This is part of the abstract and should address: ‘What is the overall take-home message?’ in the light of the internal and external validity
Brief overview of main findings, inconsistencies and biases and then the overall take home message.
Should not just be about biases, limitations and lack of a clear findings; try to have some take home message. This is about interpretation of the best available evidence at this time.
A good example of a clinical effects section within the word limit is presented here:
“Clinical Effects of Web-Based Interventions on Physical Activity:
Analysis of the evidence indicates that the internet is an effective tool to increase physical activity levels in people with COPD, but is no more effective than current face-to-face standard management.
In regards to clinical implications for potential clients and colleagues, the two methods of web-based intervention delivery utilised by Nguyen et al. (2012) and Moy et al. (2012) resulted in similar improvement in outcomes that could potentially be reproduced in practice. The absence of a comparator in Moy et al. (2012) and Moy et al. (2010) makes it difficult to determine which form of web-based intervention has a greater effect on client outcomes.
Challenges described in the included studies indicate that this mode of intervention requires further development for greater viability. The authors of the included studies reported variable accuracy of device measurement, difficulty with data upload and ease of use, and participant preferences influencing the use of various technologies, decreasing the practicality of this mode of delivery (Moy et al., 2010; Nguyen et al., 2005; Nguyen et al., 2012).
This review identified a need for higher quality studies to be conducted to aid evidence-based clinical decision making. Studies with a greater reliance on objective rather than subjective measures of physical activity, and studies of a higher level of evidence, such as well constructed RCTs, would greatly contribute to the evidence base. Nevertheless, clear potential exists for this intervention mode in people with COPD, as demonstrated by the positive outcomes on physical activity outcomes described in the included studies.”
Word Count (with in-text referencing): 250