs, commonly known as drones, are increasingly used in construction for various tasks such as site surveying, monitoring, and inspection. They provide a unique vantage point for overseeing construction activities, enabling better management of resources, and ensuring adherence to environmental and safety regulations 42 .

During the O&M phase, human–robot collaboration signifies a shift towards automation, enhancing efficiency and sustainability 43 . In this context, human–robot collaboration is not about replacing human workers, but rather enhancing their capabilities and safety 44 . Robots are used for tasks like cleaning, maintenance, surveillance, and inspection 45 , reducing the workload on human staff, increasing precision, and enhancing safety, particularly in hazardous environments. The concept of digital twins has also gained prominence in the O&M phase 46 . Data management and access post-construction can be complex due to the transition of control and operations among various stakeholders. This technology effectively bridges information gaps, ensuring reliable and convenient project management and facilitating enhanced communication among stakeholders 41 . Moreover, the digital twin provides a dynamic and real-time representation of the building and enables “what-if” analyses in occupant comfort, energy utilization, logistics optimization, asset management, and predictive maintenance, enhancing decision-making capabilities 47 , 48 , 49 . IoT devices and sensors, in addition, are widely used for continuous monitoring and data collection in buildings. This technology trend contributes significantly to the sustainability of facilities by enabling energy efficiency and predictive maintenance. Sensors collect data on aspects such as energy usage, temperature, and occupancy levels 50 , 51 , crucial for optimizing building operations and reducing unnecessary energy consumption 52 . To analyze the vast amount of data generated by IoT devices and other sources, AI and ML algorithms are increasingly applied. These technologies enable predictive maintenance, energy management, and anomaly detection, thereby enhancing the sustainability of building operations 53 , 54 .

At the end-of-life stage, DTs such as big data analytics, computer vision, robotics, and blockchain are key to managing deconstruction and waste processes. Big data analytics assists in material stock assessment, facilitating optimal material reuse and recycling, aligning with circular economy principles 55 , 56 . The role of computer vision in automating waste material sorting, combined with AI algorithms, enhances recycling efficiency 57 , 58 . Robotics in deconstruction focuses on safe material recovery 59 , 60 , while blockchain improves material traceability, ensuring informed decisions for material reuse and recycling 61 .

Prospects for digital technologies in construction sustainability

DTs incorporate several enhancements and modifications to construction value chain processes, increasing efficiency and productivity 19 . The opportunities for adopting these technologies to streamline sustainable production, construction, and operation in the industry are vast. From the analysis of the literature, we find that the driving themes in DT prospects for sustainability are linked with integration and collaboration 62 ; optimization, simulation, and decision-making 63 ; monitoring and control 64 ; and training 24 as presented in Fig. 3 .

The potential of digital technologies can be explored in four areas, including integration and collaboration, optimization, simulation, and decision-making, monitoring and control, and training.

Integration and collaboration

The task of maintaining profitability while achieving cleaner, low-carbon construction processes, and greener and safer job sites, requires extensive stakeholder buy-in, involvement, and support 65 . To achieve this, there is a need to improve collaboration within and across different building lifecycles. DTs facilitate collaboration among stakeholders involved in the construction process by enabling effective communication and information sharing. According to 66 , cloud-based platforms, project management software, and collaborative tools allow real-time collaboration, document sharing, and coordination among architects, engineers, contractors, and sustainability consultants, among others. This collaboration enhances the integration of sustainability considerations into the project, leading to better-informed decisions and improved sustainability outcomes. Furthermore, DTs facilitate the integration of new and existing systems and processes to enhance sustainability outcomes. Integrating BIM models with energy modeling software, for instance, enables automated energy analysis and interference detection 21 . Integration with supply chain management systems allows for tracking and optimizing material usage, reducing waste, and promoting sustainable sourcing practices 67 . DTs provide a comprehensive approach to sustainability over the whole project lifecycle by combining various data sources and platforms.

Optimization, simulation and decision-making

Making informed decisions as early as feasible assists in efficient and cost-effective sustainable design and construction. Sustainability analysis tools, for example, enable better-informed decisions by analyzing numerous design options and identifying sustainable alternatives 68 , 69 . These evaluations assist professionals at various stages in determining the consequences of their building designs for environmental performance and efficiency. To improve sustainability, DTs enable optimization through the exploration of several design possibilities and evaluate their societal, environmental, and energy performance using BIM, ML, and parametric modeling. This aids in the identification of the most sustainable design solutions, decreasing material waste, energy usage, and environmental impacts 70 . Moreover, DTs provide simulation capabilities to assess the performance of buildings and infrastructure systems. For example, studies have incorporated energy modeling software to simulate and analyze energy consumption, daylighting, and thermal performance 18 . Others such as 71 have used computational fluid dynamics simulations to evaluate indoor air quality, ventilation effectiveness, and natural ventilation strategies. These simulations enable designers to make informed decisions, optimize sustainability performance, and identify potential issues before construction.

Monitoring and control

Some studies have explored mechanisms for monitoring sustainable aspects such as construction-related emissions using DTs that enable real-time tracking and monitoring of work progress and building performance 72 . Building management systems, IoT sensors, digital twins, and data analytics platforms collect data on energy consumption, indoor environmental quality, occupancy patterns, and equipment performance. The data helps identify areas of inefficiencies, pinpoint maintenance needs, and optimize resource usage, leading to energy savings, improved occupant comfort, and reduced environmental impact 73 .

For sustainability education and skill development, DTs provide interactive and immersive training alternatives. Immersive training experiences are made possible by VR, AR, and mixed-reality technologies, which allow users to simulate and implement sustainable construction practices, safety regulations, and energy-efficient operations 24 . The deployment of DTs enables safe demonstration and experimentation, promoting knowledge transfer and capacity building. Additionally, AI and ML platforms enable easy access to more efficient, responsive, and interactive train systems linked to sustainability 74 .

Digital technology application bottlenecks in construction sustainability

Deployment of DTs for construction sustainability faces several challenges across different stages of the project lifecycle (Fig. 4 ). First, accurate data and information are essential for conducting sustainability analysis during the design and planning stages of projects 75 . However, the present challenge of data quality and availability of construction products and services makes it difficult to fully benefit from the prospects of DT application. Data on material properties, energy consumption, and environmental impacts may not be readily available or standardized, making it difficult to assess sustainability performance accurately 76 . Standardized protocols, formats, and data exchange mechanisms that ensure consistent data quality and compatibility across different digital tools and platforms are still largely underdeveloped and unable to fully grasp all aspects of sustainability considerations in the construction industry. Interoperability of various DTs for holistic construction sustainability is missing within and across different lifecycle stages 77 . Within the same lifecycle stage, various digital tools and applications such as BIM, geographic information systems, energy modeling software, and sustainability analysis tools generate different types of data in varying formats and qualities 78 . Across different lifecycle stages, gathering real-time data from various sources, such as sensors and equipment, and integrating it into a unified system can be complex 79 . posit that the challenge lies in integrating these diverse datasets into a unified system that allows for comprehensive analysis and decision-making. Thus, ensuring data accuracy, reliability, and interoperability in different platforms and systems is crucial for enabling construction sustainability.

Two categories of challenges are identified: data quality and availability, and integration of sustainability parameters into digital systems.

Another key challenge is the integration of sustainability parameters into digital systems, including balancing conflicting design objectives and ensuring compatibility with already existing systems 80 . The deployment of DTs for sustainable construction requires expertise in certain unconventional areas of construction and given present inadequacies in the construction workforce, such expertise is hard to find 81 . point to many benefits of deploying DTs for construction sustainability, including lowered employment costs for organizations through the application of automated work processes. However, this can lead to significant job losses and worker segmentation, which may in turn result in resistance to change stemming from a lack of training, awareness, and involvement. There is a need to develop innovative and varied instructional approaches, but it is unclear how these challenges faced are being addressed in the present literature 80 . The introduction of both DTs and sustainable practices is nascent in the construction industry but is gaining momentum. Therefore, more conscious planning and capital investment are needed to enhance industry skills and manage behavior change with necessary measures that may completely deviate from existing supply chain operations. Moreover, at the core of DT for construction sustainability is the need for stakeholder collaboration and engagement 82 . Yet, given the vast and fragmented nature of stakeholders along a construction project’s lifecycle, including designers, contractors, facility managers, maintenance personnel, and occupants, it can be challenging to track and foster effective collaboration. This challenge stems from the absence of efficient communication channels, unwillingness to exchange and transmit knowledge and information, and failure by the relevant parties to cultivate proactive sustainability initiatives 83 . Other challenges are linked to adherence to regulatory requirements and data confidence, security, protection, and issues associated with the deployment of DTs 84 . Given the long-term performance monitoring of sustainability features and systems over a building or infrastructure’s lifespan, the need to build trust and efficient systems is critical. Ensuring that digital systems continue to operate optimally, maintaining modern sustainable practices during renovations or retrofits, and monitoring changes in building performance require continuous data collection, analysis, and stakeholder involvement, which can be onerous and costly 85 .

Future research trends and directions

The findings from this critical review of trending topics, prospects, challenges, and application of DTs in promoting construction sustainability offer a full picture of current research activities and reveal relevant gaps and future research needs. These future research needs represent the untapped potential identified from the analysis and evaluation of future works proposed in the existing literature and are explained below.

Limited attention has been paid to the integration of DTs for sustainability in construction 86 . Further research is required to delve into the development of standardized protocols, formats, and data exchange mechanisms to ensure consistent data quality and compatibility across different digital tools and platforms. This includes establishing guidelines for data collection, verification, and validation to enhance the accuracy and reliability of sustainability-related data.

An evolving trend receiving considerable attention has been the utilization of advanced simulation and modeling techniques 21 . Additional study is required to enhance simulation and modeling methodologies in order to achieve more accurate forecasting and analysis of sustainability results. This encompasses the enhancement of energy modeling software, the utilization of computational fluid dynamics simulations, and the implementation of multi-scale modeling techniques to accurately represent intricate interactions and maximize the utilization of resources.

The application of advanced DTs including ML and AI has stimulated conversations on their anticipated threat to social aspects of sustainability. Presently, AI/ML models are used to predict sustainability performance, optimize resource allocation, and identify patterns and trends to support informed decision-making 87 . Though the potential of AI/ML models is much greater, the present utilization of such DTs for sustainable construction is limited. Thus, future research needs to pay attention to their impact at full potential and how risk will be managed among participants in the construction value chain.

The circular economy is an emerging trend in sustainability in construction and would benefit immensely from the application of DT. There is a need to develop digital tools and frameworks that support the principles of the circular economy and material optimization 88 . This includes exploring methods for tracking and managing material flows, assessing the environmental impact of material choices, and optimizing material usage throughout the construction lifecycle 89 . Present research in such areas is still nascent.

An obvious and reoccurring problem in sustainability research is long-term performance and assessment 90 . Despite the application of DTs for sustainable construction, certain inherent challenges such as system resilience and adaptability persist. Therefore, future research may focus on the extended performance and resilience of sustainable construction projects supported by DTs. This could include studying the durability and adaptability of sustainable alternatives, evaluating the performance of digital monitoring systems over extended periods, and exploring the impact of climate change and other external factors on sustainability outcomes.

Studies that look into knowledge-sharing mechanisms and collaboration among stakeholders are crucial and should be promoted. As suggested by Balasubramanian et al. 91 , future research is needed to identify effective mechanisms for sharing best practices, case studies, and lessons learned in the application of DTs for construction sustainability. This can facilitate collective learning, foster innovation, and accelerate the adoption of sustainable practices.

Implications and conclusions

This study provides an overview of current applications of DTs in promoting construction sustainability and highlights opportunities for future research and innovation. It does so by adopting a systematic literature review and content analysis to identify DTs used in relation to construction sustainability. The findings reveal BIM, IoT, and big data to have become prominent technologies over the past 5 years, with digital twins and smart robotics emerging trends in DTs for construction sustainability. The major application areas of the identified DTs are integration and collaboration; optimization, simulation, and decision-making; monitoring and control; and training. Among these application areas, DTs have been extensively researched in optimization and monitoring construction infrastructure for sustainable outcomes. The study also identifies challenges associated with DTs for construction sustainability. Key among these are technical issues of data accuracy, security, and confidence; behavioral and cultural challenges such as resistance to change among stakeholders; and financial barriers due to the high cost of implementation.

The study’s contribution lies in the provision of a holistic perspective on DTs for construction sustainability across the entire construction lifecycle. Its theoretical contribution to the sustainable construction technologies framework is to identify gaps in the existing literature and propose new directions to enable efficient deployment and implementation. It also advances knowledge of how DTs can be applied in different construction scenarios to achieve sustainable outcomes. For industry and practice, the study provides insights into challenges faced in deploying DTs for construction sustainability, enabling practitioners to anticipate and manage risks ahead of implementation. Policymakers can be informed of the landscape of DTs and their application at various stages of construction. This can guide the development of tailored policies and regulations on the efficient advancement of DTs for achieving sustainability in the industry.

Despite these contributions, the study has a few limitations. The analysis is limited to a dataset obtained only from journals in the Web of Science (WoS) database, while the selection criteria and focus on only technical articles present some limitations. While these limitations present opportunities for future research to expand the study’s findings, further studies could also examine the evolution of DTs in the built environment and their connections with sustainable development.

Bibliographic materials collection and processing

Building on the practice of conducting literature reviews within the field of construction research 75 , 92 , this study seeks to elucidate the intersections of DT and construction sustainability through a systematic literature review (SLR), designed to ensure an objective and replicable synthesis of existing research 93 . Such a structured approach mitigates the reliance on simplistic judgment calls, curtails the incidence of subjective inclinations and errors, and upholds the integrity of scholarly research 94 .

The SLR uses the consolidated steps shown in Fig. 5 95 , 96 . First, it defines research objectives and conceptual boundaries to ensure a focused review; specifically, it targets the current and emergent trends of DTs in construction sustainability. Concurrently, conceptual boundaries are defined to delineate the scope of ‘digital technologies’, ‘sustainability’, and the ‘construction industry’. This dual step guarantees that the literature review remains focused and relevant. The second step involves a comprehensive search strategy and its execution. It encompasses selecting a suitable database, which, considering the nascent and interdisciplinary nature of the field, must be expansive. The WoS is apt for this purpose, encompassing a diverse range of scholarly works, including journal articles, conference proceedings, and more 97 . We use the WoS Core Collection, including SCl, SCI-Expanded, SSCl, A&HCI, and ESCI indices. Given the evolving terminology within DTs and sustainability in construction, a detailed search string with diverse terms is formulated and applied to the WoS database. The search is temporally bound to include articles published up to October 2023, ensuring contemporary relevance. It yields 790 articles for further processing. Subsequently, a manual exclusion process is applied, where articles are meticulously screened against predefined criteria. For instance, non-English papers, review articles, and studies that do not synergize sustainability with DT are excluded. A special plan of our SLR is the discussion of excluded papers, where an independent initial assessment by two researchers with at least 7 years of research experience is followed by a mutual discussion to reach a consensus on each paper’s exclusion. This phase ultimately narrowed down the selection to 72 articles. Following this, an independent data encoding and comparative analysis is conducted. To ensure the integrity and impartiality of data extraction, the two researchers independently read articles thoroughly and encoded data from each study. This data encompasses a variety of details, such as bibliographic information, methodologies, DTs examined, stages of concern, and their sustainability implications in construction. The independently derived datasets are compared to resolve discrepancies and to build a consensus on the themes and findings. This comparison fosters a rigorous synthesis of the literature, ensuring that the results are replicable and verifiable. Finally, an analytical synthesis is performed to summarize the current and potential future state of DT in construction sustainability.

The review process follows a systematic approach.

Data availability

The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request.

Barbosa, F. et al. Reinventing Construction through a Productivity Revolution (McKinsey Global Institute, 2017).

Zhang, A., Yang, J. & Wang, F. Application and enabling technologies of digital twin in operation and maintenance stage of the AEC industry: a literature review. J. Build. Eng. 80 , 107859 (2023).

Article   Google Scholar  

Wang, J., Li, Z. & Tam, V. W. Critical factors in effective construction waste minimization at the design stage: a Shenzhen case study, China. Resour. Conserv. Recycl. 82 , 1–7 (2014).

Bao, Z., Laovisutthichai, V., Tan, T., Wang, Q. & Lu, W. Design for manufacture and assembly (DfMA) enablers for offsite interior design and construction. Build. Res. Inf. 50 , 325–338 (2022).

Sánchez-Garrido, A. J., Navarro, I. J. & Yepes, V. Multi-criteria decision-making applied to the sustainability of building structures based on modern methods of construction. J. Cleaner Prod. 330 , 129724 (2022).

Beccali, M., Bonomolo, M., Ciulla, G., Galatioto, A. & Brano, V. L. Improvement of energy efficiency and quality of street lighting in South Italy as an action of Sustainable Energy Action Plans. The case study of Comiso (RG). Energy 92 , 394–408 (2015).

Blengini, G. A. Life cycle of buildings, demolition and recycling potential: a case study in Turin, Italy. Build. Environ. 44 , 319–330 (2009).

Bao, Z. & Lu, W. A decision-support framework for planning construction waste recycling: a case study of Shenzhen, China. J. Clean. Prod. 309 , 127449 (2021).

Bao, Z., Lee, W. M. & Lu, W. Implementing on-site construction waste recycling in Hong Kong: barriers and facilitators. Sci. Total Environ. 747 , 141091 (2020).

Article   CAS   PubMed   PubMed Central   Google Scholar  

Lu, W. et al. Estimating construction waste generation in the Greater Bay Area, China using machine learning. Waste Manag. 134 , 78–88 (2021).

Article   PubMed   Google Scholar  

Sev, A. How can the construction industry contribute to sustainable development? A conceptual framework. Sustain. Dev. 17 , 161–173 (2009).

Lima, L., Trindade, E., Alencar, L., Alencar, M. & Silva, L. Sustainability in the construction industry: a systematic review of the literature. J. Clean. Prod. 289 , 125730 (2021).

Vinuesa, R. et al. The role of artificial intelligence in achieving the Sustainable Development Goals. Nat. Commun. 11 , 1–10 (2020).

Kuhlman, T. & Farrington, J. What is sustainability? Sustainability 2 , 3436–3448 (2010).

Shelbourn, M. et al. Managing knowledge in the context of sustainable construction. J. Inf. Technol. Constr. 11 , 57–71 (2006).

Google Scholar  

Zavadskas, E. K., Šaparauskas, J. & Antucheviciene, J. Sustainability in construction engineering. Sustainability 10 , 2236 (2018).

Jin, R., Zou, Y., Gidado, K., Ashton, P. & Painting, N. Scientometric analysis of BIM-based research in construction engineering and management. Eng. Constr. Archit. Manag. 26 , 1750–1776 (2019).

Gnecco, V. M., Vittori, F. & Pisello, A. L. Digital twins for decoding human-building interaction in multi-domain test-rooms for environmental comfort and energy saving via graph representation. Energy Build. 279 , 112652 (2023).

Wong, J. K. W. & Zhou, J. Enhancing environmental sustainability over building life cycles through green BIM: aA review. Autom. Constr. 57 , 156–165 (2015).

Gan, V. J. et al. Holistic BIM framework for sustainable low carbon design of high-rise buildings. J. Clean. Prod. 195 , 1091–1104 (2018).

Mirpanahi, M. V. & Noorzai, E. Modeling the relationship between critical BIM attributes and environmental sustainability criteria using PLS-SEM technique. J. Archit. Eng. 27 , 04021037 (2021).

Motalebi, M., Rashidi, A. & Nasiri, M. M. Optimization and BIM-based lifecycle assessment integration for energy efficiency retrofit of buildings. J. Build. Eng. 49 , 104022 (2022).

Hajirasouli, A., Banihashemi, S., Drogemuller, R., Fazeli, A. & Mohandes, S. R. Augmented reality in design and construction: thematic analysis and conceptual frameworks. Constr. Innov. 22 , 412–443 (2022).

Allam, Z., Sharifi, A., Bibri, S. E., Jones, D. S. & Krogstie, J. The metaverse as a virtual form of smart cities: opportunities and challenges for environmental, economic, and social sustainability in urban futures. Smart Cities 5 , 771–801 (2022).

Buonamici, F., Carfagni, M., Furferi, R., Volpe, Y. & Governi, L. Generative design: an explorative study. Comput.-Aided Des. Appl. 18 , 144–155 (2020).

Alsakka, F. et al. Generative design for more economical and environmentally sustainable reinforced concrete structures. J. Clean. Prod. 387 , 135829 (2023).

Caldas, L. Generation of energy-efficient architecture solutions applying GENE_ARCH: an evolution-based generative design system. Adv. Eng. Inform. 22 , 59–70 (2008).

Xu, J., Lou, J., Lu, W., Wu, L. & Chen, C. Ensuring construction material provenance using Internet of Things and blockchain: learning from the food industry. J. Ind. Inf. Integr. 33 , 100455 (2023).

Lou, J. & Lu, W. Construction information authentication and integrity using blockchain-oriented watermarking techniques. Autom. Constr. 143 , 104570 (2022).

Salmerón-Manzano, E. & Manzano-Agugliaro, F. The role of smart contracts in sustainability: worldwide research trends. Sustainability 11 , 3049 (2019).

Li, J. & Kassem, M. Applications of distributed ledger technology (DLT) and blockchain-enabled smart contracts in construction. Autom. Constr. 132 , 103955 (2021).

Li, X. et al. Blockchain-enabled IoT-BIM platform for supply chain management in modular construction. J. Constr. Eng. Manag. 148 , 04021195 (2022).

Xu, J., Lu, W., Wu, L., Lou, J. & Li, X. Balancing privacy and occupational safety and health in construction: a blockchain-enabled P-OSH deployment framework. Saf. Sci. 154 , 105860 (2022).

Zhao, R., Chen, Z. & Xue, F. A blockchain 3.0 paradigm for digital twins in construction project management. Autom. Constr. 145 , 104645 (2023).

Rao, A. S. et al. Real-time monitoring of construction sites: Sensors, methods, and applications. Automation in Construction 136 , 104099 (2022).

Lu, W., Lou, J. & Wu, L. Combining smart construction objects-enabled blockchain oracles and signature techniques to ensure information authentication and integrity in construction. J. Comput. Civil Eng. 37 , 04023031 (2023).

Sajjad, M. et al. Evaluation of the success of industry 4.0 digitalization practices for sustainable construction management: Chinese construction industry. Buildings 13 , 1668 (2023).

Tao, X., Mao, C., Xie, F., Liu, G. & Xu, P. Greenhouse gas emission monitoring system for manufacturing prefabricated components. Autom. Constr. 93 , 361–374 (2018).

Zhao, R. et al. Comparison of BIM collaboration paradigms for digital twin readiness: centralized files, decentralized clouds and distributed blockchains. In Proc. Conference on CIB W78 (eds Kubicki, S. & Rezgui, Y.). 11–15 (International Council for Research and Innovation in Building and Construction (CIB), 2021).

Long, W., Bao, Z., Chen, K., Ng, S. T. & Wuni, I. Y. Developing an integrative framework for digital twin applications in the building construction industry: a systematic literature review. Adv. Eng. Inform. 59 , 102346 (2024).

Opoku, D. G. J., Perera, S., Osei-Kyei, R. & Rashidi, M. Digital twin application in the construction industry: a literature review. J. Build. Eng. 40 , 102726 (2021).

Hammad, A. W., da Costa, B. B., Soares, C. A. & Haddad, A. N. The use of unmanned aerial vehicles for dynamic site layout planning in large-scale construction projects. Buildings 11 , 602 (2021).

Wu, M., Lin, J. R. & Zhang, X. H. How human-robot collaboration impacts construction productivity: an agent-based multi-fidelity modeling approach. Adv. Eng. Inform. 52 , 101589 (2022).

Villani, V., Pini, F., Leali, F. & Secchi, C. Survey on human–robot collaboration in industrial settings: safety, intuitive interfaces and applications. Mechatronics 55 , 248–266 (2018).

Halder, S. & Afsari, K. Robots in inspection and monitoring of buildings and infrastructure: a systematic review. Appl. Sci. 13 , 2304 (2023).

Article   CAS   Google Scholar  

Lu, Q., Xie, X., Parlikad, A. K., Schooling, J. M. & Konstantinou, E. Moving from building information models to digital twins for operation and maintenance. Proc. Institution of Civil Engineers-Smart Infrastructure and Construction. 174 , 46–56 (2020).

Yitmen, I., Alizadehsalehi, S., Akıner, İ. & Akıner, M. E. An adapted model of cognitive digital twins for building lifecycle management. Appl. Sci. 11 , 4276 (2021).

Petri, I., Rezgui, Y., Ghoroghi, A. & Alzahrani, A. Digital twins for performance management in the built environment. J. Ind. Inf. Integr. 33 , 100445 (2023).

Chen, J., Lu, W. & Lou, J. Automatic concrete defect detection and reconstruction by aligning aerial images onto semantic‐rich building information model. Comput.‐Aided Civil and Infrastruct. Eng. 38 , 1079–1098 (2023).

Wang, C. et al. Integrated sensor data processing for occupancy detection in residential buildings. Energy Build. 237 , 110810 (2021).

Floris, A., Porcu, S., Girau, R. & Atzori, L. An IoT-based smart building solution for indoor environment management and occupants prediction. Energies 14 , 2959 (2021).

Nesa, N. & Banerjee, I. IoT-based sensor data fusion for occupancy sensing using Dempster–Shafer evidence theory for smart buildings. IEEE Internet Things J. 4 , 1563–1570 (2017).

Tien, P. W., Wei, S., Darkwa, J., Wood, C. & Calautit, J. K. Machine learning and deep learning methods for enhancing building energy efficiency and indoor environmental quality—a review. Energy AI 10 , 100198 (2022).

Sanzana, M. R., Maul, T., Wong, J. Y., Abdulrazic, M. O. M. & Yip, C. C. Application of deep learning in facility management and maintenance for heating, ventilation, and air conditioning. Autom. Constr. 141 , 104445 (2022).

Yuan, L., Lu, W., Xue, F. & Li, M. Building feature‐based machine learning regression to quantify urban material stocks: a Hong Kong study. J. Ind. Ecol. 27 , 336–349 (2023).

Lu, W., Long, W. & Yuan, L. A machine learning regression approach for pre-renovation construction waste auditing. J. Clean. Prod. 397 , 136596 (2023).

Lu, W., Chen, J. & Xue, F. Using computer vision to recognize composition of construction waste mixtures: a semantic segmentation approach. Resour. Conserv. Recycl. 178 , 106022 (2022).

Chen, J., Lu, W. & Xue, F. “Looking beneath the surface”: a visual-physical feature hybrid approach for unattended gauging of construction waste composition. J. Environ. Manag. 286 , 112233 (2021).

Lublasser, E., Hildebrand, L., Vollpracht, A. & Brell-Cokcan, S. Robot assisted deconstruction of multi-layered façade constructions on the example of external thermal insulation composite systems. Constr. Robot. 1 , 39–47 (2017).

Lee, S., Pan, W., Linner, T. & Bock, T. A framework for robot assisted deconstruction: process, sub-systems and modeling. In 32 nd ISARC: Proc. International Symposium on Automation and Robotics in Construction (ed. Fraser, S. J). (International Association for Automation and Robotics in Construction (IAARC), 2015).

Wu, L., Lu, W., Peng, Z. & Webster, C. A blockchain non-fungible token-enabled ‘passport’ for construction waste material cross-jurisdictional trading. Autom. Constr. 149 , 104783 (2023).

Li, L. et al. Sustainability assessment of intelligent manufacturing supported by digital twin. IEEE Access 8 , 174988–175008 (2020).

Akbarzadeh, O. et al. Heating–cooling monitoring and power consumption forecasting using LSTM for energy-efficient smart management of buildings: a computational intelligence solution for smart homes. Tsinghua Sci.Technol. 29 , 143–157 (2023).

Elnour, M. et al. Performance and energy optimization of building automation and management systems: towards smart sustainable carbon-neutral sports facilities. Renew. Sustain. Energy Rev. 162 , 112401 (2022).

Ababio, B. K., Lu, W. & Ghansah, F. A. Transitioning from green to circular procurement in developing countries: a conceptual framework for Ghana’s construction sector. Build. Res. Inf. 51 , 798–815 (2023).

Oke, A. E., Kineber, A. F., Alsolami, B. & Kingsley, C. Adoption of cloud computing tools for sustainable construction: a structural equation modeling approach. J. Facil. Manag. 21 , 334–351 (2023).

Charef, R. & Lu, W. Factor dynamics to facilitate circular economy adoption in construction. J. Clean. Prod. 319 , 128639 (2021).

Kavitha, R. J. et al. Improved Harris Hawks optimization with hybrid deep learning based heating and cooling load prediction on residential buildings. Chemosphere 309 , 136525 (2022).

Article   CAS   PubMed   Google Scholar  

Lou, J., Wang, B., Yuan, Z. & Lu, W. Willingness to pay for well-being housing attributes driven by design layout: evidence from Hong Kong. Build. Environ. 251 , 111227 (2024).

Qiu, J. et al. Design of an evaluation system for disruptive technologies to benefit smart cities. Sustainability 15 , 9109 (2023).

Bay, E., Martinez-Molina, A. & Dupont, W. A. Assessment of natural ventilation strategies in historical buildings in a hot and humid climate using energy and CFD simulations. J. Build. Eng. 51 , 104287 (2022).

Zhang, E., He, X. & Xiao, P. Does smart city construction decrease urban carbon emission intensity? Evidence from a difference-in-difference estimation in China. Sustainability 14 , 16097 (2022).

Wei, Y., Lei, Z. & Altaf, S. An off-site construction digital twin assessment framework using wood panelized construction as a case study. Buildings 12 , 566 (2022).

Chen, Y., Huang, D., Liu, Z., Osmani, M. & Demian, P. Construction 4.0, Industry 4.0, and building information modeling (BIM) for sustainable building development within the smart city. Sustainability 14 , 10028 (2022).

Qi, B., Razkenari, M., Costin, A., Kibert, C. & Fu, M. A systematic review of emerging technologies in industrialized construction. J. Build. Eng. 39 , 102265 (2021).

Petrov, I. & Hakimov, A. Digital technologies in construction monitoring and construction control. In IOP Conference Series: Materials Science and Engineering , (ed. Sergeev, V.) 497, 012016 (IOP Publishing, 2019).

Yevu, S. K., Ann, T. W. & Darko, A. Digitalization of construction supply chain and procurement in the built environment: emerging technologies and opportunities for sustainable processes. J. Clean. Prod. 322 , 129093 (2021).

Meng, Q. et al. A review of integrated applications of BIM and related technologies in whole building life cycle. Eng. Constr. Archit. Manag. 27 , 1647–1677 (2020).

Malagnino, A. et al. Building information modeling and Internet of Things integration for smart and sustainable environments: a review. J. Clean. Prod. 312 , 127716 (2021).

Wang, M., Wang, C. C., Sepasgozar, S. & Zlatanova, S. A systematic review of digital technology adoption in off-site construction: current status and future direction towards industry 4.0. Buildings 10 , 204 (2020).

Love, P. E. & Matthews, J. The ‘how’ of benefits management for digital technology: from engineering to asset management. Autom. Constr. 107 , 102930 (2019).

Liao, L. & Teo, E. A. L. Managing critical drivers for building information modeling implementation in the Singapore construction industry: an organizational change perspective. Int. J. Constr. Manag. 19 , 240–256 (2019).

Durdyev, S., Ismail, S., Ihtiyar, A., Bakar, N. F. S. A. & Darko, A. A partial least squares structural equation modeling (PLS-SEM) of barriers to sustainable construction in Malaysia. J. Clean. Prod. 204 , 564–572 (2018).

Das, M., Luo, H. & Cheng, J. C. Securing interim payments in construction projects through a blockchain-based framework. Autom. Constr. 118 , 103284 (2020).

Aghimien, D. et al. Barriers to digital technology deployment in value management practice. Buildings 12 , 731 (2022).

Moshood, T. D., Adeleke, A. Q., Nawanir, G., Ajibike, W. A. & Shittu, R. A. Emerging challenges and sustainability of industry 4.0 era in the Malaysian construction industry. Emerg. Chall. Sustain. Ind. 4 , 1627–1634 (2020).

Pan, Y. & Zhang, L. Roles of artificial intelligence in construction engineering and management: a critical review and future trends. Autom. Constr. 122 , 103517 (2021).

Antwi-Afari, P. et al. Enhancing life cycle assessment for circular economy measurement of different case scenarios of modular steel slab. Build. Environ. 239 , 110411 (2023).

Bao, Z., Lu, W. & Hao, J. Tackling the “last mile” problem in renovation waste management: a case study in China. Sci. Total Environ. 790 , 148261 (2021).

Zhang, Y. et al. A survey of the status and challenges of green building development in various countries. Sustainability 11 , 5385 (2019).

Balasubramanian, S., Shukla, V., Islam, N. & Manghat, S. Construction industry 4.0 and sustainability: an enabling framework. IEEE Trans. Eng. Manag. 71 , 1–19 (2021).

Ibem, E. O. & Laryea, S. Survey of digital technologies in procurement of construction projects. Autom. Constr. 46 , 11–21 (2014).

Tranfield, D., Denyer, D. & Smart, P. Towards a methodology for developing evidence‐informed management knowledge by means of systematic review. Br. J. Manag. 14 , 207–222 (2003).

Petticrew, M. & Roberts, H. Systematic Reviews in the Social Sciences: A Practical Guide (John Wiley & Sons, 2008).

Holzmann, P. & Gregori, P. The promise of digital technologies for sustainable entrepreneurship: a systematic literature review and research agenda. Int. J. Inf. Manag. 68 , 102593 (2023).

Okoli, C. A guide to conducting a standalone systematic literature review. Commun. Assoc. Inf. Syst. 37 , 43 (2015).

Gusenbauer, M. & Haddaway, N. R. Which academic search systems are suitable for systematic reviews or meta‐analyses? Evaluating retrieval qualities of Google Scholar, PubMed, and 26 other resources. Res. Synth. Methods 11 , 181–217 (2020).

Article   PubMed   PubMed Central   Google Scholar  

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Weisheng Lu, Jinfeng Lou, Benjamin Kwaku Ababio & Fan Xue

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Lu, W., Lou, J., Ababio, B.K. et al. Digital technologies for construction sustainability: Status quo, challenges, and future prospects. npj Mater. Sustain. 2 , 10 (2024). https://doi.org/10.1038/s44296-024-00010-2

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• Published: 01 May 2024

Mycophenolate-induced colitis in a patient with lupus nephritis: a case report and review of the literature

• Ziyad Alakkas 1 ,
• Abdulaziz M. Gari 2 ,
• Sara Makhdoum 3 &
• Eman A. AlSindi 2  

Journal of Medical Case Reports volume  18 , Article number:  229 ( 2024 ) Cite this article

Metrics details

Mycophenolate mofetil (MMF) is an immunosuppressive drug that is frequently prescribed to patients with rheumatological diseases. MMF’s side effects include abdominal discomfort, nausea, vomiting, and other gastro-intestinal side effects, which typically appear in the first few months of treatment. However, late-onset diarrhea does not rule out the presence of MMF-induced colitis, which can be misdiagnosed since it is linked to a broad range of histopathological characteristics, including alterations that resemble inflammatory bowel disease, graft-versus-host disease, and ischemia. The differences in treatment response may be explained by the complexity of the histopathologic characteristics.

Case presentation

Here we present a case of a 29-year-old Arabian female with lupus nephritis who started on MMF as induction therapy. In two months, the patient was presented to the Emergency Department with diarrhea and manifestations of severe dehydration. Infectious diseases and adverse drug events were suspected, so the patient was admitted for further workup, and MMF was stopped. The patient was diagnosed with MMF-induced colitis based on colonoscopy and histological findings. Fourteen days after stopping MMF, she was within her baseline.

The purpose of this paper is to report a case of early-onset MMF-induced colitis in a patient with lupus nephritis who had started MMF as induction therapy. A review of the available literature on this uncommon immunosuppressive effect is also presented.

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Introduction

Mycophenolate mofetil (MMF) is widely used as an immunosuppressive agent for various inflammatory and/rheumatic conditions, including lupus nephritis and organ transplantation. Mycophenolic acid is an active metabolite of MMF that reversibly inhibits inosine monophosphate (IMP) dehydrogenase, preventing purine synthesis in T and B cells [ 1 , 2 ]. Dose modification or even discontinuation of MMF is quite common due to adverse effects, especially gastro-intestinal side effects, which occur in nearly 45% of cases [ 2 ]. Enterocytes are particularly susceptible to the antimetabolic effects of MMF due to their reliance on the de novo process of purine synthesis. This prevents the growth and reproduction of small bowel epithelial cells, which disrupts fluid absorption and causes diarrhea [ 3 , 4 ]. However, MMF is a well-tolerated therapy in general.

One of the major adverse effects of MMF is colitis, which can lead to serious complications that include perforation, bleeding, and hospitalization. In recent years, several studies have investigated the factors associated with MMF-induced colitis. One study evaluated the incidence of gastro-intestinal complications following kidney transplant and showed that MMF-induced colitis was the most common type of colitis, occurring in 6–9% of patients, and the most common symptom was diarrhea [ 5 , 6 ]. MMF is one of the common immunosuppression medications for rheumatological disease and has been used for the last two decades with very good outcomes in terms of different aspects and system involvement.

There are only a few reports of patients who developed MMF-related colitis (Table  1 ). A small retrospective study evaluated 11 patients with rheumatologic disease who had been treated with MMF and found that only one patient had medication-related colitis [ 7 ]. We report a case of a young female who had systemic lupus erythematosus and lupus nephritis and presented with abdominal pain and diarrhea. We also discuss the challenges in the diagnosis of MMF-induced colitis.

Written consent was obtained from the patient, and ethical approval was provided by the Institutional Review Board (IRB) of the Study and Research Department of King Fahad Hospital, Jeddah.

The patient was a 29-year-old Arabian woman with a known case of systemic lupus erythematosus, which had been diagnosed 5 years prior based on the criteria of the European League Against Rheumatism (EULAR)/American College of Rheumatology (ACR). She was started on hydroxychloroquine at 200 mg orally once per day, and she had no comorbidities except for hypothyroidism.

The patient had not been followed up due to the COVID-19 pandemic, but in January 2023, she presented to the clinic with an incidental lab result showing a creatinine level of 4.3 mg/dL. Thus, a renal biopsy was planned, and she was diagnosed with class IV lupus nephritis. She received pulse methylprednisolone therapy at 500 mg intravenously for 3 days, which was then switched to a tapering dose of prednisolone. Induction therapy using MMF was initiated at 500 mg orally twice daily then titrated up weekly until she was discharged to home on 1.5 g orally twice per day, which is the maximum recommended dose of induction phase for lupus nephritis.

After 2 months, the patient presented to the emergency department with complaints of nausea, vomiting, and left-sided abdominal pain associated with diarrhea 5–6 times per day, which was watery but contained no blood or mucus. Her symptoms started at just 2 weeks after starting MMF therapy and had progressed over the last month. She denied having fever, weight loss, or night sweats. Upon physical examination, she was alert and oriented but in pain. The abdomen was tender, but there were no signs of peritonitis. The rest of the physical examination was unremarkable apart from Cushingoid face. She was afebrile, and her blood pressure, heart rate, respiratory rate, and oxygen saturation were within normal ranges. Her weight was 90 kg.

Upon admission, MMF was promptly discontinued due to the possibility that it might have led to an infection. The immediate care involved the delivery of intravenous fluids, a low-residue diet, analgesic medications like intravenous acetaminophen, and antispastic treatments. Routine blood tests performed at admission indicated leukopenia 3.800 × 10 6 /L normal range (4–11 × 10 6 /L), elevated creatinine 6.3 mg/dL normal range (07–1.3 mg/dL) while her baseline of creatinine was 2 mg/dL and GFR 60 ml/min, and noticeably increased inflammatory markers (C-reactive protein 32 mg/dL normal range < 5 mg/dL, erythrocyte sedimentation rate 40 mm/hour normal range < 20 mm/hour). The C3 and C4 complement levels were 0.6 g/L (0.8–1.6 g/L) and C4 0.18 g/L (0.20–0.65 g/L), respectively. Stool analysis indicated + 2 pus cells and a negative culture. Urine analysis indicated a protein level of + 1 with no red blood cell crystals or casts. An abdominal ultrasound was performed, but the result was unremarkable.

Later, computed tomography scan was performed, which did not reveal any other abnormalities and confirmed the ultrasound results. A colonoscopy showed erythematous patches with few erosions and rectal-sparing colitis. Multiple biopsies been taken (Fig.  1 ). Infectious colitis, drug-induced colitis, newly diagnosed inflammatory bowel disease (IBD), gastro-intestinal involvement associated with systemic lupus erythematosus, and mesenteric ischemia were all considered in the differential diagnosis. Cytomegalovirus (CMV) infection is the main concern among infectious causes of colitis in patients with impaired immune systems, and its possible endoscopic findings include diffuse erythema, ischemia, erosions, and ulcers.

Colonoscopy shows hyperemic mucosa with some superficial ulcers from sigmoid up to the cecum, while the terminal ileum shows superficial ulceration with some area of inflammatory patches

The endoscopic appearance of drug-induced colitis can resemble that of ulcerative colitis, infectious colitis, and ischemic colitis. Non-steroidal anti-inflammatory drugs (NSAIDs) are the most common cause of drug-induced colitis, but MMF was probably involved in the present case. Rectal sparing almost always occurs in MMF-induced colitis. Microscopically, the colonic mucosa displayed a mild architectural distortion, with ruptures of few dilated glands. Mild cryptitis is observed. However, no obvious apoptosis seen as been previously described in few cases of MMF induced colitis. There were no evidence of viral cytopathic changes, granuloma, dysplasia or malignancy (Fig.  2 A–D),

Mycophenolate Mofetil induced colitis. A Colonic biopsy with mild architectural distortion, crypt hyperplasia and lamina propria inflammation (HEx 4 ×). B Higher magnification (HE 20 ×) show dilated colonic glands. C Destructed ruptured colonic glands with mucin spillage (HE × 20 ×). D Acute inflammation within the glands (cryptitis), at high power magnification (HE x 40 ×)

Following the cessation of MMF, the gastro-intestinal symptoms and the biomarkers for systemic inflammation gradually subsided and returned to base line levels after 14 days without further therapy, thus supporting the suspicion of drug-induced colitis. The patient was discharged 24 days after admission, MMF was discontinued, and the Euro-Lupus protocol was started with cyclophosphamide as induction therapy for lupus nephritis. The patient has been followed up closely and has shown improvement of active and chronic issues with 6 doses of cyclophosphamide completed. Azathioprine with a low dose of steroid was initiated. There have been no other gastro-intestinal manifestations.

MMF is an immunosuppressive medication that was first used to decrease the risk of organ rejection after transplantation, but now, it is also being used to treat patients with autoimmune systemic disorders, including systemic lupus erythematosus. The target dose of MMF for the treatment of Lupus Nephritis is 2–3 g per day in combination with glucocorticoids especially for those high-risk patients for kidney failure including reduced GFR. Dosage may need to be adjusted according to adverse events, toxicity, efficacy and MPA blood level [according to 2019 European Leage Against Rheumatism and European Dialysis and Transplant Association (EULAR/ERA-EDTA) recommendation for the management of Lupus Nephritis]. General recommendation to not exceed 2 g in patients with chronic renal failure with GFR less than 25 mL/min.

As far as we are aware, there have been only a few documented cases of colitis caused by MMF in a patient with a rheumatological condition. The onset of MMF-induced colitis in a patient with lupus nephritis, sclerosis, mixed connective tissue disease (MCTD), and polymyositis has previously been documented by other authors (Table  1 ). In transplant recipients, however, MMF is a well-known trigger of drug-induced colitis [ 6 ].

Mycophenolate targets tissues with fast cell division and reliance on purine synthesis. Lymphocytes and gut cells are the two main organs in which regeneration is dependent on this system. Immunosuppression results from lymphocytes (B and T cells) being more dependent on this route (by 90%) [ 8 ]. The blood level of mycophenolic acid is directly inversely correlated with mycophenolate’s adverse effects [ 9 ]. Since 50% of enterocytes rely on the mycophenolate-targeting mechanisms, it is believed to explain why 45% of patients experience gastro-intestinal side effects, including simple diarrhea, esophagitis, gastroesophageal reflux disease, enteritis, and colitis, as in our patient [ 2 ]. The most typical gastro-intestinal mucosal pattern associated with MMF is mucosa that seems normal [ 10 ]. The histological changes in patients receiving MMF have mostly been classified in many studies as normal or near normal in around one-third of cases, followed by changes resembling IBD, graft-versus-host disease (GVHD), self-limited colitis, and ischemia [ 11 , 12 , 13 ]. Another study reported histological results that were in line with an acute colitis-like pattern in half of cases as being the most common, followed by IBD-like pathologic findings in 36% of cases, ischemia-like characteristics in 5.6% of cases, and GVHD-like abnormalities in 8.3% of cases [ 6 ]. Examples of specific histological characteristics of MMF-related colitis include crypt architectural disarray, increased lamina propria inflammation, dilated damaged crypts, increased crypt epithelial apoptosis, and GVHD-like alterations [ 14 ].

The wide morphological spectrum documented in MMF-induced colitis includes features that can lead to misdiagnosis and delayed intervention. Therefore, it is essential to discuss the clinical history of MMF therapy with pathologists and to take this diagnosis into consideration, regardless of the length of therapy, given the variations in the therapeutic management and prognosis of these disorders. The most frequent indication for a colonoscopy referral for patients on MMF medication is diarrhea. Nearly half of such patients have normal colonoscopy results. Other endoscopic findings include erythema (33%) and erosions/ulcers (19%), which indicate a need for routine biopsies to help with confirmation of the diagnosis [ 6 ].

Treatment options range from stopping MMF use to using specialized immunosuppressive medications to correct the histological pattern replicated by MMF-induced colitis. There are no recommendations available to help clinicians treat colitis induced by MMF. Case reports have frequently shown that after stopping MMF, diarrhea symptoms improve within a week. In another study, after unsuccessful attempts with MMF cessation, a patient was given 50 mg of intravenous steroids daily for two weeks and a single infusion of 5 mg/kg of infliximab, which led to decreased stool frequency within three days after infusion [ 28 ].

It is well known that MMF causes drug induced colitis with a variety of patterns and clinical manifestations. When caring for people with autoimmune systemic disorders, colitis should be recognized as a rare side effect of MMF therapy. It is necessary for physicians to be aware that discontinuing the medicine is typically effective without the need for extra treatments.

Availabilty of data and materials

Not applicable.

Abbreviations

• Mycophenolate mofetil

Mycophenolate sodium

Inosine monophosphate

Gastro-intestinal

Inflammatory bowel disease

Cytomegalovirus

Polyendocrinopathy-candidiasis-ectodermal dystrophy

Allison AC, Eugui EM. Mycophenolate mofetil and its mechanisms of action. Immunopharmacology. 2000;47(2–3):85–118. https://doi.org/10.1016/s0162-3109(00)00188-0 .

Article   CAS   PubMed   Google Scholar  

Allison AC, Eugui EM. Purine metabolism and immunosuppressive effects of mycophenolate mofetil (MMF). Clin Transplant. 1996;10(1 Pt 2):77–84.

CAS   PubMed   Google Scholar  

Tierce JC, Porterfield-Baxa J, Petrilla AA, Kilburg A, Ferguson RM. Impact of mycophenolate mofetil (MMF)-related gastrointestinal complications and MMF dose alterations on transplant outcomes and healthcare costs in renal transplant recipients. Clin Transplant. 2005;19(6):779–84. https://doi.org/10.1111/j.1399-0012.2005.00421.x .

Isaacs PE, Sladen GE, Filipe I. Mefenamic acid enteropathy. J Clin Pathol. 1987;40(10):1221–7. https://doi.org/10.1136/jcp.40.10.1221 .

Article   CAS   PubMed   PubMed Central   Google Scholar  

Gioco R, Puzzo L, Patanè M, Corona D, Trama G, Veroux P, Veroux M. Post-transplant colitis after kidney transplantation: clinical, endoscopic and histological features. Aging (Albany NY). 2020;12(24):24709–20. https://doi.org/10.18632/aging.202345 .

Calmet FH, Yarur AJ, Pukazhendhi G, Ahmad J, Bhamidimarri KR. Endoscopic and histological features of mycophenolate mofetil colitis in patients after solid organ transplantation. Ann Gastroenterol. 2015;28(3):366–73.

PubMed   PubMed Central   Google Scholar  

Bandelier C, Guerne PA, Genevay S, Finckh A, Gabay C. Clinical experience with mycophenolate mofetil in systemic autoimmune conditions refractory to common immunosuppressive therapies. Swiss Med Wkly. 2009;139(3–4):41–6. https://doi.org/10.4414/smw.2009.12441 .

Lamba V, Sangkuhl K, Sanghavi K, Fish A, Altman RB, Klein TE. PharmGKB summary: mycophenolic acid pathway. Pharmacogenet Genomics. 2014;24(1):73–9.

Md Dom ZI, Coller JK, Carroll RP, Tuke J, McWhinney BC, Somogyi AA, et al . Mycophenolic acid concentrations in peripheral blood mononuclear cells are associated with the incidence of rejection in renal transplant recipients. Br J Clin Pharmacol. 2018;84(10):2433–42.

Lee S, de Boer WB, Subramaniam K, Kumarasinghe MP. Pointers and pitfalls of mycophenolate-associated colitis. J Clin Pathol. 2013;66(1):8–11. https://doi.org/10.1136/jclinpath-2012-200888 .

Article   PubMed   Google Scholar  

Histological spectrum of mycophenolate mofetil-related colitis: association with apoptosis.

Selbst MK, Ahrens WA, Robert ME, Friedman A, Proctor DD, Jain D. Spectrum of histologic changes in colonic biopsies in patients treated with mycophenolate mofetil. Mod Pathol. 2009;22(6):737–43. https://doi.org/10.1038/modpathol.2009.44 .

Mycophenolate mofetil-induced colitis with graft versus host disease-like features in a renal transplant recipient: case report and literature review.

Parfitt JR, Jayakumar S, Driman DK. Mycophenolate mofetil-related gastrointestinal mucosal injury: variable injury patterns, including graft-versus-host disease-like changes. Am J Surg Pathol. 2008;32(9):1367–72. https://doi.org/10.1097/pas.0b013e31816bf3fe .

Al Saadi W, Al Salmi I, Mohammed E, Al Ajmi Z, Hannawi S. Mycophenolate induced colitis: one-year post-kidney transplantation. Oman Med J. 2023;38(2): e489. https://doi.org/10.5001/omj.2023.14 .

Article   PubMed   PubMed Central   Google Scholar  

Schmitt MM, Ferré EMN, De Melo MS, Cooper MA, Quezado MM, Heller T, Lionakis MS. Mycophenolate-induced colitis in autoimmune polyendocrinopathy-candidiasis-ectodermal dystrophy patients. JPGN Rep. 2021;2(4): e131. https://doi.org/10.1097/pg9.0000000000000131 .

Bani Fawwaz BA, Aldwairy A, Farooq A. Mycophenolate-induced colitis: a rare side effect. Cureus. 2021;13(9): e18250. https://doi.org/10.7759/cureus.18250 .

Farooqi R, Kamal A, Burke C. Mycophenolate-induced colitis: a case report with focused review of literature. Cureus. 2020;12(1): e6774. https://doi.org/10.7759/cureus.6774 .

Tayyem O, Saraireh H, Al Hanayneh M, Stevenson HL. Heart transplant recipient with mycophenolate mofetil-induced colitis: the great imitator. BMJ Case Rep. 2018;2018:bcr2017224035. https://doi.org/10.1136/bcr-2017-224035 .

Moroncini G, Benfaremo D, Mandolesi A, Gabrielli A. Mycophenolate mofetil-induced colitis in a patient with systemic sclerosis. BMJ Case Rep. 2018;2018:bcr2018224829. https://doi.org/10.1136/bcr-2018-224829 .

Sonoda A, Wada K, Mizukami K, Fukuda K, Shuto M, Okamoto K, Ogawa R, Okimoto T, Murakami K. Deep ulcers in the ileum associated with mycophenolate mofetil. Intern Med. 2017;56(21):2883–6. https://doi.org/10.2169/internalmedicine.8815-17 .

Dhakal P, Gami R, Giri S, Bhatt VR. Mycophenolate mofetil (MMF)-induced colitis. Blood. 2016;128:4795.

Article   Google Scholar  

Goyal A, Salahuddin M, Govil Y. A unique case of mycophenolate induced colitis after 10 years of use. Case Rep Gastrointest Med. 2016;2016:3058407. https://doi.org/10.1155/2016/3058407 .

Johal K, Ratuapli SK, Lam-Himlin DM, Gurudu SR. Mycophenolate mofetil-induced segmental colitis mimicking ischemic colitis. Case Rep Gastroenterol. 2014;8(1):95–100. https://doi.org/10.1159/000360847 .

Hamouda M, Mahmoudi H, Skhiri H, Elmay M. Mycophenolate mofetil-related pancolitis in a kidney transplant recipient [published correction appears in Exp Clin Transplant. 2012 Aug;10(4):418]. Exp Clin Transplant. 2012;10(5):501–5. https://doi.org/10.6002/ect.2011.0200 .

Patra S, Vij M, Sukanya B, Kapoor D. Mycophenolate mofetil-induced colitis with graft versus host disease-like features in a liver transplant recipient. Indian J Pathol Microbiol. 2012;55(4):506–8. https://doi.org/10.4103/0377-4929.107792 .

Gorospe EC. Chronic diarrhoea from mycophenolate mofetil-induced colitis. BMJ Case Rep. 2012;2012:bcr2220115344. https://doi.org/10.1136/bcr.12.2011.5344 .

Bouhbouh S, Rookmaaker MB. Rapid resolution of persistent mycophenolate mofetil-induced diarrhoea with a single dose of infliximab. Nephrol Dial Transplant. 2010;25(10):3437–8. https://doi.org/10.1093/ndt/gfq379 .

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Ziyad Alakkas

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Ziyad Alakkas: Literature review and writing manuscript. Abdulaziz M. Gari: case review and got ethical approval. Sara Makhdoum: review histology slides and review literature. Eman A. AlSindi: mentor and most responsible physician (MRP) of the patient.

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Alakkas, Z., Gari, A.M., Makhdoum, S. et al. Mycophenolate-induced colitis in a patient with lupus nephritis: a case report and review of the literature. J Med Case Reports 18 , 229 (2024). https://doi.org/10.1186/s13256-024-04539-7

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Two Decades of Academic Service-Learning in Chinese Higher Education: A Review of Research Literature

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• Liu Hong   ORCID: orcid.org/0000-0002-2250-773X 1 ,
• Yang-yang Wan 1 ,
• Wan-ting Yang 2 ,
• Zhi-jian Gong 1 ,
• Xiao-yue Hu 1 &
• Gaoming Ma 3  

Service-learning is globally recognized as an impactful pedagogical approach in higher education. This study reviews literature from the past two decades on university course-based, credit-bearing academic service-learning in the Chinese mainland. It reveals a steady growth in service-learning courses across all regions of the Chinese mainland since 2006, with fifty-two courses documented in the academic literature by 2023. The courses span various disciplines and service populations and have shown positive impacts on university students’ cognitive skills, peer and community connectedness, development of self, disciplinary, and career identities, as well as social responsibility. The study observes the presence of heterogeneous research designs, incomplete reporting of course information, variability in writing styles, structure, and content across different journals and disciplines, indicating an early stage in the field’s development. This underscores the need for systematic documentation of course designs and processes and outcome evaluation with research rigor. The paper discusses the implications for the local development of service-learning practices and the advancement of research in this domain in light of the growing global interest in this educational approach.

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Anorico, H. C. (2019). Service-learning in the Philippines: The university of Santo Thomas’ national service training program. Gateways: International Journal of Community Research and Engagement , 12 (1). https://doi.org/10.5130/ijcre.v12i1.5944 .

Antonak, R. F., & Harth, R. (1994). Psychometric analysis and revision of the mental retardation attitude inventory. Mental Retardation , 32 (4), 272–280. https://doi.org/10.1007/s003300000751 .

Article   Google Scholar  

Bennett, D., Sunderland, N., Bartleet, B. L., & Power, A. (2016). Implementing and sustaining higher education service-learning initiatives: Revisiting Young et al.’s organizational tactics. Journal of Experiential Education , 39 (2), 145–163. https://doi.org/10.1177/1053825916629987 .

Billig, S. H. (2009). Does quality really matter: Testing the new K–12 service-learning standards for quality practice. In B. E. Moely, S. H. Billig, & B. A. Holland (Eds.), Creating our identities in service-learning and community engagement (pp. 131–158). Information Age.

Braun, V., & Clarke, V. (2012). Thematic analysis. In H. Cooper, P. M. Camic, D. L. Long, A. T. Panter, D. Rindskopf, & K. J. Sher (Eds.), APA handbook of research methods in psychology, vol 2: Research designs: Quantitative, qualitative, neuropsychological, and biological (pp. 57–71). American Psychological Association. https://doi.org/10.1037/13620-004 .

Bringle, R. G., & Hatcher, J. A. (2000). Institutionalization of service learning in higher education. Journal of Higher Education , 71 (3), 273–290.

Butin, D. W. (2010). Service-learning in theory and practice: The future of community engagement in higher education . Palgrave Macmillan US. https://doi.org/10.1057/9780230106154 .

Celio, C. I., Durlak, J., & Dymnicki, A. (2011). A meta-analysis of the impact of service-learning on students. Journal of Experiential Education , 34 (2), 19. https://doi.org/10.1177/105382591103400205 .

Cen, X. Y., Zhang, H. C., Li, D. Q., Li, R. C., & Zheng, Q. R. (2007). Zai Shequ laonian fuwu zhong chengzhang [Growing in community elderly services]. Shehui Gongzuo Xiabanyue (Lilun) , 12 , 43–44.

Google Scholar  

Chen, L. G. (2012). Kecheng daoxiang de shuzihua fuwu xuexi sheji yanjiu [Master’s thesis, Jiangsu Normal University].

Chen, H. L., & Zhang, Y. (2021). Xianshang fuwu xuexi shijian: Yiqing zhong de shehui gongzuo shiwu jiaoyu chengxiao yanjiu [Online service learning practice: A study on the effectiveness of practical social work education during the pandemic]. Shehui Jianshe , 8 (4), 24–35.

Choi, Y., Han, J., & Kim, H. (2023). Exploring key service-learning experiences that promote students’ learning in higher education. Asia Pacific Education Review . https://doi.org/10.1007/s12564-023-09833-5 .

Collins, J., Clark, E., Chau, C., & Pignataro, R. (2019). Impact of an international service learning experience in India for DPT students: Short- and long-term benefits. Journal of Allied Health , 48 (1), 22–30.

Compare, C., & Albanesi, C. (2023). Belief, attitude and critical understanding. A systematic review of social justice in service-learning experiences. Journal of Community & Applied Social Psychology , 33 (2), 332–355. https://doi.org/10.1002/casp.2639 .

Conway, J. M., Amel, E. L., & Gerwien, D. P. (2009). Teaching and learning in the social context: A meta-analysis of service learning’s effects on academic, personal, social, and citizenship outcomes. Teaching of Psychology , 36 (4), 233–245. https://doi.org/10.1080/00986280903172969 .

Dai, X. (2022). Fuwu Xuexi Zai shehui gongzuo kecheng shixi zhong de yunyong ——yi Ge’an Shehui Gongzuo kecheng weili [Application of service learning in social work course internship — case Social Work course as an example]. Zhongguo Shehui Gongzuo , (13) , 30–32.

Dai, K. Y., Hong, L., & Xu, K. (2023). Ti Xian Liang xing Yi Du De Jisuanjilei Fuwu Xuexi Kecheng De Sheji Yu shijian [Design and practice of computer service learning courses reflecting two sexes and one degree]. Ruanjian Daokan , 1–6.

Eyler, J., & Giles, D. E. Jr. (1997). The importance of program quality in service-learning. In A. S. Waterman (Ed.), Service-learning: Applications from the research (pp. 57–76). Lawrence Erlbaum Associates.

Eyler, J., Giles Jr, D. E., Stenson, C. M., & Gray, C. J. (2001). At a glance: What we know about the effects of service-learning on college students, faculty, institutions and communities, 1993–2000. Higher Education , 139.

Faulconer, E. (2021). eService-learning: A decade of research in undergraduate online service–learning. American Journal of Distance Education , 35 (2), 100–117. https://doi.org/10.1080/08923647.2020.1849941 .

Fu, J., & Li, Y. L. (2016). Fuwu Xuexi Dui daxuesheng shehui chengshudu de yingxiang [The impact of service learning on the social maturity of college students]. Guangxi Jiaoyu , 7 , 48–50.

Furco, A. (2007). Institutionalising service-learning in higher education. Higher Education and Civic Engagement: International perspectives . Routledge.

Gao, Z. M. (2016). Fuwu—Xuexi Bentuhua De Tansuo Yu sikao [Exploration and thinking on the localization of service-learning]. Gaojiao Xuekan , 17 , 24–25.

Gonzales, A. D., Harmon, K. S., & Fenn, N. E. (2020). Perceptions of service learning in pharmacy education: A systematic review. Currents in Pharmacy Teaching and Learning , 12 (9), 1150–1161. https://doi.org/10.1016/j.cptl.2020.04.005 .

Gordon, C. S., Pink, M. A., Rosing, H., & Mizzi, S. (2022). A systematic meta-analysis and meta-synthesis of the impact of service-learning programs on university students’ empathy. Educational Research Review , 37 , 100490. https://doi.org/10.1016/j.edurev.2022.100490 .

Guo, Y. Y. (2015). Fuwu-Xuexi xing jiaoxue fangfa zai peiyang shehui gongzuo xuesheng zhuanye nengli fangmian de yunyong yanjiu [Master’s thesis, Yunnan University].

Hammond, C. (1994). Integrating service and academic study: Faculty motivation and satisfaction in Michigan higher education. Michigan Journal of Community Service Learning , 1 (1), 21–28.

Han, Y. M. (2018). Oral history of Sian leprosy rehabilitation village: A service-learning project conducted by South China Normal University. In C. M. Hok-ka, A. C. Cheung-ming, A. L. Cheng, & F. M. Mui-fong (Eds.), Service-learning as a new paradigm in higher education of China (pp. 85–92). Michigan State University.

Harte, A., Persyn, A., Louro, J., de Smet, L., Harvey, K., Laabs, K., Minotti, S., Naujanyte, P., Porkola, R., & Semenski, S. (2019). & others. European student reflections and perspectives on service learning. In Embedding Service Learning in European Higher Education (pp. 196–209). Routledge.

Haski-Leventhal, D., GrÖNlund, H., Holmes, K., Meijs, L. C. P. M., Cnaan, R. A., Handy, F., Brudney, J. L., Hustinx, L., Kang, C., Kassam, M., Pessi, A. B., Ranade, B., Smith, K. A., Yamauchi, N., & Zrinscak, S. (2010). Service-learning: Findings from a 14-Nation study. Journal of Nonprofit & Public Sector Marketing , 22 (3), 161–179. https://doi.org/10.1080/10495141003702332 .

Hawes, J. K., Johnson, R., Payne, L., Ley, C., Grady, C. A., Domenech, J., Evich, C. D., Kanach, A., Koeppen, A., Roe, K., Caprio, A., Puente Castro, J., LeMaster, P., & Blatchley, E. R. (2021). Global service-learning: A systematic review of principles and practices. International Journal of Research on Service-Learning and Community Engagement , 9 (1). https://doi.org/10.37333/001c.31383 .

He, X. J. (2012). Fuwu Xuexi: Shehui gongzuo zhuanye nengli peiyang de guocheng—yici shehui xingzheng kecheng jiaoxue de shijian [Service learning: The process of cultivating social work professional ability—a practice of Social Administration course teaching]. Shehui Gongzuo , 1 , 41–43.

He, L., Zhu, X. Y., & Zhao, S. L. (2015). Fuwu Xuexi Linian Xia De Ketang Xuexi Yu Shequ fuwu—Yi Ertong Quanli Yu Baohu Kecheng Weili [Classroom learning and community service under the concept of service learning—taking children’s rights and Protection course as an example]. Zhongguo Qingnian Shehui Kexue , 34 (4), 93–97.

Holland, B. (1997). Analyzing institutional commitment to service: A model of key organizational factors. Michigan Journal of Community Service Learning , 4 , 30–41.

Hong, L. (2019). An alternative blueprint? Institutionalizing service-learning in a comprehensive university in China. Proceedings of the 3rd International Conference on Service-Learning (pp. 193–196). ICSL 2019

Hong, L., Peng, S. Q., Xu, K., & Chen, Y. (2020). Fuwu xuexi kecheng de sheji: Jiyu sheji siwei de shijian kuangjia [Service-Learning curriculum design: A practical framework based on design thinking]. Fudan Education Forum , 18 (5), 63–70

Hong, Q. N., Pluye, P., Bujold, M., & Wassef, M. (2017). Convergent and sequential synthesis designs: Implications for conducting and reporting systematic reviews of qualitative and quantitative evidence. Systematic Reviews , 6 (1), 61. https://doi.org/10.1186/s13643-017-0454-2 .

Honnet, E. P., & Poulsen, S. J. (1989). Wingspread special report: Principles of good practice for combining service and learning . The Johnson Foundation.

Huang, X. R., & Ye, L. H. (2022). Tiyanshi Gongyi De Bentuhua Tansuo Yu Shijian—Yi Huaqiao Daxue Tongshi Kecheng Qiaoai Zhiyuan Fuwu Xiangmu Shequ Fuwu Xuexi Wei Li [Exploration and practice of localizing experiential philanthropy — with the example of Qiao Ai Volunteer Service Community Service Learning of Huaqiao University’s general education course]. Xibu Suzhi Jiaoyu , 8 (4), 4–6.

ICSL 2019 (The 3rd International Conference on Service-Learning). Proceedings of the 3rd International Conference on Service-Learning, Hong Kong Polytechnic University, 10–12 (January, 2019). http://hdl.handle.net/10397/81823 .

Lemieux, C. M., & Allen, P. D. (2007). Service learning in social work education: The state of knowledge, pedagogical practicalities, and practice conundrums. Journal of Social Work Education , 43 (2), 309–326. https://doi.org/10.5175/JSWE.2007.200500548 .

Li, Y. H. (2008). Shehui Gongzuo Shiwu Kecheng Fuwu Xuexi Jiaoxue Moshi tansuo—Yi Laonian Shehui Gongzuo fuwu xuexi xiangmu weili [Exploration of service learning teaching model in social work practical courses: A case study of Elderly Social Work service learning project]. Shehui Gongzuo Xiabanyue (Lilun) , 3 , 18–21.

Li, Z., Wang, Q. Q., & Qi, B. C. (2011). Dangdai daxuesheng zhuanye rentongdu de xianzhuang ji duice yanjiu [Current situation and countermeasures research on contemporary college students’ professional identity]. Gaojiao Tansuo , 2 , 131–136.

Li, Y., Yao, M., Song, F., Fu, J., & Chen, X. (2018). Building a just world: The effects of service-learning on social justice beliefs of Chinese college students. Educational Psychology , 39 (5), 591–616. https://doi.org/10.1080/01443410.2018.1530733 .

Li, H., McDougle, L. M., & Gupta, A. (2019). Experiential philanthropy in China. Journal of Public Affairs Education , 26 (2), 205–227. https://doi.org/10.1080/15236803.2019.1667185 .

Li, L. W., Hou, J. W., & Wei, G. J. (2023). Fuwuxing Xuexi Zai Erke Hulixue kecheng zhong de xingdong yanjiu [Action research on service learning in Pediatric nursing course]. Quanke Huli , 21 (2), 286–288.

Lin, R., & Chen, Y. H. (2022). Jiyu jiji xinlixue de gongyi kecheng shijian de ge’an yanjiu [Case study on the practice of philanthropy courses based on positive psychology]. Yangzhou Daxue Xuebao (Gaojiao Yanjiuban) , 25 (4), 103–110.

Lin, P., & Huang, W. (2013). Fuwu Xuexi Linian Yingyong Yu wuli shifan jiaoyu de shijian [Application of service learning concept in physics normal education practice]. Hezhou Xueyuan Xuebao , 29 (1), 130–132.

Lin, Y., & Jiang, A. L. (2004). Huli zhuanye daxuesheng zizhu xuexi nengli ceping liangbiao de yanzhi [Development of the self-directed learning ability assessment scale for nursing college students]. Jiefangjun huli Zazhi , 6 , 1–4.

Liu, N., Yang, Y. Y., Dong, Z. G., Zhang, Y. Y., & Xu, Y. (2015). Husheng canjia Laonian Hulixue kecheng fuwuxing xuexi de tiyan ji fansi [Nursing students’ experience and reflection on service learning in geriatric nursing course]. Jiefangjun Huli Zazhi , 32 (7), 6–9.

Liu, J. E., Fan, G. H., Xu, L. S., Lin, X. Y., Zhang, A. Q., Huang, W. H., Zheng, S. Y., Zeng, Y., & Yang, M. H. (2021). Shantou Daxue Yixueyuan Yizhe Zhi Xin (HEART) yixue renwen jiaoyu Moshi Yu Shijian—Yi Yixuesheng Gongyi Zhongzi Peiyu Jihua Wei shijiao [Shantou University Medical College’s HEART medical humanities education model and practice — from the perspective of Medical Student Public Welfare seed cultivation plan]. Yixue Jiaoyu Guanli , 7 (4), 366–372.

Lo, K. W. K., Ngai, G., Chan, S. C. F., & Kwan, K. (2022). How students’ motivation and learning experience affect their service-learning outcomes: A structural equation modeling analysis. Frontiers in Psychology , 13 , 825902. https://doi.org/10.3389/fpsyg.2022.825902 .

Long, L., Wan, Y., Zou, K., Shen, Z. Q., Hao, Y., Zhao, X. Y., Feng, W. T., & Li, J. Y. (2022). Yi Fuwu Xuexi Wei Zhidao Sixiang De Kecheng Sheji Ji Fei Biaozhunhua Kaohe Moshi Tansuo—Yi Yufang Yixue Yu Gonggong Weisheng Fuwu Xuexi Shijian Kecheng Wei Li [Exploration of course design and non-standard assessment model guided by service learning — taking the Practice Course of Preventive Medicine and Public Health Service Learning as an example]. Xiandai Yufang Yixue , 49 (22), 4221–4224.

Ma, Y. J. (2020). Fuwu Xuexi Yanjiu: Yi Xinguan feiyan yiqing zhong Tiyanshi Cishan jiaoxue shijian weili [Service learning research: Taking Experiential Philanthropy teaching practice in COVID-19 as an example]. Gaodeng Jiaoyu Yanjiu , 41 (9), 93–102.

Marco-Gardoqui, M., Eizaguirre, A., & García-Feijoo, M. (2020). The impact of service-learning methodology on business schools’ students worldwide: A systematic literature review. Plos One , 15 (12), e0244389. https://doi.org/10.1371/journal.pone.0244389 .

Mashino, T. (2022). Not for democracy? Service-learning in Japanese higher education as compared to the United States. Educational Studies in Japan , 16 (0), 59–70. https://doi.org/10.7571/esjkyoiku.16.59 .

McIlrath, L., Aramburuzabala, P., & Opazo, H. (2019). Developing a culture of civic engagement through service learning within higher education in Europe. In P. Aramburuzabala, L. McIlrath, & H. Opazo (Eds.), Embedding Service Learning in European Higher Education: Developing a culture of Civic Engagement (pp. 69–80). Routledge.

Meijs, L. C., Maas, S. A., & Aramburuzabala, P. (2019). Institutionalisation of service learning in European higher education. In P. Aramburuzabala, L. McIlrath, & H. Opazo (Eds.), Embedding service learning in European higher education (pp. 213–229). Routledge.

Moely, B. E., & Ilustre, V. (2014). The impact of service-learning course characteristics on university students’ learning outcomes. Michigan Journal of Community Service Learning , 21 (1), 5–16. https://doi.org/10.3382/ps.0680287 .

Moely, B. E., Mercer, S. H., Ilustre, V., Miron, D., & McFarland, M. (2002). Psychometric properties and correlates of the Civic attitudes and skills Questionnaire (CASQ): A measure of students’ attitudes related to service-learning. Michigan Journal of Community Service Learning , 8 , 15–26. http://hdl.handle.net/2027/spo.3239521.0008.202 .

Mouton, J., & Wildschut, L. (2005). Service learning in South Africa: Lessons learnt through systematic evaluation. Acta Academica, sup-3 , 116–150.

Natarajarathinam, M., Qiu, S., & Lu, W. (2021). Community engagement in engineering education: A systematic literature review. Journal of Engineering Education , 110 (4), 1049–1077. https://doi.org/10.1002/jee.20424 .

Peng, H. M., Chen, X. F., & Gao, Y. X. (2009). Fuwu Xuexi: Qingnian Zhiyuan Fuwu Yu Daxue Jiaoyu Zhenghe Moshi yanjiu [Service learning: A study on the integration of youth volunteer service and university education]. Zhongguo Qingnian Yanjiu , 4 , 87–91.

Pérez-Ordás, R., Nuviala, A., Grao-Cruces, A., & Fernández-Martínez, A. (2021). Implementing service-learning programs in physical education; teacher education as teaching and learning models for all the agents involved: A systematic review. International Journal of Environmental Research and Public Health , 18 (2), 669. https://doi.org/10.3390/ijerph18020669 .

Preradović, N. M., & Mažeikienė, N. (2019). Service learning in post-communist countries: Lithuania and Croatia. Embedding Service Learning in European Higher Education (pp. 180–195). Routledge.

Qiu, X. (2013). Lun Fuwu Xuexi Moshi Zai Shehui Xingzheng shijian jiaoxue zhong de yunyong [On the application of service learning model in the practical teaching of Social Administration]. Heihe Xuekan , 5 , 125–126.

Queiruga-Dios, M., Santos Sánchez, M. J., Queiruga-Dios, M. Á., Castellanos, A., P. M., & Queiruga-Dios, A. (2021). Assessment methods for service-learning projects in engineering in higher education: A systematic review. Frontiers in Psychology , 12 , 629231. https://doi.org/10.3389/fpsyg.2021.629231 .

Salam, M., Awang Iskandar, D. N., Ibrahim, D. H. A., & Farooq, M. S. (2019). Service learning in higher education: A systematic literature review. Asia Pacific Education Review , 20 (4), 573–593. https://doi.org/10.1007/s12564-019-09580-6 .

Sandelowski, M., Voils, C. I., & Barroso, J. (2006). Defining and designing mixed research synthesis studies. Research in the Schools , 13 (1), 29–40.

Shek, D. T. L., Siu, A. M. H., & Lee, T. Y. (2007). The Chinese positive youth development scale: A validation study. Research on Social Work Practice , 17 (3), 380–391. https://doi.org/10.1177/1049731506296196 .

Shek, D. T. L., Yang, Z., Ma, C. M. S., & Chai, C. W. Y. (2021). Subjective outcome evaluation of service-learning by the service recipients: Scale development, normative profiles and predictors. Child Indicators Research , 14 (1), 411–434. https://doi.org/10.1007/s12187-020-09765-1 .

Sigmon, R. (1979). Service-learning: Three principles. Synergist , 8 (1), 9–11.

Song, F. N., & Chen, X. L. (2015). Fuwu Xuexi Dui daxuesheng zhuanye rentong Yu Zhiye Chengshudu De Yingxiang yanjiu [The influence of service learning on college students’ professional identity and vocational maturity]. Guangxi Daxue Xuebao (Zhexue Shehui Kexueban) , 37 (6), 115–119.

Sotelino-Losada, A., Arbués-Radigales, E., García-Docampo, L., & González-Geraldo, J. L. (2021). Service-learning in Europe. Dimensions and understanding from academic publication. Frontiers in Education , 6 , 604825. https://doi.org/10.3389/feduc.2021.604825 .

Stetten, N. E., Black, E. W., Edwards, M., Schaefer, N., & Blue, A. V. (2019). Interprofessional service learning experiences among health professional students: A systematic search and review of learning outcomes. Journal of Interprofessional Education & Practice , 15 , 60–69. https://doi.org/10.1016/j.xjep.2019.02.002 .

Stewart, T., & Wubbena, Z. C. (2015). A systematic review of service-learning in medical education: 1998–2012. Teaching and Learning in Medicine: An International Journal , 27 (2), 115–122. https://doi.org/10.1080/10401334.2015.1011647 .

Sun, Z. W. (2017). Ziran kexue kecheng zhiru fuwu xuexi de moshi tansuo [Exploring the model of integrating service learning into natural science courses]. Presented at the China Association for Higher Education Quality Education Research Branch 2017 Annual Meeting and the Sixth University Quality Education High-level Forum, Nanjing.

Tan, S. Y., & Soo, S. H. J. (2020). Service-learning and the development of student teachers in Singapore. Asia Pacific Journal of Education , 40 (2), 263–276. https://doi.org/10.1080/02188791.2019.1671809 .

Thomas, J., & Harden, A. (2008). Methods for the thematic synthesis of qualitative research in systematic reviews. BMC Medical Research Methodology , 8 (1), 45. https://doi.org/10.1186/1471-2288-8-45 .

Tijsma, G., Hilverda, F., Scheffelaar, A., Alders, S., Schoonmade, L., Blignaut, N., & Zweekhorst, M. (2020). Becoming productive 21st century citizens: A systematic review uncovering design principles for integrating community service learning into higher education courses. Educational Research , 62 (4), 390–413. https://doi.org/10.1080/00131881.2020.1836987 .

Vergés Bosch, N., Freude, L., & Camps Calvet, C. (2021). Service learning with a gender perspective: Reconnecting service learning with feminist research and pedagogy in sociology. Teaching Sociology , 49 (2), 136–149. https://doi.org/10.1177/0092055X21993465 .

Wang, Y. (2006). Fuwu Xuexi Chutan [Preliminary exploration of service learning]. Shehui Gongzuo , 11 , 51–53.

Wang, J., Zhao, F., & Ge, R. Q. (2011). Fuwu Xuexi Yingyong Yu Gaoxiao Yingyu Jiaoxue Chutan [A preliminary study on the application of service learning in university English teaching]. Sheke Zongheng , 26 (3), 174–175.

Wang, C., Yao, M. L., Li, Y. L., & Guo, F. F. (2014). Fuwu Xuexi Zhong daxuesheng de teshu ertong rongheguan de bianhua: Yingyong butong daoxiang de fansi zhijia [Changes in college students’ inclusion of special children in service learning: Applying different reflection scaffolds]. Zhongguo Teshu Jiaoyu , 8 , 3–8.

Wang, S. S., Liu, Y. L., Lin, C. X., Lu, X., Huang, Z., & Guo, W. (2019a). Fuwu Xuexi Moshi Zai Shequ hulixue jiaoxue zhong de yingyong [Application of service learning model in community nursing teaching]. Hulixue Zazhi , 34 (17), 60–62.

Wang, X. L., Chen, H. Z., & Su, J. (2019b). Fuwuxing Xuexi Zai laonian hulixue shijian jiaoxue Zhong De Tansuo Yu yingyong [Exploration and application of service learning in geriatric nursing practical teaching]. Weisheng Zhiye Jiaoyu , 37 (19), 67–68.

Wang, Y., Hu, Y., Xiang, D., Fu, Y., & Hong, L. (2019). Application of social work supervision model in university service-learning courses in Mainland China: A qualitative study on students’ participation. 7th Asia-pacific regional conference on service-learning . Singapore

Warren, J. L. (2012). Does service-learning increase student learning? A meta-analysis. Michigan Journal of Community Service Learning , 18 (2), 56–61.

Wei, C. (2022). Fuwu Xuexi: Shehui Gongzuo Jiaoxue De Fansi Shijian Yu guanxixing cunzai [Service learning: Reflection on the practice of social work teaching and its relational existence]. Yinshan Xuekan , 35 (1), 95–106.

Weigert, K. M. (1998). Academic service learning: Its meaning and relevance. New Directions for Teaching & Learning , 1998 (73), 3–10. https://doi.org/10.1002/tl.7301 .

Wu, B. (2020). Fuwu Xuexi jiaoxuefa de yici xingdong tansuo [An action exploration of service learning teaching method]. Jiaoyu Xueshu Yuekan , 1 , 95–105.

Wu, L. P., Chen, X. Q., & Xu, J. Z. (2015). Yi Kecheng Wei zaiti de fuwuxing xuexi moshi tansuo [Exploration of service learning model with course as carrier]. Xiandai Yiyao Weisheng , 31 (15), 2378–2380.

Xing, J., & Ma, C. H. K. (2010). Service-learning in Asia: Curricular models and practices . Hong Kong University.

Xu, W. (2015). Fuwu Xuexi Yunyong Yu daxuesheng zhiyuan fuwu Zhong De Chengxiao chutan—Yi Zhuhai Mou gaoxiao zhiyuan huodong kecheng weili [A preliminary exploration of the effectiveness of service learning in college students’ volunteer service—taking the volunteer activity course of a university in Zhuhai as an example]. Qingshaonian Yanjiu Yu Shijian , 30 (3), 77–81.

Xu, L. L. (2022). Jiyu fuwu xuexi de Laonian Shehui Gongzuo kecheng shijian jiaoxue moshi tanxi [Exploration of practical teaching mode of Elderly Social Work course based on service learning]. Sudu , 21 , 175–177.

Yao, D., & Xiao, X. L. (2017). Zai shequ ketang xunlian zizhu xuexi nengli—jianzhuxue benke fuwu xuexi kecheng tansuo [Training self-study ability in community classroom—exploration of undergraduate service learning course in architecture]. Zhongguo Jianzhu Jiaoyu , Z1 , 112–117.

Yao, J., Pan, A. Q., & Yang, Y. (2017). Suzhi Jiaoyu Yu Tongshi Jiaoyu Lilun Dui Zhiyuan Fuwu Xuexi Kecheng De qifa—Yi tianjin mou gaoxiao weili [The enlightenment of quality education and general education theory to volunteer service learning course—taking a university in Tianjin as an example]. Xibu Suzhi Jiaoyu , 3 (6), 83–85.

Yao, Q. L., Hu, H., & Zheng, T. Y. (2018). Husheng Dui Zhongyi huli fuwu xuexi shijian jiaoxue moshi de zhenji tiyan [Nursing students’ true experience of traditional Chinese nursing service learning practical teaching model]. Huli Xuebao , 25 (14), 1–4.

Yao, J., Liu, F., Lu, D. D., Guo, Y., & Li, X. W. (2019). Zhuoyue Yixue Jiaoyu Beijing Xia fuwuxing xuexi zai fuchanke hulixue jiaoxue zhong de yingyong [Application of service learning in obstetrics and gynecology nursing teaching under the background of excellent medical education]. Xiandai Yangsheng , 4 , 188–189.

Yorio, P. L., & Ye, F. (2012). A meta-analysis on the effects of service-learning on the social, personal, and cognitive outcomes of learning. Academy of Management Learning & Education , 11 (1), 9–27. https://doi.org/10.5465/amle.2010.0072 .

Yu, X. L., Zhang, J. H., & Liu, S. J. (2020). Fuwu Xuexi Moshi Zai Shehui Gongzuo Rencai Shiwu Nengli Peiyang Zhong De Yunyong—Yi Shequ Gongzuo kecheng weili [Application of service learning model in cultivating practical abilities of social workers — taking Community Work course as an example]. Jingji Yanjiu Daokan , 21 , 145–146.

Yue, S. T., & Liu, L. M. (2019). Fuwuxing xuexi shijiao xia laonian huli shijian jiaoxue Gaige De Tansuo Yu sikao [Exploration and thinking of geriatric nursing practical teaching reform from the perspective of service learning]. Quanke Huli , 17 (24), 3071–3073.

Zhang, C. (2017). Fuwu Xuexi Quxiang De Shehui Gongzuo Jiaoxue Moshi tansuo—Yi Xuexiao Shehui Gongzuo shiwulei kecheng weili [Exploration of social work teaching model oriented by service learning—taking School Social Work practical course as an example]. Tonghua Shifan Xueyuan Xuebao , 38 (12), 96–98.

Zhang, L. J. (2018). Jiyu fuwu xuexi de Laonian Shehui Gongzuo shijian jiaoxue gaige tansuo [Exploration of the practical teaching reform of Elderly Social Work based on service learning]. Gaojiao Luntan , 5 , 30–32.

Zhang, X., & Fan, Y. M. (2014). Jiyu Fuwu Xuexi Moshi De Shengming Jiaoyu Kecheng Sheji Yu shishi—Yi Shantou daxue shengming jiaoyu kecheng weili [Design and implementation of life education curriculum based on service learning model—taking Shantou University life education curriculum as an example]. Shandong Qingnian , 3 , 9–10.

Zhang, Y., & Li, H. B. (2018). Jiyu fuwu—xuexi de gaoxiao sixiang zhengzhi lilunke shijian jiaoxue moshi yanjiu [Study on the practical teaching model of ideological and political theory courses in colleges and universities based on service—learning]. Dangdai Zhongguo Makesi Zhuyi Pinglun , 2 , 179–185.

Zhang, Z. Y., Rong, Y., & Guan, Y. J. (2006). Zhongguo daxuesheng zhiye chengshudu liangbiao de Xindu Yu xiaodu [Reliability and validity of the measurement scale of vocational maturity for Chinese college students]. Xinan Daxue Xuebao (Renwen Shehui Kexueban) , 5 , 1–6. https://doi.org/10.13718/j.cnki.xdsk.2006.05.002 .

Zhang, R. X., Hao, S. J., Yuan, Y. M., Wang, J. Q., Zhang, H. L., Fang, J. H., Xia, Z. Y., & Wang, J. (2022). Jiyu Xinxihua Huanjing de fuwuxing xuexi zai zhongyi hulixue kecheng shijian jiaoxue zhong de yingyong [Application of service learning in the practical teaching of traditional Chinese medicine nursing course based on information environment]. Anhui Zhongyiyao Daxue Xuebao , 41 (3), 97–99.

Zhao, R., & Lilly, A. G. (2022). The role of state mobilization for volunteerism in China. Nonprofit and Voluntary Sector Quarterly , 51 (6), 1304–1323. https://doi.org/10.1177/08997640211057458 .

Zhou, Z., Mu, L., Qi, S., & Shek, D. T. L. (2022). Service leadership through serving minority adolescents in rural China using a rural version of a positive youth development program. Applied Research in Quality of Life , 1–23. https://doi.org/10.1007/s11482-022-10098-0 .

Zhu, J. G. (2020). Fuwu Xuexi: Shehui gongzuo jiaoyu de tongshihua [Service learning: The generalization of social work education]. Xuehai , 1 , 113–118.

Zhu, Y. Z., Ma, L. Y., & Cao, X. Y. (2020). Nixiang Sheji Kuangjia Xia De Fuwu Xuexi Kecheng Shishi Tansuo—Yi Huiben Yingyu Jiaoxue Shijian kecheng weili [Exploration of service learning course implementation under the framework of reverse design — taking the Picture Book English teaching practice course as an example]. Gaojiao Xuekan , 21 , 106–108.

Zhu, Z., Xing, W., Liang, Y., Hong, L., & Hu, Y. (2022). Nursing students’ experiences with service learning: A qualitative systematic review and meta-synthesis. Nurse Education Today , 108 , 105206. https://doi.org/10.1016/j.nedt.2021.105206 .

Zhuang, J. Y., Hu, R., Chen, Y. M., & Shen, L. (2016). Fuwuxing xuexi zai shequ hulixue shijian jiaoxue zhong de yingyong [The application of service learning in community nursing practice teaching]. Zhonghua Huli Jiaoyu , 13 (4), 287–290.

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Hong, L., Wan, Yy., Yang, Wt. et al. Two Decades of Academic Service-Learning in Chinese Higher Education: A Review of Research Literature. Applied Research Quality Life (2024). https://doi.org/10.1007/s11482-024-10318-9

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• Volume 33, Issue 5
• Equitable and accessible informed healthcare consent process for people with intellectual disability: a systematic literature review
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• http://orcid.org/0000-0002-8498-7329 Manjekah Dunn 1 , 2 ,
• Iva Strnadová 3 , 4 , 5 ,
• Jackie Leach Scully 4 ,
• Jennifer Hansen 3 ,
• Julie Loblinzk 3 , 5 ,
• Skie Sarfaraz 5 ,
• Chloe Molnar 1 ,
• Elizabeth Emma Palmer 1 , 2
• 1 Faculty of Medicine & Health , University of New South Wales , Sydney , New South Wales , Australia
• 2 The Sydney Children's Hospitals Network , Sydney , New South Wales , Australia
• 3 School of Education , University of New South Wales , Sydney , New South Wales , Australia
• 4 Disability Innovation Institute , University of New South Wales , Sydney , New South Wales , Australia
• 5 Self Advocacy Sydney , Sydney , New South Wales , Australia
• Correspondence to Dr Manjekah Dunn, Paediatrics & Child Health, University of New South Wales Medicine & Health, Sydney, New South Wales, Australia; manjekah.dunn{at}unsw.edu.au

Objective To identify factors acting as barriers or enablers to the process of healthcare consent for people with intellectual disability and to understand how to make this process equitable and accessible.

Data sources Databases: Embase, MEDLINE, PsychINFO, PubMed, SCOPUS, Web of Science and CINAHL. Additional articles were obtained from an ancestral search and hand-searching three journals.

Eligibility criteria Peer-reviewed original research about the consent process for healthcare interventions, published after 1990, involving adult participants with intellectual disability.

Synthesis of results Inductive thematic analysis was used to identify factors affecting informed consent. The findings were reviewed by co-researchers with intellectual disability to ensure they reflected lived experiences, and an easy read summary was created.

Results Twenty-three studies were included (1999 to 2020), with a mix of qualitative (n=14), quantitative (n=6) and mixed-methods (n=3) studies. Participant numbers ranged from 9 to 604 people (median 21) and included people with intellectual disability, health professionals, carers and support people, and others working with people with intellectual disability. Six themes were identified: (1) health professionals’ attitudes and lack of education, (2) inadequate accessible health information, (3) involvement of support people, (4) systemic constraints, (5) person-centred informed consent and (6) effective communication between health professionals and patients. Themes were barriers (themes 1, 2 and 4), enablers (themes 5 and 6) or both (theme 3).

Conclusions Multiple reasons contribute to poor consent practices for people with intellectual disability in current health systems. Recommendations include addressing health professionals’ attitudes and lack of education in informed consent with clinician training, the co-production of accessible information resources and further inclusive research into informed consent for people with intellectual disability.

PROSPERO registration CRD42021290548.

• Decision making
• Healthcare quality improvement
• Patient-centred care
• Quality improvement
• Standards of care

Data availability statement

Data are available upon reasonable request. Additional data and materials such as data collection forms, data extraction and analysis templates and QualSyst assessment data can be obtained by contacting the corresponding author.

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ .

https://doi.org/10.1136/bmjqs-2023-016113

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What is already known on this topic

People with intellectual disability are frequently excluded from decision-making processes and not provided equal opportunity for informed consent, despite protections outlined in the United Nations Convention on the Rights of Persons with Disabilities.

People with intellectual disability have the capacity and desire to make informed medical decisions, which can improve their well-being, health satisfaction and health outcomes.

What this review study adds

Health professionals lack adequate training in valid informed consent and making reasonable adjustments for people with intellectual disability, and continue to perpetuate assumptions of incapacity.

Health information provided to people with intellectual disability is often inaccessible and insufficient for them to make informed decisions about healthcare.

The role of support people, systemic constraints, a person-centred approach and ineffective healthcare communication also affect informed consent.

How this review might affect research, practice or policy

Health professionals need additional training on how to provide a valid informed consent process for people with intellectual disability, specifically in using accessible health information, making reasonable adjustments (e.g., longer/multiple appointments, options of a support person attending or not, using plain English), involving the individual in discussions, and communicating effectively with them.

Inclusive research is needed to hear the voices and opinions of people with intellectual disability about healthcare decision-making and about informed consent practices in specific healthcare settings.

Introduction

Approximately 1% of the world’s population have intellectual disability. 1 Intellectual disability is medically defined as a group of neurodevelopmental conditions beginning in childhood, with below average cognitive functioning and adaptive behaviour, including limitations in conceptual, social and practical skills. 2 People with intellectual disability prefer an alternative strength-based definition, reflected in the comment by Robert Strike OAM (Order of Australia Medal): ‘We can learn if the way of teaching matches how the person learns’, 3 reinforcing the importance of providing information tailored to the needs of a person with intellectual disability. A diagnosis of intellectual disability is associated with significant disparities in health outcomes. 4–7 Person-centred decision-making and better communication have been shown to improve patient satisfaction, 8 9 the physician–patient relationship 10 and overall health outcomes 11 for the wider population. Ensuring people with intellectual disability experience informed decision-making and accessible healthcare can help address the ongoing health disparities and facilitate equal access to healthcare.

Bodily autonomy is an individual’s power and agency to make decisions about their own body. 12 Informed consent for healthcare enables a person to practice bodily autonomy and is protected, for example, by the National Safety and Quality Health Service Standards (Australia), 13 Mental Capacity Act (UK) 14 and the Joint Commission Standards (USA). 15 In this article, we define informed consent according to three requirements: (1) the person is provided with information they understand, (2) the decision is free of coercion and (3) the person must have capacity. 16 For informed consent to be valid, this process must be suited to the individual’s needs so that they can understand and communicate effectively. Capacity is the ability to give informed consent for a medical intervention, 17 18 and the Mental Capacity Act outlines that ‘a person must be assumed to have capacity unless it is established that he lacks capacity’ and that incapacity can only be established if ‘all practicable steps’ to support capacity have been attempted without success. 14 These assumptions of capacity are also decision-specific, meaning an individual’s ability to consent can change depending on the situation, the choice itself and other factors. 17

Systemic issues with healthcare delivery systems have resulted in access barriers for people with intellectual disability, 19 despite the disability discrimination legislation in many countries who are signatories to the United Nations (UN) Convention on the Rights of Persons with Disabilities. 20 Patients with intellectual disability are not provided the reasonable adjustments that would enable them to give informed consent for medical procedures or interventions, 21 22 despite evidence that many people with intellectual disability have both the capacity and the desire to make their own healthcare decisions. 21 23

To support people with intellectual disability to make independent health decisions, an equitable and accessible informed consent process is needed. 24 However, current health systems have consistently failed to provide this. 21 25 To address this gap, we must first understand the factors that contribute to inequitable and inaccessible consent. To the best of our knowledge, the only current review of informed consent for people with intellectual disability is an integrative review by Goldsmith et al . 26 Many of the included articles focused on assessment of capacity 27–29 and research consent. 30–32 The review’s conclusion supported the functional approach to assess capacity, with minimal focus on how the informed consent processes can be improved. More recently, there has been a move towards ensuring that the consent process is accessible for all individuals, including elderly patients 33 and people with aphasia. 34 However, there remains a paucity of literature about the informed consent process for people with intellectual disability, with no systematic reviews summarising the factors influencing the healthcare consent process for people with intellectual disability.

To identify barriers to and enablers of the informed healthcare consent process for people with intellectual disability, and to understand how this can be made equitable and accessible.

A systematic literature review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocols (PRISMA-P) systematic literature review protocol. 35 The PRISMA 2020 checklist 36 and ENhancing Transparency in REporting the synthesis of Qualitative research (ENTREQ) reporting guidelines were also followed. 37 The full study protocol is included in online supplemental appendix 1 .

Supplemental material

No patients or members of the public were involved in this research for this manuscript.

Search strategy

A search strategy was developed to identify articles about intellectual disability, consent and healthcare interventions, described in online supplemental appendix 2 . Multiple databases were searched for articles published between January 1990 to January 2022 (Embase, MEDLINE, PsychINFO, PubMed, SCOPUS, Web of Science and CINAHL). These databases include healthcare and psychology databases that best capture relevant literature on this topic, including medical, nursing, social sciences and bioethical literature. The search was limited to studies published from 1990 as understandings of consent have changed since then. 38 39 This yielded 4853 unique papers which were imported into Covidence, a specialised programme for conducting systematic reviews. 40

Study selection

Citation screening by abstract and titles was completed by two independent researchers (MD and EEP). Included articles had to:

Examine the informed consent process for a healthcare intervention for people with intellectual disability.

Have collected more than 50% of its data from relevant stakeholders, including adults with intellectual disability, families or carers of a person with intellectual disability, and professionals who engage with people with intellectual disability.

Report empirical data from primary research methodology.

Be published in a peer-reviewed journal after January 1990.

Be available in English.

Full text screening was completed by two independent researchers (MD and EEP). Articles were excluded if consent was only briefly discussed or if it focused on consent for research, capacity assessment, or participant knowledge or comprehension. Any conflicts were resolved through discussion with an independent third researcher (IS).

Additional studies were identified through an ancestral search and by hand-searching three major journals relevant to intellectual disability research. Journals were selected if they had published more than one included article for this review or in previous literature reviews conducted by the research team.

Quality assessment

Two independent researchers (MD and IS) assessed study quality with the QualSyst tool, 41 which can assess both qualitative and quantitative research papers. After evaluating the distribution of scores, a threshold value of 55% was used, as suggested by QualSyst 41 to exclude poor-quality studies but capture enough studies overall. Any conflicts between the quality assessment scores were resolved by a third researcher (EEP). For mixed-method studies, both qualitative and quantitative quality scores were calculated, and the higher value used.

Data collection

Two independent researchers (MD and JH) reviewed each study and extracted relevant details, including study size, participant demographics, year, country of publication, study design, data analysis and major outcomes reported. Researchers used standardised data collection forms designed, with input from senior researchers with expertise in qualitative research (IS and EEP), to extract data relevant to the review’s research aims. The form was piloted on one study, and a second iteration made based on feedback. These forms captured data on study design, methods, participants, any factors affecting the process of informed consent and study limitations. Data included descriptions and paragraphs outlining key findings, the healthcare context, verbatim participant quotes and any quantitative analyses or statistics. Missing or unclear data were noted.

Data analysis

A pilot literature search showed significant heterogeneity in methodology of studies, limiting the applicability of traditional quantitative analysis (ie, meta-analysis). Instead, inductive thematic analysis was chosen as an alternative methodology 42 43 that has been used in recent systematic reviews examining barriers and enablers of other health processes. 44 45 The six-phase approach described by Braun and Clarke was used. 46 47 A researcher (MD) independently coded the extracted data of each study line-by-line, with subsequent data grouped into pre-existing codes or new concepts when necessary. Codes were reviewed iteratively and grouped into categories, subthemes and themes framed around the research question. Another independent researcher (JH) collated and analysed the data on study demographics, methods and limitations. The themes were reviewed by two senior researchers (EEP and IS).

Qualitative methods of effect size calculations have been described in the literature, 48 49 which was captured in this review by the number of studies that identified each subtheme, with an assigned frequency rating to compare their relative significance. Subthemes were given a frequency rating of A, B, C or D if they were identified by >10, 7–9, 4–6 or <3 articles, respectively. The overall significance of each theme was estimated by the number of studies that mentioned it and the GRADE framework, a stepwise approach to quality assessment using a four-tier rating system. Each study was evaluated for risk of bias, inconsistency, indirectness, imprecision and publication bias. 50 51 Study sensitivity was assessed by counting the number of distinct subthemes included. 52 The quality of findings was designated high, moderate or low depending on the frequency ratings, the QualSyst score and the GRADE scores of studies supporting the finding. Finally, the relative contributions of each study were evaluated by the number of subthemes described, guided by previously reported methods for qualitative reviews. 52

Co-research

The findings were reviewed by two co-researchers with intellectual disability (JL and SS), with over 30 years combined experience as members and employees of a self-advocacy organisation. Guidance on the findings and an easy read summary was produced in line with best-practice inclusive research 53 54 over multiple discussions. Input from two health professional researchers (MD and EEP) provided data triangulation and sense-checking of findings.

Twenty-three articles were identified ( figure 1 ): 14 qualitative, 6 quantitative and 3 mixed-methods. Two papers included the same population of study participants: McCarthy 55 and McCarthy, 56 but had different research questions. Fovargue et al 57 was excluded due to a quality score of 35%. Common quality limitations were a lack of verification procedures to establish credibility and limited researcher reflexivity. No studies were excluded due to language requirements (as all were in English) or age restrictions (all studies had majority adult participants).

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PRISMA 2020 flowchart for the systematic review. 36

Studies were published from 1999 to 2020 and involved participant populations from the UK (n=18), USA (n=3), Sweden (n=1) and Ireland (n=1). Participant numbers ranged from 9 to 604 (median 21), and participants included people with intellectual disability (n=817), health professionals (n=272), carers and support people (n=48), and other professionals that work with people with intellectual disability (n=137, community service agency directors, social workers, administrative staff and care home staff). Ages of participants ranged from 8 to 84 years, though only Aman et al 58 included participants <18 years of age. This study was included as the article states very few children were included. Studies examined consent in different contexts, including contraception and sexual health (6/23 articles), 58–60 medications (5/23 articles), 58–62 emergency healthcare, 63 cervical screening, 64 community referrals, 58–61 65 mental health, 66 hydrotherapy, 64 blood collection 67 and broad decision-making consent without a specific context. 65 68–71 A detailed breakdown of each study is included in online supplemental appendix 3 .

Six major themes were identified from the studies, summarised in figure 2 . An overview of included studies showing study sensitivity, effect size, QualSyst and GRADE scores is given in online supplemental appendix 4 . Studies with higher QualSyst and GRADE scores contributed more to this review’s findings and tended to include more subthemes; specifically, Rogers et al , 66 Sowney and Barr, 63 Höglund and Larsson, 72 and McCarthy 55 and McCarthy. 56 Figure 3 gives the easy read version of theme 1, with the full easy read summary in online supplemental appendix 5 .

Summary of the identified six themes and subthemes.

Theme 1 of the easy read summary.

Theme 1—Health professionals’ attitudes and lack of education about informed consent

Health professionals’ attitudes and practices were frequently (18/21) identified as factors affecting the informed consent process, with substantial evidence supporting this theme. Studies noted the lack of training for health professionals in supporting informed consent for people with intellectual disability, their desire for further education, and stereotypes and discrimination perpetuated by health professionals.

Lack of health professional education on informed consent and disability discrimination legislation

Multiple studies reported inconsistent informed consent practices, for various reasons: some reported that health professionals ‘forgot’ to or ‘did not realise consent was necessary’, 63 73 but inconsistent consent practices were also attributed to healthcare providers’ unfamiliarity with consent guidelines and poor education on this topic. Carlson et al 73 reported that only 44% of general practitioners (GPs) were aware of consent guidelines, and there was the misconception that consent was unnecessary for people with intellectual disability. Similarly, studies of psychologists 66 and nurses 63 found that many were unfamiliar with their obligations to obtain consent, despite the existence of anti-discrimination legislation. People with intellectual disability describe feeling discriminated against by health professionals, reflected in comments such as ‘I can tell, my doctor just thinks I’m stupid – I'm nothing to him’. 74 Poor consent practices by health professionals were observed in Goldsmith et al , 67 while health professionals surveyed by McCarthy 56 were unaware of their responsibility to provide accessible health information to women with intellectual disability. Improving health professional education and training was suggested by multiple studies as a way to remove this barrier. 63 65–67 69 73

Lack of training on best practices for health professions caring for people with intellectual disability

A lack of training in caring for and communicating with people with intellectual disability was also described by midwives, 72 psychologists, 66 nurses, 63 pharmacists 61 and GPs. 56 72 75 Health professionals lacked knowledge about best practice approaches to providing equitable healthcare consent processes through reasonable adjustments such as accessible health information, 56 60 66 longer appointments times, 60 72 simple English 62 67 and flexible approaches to patient needs. 63 72

Health professionals’ stereotyping and assumptions of incapacity

Underlying stereotypes contributed to some health professionals’ (including nurses, 63 GPs 56 and physiotherapists 64 ) belief that people with intellectual disability lack capacity and therefore, do not require opportunities for informed consent. 56 64 In a survey of professionals referring people with intellectual disability to a disability service, the second most common reason for not obtaining consent was ‘patient unable to understand’. 73

Proxy consent as an inappropriate alternative

People with intellectual disability are rarely the final decision-maker in their medical choices, with many health providers seeking proxy consent from carers, support workers and family members, despite its legal invalidity. In McCarthy’s study (2010), 18/23 women with intellectual disability said the decision to start contraception was made by someone else. Many GPs appeared unaware that proxy consent is invalid in the UK. 56 Similar reports came from people with intellectual disability, 55 56 60 64 69 76 health professionals (nurses, doctors, allied health, psychologists), 56 63 64 66 77 support people 64 77 and non-medical professionals, 65 73 and capacity was rarely documented. 56 62 77

Exclusion of people with intellectual disability from decision-making discussions

Studies described instances where health professionals made decisions for their patients with intellectual disability or coerced patients into a choice. 55 72 74 76 77 In Ledger et al 77 , only 62% of women with intellectual disability were involved in the discussion about contraception, and only 38% made the final decision, and others stated in Wiseman and Ferrie 74 : ‘I was not given the opportunity to explore the different options. I was told what one I should take’. Three papers outlined instances where the choices of people with intellectual disability were ignored despite possessing capacity 65 66 69 and when a procedure continued despite them withdrawing consent. 69

Theme 2—Inadequate accessible health information

Lack of accessible health information.

The lack of accessible health information was the most frequently identified subtheme (16/23 studies). Some studies reported that health professionals provided information to carers instead, 60 avoided providing easy read information due to concerns about ‘offending’ patients 75 or only provided verbal information. 56 67 Informed consent was supported when health professionals recognised the importance of providing medical information 64 and when it was provided in an accessible format. 60 Alternative approaches to health information were explored, including virtual reality 68 and in-person education sessions, 59 with varying results. Overall, the need to provide information in different formats tailored to an individual’s communication needs, rather than a ‘one size fits all’ approach, was emphasised by both people with intellectual disability 60 and health professionals. 66

Insufficient information provided

Studies described situations where insufficient information was provided to people with intellectual disability to make informed decisions. For example, some people felt the information from their GP was often too basic to be helpful (Fish et al 60 ) and wanted additional information on consent forms (Rose et al 78 ).

Theme 3—The involvement of support people

Support people (including carers, family members and group home staff) were identified in 11 articles as both enablers of and barriers to informed consent. The antagonistic nature of these findings and lower frequency of subthemes are reflected in the lower quality assessments of evidence.

Support people facilitated communication with health professionals

Some studies reported carers bridging communication barriers with health to support informed consent. 63 64 McCarthy 56 found 21/23 of women with intellectual disability preferred to see doctors with a support person due to perceived benefits: ‘Sometimes I don’t understand it, so they have to explain it to my carer, so they can explain it to me easier’. Most GPs in this study (93%) also agreed that support people aided communication.

Support people helped people with intellectual disability make decisions

By advocating for people with intellectual disability, carers encouraged decision-making, 64 74 provided health information, 74 77 emotional support 76 and assisted with reading or remembering health information. 55 58 76 Some people with intellectual disability explicitly appreciated their support person’s involvement, 60 such as in McCarthy’s 55 study where 18/23 participants felt supported and safer when a support person was involved.

Support people impeded individual autonomy

The study by Wiseman and Ferrie 74 found that while younger participants with intellectual disability felt family members empowered their decision-making, older women felt family members impaired their ability to give informed consent. This was reflected in interviews with carers who questioned the capacity of the person with intellectual disability they supported and stated they would guide them to pick the ‘best choice’ or even over-ride their choices. 64 Studies of psychologists and community service directors described instances where the decision of family or carers was prioritised over the wishes of the person with intellectual disability. 65 66 Some women with intellectual disability in McCarthy’s studies (2010, 2009) 55 56 appeared to have been coerced into using contraception by parental pressures or fear of losing group home support.

Theme 4—Systemic constraints within healthcare systems

Time restraints affect informed consent and accessible healthcare.

Resource limitations create time constraints that impair the consent process and have been identified as a barrier by psychologists, 66 GPs, 56 hospital nurses 63 and community disability workers. 73 Rogers et al 66 highlighted that a personalised approach that could improve informed decision-making is restricted by inflexible medical models. Only two studies described flexible patient-centred approaches to consent. 60 72 A survey of primary care practices in 2007 reported that most did not modify their cervical screening information for patients with intellectual disability because it was not practical. 75

Inflexible models of consent

Both people with intellectual disability 76 and health professionals 66 recognised that consent is traditionally obtained through one-off interactions prior to an intervention. Yet, for people with intellectual disability, consent should ideally be an ongoing process that begins before an appointment and continues between subsequent ones. Other studies have tended to describe one-off interactions where decision-making was not revisited at subsequent appointments. 56 60 72 76

Lack of systemic supports

In one survey, self-advocates highlighted a lack of information on medication for people with intellectual disability and suggested a telephone helpline and a centralised source of information to support consent. 60 Health professionals also want greater systemic support, such as a health professional specialised in intellectual disability care to support other staff, 72 or a pharmacist specifically to help patients with intellectual disability. 61 Studies highlighted a lack of guidelines about healthcare needs of people with intellectual disabilities such as contraceptive counselling 72 or primary care. 75

Theme 5—Person-centred informed consent

Ten studies identified factors related to a person-centred approach to informed consent, grouped below into three subthemes. Health professionals should tailor their practice when obtaining informed consent from people with intellectual disability by considering how these subthemes relate to the individual. Each subtheme was described five times in the literature with a relative frequency rating of ‘C’, contributing to overall lower quality scores.

Previous experience with decision-making

Arscott et al 71 found that the ability of people with intellectual disability to consent changed with their verbal and memory skills and in different clinical vignettes, supporting the view of ‘functional’ capacity specific to the context of the medical decision. Although previous experiences with decision-making did not influence informed consent in this paper, other studies suggest that people with intellectual disability accustomed to independent decision-making were more able to make informed medical decisions, 66 70 and those who live independently were more likely to make independent healthcare decisions. 56 Health professionals should be aware that their patients with intellectual disability will have variable experience with decision-making and provide individualised support to meet their needs.

Variable awareness about healthcare rights

Consent processes should be tailored to the health literacy of patients, including emphasising available choices and the option to refuse treatment. In some studies, medical decisions were not presented to people with intellectual disability as a choice, 64 and people with intellectual disability were not informed of their legal right to accessible health information. 56

Power differences and acquiescence

Acquiescence by people with intellectual disability due to common and repeated experiences of trauma—that is, their tendency to agree with suggestions made by carers and health professionals, often to avoid upsetting others—was identified as an ongoing barrier. In McCarthy’s (2009) interviews with women with intellectual disability, some participants implicitly rejected the idea that they might make their own healthcare decisions: ‘They’re the carers, they have responsibility for me’. Others appeared to have made decisions to appease their carers: ‘I have the jab (contraceptive injection) so I can’t be blamed for getting pregnant’. 55 Two studies highlighted that health professionals need to be mindful of power imbalances when discussing consent with people with intellectual disability to ensure the choices are truly autonomous. 61 66

Theme 6—Effective communication between health professionals and patients

Implementation of reasonable adjustments for verbal and written information.

Simple language was always preferred by people with intellectual disability. 60 67 Other communication aids used in decision-making included repetition, short sentences, models, pictures and easy read brochures. 72 Another reasonable adjustment is providing the opportunity to ask questions, which women with intellectual disability in McCarthy’s (2009) study reported did not occur. 55

Tailored communication methods including non-verbal communication

Midwives noted that continuity of care allows them to develop rapport and understand the communication preferences of people with intellectual disability. 72 This is not always possible; for emergency nurses, the lack of background information about patients with intellectual disability made it challenging to understand their communication preferences. 63 The use of non-verbal communication, such as body language, was noted as underutilised 62 66 and people with intellectual disability supported the use of hearing loops, braille and sign language. 60

To the best of our knowledge, this is the first systematic review investigating the barriers and enablers of the informed consent process for healthcare procedures for people with intellectual disability. The integrative review by Goldsmith et al 26 examined capacity assessment and shares only three articles with this systematic review. 69 71 73 Since the 2000s, there has been a paradigm shift in which capacity is no longer considered a fixed ability that only some individuals possess 38 39 but instead as ‘functional’: a flexible ability that changes over time and in different contexts, 79 reflected in Goldsmith’s review. An individual’s capacity can be supported through various measures, including how information is communicated and how the decision-making process is approached. 18 80 By recognising the barriers and enablers identified in this review, physicians can help ensure the consent process for their patients with intellectual disability is both valid and truly informed. This review has highlighted the problems of inaccessible health information, insufficient clinical education on how to make reasonable adjustments and lack of person-centred trauma-informed care.

Recommendations

Health professionals require training in the informed consent process for people with intellectual disability, particularly in effective and respectful communication, reasonable adjustments and trauma-informed care. Reasonable adjustments include offering longer or multiple appointments, using accessible resources (such as easy read information or shared decision-making tools) and allowing patient choices (such as to record a consultation or involve a support person). Co-researchers reported that many people with intellectual disability prefer to go without a support person because they find it difficult to challenge their decisions and feel ignored if the health professional only talks to the support person. People with intellectual disability also feel they cannot seek second opinions before making medical decisions or feel pressured to provide consent, raising the possibility of coercion. These experiences contribute to healthcare trauma. Co-researchers raised the importance of building rapport with the person with intellectual disability and of making reasonable adjustments, such as actively advocating for the person’s autonomy, clearly stating all options including the choice to refuse treatment, providing opportunities to contribute to discussions and multiple appointments to ask questions and understand information. They felt that without these efforts to support consent, health professionals can reinforce traumatic healthcare experiences for people with intellectual disability. Co-researchers noted instances where choices were made by doctors without discussion and where they were only given a choice after requesting one and expressed concern that these barriers are greater for those with higher support needs.

Co-researchers showed how these experiences contributed to mistrust of health professionals and poorer health outcomes. In one situation, a co-researcher was not informed of a medication’s withdrawal effects, resulting in significant side-effects when it was ceased. Many people with intellectual disability describe a poor relationship with their health professionals, finding it difficult to trust health information provided due to previous traumatic experiences of disrespect, coercion, lack of choice and inadequate support. Many feel they cannot speak up due to the power imbalance and fear of retaliation. Poor consent practices and lack of reasonable adjustments directly harm therapeutic alliances by reducing trust, contribute to healthcare trauma and lead to poorer health outcomes for people with intellectual disability.

Additional education and training for health professionals is urgently needed in the areas of informed consent, reasonable adjustments and effective communication with people with intellectual disability. The experiences of health professionals within the research team confirmed that there is limited training in providing high-quality healthcare for people with intellectual disability, including reasonable adjustments and accessible health information. Co-researchers also suggested that education should be provided to carers and support people to help them better advocate for people with intellectual disability.

Health information should be provided in a multimodal format, including written easy read information. Many countries have regulation protecting the right to accessible health information and communication support to make an informed choice, such as UK’s Accessible Information Standard, 81 and Australia’s Charter of Health Care Rights, 24 yet these are rarely observed. Steps to facilitate this include routinely asking patients about information requirements, system alerts for an individual’s needs or routinely providing reasonable adjustments. 82 Co-researchers agreed that there is a lack of accessible health information, particularly about medications, and that diagrams and illustrations are underutilised. There is a critical need for more inclusive and accessible resources to help health professionals support informed consent in a safe and high-quality health system. These resources should be created through methods of inclusive research, such as co-production, actively involving people with intellectual disability in the planning, creation, and feedback process. 53

Strengths and limitations

This systematic review involved two co-researchers with intellectual disability in sense-checking findings and co-creating the easy read summary. Two co-authors who are health professionals provided additional sense-checking of findings from a different stakeholder perspective. In future research, this could be extended by involving people with intellectual disability in the design and planning of the study as per recommendations for best-practice inclusive research. 53 83

The current literature is limited by low use of inclusive research practices in research involving people with intellectual disability, increasing vulnerability to external biases (eg, inaccessible questionnaires, involvement of carers in data collection, overcompliance or acquiescence and absence of researcher reflexivity). Advisory groups or co-research with people with intellectual disability were only used in five studies. 58 60 68 74 76 Other limitations include unclear selection criteria, low sample sizes, missing data, using gatekeepers in patient selection and predominance of UK-based studies—increasing the risk of bias and reducing transferability. Nine studies (out of 15 involving people with intellectual disability) explicitly excluded those with severe or profound intellectual disability, reflecting a selection bias; only one study specifically focused on people with intellectual disability with higher support needs. Studies were limited to a few healthcare contexts, with a focus on consent about sexual health, contraception and medications.

The heterogeneity and qualitative nature of studies made it challenging to apply traditional meta-analysis. However, to promote consistency in qualitative research, the PRISMA and ENTREQ guidelines were followed. 36 37 Although no meta-analyses occurred, the duplication of study populations in McCarthy 2009 and 2010 likely contributed to increased significance of findings reported in both studies. Most included studies (13/23) were published over 10 years ago, reducing the current relevance of this review’s findings. Nonetheless, the major findings reflect underlying systemic issues within the health system, which are unlikely to have been resolved since the articles were published, as the just-released final report of the Australian Royal Commission into Violence, Abuse, Neglect and Exploitation of People with Disability highlights. 84 There is an urgent need for more inclusive studies to explore the recommendations and preferences of people with intellectual disability about healthcare choices.

Informed consent processes for people with intellectual disability should include accessible information and reasonable adjustments, be tailored to individuals’ needs and comply with consent and disability legislation. Resources, guidelines and healthcare education are needed and should cover how to involve carers and support people, address systemic healthcare problems, promote a person-centred approach and ensure effective communication. These resources and future research must use principles of inclusive co-production—involving people with intellectual disability at all stages. Additionally, research is needed on people with higher support needs and in specific contexts where informed consent is vital but under-researched, such as cancer screening, palliative care, prenatal and newborn screening, surgical procedures, genetic medicine and advanced therapeutics such as gene-based therapies.

Ethics statements

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• Maulik PK ,
• Mascarenhas MN ,
• Mathers CD , et al
• World Health Organisation
• Council for Intellectual Disability
• Emerson E ,
• Shogren KA ,
• Wehmeyer ML ,
• Reese RM , et al
• Cordasco KM
• Hallock JL ,
• Jordens CFC ,
• McGrath C , et al
• Brenner LH ,
• Brenner AT ,
• United Nations Population Fund
• Australian Commission on Safety and Quality in Health Care
• The Joint Commission
• Beauchamp TL ,
• Childress JF
• New South Wales Attorney General
• United Nations General Assembly
• Strnadová I ,
• Loblinzk J ,
• Scully JL , et al
• MacPhail C ,
• McKay K , et al
• Keywood K ,
• Fovargue S ,
• Goldsmith L ,
• Skirton H ,
• Cash J , et al
• Morris CD ,
• Niederbuhl JM ,
• Arscott K ,
• Fisher CB ,
• Davidson PW , et al
• Giampieri M
• Shamseer L ,
• Clarke M , et al
• McKenzie JE ,
• Bossuyt PM , et al
• Flemming K ,
• McInnes E , et al
• Appelbaum PS
• ↵ Covidence systematic review software . Melbourne, Australia ,
• Proudfoot K
• Papadopoulos I ,
• Koulouglioti C ,
• Lazzarino R , et al
• Onwuegbuzie AJ
• BMJ Best Practice
• Guyatt GH ,
• Vist GE , et al
• Garcia-Lee B
• Brimblecombe J , et al
• Benson BA ,
• Farmer CA , et al
• Ferguson L ,
• Graham YNH ,
• Gerrard D ,
• Laight S , et al
• Huneke NTM ,
• Halder N , et al
• Ferguson M ,
• Jarrett D ,
• McGuire BE , et al
• Woodward V ,
• Jackson L , et al
• Conboy-Hill S ,
• Leafman J ,
• Nehrenz GM , et al
• Höglund B ,
• Carlson T ,
• English S , et al
• Wiseman P ,
• Walmsley J ,
• Tilley E , et al
• Khatkar HS , et al
• Holland AJ , et al
• Beauchamp TL
• England National Health Service
• National Health Service England
• Royal Commission into Violence, Abuse, Neglect and Exploitation of People with Disability

Supplementary materials

Supplementary data.

This web only file has been produced by the BMJ Publishing Group from an electronic file supplied by the author(s) and has not been edited for content.

• Data supplement 1
• Data supplement 2
• Data supplement 3
• Data supplement 4
• Data supplement 5

Contributors MD, EEP and IS conceived the idea for the systematic review. MD drafted the search strategy which was refined by EEP and IS. MD and EEP completed article screening. MD and IS completed quality assessments of included articles. MD and JH completed data extraction. MD drafted the original manuscript. JL and SS were co-researchers who sense-checked findings and were consulted to formulate dissemination plans. JL and SS co-produced the easy read summary with MD, CM, JH, EEP and IS. MD, JLS, EEP and IS reviewed manuscript wording. All authors critically reviewed the manuscript and approved it for publication. The corresponding author attests that all listed authors meet authorship criteria and that no others meeting the criteria have been omitted. MD is the guarantor responsible for the overall content of this manuscript.

Funding This systematic literature review was funded by the National Health & Medical Research Council (NHMRC), Targeted Call for Research (TCR) into Improving health of people with intellectual disability. Research grant title "GeneEQUAL: equitable and accessible genomic healthcare for people with intellectual disability". NHMRC application ID: 2022/GNT2015753.

Competing interests None declared.

Provenance and peer review Not commissioned; externally peer reviewed.

Supplemental material This content has been supplied by the author(s). It has not been vetted by BMJ Publishing Group Limited (BMJ) and may not have been peer-reviewed. Any opinions or recommendations discussed are solely those of the author(s) and are not endorsed by BMJ. BMJ disclaims all liability and responsibility arising from any reliance placed on the content. Where the content includes any translated material, BMJ does not warrant the accuracy and reliability of the translations (including but not limited to local regulations, clinical guidelines, terminology, drug names and drug dosages), and is not responsible for any error and/or omissions arising from translation and adaptation or otherwise.

Linked Articles

• Editorial It is up to healthcare professionals to talk to us in a way that we can understand: informed consent processes in people with an intellectual disability Jonathon Ding Richard Keagan-Bull Irene Tuffrey-Wijne BMJ Quality & Safety 2024; 33 277-279 Published Online First: 30 Jan 2024. doi: 10.1136/bmjqs-2023-016830

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