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Contents lists available at ScienceDirect

Biological Conservation
journal homepage: www.elsevier.com/locate/biocon

Doing more good than harm – Building an evidence-base for conservation


and environmental management
Andrew S. Pullin *, Teri M. Knight
Centre for Evidence-Based Conservation, School of the Environment and Natural Resources, Bangor University, Gwynedd, LL57 2UW, UK

a r t i c l e i n f o a b s t r a c t

Article history: The problems of environmental change and biodiversity loss have entered the mainstream political
Received 14 October 2008 agenda. Given the call from an increasingly influential environmental lobby for government and wider
Received in revised form 20 January 2009 society to make both financial and personal sacrifices to address these problems, it seems likely that con-
Accepted 24 January 2009
servation biologists and environmental managers will be asked tough questions of the general form ‘are
Available online xxxx
conservation interventions effective?’ and, ‘are they doing more good than harm?’ Science constantly
advances and must remain open to challenge, but managers and policy formers require an interim prod-
Keywords:
uct (an evidence-base) to underpin their current decision-making. The health services have been using
Systematic review
Conservation management
the objective and transparent methodology of systematic review to summarise the evidence-base relat-
Conservation policy ing to the effectiveness of interventions. Environmental management has, up until now, had no formal
Environmental evidence shared evidence-base of this kind. Reviewing recent developments in evidence-based practice, this paper
Conservation planning introduces a ‘systematic review’ section for this journal and argues that constructing an evidence-based
Adaptive management framework for environment management is possible, the challenge is scaling it up to engage the global
scientific community. We draw on the history of evidence-based healthcare, but also on the differences
between healthcare and conservation, to set out the challenges in creating a Collaboration for Environ-
mental Evidence that develops a library of systematic reviews on the effectiveness of conservation and
environmental interventions.
Ó 2009 Elsevier Ltd. All rights reserved.

1. Background movement may see them as perfectly reasonable. If we are to move


beyond our boundaries and argue our case in wider society we must
The problems of environmental change and biodiversity loss expect this level of scrutiny. Consider the health sector; medical re-
have entered the mainstream political agenda over the last decade search has moved beyond its own boundaries into social sciences,
and, as a community of scientists and managers seeking ways to ad- education and environment through disciplines such as public
dress these problems, our public profile is higher than ever before. health and epidemiology. The health services have perhaps had less
Conservation biology as a discipline is rapidly changing and expand- difficulty in making their case to wider society, nobody doubts the
ing to embrace economics and social sciences (Meine et al., 2006; need for health services, yet health interventions are the subject
Balmford and Cowling, 2006), and conservation biologists are fre- of considerable scrutiny concerning their effectiveness (the extent
quently encouraged to make the discipline relevant by showing to which a specific intervention, under normal conditions of use,
how a healthy, biodiverse environment can improve human welfare does what it is intended to do). Of course, the level of active inter-
and wellbeing (Robinson, 2006). The message is clear; we need to vention in human health is partly due to the sums of money in-
demonstrate to wider society that conserving biodiversity makes vested, but one can turn this argument on its head and suggest
a difference, that it’s effective in maintaining and improving quality that, increasingly, money is invested where research has provided
of our lives and those of future generations. This challenge is not evidence that interventions make a positive difference. Perhaps
simple or easy; conservation actions cost money and therefore cost more significantly, evidence has been used to show that some com-
society (Ferraro and Pattanayak, 2006). Consequently it seems valid monly used medical interventions can be ineffective and a waste of
to ask tough questions of the general forms ‘are conservation inter- money, for example, grommets for child hearing (Lous et al., 2005)
ventions doing more good than harm?’ and ‘are conservation inter- and some antidepressant drugs (Kirsch et al., 2008).
ventions cost effective?’ Many within the conservation movement
may raise an eyebrow at these questions but others outside the 2. The problem of having no shared evidence-base

* Corresponding author. Tel.: +44 1248 382444. Conservation biologists share a framework of values and goals.
E-mail address: a.s.pullin@bangor.ac.uk (A.S. Pullin). A growing number of conservation organisations work in many

0006-3207/$ - see front matter Ó 2009 Elsevier Ltd. All rights reserved.
doi:10.1016/j.biocon.2009.01.010

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different ways and use different mechanisms to achieve targets set progress is evident in the first published systematic reviews (Tyler
within this framework. As in the health services nobody seriously et al., 2006; Davies and Pullin, 2007; Roberts and Pullin, 2007,
questions the motives of the vast majority working in biodiversity 2008; Stewart et al., 2007a,b; Davies et al., 2008), and in the estab-
conservation, nor their commitment to doing a good job. But, just lishment of review methodology through publication of systematic
as in the health services, without good information on what works review guidelines (Pullin and Stewart, 2006). The point of this arti-
and what does not, and without effective monitoring and evalua- cle is to present the challenge for the next phase of its develop-
tion, how do we know that we’re doing more good than harm? ment. In introducing the new systematic review section for
How do we convince our critics that we are regulating our own Biological Conservation, this paper argues that the methodology
practice? Can we expect donors to keep funding conservation of systematic review is beneficial for conservation and an evi-
without asking for evaluation of our projects? Do we have the data dence-based framework is achievable; the challenge is scaling it
to show we are making a difference rather than simply assuming up from a pilot phase to a global collaboration that really makes
we are doing some good? Human health care is comparatively well a difference to decision-making and resource allocation. We draw
regulated, whereas anyone can claim to be doing effective conser- on the history of the development of evidence-based medicine
vation. In an increasingly critical society, how do we keep our own and particularly the Cochrane Collaboration, but also on the differ-
house in order, maintain credibility and differentiate between ences between the disciplines of healthcare and conservation, to
effective and ineffective conservation programs and ultimately set out the challenges in creating an evidence-base for conserva-
make best use of limited resources? tion and environmental management.
In some cases the evidence that we are doing more good than
harm may seem obvious and straightforward, such as reversing
trends in declining species or designating protected areas that 3. What is a systematic review?
would otherwise be damaged by human activities, whilst in others
it may well be unclear if our actions have made any difference, or Systematic review is a methodology normally used to objec-
worse. Brooks et al. (2006) reviewed the effectiveness of integrated tively assess the effectiveness of an intervention or the impact of
conservation and development programmes in terms of delivering an action. Systematic reviews follow a strict protocol to maximise
their conservation objectives. They concluded that it is currently transparency and repeatability whilst minimizing bias. A key ele-
not possible to provide a systematic evaluation of the effectiveness ment is the attempt to obtain and critically appraise all available
of such programmes, largely because of the inadequacy of project evidence (published and unpublished) relevant to the review ques-
reporting. tion. The methodology is particularly used to summarise, appraise
Further, results from some individual studies of effectiveness and communicate the results and implications of a large quantity
may be convincing, but in other cases, different studies may be of research and information, often involving quantitative synthesis
contradictory and arguments may rest on which fragment of the of data to increase statistical power. Qualitative data are also fre-
evidence-base is scrutinised. For example, a good number of stud- quently reported using narrative syntheses.
ies have been published on the effectiveness of engineered in- Systematic reviews usually address a specific question contain-
stream structures for creating habitat for salmonid fish but they ing three elements;
present contradictory findings (e.g. Bayley, 2002; Roni et al.,
2002, 2005; Thompson, 2006). To demonstrate objectivity, all 1. A subject (a population, species, habitat etc).
available evidence needs to be considered. Stewart et al. (in press) 2. An intervention (directed at the subject) or other action (indi-
systematically reviewed the effectiveness of engineered in-stream rectly impacting on the subject).
structures in creating habitat for salmonid fish. Synthesis of all the 3. An outcome of interest (a change in state of the subject that is
available high-quality evidence provided evidence that these measurable and of concern).
expensive structures are ineffective in the majority of cases.
As a community of professionals, we need to critically evaluate Thus a typical intervention-based question could be ‘does pop-
our actions and continuously seek to increase our effectiveness. If ulation x benefit from intervention y in terms of increases in z?’
we have done a lot of good things we should have the evidence where x is the subject, y is the conservation intervention and z is
to demonstrate it. But credibility is also about being self critical the measurable outcome of the intervention. Alternatively a ques-
and identifying the bad as well as the good. Of course, there is a tion can seek to measure impact rather than effectiveness. An im-
political risk in going public about how much we know, or do pact-based question might be ‘what is the impact on population x
not know. Some may see knowledge gaps as weaknesses and ex- of action y in terms of changes in z?’ where action y is not a conser-
cuses for political inaction; allowing statements such as ‘we need vation intervention but some other action such as installation of
more data before we act’. But contrast this with the potential ben- wind farms.
efit of being able to collate and synthesise existing data in order to The detailed methodology of systematic reviews has been de-
show that there is consensus on an effective solution to a conser- scribed elsewhere (Pullin and Stewart, 2006) and can be summa-
vation problem. rised as;
Critical evaluation of interventions can occur on a number of
different levels. The monitoring and evaluation (internal audit) of 1. Formulating a question.
individual projects is becoming more commonplace (Stem et al., 2. Generating a protocol.
2005). Much progress has been made in the specific area of adap- 3. Systematic searching.
tive management (Margoluis et al., 1998). The challenge is to draw 4. Study selection.
together and synthesise all the available evidence to evaluate 5. Methodological quality assessment (critical appraisal).
effectiveness and guide future decisions. 6. Data extraction.
The need for a library of systematic reviews providing an evi- 7. Data synthesis.
dence-based framework to evaluate effectiveness and support 8. Reporting and dissemination.
decision-making in conservation has been made in previous papers
(Pullin and Knight, 2001; Fazey et al., 2004; Sutherland et al., The contrast in rigour between systematic reviews and tradi-
2004). Testing the applicability of the health services methodology tional narrative reviews in ecology has been demonstrated by
for systematic review and dissemination of evidence is ongoing but Roberts et al. (2006). However, it is in the health services that

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the use of systematic reviews has been most fully exploited and it own funding for review activity. Over 12,000 authors have now
is useful to consider how this has been achieved. contributed to the Cochrane Library.
Whilst the medical-clinical basis of Cochrane demands high
4. Development of review and dissemination of evidence in standards of data quality, mostly generated through randomised
medicine: the Cochrane Collaboration and beyond controlled trials, many related disciplines, including public health,
social sciences and education, use more diverse quantitative and
The Cochrane Collaboration was established in 1993 but its ori- qualitative research methods. Consequently, as the evidence-based
gins can be traced back to the publications of Archie Cochrane in approach has moved into related fields, so systematic review
the early 1970s (Cochrane, 1972). It is a global, not-for-profit, methodology has been adapted to cope with different types of data
organisation that supports health care professionals to make and research methodologies. Integration of qualitative and quanti-
well-informed decisions on the effectiveness of medical interven- tative research data within systematic reviews is an emerging
tions by promoting systematic review of evidence and maintain- methodology (Harden, 2006). Consequently, whilst Cochrane re-
ing a library of such evaluations (www.cochrane.org). Arguably, mains a core model for developing the necessary structures to
the Cochrane Collaboration has inspired a whole range of allied re- facilitate systematic review activity, the construction of an envi-
view and dissemination projects and so it is important to under- ronmental equivalent must also take heed of broader develop-
stand its developmental history. Following the early work of ments in evidence-based decision-making, given the diverse
Cochrane, the movement seems to have gone through four key nature of environmental data.
phases:
5. The challenge of establishing an evidence-based framework
1. The exposure of the problem – no accessible evaluations of the
effectiveness of common interventions resulting in variation in Arguably biodiversity conservation has gone through the equiv-
practice across hospitals and health care districts. alent of Cochrane phases one (Pullin and Knight, 2001; Sutherland
2. Describing the nature and source of the problem – practitioners et al., 2004; Ferraro and Pattanayak, 2006) and two (Pullin et al.,
have no time to access primary literature and to synthesise evi- 2004; Pullin and Knight, 2005). A crucial start has been made on
dence. Cochrane (1979) wrote ‘‘It is surely a great criticism of phase three with the establishment of the Collaboration for Envi-
our profession that we have not organised a critical summary, ronmental Evidence (CEE, www.environmentalevidence.org) as a
by specialty or subspecialty, adapted periodically, of all relevant not-for-profit, ‘Cochrane style’ organisational structure, open to
randomised controlled trials.” contributions from all in conservation science and management.
3. Establishing a solution – a collaborative movement mobilising The challenge for the conservation community is how to move from
resources for review and dissemination of evidence on the a situation in which small units of people are testing systematic re-
effectiveness of health interventions. The early development view methodology, to establishing a vibrant functioning network?
of the Cochrane Collaboration has been described elsewhere The experience of the Cochrane Collaboration suggests that the
(Chalmers, 1993). key people to mobilise are those in the scientific community. Those
4. Growth of the collaboration – successful engagement of the sci- who could undertake reviews need incentives (grants are already
entific and funding communities to enable a large volume of available from a few sources see www.environmentalevidence.org)
systematic reviews to be undertaken, resulting in an effective- and publishing opportunities (with impact factors) for their prod-
ness revolution in heath care (Stevens and Milne, 1997). ucts. The latter opportunity is now realised in Biological Conserva-
tion, an international journal dealing with the conservation of
4.1. Components of Cochrane
wildlife and the wise use of biological and allied natural resources.
We encourage the conservation community to consider undertak-
The focus of the Cochrane Collaboration is the library of system-
ing systematic reviews to create an evidence-base for their conser-
atic reviews (Starr and Chalmers, 2003). This resource, shared by
vation interventions and other human actions that have
the whole health services community, is overseen by a steering
environmental impacts. This journal now considers papers that re-
committee and managed day-to-day by a small Centre composed
port on full systematic reviews. Supplementary material in the form
of a Chief Executive and three administrative staff. The need for a
of full systematic reviews and related libraries and datasets will be
review may be proposed by any individual stakeholder or stake-
available online (e.g. through the CEE Library). The first report on a
holder group. The review work is highly devolved in the form of
systematic review follows this paper and should be viewed as a pio-
a global group of 12 ‘Cochrane Centres’ and over 50 ‘Review
neering effort to develop and improve the methodology. Through
Groups’. Typically the Centres support the activity of Review
publishing papers reporting on high impact systematic reviews in
Groups in their geographical area whilst also developing review
one of the foremost conservation journals, the utility of this ap-
methodology and providing training. Systematic reviews are co-
proach will hopefully be more apparent to funders and enable us
ordinated by ‘Review Groups’, typically subject-based, so that each
to test whether more effective conservation and environmental
evaluates interventions on a particular medical problem, such as
management results from investment in evidence-based practice.
‘acute respiratory infection’. Each has a volunteer co-ordinating
editor to oversee standards (including transparency and conflict
of interest) and organise peer review. Some groups are also formed 6. Final points
to advance the methodology of systematic review and data synthe-
sis. In summary there are four main components; There are many books and papers that describe environmental
science or conservation biology as emerging young disciplines or
1. The library (the output). growing subjects. What then defines the maturing phase? One pos-
2. The steering group/CEO (the administration). sibility is the transition from a disparate community that espouses
3. The centres (the co-ordination and support functions). the urgency of research and greater understanding of our actions to
4. The review groups (the review activity). one that is also able to concertedly reflect, synthesise, evaluate and
disseminate the current state of knowledge. A key indicator of
The devolved nature of the collaboration means that the cost of maturity may be the number of systematic reviews available to
administration is low. The centres and review groups attract their those who must decide what action to take.

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