Additional web searches were

also undertaken to identify relevant grey literature. An emergent and iterative approach to identifying key literature was adopted to maximise specificity of searches (Booth, 2008). More general mapping searches were conducted initially, with papers identified informing subsequent targeted searches. Key phrases, words and authors identified through each iteration were searched in each subsequent iteration. Citation RG7420 order searches and hand searches of reference lists of included papers were also undertaken. Quantitative intervention studies examining community-based physical activity and dietary interventions relative to a usual care, placebo/attention or no comparison involving adults (aged 18–74) from a low-SES group within the UK were included in the review. Intervention studies that did not report numerical outcome data for at least one time point were excluded. Also included were qualitative evaluations of interventions Pomalidomide and stand-alone qualitative studies assessing beliefs and perceptions of physical activity and diet

among adults from a low-SES group or health professionals/workers working with adults from a low-SES group, within the UK. A UK focus was maintained as the purpose of the review was to inform national guidance and we wanted to be confident we were considering the evidence most relevant to a national policy context. For practical reasons, included papers were restricted to those published in the English language and from 1990. Titles, abstracts and full papers of retrieved records were sequentially

screened (Fig. 1). Two reviewers (EEH and RJ for intervention studies and EEH and MJ for qualitative studies) extracted data on the sampling, aims, intervention, measurements and outcomes/themes using standardised forms. Heterogeneity in intervention type, population and outcomes precluded meta-analysis of quantitative data, thus narrative synthesis was undertaken. Thematic analysis was conducted on the qualitative data. All themes were derived from the data. We juxtaposed qualitative and quantitative data in a matrix assessing the extent to which the interventions incorporated Bumetanide the barriers and facilitators identified in the qualitative synthesis (Thomas et al., 2004). Quality assessment of quantitative and qualitative studies was undertaken using the appropriate National Institute for Health and Clinical Excellence (NICE) quality assessment checklists (NICE, 2009). Each study was rated as ++, + or − on the basis of characteristics such as sampling, measurement, analysis and internal and external validity of findings (Supplementary Table 2 and Supplementary Table 3). No study was excluded on the basis of quality. Study quality was assessed by two reviewers and there was no disagreement on the grading of studies. Initial mapping searches and targeted searches produced 3416 and 237 hits respectively, excluding duplicates (Fig. 1).