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Advantages and disadvantages of literature review

This comprehensive article explores some of the advantages and disadvantages of literature review in research. Reviewing relevant literature is a key area in research, and indeed, it is a research activity in itself. It helps researchers investigate a particular topic in detail. However, it has some limitations as well.

What is literature review?

In order to understand the advantages and disadvantages of literature review, it is important to understand what a literature review is and how it differs from other methods of research. According to Jones and Gratton (2009) a literature review essentially consists of critically reading, evaluating, and organising existing literature on a topic to assess the state of knowledge in the area. It is sometimes called critical review.

A literature review is a select analysis of existing research which is relevant to a researcher’s selected topic, showing how it relates to their investigation. It explains and justifies how their investigation may help answer some of the questions or gaps in the chosen area of study (University of Reading, 2022).

A literature review is a term used in the field of research to describe a systematic and methodical investigation of the relevant literature on a particular topic. In other words, it is an analysis of existing research on a topic in order to identify any relevant studies and draw conclusions about the topic.

A literature review is not the same as a bibliography or a database search. Rather than simply listing references to sources of information, a literature review involves critically evaluating and summarizing existing research on a topic. As such, it is a much more detailed and complex process than simply searching databases and websites, and it requires a lot of effort and skills.

Advantages of literature review

Information synthesis

A literature review is a very thorough and methodical exercise. It can be used to synthesize information and draw conclusions about a particular topic. Through a careful evaluation and critical summarization, researchers can draw a clear and comprehensive picture of the chosen topic.

Familiarity with the current knowledge

According to the University of Illinois (2022), literature reviews allow researchers to gain familiarity with the existing knowledge in their selected field, as well as the boundaries and limitations of that field.

Creation of new body of knowledge

One of the key advantages of literature review is that it creates new body of knowledge. Through careful evaluation and critical summarisation, researchers can create a new body of knowledge and enrich the field of study.

Answers to a range of questions

Literature reviews help researchers analyse the existing body of knowledge to determine the answers to a range of questions concerning a particular subject.

Disadvantages of literature review

Time consuming

As a literature review involves collecting and evaluating research and summarizing the findings, it requires a significant amount of time. To conduct a comprehensive review, researchers need to read many different articles and analyse a lot of data. This means that their review will take a long time to complete.

Lack of quality sources  

Researchers are expected to use a wide variety of sources of information to present a comprehensive review. However, it may sometimes be challenging for them to identify the quality sources because of the availability of huge numbers in their chosen field. It may also happen because of the lack of past empirical work, particularly if the selected topic is an unpopular one.

Descriptive writing

One of the major disadvantages of literature review is that instead of critical appreciation, some researchers end up developing reviews that are mostly descriptive. Their reviews are often more like summaries of the work of other writers and lack in criticality. It is worth noting that they must go beyond describing the literature.

Key features of literature review

Clear organisation

A literature review is typically a very critical and thorough process. Universities usually recommend students a particular structure to develop their reviews. Like all other academic writings, a review starts with an introduction and ends with a conclusion. Between the beginning and the end, researchers present the main body of the review containing the critical discussion of sources.

No obvious bias

A key feature of a literature review is that it should be very unbiased and objective. However, it should be mentioned that researchers may sometimes be influenced by their own opinions of the world.

Proper citation

One of the key features of literature review is that it must be properly cited. Researchers should include all the sources that they have used for information. They must do citations and provide a reference list by the end in line with a recognized referencing system such as Harvard.

To conclude this article, it can be said that a literature review is a type of research that seeks to examine and summarise existing research on a particular topic. It is an essential part of a dissertation/thesis. However, it is not an easy thing to handle by an inexperienced person. It also requires a lot of time and patience.

Hope you like this ‘Advantages and disadvantages of literature review’. Please share this with others to support our research work.

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Last update: 08 May 2022

References:

Jones, I., & Gratton, C. (2009) Research Methods for Sports Shttps://www.howandwhat.net/new/evaluate-website-content/tudies, 2 nd edition, London: Routledge

University of Illinois (2022) Literature review, available at: https://www.uis.edu/learning-hub/writing-resources/handouts/learning-hub/literature-review (accessed 08 May 2022)

University of Reading (2022) Literature reviews, available at: https://libguides.reading.ac.uk/literaturereview/starting (accessed 07 May 2022)

Author: M Rahman

M Rahman writes extensively online and offline with an emphasis on business management, marketing, and tourism. He is a lecturer in Management and Marketing. He holds an MSc in Tourism & Hospitality from the University of Sunderland. Also, graduated from Leeds Metropolitan University with a BA in Business & Management Studies and completed a DTLLS (Diploma in Teaching in the Life-Long Learning Sector) from London South Bank University.

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Conducting a Literature Review

Benefits of conducting a literature review.

  • Steps in Conducting a Literature Review
  • Summary of the Process
  • Additional Resources
  • Literature Review Tutorial by American University Library
  • The Literature Review: A Few Tips On Conducting It by University of Toronto
  • Write a Literature Review by UC Santa Cruz University Library

While there might be many reasons for conducting a literature review, following are four key outcomes of doing the review.

Assessment of the current state of research on a topic . This is probably the most obvious value of the literature review. Once a researcher has determined an area to work with for a research project, a search of relevant information sources will help determine what is already known about the topic and how extensively the topic has already been researched.

Identification of the experts on a particular topic . One of the additional benefits derived from doing the literature review is that it will quickly reveal which researchers have written the most on a particular topic and are, therefore, probably the experts on the topic. Someone who has written twenty articles on a topic or on related topics is more than likely more knowledgeable than someone who has written a single article. This same writer will likely turn up as a reference in most of the other articles written on the same topic. From the number of articles written by the author and the number of times the writer has been cited by other authors, a researcher will be able to assume that the particular author is an expert in the area and, thus, a key resource for consultation in the current research to be undertaken.

Identification of key questions about a topic that need further research . In many cases a researcher may discover new angles that need further exploration by reviewing what has already been written on a topic. For example, research may suggest that listening to music while studying might lead to better retention of ideas, but the research might not have assessed whether a particular style of music is more beneficial than another. A researcher who is interested in pursuing this topic would then do well to follow up existing studies with a new study, based on previous research, that tries to identify which styles of music are most beneficial to retention.

Determination of methodologies used in past studies of the same or similar topics.  It is often useful to review the types of studies that previous researchers have launched as a means of determining what approaches might be of most benefit in further developing a topic. By the same token, a review of previously conducted studies might lend itself to researchers determining a new angle for approaching research.

Upon completion of the literature review, a researcher should have a solid foundation of knowledge in the area and a good feel for the direction any new research should take. Should any additional questions arise during the course of the research, the researcher will know which experts to consult in order to quickly clear up those questions.

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  • How to Write a Literature Review | Guide, Examples, & Templates

How to Write a Literature Review | Guide, Examples, & Templates

Published on January 2, 2023 by Shona McCombes . Revised on September 11, 2023.

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 that you can later apply to your paper, thesis, or dissertation topic .

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 summarize sources—it analyzes, synthesizes , and critically evaluates to give a clear picture of the state of knowledge on the subject.

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Table of contents

What is the purpose of 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, free lecture slides, other interesting articles, frequently asked questions, introduction.

  • Quick Run-through
  • Step 1 & 2

When you write a thesis , dissertation , or research paper , you will likely 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 its scholarly context
  • Develop a theoretical framework and methodology for your research
  • Position your work in relation to other researchers and theorists
  • Show how your research addresses a gap or contributes to a debate
  • Evaluate the current state of research and demonstrate your knowledge of the scholarly debates around your topic.

Writing literature reviews is a particularly important skill if you want to apply for graduate school or pursue a career in research. We’ve written a step-by-step guide that you can follow below.

Literature review guide

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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 problem and questions .

Make a list of keywords

Start by creating a list of keywords related to your research question. 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 as 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 useful 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 also use boolean operators to help narrow down your search.

Make sure to 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.

You likely won’t be able to read absolutely everything that has been written on your topic, so it will be necessary to evaluate which sources are most relevant to your research question.

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?
  • 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 use our template to summarize and evaluate sources you’re thinking about using. Click on either button below to download.

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 is important to keep track of your sources with citations to avoid plagiarism . It can be helpful to make an annotated bibliography , where you compile full citation 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.

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To begin organizing your literature review’s argument and structure, be sure you 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 organizing the body of a literature review. 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 summarizing sources in order.

Try to analyze 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 organize 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.

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, you can follow these tips:

  • 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 sentences to draw connections, comparisons and contrasts

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

When you’ve finished writing and revising your literature review, don’t forget to proofread thoroughly before submitting. Not a language expert? Check out Scribbr’s professional proofreading services !

This article has been adapted into lecture slides that you can use to teach your students about writing a literature review.

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If you want to know more about the research process , methodology , research bias , or statistics , make sure to check out some of our other articles with explanations and examples.

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Research bias

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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 thesis, dissertation , or research paper , in order to situate your work in relation to existing knowledge.

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

  • To familiarize 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 thesis or dissertation . After the introduction , it grounds your research in a scholarly field and leads directly to your theoretical framework or methodology .

A literature review is a survey of credible sources on a topic, often used in dissertations , theses, and research papers . Literature reviews give an overview of knowledge on a subject, helping you identify relevant theories and methods, as well as gaps in existing research. Literature reviews are set up similarly to other  academic texts , with an introduction , a main body, and a conclusion .

An  annotated bibliography is a list of  source references that has a short description (called an annotation ) for each of the sources. It is often assigned as part of the research process for a  paper .  

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  • 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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Literature reviews, what is a literature review, learning more about how to do a literature review.

  • Planning the Review
  • The Research Question
  • Choosing Where to Search
  • Organizing the Review
  • Writing the Review

A literature review is a review and synthesis of existing research on a topic or research question. A literature review is meant to analyze the scholarly literature, make connections across writings and identify strengths, weaknesses, trends, and missing conversations. A literature review should address different aspects of a topic as it relates to your research question. A literature review goes beyond a description or summary of the literature you have read. 

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Conducting a literature review: why do a literature review, why do a literature review.

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  • Found it -- Now What?

Besides the obvious reason for students -- because it is assigned! -- a literature review helps you explore the research that has come before you, to see how your research question has (or has not) already been addressed.

You identify:

  • core research in the field
  • experts in the subject area
  • methodology you may want to use (or avoid)
  • gaps in knowledge -- or where your research would fit in

It Also Helps You:

  • Publish and share your findings
  • Justify requests for grants and other funding
  • Identify best practices to inform practice
  • Set wider context for a program evaluation
  • Compile information to support community organizing

Great brief overview, from NCSU

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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.

Literature review guide

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advantages of literature review in research

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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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A literature review surveys prior research published in 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 used in researching a particular topic and to demonstrate to your readers how your research fits within existing scholarship about the topic.

Fink, Arlene. Conducting Research Literature Reviews: From the Internet to Paper . Fourth edition. Thousand Oaks, CA: SAGE, 2014.

Importance of a Good Literature Review

A literature review may consist of simply a summary of key sources, but in the social sciences, a literature review usually has an organizational pattern and combines both summary and synthesis, often within specific conceptual categories . 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 in a way that informs how you are planning to investigate a research problem. The analytical features of a literature review might:

  • Give a new interpretation of old material or combine new with old interpretations,
  • Trace the intellectual progression of the field, including major debates,
  • Depending on the situation, evaluate the sources and advise the reader on the most pertinent or relevant research, or
  • Usually in the conclusion of a literature review, identify where gaps exist in how a problem has been researched to date.

Given this, the purpose of a literature review is to:

  • Place each work in the context of its contribution to understanding the research problem being studied.
  • Describe the relationship of each work to the others under consideration.
  • Identify new ways to interpret prior research.
  • Reveal any gaps that exist in the literature.
  • Resolve conflicts amongst seemingly contradictory previous studies.
  • Identify areas of prior scholarship to prevent duplication of effort.
  • Point the way in fulfilling a need for additional research.
  • Locate your own research within the context of existing literature [very important].

Fink, Arlene. Conducting Research Literature Reviews: From the Internet to Paper. 2nd ed. Thousand Oaks, CA: Sage, 2005; Hart, Chris. Doing a Literature Review: Releasing the Social Science Research Imagination . Thousand Oaks, CA: Sage Publications, 1998; Jesson, Jill. Doing Your Literature Review: Traditional and Systematic Techniques . Los Angeles, CA: SAGE, 2011; Knopf, Jeffrey W. "Doing a Literature Review." PS: Political Science and Politics 39 (January 2006): 127-132; Ridley, Diana. The Literature Review: A Step-by-Step Guide for Students . 2nd ed. Los Angeles, CA: SAGE, 2012.

Types of Literature Reviews

It is important to think of knowledge in a given field as consisting of three layers. First, there are the primary studies that researchers conduct and publish. Second are the reviews of those studies that summarize and offer new interpretations built from and often extending beyond the primary studies. Third, there are the perceptions, conclusions, opinion, and interpretations that are shared informally among scholars that become part of the body of epistemological traditions within the field.

In composing a literature review, it is important to note that it is often this third layer of knowledge that is cited as "true" even though it often has only a loose relationship to the primary studies and secondary literature reviews. Given this, while literature reviews are designed to provide an overview and synthesis of pertinent sources you have explored, there are a number of approaches you could adopt depending upon the type of analysis underpinning your study.

Argumentative Review This form examines literature selectively in order to support or refute an argument, deeply embedded assumption, or philosophical problem already established in the literature. The purpose is to develop a body of literature that establishes a contrarian viewpoint. Given the value-laden nature of some social science research [e.g., educational reform; immigration control], argumentative approaches to analyzing the literature can be a legitimate and important form of discourse. However, note that they can also introduce problems of bias when they are used to make summary claims of the sort found in systematic reviews [see below].

Integrative Review Considered a form of research that reviews, critiques, and synthesizes representative literature on a topic in an integrated way such that new frameworks and perspectives on the topic are generated. The body of literature includes all studies that address related or identical hypotheses or research problems. A well-done integrative review meets the same standards as primary research in regard to clarity, rigor, and replication. This is the most common form of review in the social sciences.

Historical Review Few things rest in isolation from historical precedent. Historical literature reviews focus on examining research throughout a period of time, often starting with the first time an issue, concept, theory, phenomena 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 to identify the likely directions for future research.

Methodological Review A review does not always focus on what someone said [findings], but how they came about saying what they say [method of analysis]. Reviewing methods of analysis provides a framework of understanding at different levels [i.e. those of theory, substantive fields, research approaches, and data collection and analysis techniques], how researchers draw upon a wide variety of knowledge ranging from the conceptual level to practical documents for use in fieldwork in the areas of ontological and epistemological consideration, quantitative and qualitative integration, sampling, interviewing, data collection, and data analysis. This approach helps highlight ethical issues which you should be aware of and consider as you go through your own study.

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 to collect, report, and analyze data from the studies that are included in the review. The goal is to deliberately document, critically evaluate, and summarize scientifically all of the research about a clearly defined research problem . Typically it focuses on a very specific empirical question, often posed in a cause-and-effect form, such as "To what extent does A contribute to B?" This type of literature review is primarily applied to examining prior research studies in clinical medicine and allied health fields, but it is increasingly being used in the social sciences.

Theoretical Review The purpose of this form is to examine the corpus of theory that has accumulated in regard to an issue, concept, theory, phenomena. The theoretical literature review helps to establish what theories already exist, the relationships between them, to what degree the existing theories have been investigated, and to develop new hypotheses to be tested. Often this form is used to help establish a lack of appropriate theories or reveal that current theories are inadequate for explaining new or emerging research problems. The unit of analysis can focus on a theoretical concept or a whole theory or framework.

NOTE : Most often the literature review will incorporate some combination of types. For example, a review that examines literature supporting or refuting an argument, assumption, or philosophical problem related to the research problem will also need to include writing supported by sources that establish the history of these arguments in the literature.

Baumeister, Roy F. and Mark R. Leary. "Writing Narrative Literature Reviews."  Review of General Psychology 1 (September 1997): 311-320; Mark R. Fink, Arlene. Conducting Research Literature Reviews: From the Internet to Paper . 2nd ed. Thousand Oaks, CA: Sage, 2005; Hart, Chris. Doing a Literature Review: Releasing the Social Science Research Imagination . Thousand Oaks, CA: Sage Publications, 1998; Kennedy, Mary M. "Defining a Literature." Educational Researcher 36 (April 2007): 139-147; Petticrew, Mark and Helen Roberts. Systematic Reviews in the Social Sciences: A Practical Guide . Malden, MA: Blackwell Publishers, 2006; Torracro, Richard. "Writing Integrative Literature Reviews: Guidelines and Examples." Human Resource Development Review 4 (September 2005): 356-367; Rocco, Tonette S. and Maria S. Plakhotnik. "Literature Reviews, Conceptual Frameworks, and Theoretical Frameworks: Terms, Functions, and Distinctions." Human Ressource Development Review 8 (March 2008): 120-130; Sutton, Anthea. Systematic Approaches to a Successful Literature Review . Los Angeles, CA: Sage Publications, 2016.

Structure and Writing Style

I.  Thinking About Your Literature Review

The structure of a literature review should include the following in support of understanding the research problem :

  • An overview of the subject, issue, or theory under consideration, along with the objectives of the literature review,
  • Division of works under review into themes or categories [e.g. works that support a particular position, those against, and those offering alternative approaches entirely],
  • An explanation of how each work is similar to and how it varies from the others,
  • Conclusions as to which pieces are best considered in their argument, are most convincing of their opinions, and make the greatest contribution to the understanding and development of their area of research.

The critical evaluation of each work should consider :

  • Provenance -- what are the author's credentials? Are the author's arguments supported by evidence [e.g. primary historical material, case studies, narratives, statistics, recent scientific findings]?
  • Methodology -- were the techniques used to identify, gather, and analyze the data appropriate to addressing the research problem? Was the sample size appropriate? Were the results effectively interpreted and reported?
  • Objectivity -- is the author's perspective even-handed or prejudicial? Is contrary data considered or is certain pertinent information ignored to prove the author's point?
  • Persuasiveness -- which of the author's theses are most convincing or least convincing?
  • Validity -- are the author's arguments and conclusions convincing? Does the work ultimately contribute in any significant way to an understanding of the subject?

II.  Development of the Literature Review

Four Basic Stages of Writing 1.  Problem formulation -- which topic or field is being examined and what are its component issues? 2.  Literature search -- finding materials relevant to the subject being explored. 3.  Data evaluation -- determining which literature makes a significant contribution to the understanding of the topic. 4.  Analysis and interpretation -- discussing the findings and conclusions of pertinent literature.

Consider the following issues before writing the literature review: Clarify If your assignment is not specific about what form your literature review should take, seek clarification from your professor by asking these questions: 1.  Roughly how many sources would be appropriate to include? 2.  What types of sources should I review (books, journal articles, websites; scholarly versus popular sources)? 3.  Should I summarize, synthesize, or critique sources by discussing a common theme or issue? 4.  Should I evaluate the sources in any way beyond evaluating how they relate to understanding the research problem? 5.  Should I provide subheadings and other background information, such as definitions and/or a history? Find Models Use the exercise of reviewing the literature to examine how authors in your discipline or area of interest have composed their literature review sections. Read them to get a sense of the types of themes you might want to look for in your own research or to identify ways to organize your final review. The bibliography or reference section of sources you've already read, such as required readings in the course syllabus, are also excellent entry points into your own research. Narrow the Topic The narrower your topic, the easier it will be to limit the number of sources you need to read in order to obtain a good survey of relevant resources. Your professor will probably not expect you to read everything that's available about the topic, but you'll make the act of reviewing easier if you first limit scope of the research problem. A good strategy is to begin by searching the USC Libraries Catalog for recent books about the topic and review the table of contents for chapters that focuses on specific issues. You can also review the indexes of books to find references to specific issues that can serve as the focus of your research. For example, a book surveying the history of the Israeli-Palestinian conflict may include a chapter on the role Egypt has played in mediating the conflict, or look in the index for the pages where Egypt is mentioned in the text. Consider Whether Your Sources are Current Some disciplines require that you use information that is as current as possible. This is particularly true in disciplines in medicine and the sciences where research conducted becomes obsolete very quickly as new discoveries are made. However, when writing a review in the social sciences, a survey of the history of the literature may be required. In other words, a complete understanding the research problem requires you to deliberately examine how knowledge and perspectives have changed over time. Sort through 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 explore what is considered by scholars to be a "hot topic" and what is not.

III.  Ways to Organize Your Literature Review

Chronology of Events If your review follows the chronological method, you could write about the materials according to when they were published. This approach should only be followed if a clear path of research building on previous research can be identified and that these trends follow a clear chronological order of development. For example, a literature review that focuses on continuing research about the emergence of German economic power after the fall of the Soviet Union. 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 environmental studies of brown fields if the progression revealed, for example, a change in the soil collection practices of the researchers who wrote and/or conducted the studies. Thematic [“conceptual categories”] A thematic literature review is the most common approach to summarizing prior research in the social and behavioral sciences. Thematic reviews are organized around a topic or issue, rather than the progression of time, although the progression of time may still be incorporated into a thematic review. For example, a review of the Internet’s impact on American presidential politics could focus on the development of online political satire. While the study focuses on one topic, the Internet’s impact on American presidential politics, it would still be organized chronologically reflecting technological developments in media. The difference in this example between a "chronological" and a "thematic" approach is what is emphasized the most: themes related to the role of the Internet in presidential politics. Note that more authentic thematic reviews tend to break away from chronological order. A review organized in this manner would shift between time periods within each section according to the point being made. Methodological A methodological approach focuses on the methods utilized by the researcher. For the Internet in American presidential politics project, one methodological approach would be to look at cultural differences between the portrayal of American presidents on American, British, and French websites. Or the review might focus on the fundraising impact of the Internet on a particular political party. A methodological scope will influence either the types of documents in the review or the way in which these documents are discussed.

Other Sections of Your Literature Review Once you've decided on the organizational method for your literature review, the sections you need to include in the paper should be easy to figure out because they arise from 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. However, sometimes you may 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. However, only include what is necessary for the reader to locate your study within the larger scholarship about the research problem.

Here are examples of other sections, usually in the form of a single paragraph, you may need to include depending on the type of review you write:

  • Current Situation : Information necessary to understand the current topic or focus of the literature review.
  • Sources Used : Describes the methods and resources [e.g., databases] you used to identify the literature you reviewed.
  • History : The chronological progression of the field, the research literature, or an idea that is necessary to understand the literature review, if the body of the literature review is not already a chronology.
  • Selection Methods : Criteria you used to select (and perhaps exclude) sources in your literature review. For instance, you might explain that your review includes only peer-reviewed [i.e., scholarly] sources.
  • Standards : Description of the way in which you present your information.
  • 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?

IV.  Writing Your Literature Review

Once you've settled on how to organize your literature review, you're ready to write each section. When writing your review, keep in mind these issues.

Use Evidence A literature review section is, in this sense, just like any other academic research paper. Your interpretation of the available sources must be backed up with evidence [citations] that demonstrates 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 research problem, whether it is thematic, methodological, or chronological. Related items that provide additional information, but that are not key to understanding the research problem, can be included in a list of further readings . Use Quotes Sparingly Some short quotes are appropriate if you want to emphasize a point, or if what an author stated cannot be easily paraphrased. Sometimes you may need to quote certain terminology that was coined by the author, is not common knowledge, or taken directly from the study. Do not use extensive quotes as a substitute for using your own words in reviewing the literature. Summarize and Synthesize Remember to summarize and synthesize your sources within each thematic paragraph as well as throughout the review. Recapitulate important features of a research study, but then synthesize it by rephrasing the study's significance and relating it to your own work and the work of others. Keep Your Own Voice While the literature review presents others' ideas, your voice [the writer's] should remain front and center. For example, weave references to other sources into what you are writing but maintain your own voice by starting and ending the paragraph with your own ideas and wording. 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. Even when paraphrasing an author’s work, you still must provide a citation to that work.

V.  Common Mistakes to Avoid

These are the most common mistakes made in reviewing social science research literature.

  • Sources in your literature review do not clearly relate to the research problem;
  • You do not take sufficient time to define and identify the most relevant sources to use in the literature review related to the research problem;
  • Relies exclusively on secondary analytical sources rather than including relevant primary research studies or data;
  • Uncritically accepts another researcher's findings and interpretations as valid, rather than examining critically all aspects of the research design and analysis;
  • Does not describe the search procedures that were used in identifying the literature to review;
  • Reports isolated statistical results rather than synthesizing them in chi-squared or meta-analytic methods; and,
  • Only includes research that validates assumptions and does not consider contrary findings and alternative interpretations found in the literature.

Cook, Kathleen E. and Elise Murowchick. “Do Literature Review Skills Transfer from One Course to Another?” Psychology Learning and Teaching 13 (March 2014): 3-11; Fink, Arlene. Conducting Research Literature Reviews: From the Internet to Paper . 2nd ed. Thousand Oaks, CA: Sage, 2005; Hart, Chris. Doing a Literature Review: Releasing the Social Science Research Imagination . Thousand Oaks, CA: Sage Publications, 1998; Jesson, Jill. Doing Your Literature Review: Traditional and Systematic Techniques . London: SAGE, 2011; Literature Review Handout. Online Writing Center. Liberty University; Literature Reviews. The Writing Center. University of North Carolina; Onwuegbuzie, Anthony J. and Rebecca Frels. Seven Steps to a Comprehensive Literature Review: A Multimodal and Cultural Approach . Los Angeles, CA: SAGE, 2016; Ridley, Diana. The Literature Review: A Step-by-Step Guide for Students . 2nd ed. Los Angeles, CA: SAGE, 2012; Randolph, Justus J. “A Guide to Writing the Dissertation Literature Review." Practical Assessment, Research, and Evaluation. vol. 14, June 2009; Sutton, Anthea. Systematic Approaches to a Successful Literature Review . Los Angeles, CA: Sage Publications, 2016; Taylor, Dena. The Literature Review: A Few Tips On Conducting It. University College Writing Centre. University of Toronto; Writing a Literature Review. Academic Skills Centre. University of Canberra.

Writing Tip

Break Out of Your Disciplinary Box!

Thinking interdisciplinarily about a research problem can be a rewarding exercise in applying new ideas, theories, or concepts to an old problem. For example, what might cultural anthropologists say about the continuing conflict in the Middle East? In what ways might geographers view the need for better distribution of social service agencies in large cities than how social workers might study the issue? You don’t want to substitute a thorough review of core research literature in your discipline for studies conducted in other fields of study. However, particularly in the social sciences, thinking about research problems from multiple vectors is a key strategy for finding new solutions to a problem or gaining a new perspective. Consult with a librarian about identifying research databases in other disciplines; almost every field of study has at least one comprehensive database devoted to indexing its research literature.

Frodeman, Robert. The Oxford Handbook of Interdisciplinarity . New York: Oxford University Press, 2010.

Another Writing Tip

Don't Just Review for Content!

While conducting a review of the literature, maximize the time you devote to writing this part of your paper by thinking broadly about what you should be looking for and evaluating. Review not just what scholars are saying, but how are they saying it. Some questions to ask:

  • How are they organizing their ideas?
  • What methods have they used to study the problem?
  • What theories have been used to explain, predict, or understand their research problem?
  • What sources have they cited to support their conclusions?
  • How have they used non-textual elements [e.g., charts, graphs, figures, etc.] to illustrate key points?

When you begin to write your literature review section, you'll be glad you dug deeper into how the research was designed and constructed because it establishes a means for developing more substantial analysis and interpretation of the research problem.

Hart, Chris. Doing a Literature Review: Releasing the Social Science Research Imagination . Thousand Oaks, CA: Sage Publications, 1 998.

Yet Another Writing Tip

When Do I Know I Can Stop Looking and Move On?

Here are several strategies you can utilize to assess whether you've thoroughly reviewed the literature:

  • Look for repeating patterns in the research findings . If the same thing is being said, just by different people, then this likely demonstrates that the research problem has hit a conceptual dead end. At this point consider: Does your study extend current research?  Does it forge a new path? Or, does is merely add more of the same thing being said?
  • Look at sources the authors cite to in their work . If you begin to see the same researchers cited again and again, then this is often an indication that no new ideas have been generated to address the research problem.
  • Search Google Scholar to identify who has subsequently cited leading scholars already identified in your literature review [see next sub-tab]. This is called citation tracking and there are a number of sources that can help you identify who has cited whom, particularly scholars from outside of your discipline. Here again, if the same authors are being cited again and again, this may indicate no new literature has been written on the topic.

Onwuegbuzie, Anthony J. and Rebecca Frels. Seven Steps to a Comprehensive Literature Review: A Multimodal and Cultural Approach . Los Angeles, CA: Sage, 2016; Sutton, Anthea. Systematic Approaches to a Successful Literature Review . Los Angeles, CA: Sage Publications, 2016.

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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
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  • Steps in Conducting a Literature Review

What is a literature review?

A literature review is an integrated analysis -- not just a summary-- of scholarly writings and other relevant evidence related directly to your research question.  That is, it represents a synthesis of the evidence that provides background information on your topic and shows a association between the evidence and your research question.

A literature review may be a stand alone work or the introduction to a larger research paper, depending on the assignment.  Rely heavily on the guidelines your instructor has given you.

Why is it important?

A literature review is important because it:

  • Explains the background of research on a topic.
  • Demonstrates why a topic is significant to a subject area.
  • Discovers relationships between research studies/ideas.
  • Identifies major themes, concepts, and researchers on a topic.
  • Identifies critical gaps and points of disagreement.
  • Discusses further research questions that logically come out of the previous studies.

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1. Choose a topic. Define your research question.

Your literature review should be guided by your central research question.  The literature represents background and research developments related to a specific research question, interpreted and analyzed by you in a synthesized way.

  • Make sure your research question is not too broad or too narrow.  Is it manageable?
  • Begin writing down terms that are related to your question. These will be useful for searches later.
  • If you have the opportunity, discuss your topic with your professor and your class mates.

2. Decide on the scope of your review

How many studies do you need to look at? How comprehensive should it be? How many years should it cover? 

  • This may depend on your assignment.  How many sources does the assignment require?

3. Select the databases you will use to conduct your searches.

Make a list of the databases you will search. 

Where to find databases:

  • use the tabs on this guide
  • Find other databases in the Nursing Information Resources web page
  • More on the Medical Library web page
  • ... and more on the Yale University Library web page

4. Conduct your searches to find the evidence. Keep track of your searches.

  • Use the key words in your question, as well as synonyms for those words, as terms in your search. Use the database tutorials for help.
  • Save the searches in the databases. This saves time when you want to redo, or modify, the searches. It is also helpful to use as a guide is the searches are not finding any useful results.
  • Review the abstracts of research studies carefully. This will save you time.
  • Use the bibliographies and references of research studies you find to locate others.
  • Check with your professor, or a subject expert in the field, if you are missing any key works in the field.
  • Ask your librarian for help at any time.
  • Use a citation manager, such as EndNote as the repository for your citations. See the EndNote tutorials for help.

Review the literature

Some questions to help you analyze the research:

  • What was the research question of the study you are reviewing? What were the authors trying to discover?
  • Was the research funded by a source that could influence the findings?
  • What were the research methodologies? Analyze its literature review, the samples and variables used, the results, and the conclusions.
  • Does the research seem to be complete? Could it have been conducted more soundly? What further questions does it raise?
  • If there are conflicting studies, why do you think that is?
  • How are the authors viewed in the field? Has this study been cited? If so, how has it been analyzed?

Tips: 

  • Review the abstracts carefully.  
  • Keep careful notes so that you may track your thought processes during the research process.
  • Create a matrix of the studies for easy analysis, and synthesis, across all of the studies.
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Research Methods

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  • Literature Review Research
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  • SAGE Research Methods
  • Teaching with SAGE Research Methods

Literature Review

  • What is a Literature Review?
  • What is NOT a Literature Review?
  • Purposes of a Literature Review
  • Types of Literature Reviews
  • Literature Reviews vs. Systematic Reviews
  • Systematic vs. Meta-Analysis

Literature Review  is a comprehensive survey of the works published in a particular field of study or line of research, usually over a specific period of time, in the form of an in-depth, critical bibliographic essay or annotated list in which attention is drawn to the most significant works.

Also, we can define a literature review as the collected body of scholarly works related to a topic:

  • Summarizes and analyzes previous research relevant to a topic
  • Includes scholarly books and articles published in academic journals
  • Can be an specific scholarly paper or a section in a research paper

The objective of a Literature Review is to find previous published scholarly works relevant to an specific topic

  • Help gather ideas or information
  • Keep up to date in current trends and findings
  • Help develop new questions

A literature review is important because it:

  • Explains the background of research on a topic.
  • Demonstrates why a topic is significant to a subject area.
  • Helps focus your own research questions or problems
  • Discovers relationships between research studies/ideas.
  • Suggests unexplored ideas or populations
  • Identifies major themes, concepts, and researchers on a topic.
  • Tests assumptions; may help counter preconceived ideas and remove unconscious bias.
  • Identifies critical gaps, points of disagreement, or potentially flawed methodology or theoretical approaches.
  • Indicates potential directions for future research.

All content in this section is from Literature Review Research from Old Dominion University 

Keep in mind the following, a literature review is NOT:

Not an essay 

Not an annotated bibliography  in which you summarize each article that you have reviewed.  A literature review goes beyond basic summarizing to focus on the critical analysis of the reviewed works and their relationship to your research question.

Not a research paper   where you select resources to support one side of an issue versus another.  A lit review should explain and consider all sides of an argument in order to avoid bias, and areas of agreement and disagreement should be highlighted.

A literature review serves several purposes. For example, it

  • provides thorough knowledge of previous studies; introduces seminal works.
  • helps focus one’s own research topic.
  • identifies a conceptual framework for one’s own research questions or problems; indicates potential directions for future research.
  • suggests previously unused or underused methodologies, designs, quantitative and qualitative strategies.
  • identifies gaps in previous studies; identifies flawed methodologies and/or theoretical approaches; avoids replication of mistakes.
  • helps the researcher avoid repetition of earlier research.
  • suggests unexplored populations.
  • determines whether past studies agree or disagree; identifies controversy in the literature.
  • tests assumptions; may help counter preconceived ideas and remove unconscious bias.

As Kennedy (2007) notes*, it is important to think of knowledge in a given field as consisting of three layers. First, there are the primary studies that researchers conduct and publish. Second are the reviews of those studies that summarize and offer new interpretations built from and often extending beyond the original studies. Third, there are the perceptions, conclusions, opinion, and interpretations that are shared informally that become part of the lore of field. In composing a literature review, it is important to note that it is often this third layer of knowledge that is cited as "true" even though it often has only a loose relationship to the primary studies and secondary literature reviews.

Given this, while literature reviews are designed to provide an overview and synthesis of pertinent sources you have explored, there are several approaches to how they can be done, depending upon the type of analysis underpinning your study. Listed below are definitions of types of literature reviews:

Argumentative Review      This form examines literature selectively in order to support or refute an argument, deeply imbedded assumption, or philosophical problem already established in the literature. The purpose is to develop a body of literature that establishes a contrarian viewpoint. Given the value-laden nature of some social science research [e.g., educational reform; immigration control], argumentative approaches to analyzing the literature can be a legitimate and important form of discourse. However, note that they can also introduce problems of bias when they are used to to make summary claims of the sort found in systematic reviews.

Integrative Review      Considered a form of research that reviews, critiques, and synthesizes representative literature on a topic in an integrated way such that new frameworks and perspectives on the topic are generated. The body of literature includes all studies that address related or identical hypotheses. A well-done integrative review meets the same standards as primary research in regard to clarity, rigor, and replication.

Historical Review      Few things rest in isolation from historical precedent. Historical reviews are focused on examining research throughout a period of time, often starting with the first time an issue, concept, theory, phenomena 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 to identify the likely directions for future research.

Methodological Review      A review does not always focus on what someone said [content], but how they said it [method of analysis]. This approach provides a framework of understanding at different levels (i.e. those of theory, substantive fields, research approaches and data collection and analysis techniques), enables researchers to draw on a wide variety of knowledge ranging from the conceptual level to practical documents for use in fieldwork in the areas of ontological and epistemological consideration, quantitative and qualitative integration, sampling, interviewing, data collection and data analysis, and helps highlight many ethical issues which we should be aware of and consider as we go through our study.

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 to collect, report, and analyse data from the studies that are included in the review. Typically it focuses on a very specific empirical question, often posed in a cause-and-effect form, such as "To what extent does A contribute to B?"

Theoretical Review      The purpose of this form is to concretely examine the corpus of theory that has accumulated in regard to an issue, concept, theory, phenomena. The theoretical literature review help establish what theories already exist, the relationships between them, to what degree the existing theories have been investigated, and to develop new hypotheses to be tested. Often this form is used to help establish a lack of appropriate theories or reveal that current theories are inadequate for explaining new or emerging research problems. The unit of analysis can focus on a theoretical concept or a whole theory or framework.

* Kennedy, Mary M. "Defining a Literature."  Educational Researcher  36 (April 2007): 139-147.

All content in this section is from The Literature Review created by Dr. Robert Larabee USC

Robinson, P. and Lowe, J. (2015),  Literature reviews vs systematic reviews.  Australian and New Zealand Journal of Public Health, 39: 103-103. doi: 10.1111/1753-6405.12393

advantages of literature review in research

What's in the name? The difference between a Systematic Review and a Literature Review, and why it matters . By Lynn Kysh from University of Southern California

advantages of literature review in research

Systematic review or meta-analysis?

A  systematic review  answers a defined research question by collecting and summarizing all empirical evidence that fits pre-specified eligibility criteria.

A  meta-analysis  is the use of statistical methods to summarize the results of these studies.

Systematic reviews, just like other research articles, can be of varying quality. They are a significant piece of work (the Centre for Reviews and Dissemination at York estimates that a team will take 9-24 months), and to be useful to other researchers and practitioners they should have:

  • clearly stated objectives with pre-defined eligibility criteria for studies
  • explicit, reproducible methodology
  • a systematic search that attempts to identify all studies
  • assessment of the validity of the findings of the included studies (e.g. risk of bias)
  • systematic presentation, and synthesis, of the characteristics and findings of the included studies

Not all systematic reviews contain meta-analysis. 

Meta-analysis is the use of 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 of health care than those derived from the individual studies included within a review.  More information on meta-analyses can be found in  Cochrane Handbook, Chapter 9 .

A meta-analysis goes beyond critique and integration and conducts secondary statistical analysis on the outcomes of similar studies.  It is a systematic review that uses quantitative methods to synthesize and summarize the results.

An advantage of a meta-analysis is the ability to be completely objective in evaluating research findings.  Not all topics, however, have sufficient research evidence to allow a meta-analysis to be conducted.  In that case, an integrative review is an appropriate strategy. 

Some of the content in this section is from Systematic reviews and meta-analyses: step by step guide created by Kate McAllister.

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How to Write a Literature Review

What is a literature review.

  • What Is the Literature
  • Writing the Review

A literature review is much more than an annotated bibliography or a list of separate reviews of articles and books. It is a critical, analytical summary and synthesis of the current knowledge of a topic. Thus it should compare and relate different theories, findings, etc, rather than just summarize them individually. In addition, it should have a particular focus or theme to organize the review. It does not have to be an exhaustive account of everything published on the topic, but it should discuss all the significant academic literature and other relevant sources important for that focus.

This is meant to be a general guide to writing a literature review: ways to structure one, what to include, how it supplements other research. For more specific help on writing a review, and especially for help on finding the literature to review, sign up for a Personal Research Session .

The specific organization of a literature review depends on the type and purpose of the review, as well as on the specific field or topic being reviewed. But in general, it is a relatively brief but thorough exploration of past and current work on a topic. Rather than a chronological listing of previous work, though, literature reviews are usually organized thematically, such as different theoretical approaches, methodologies, or specific issues or concepts involved in the topic. A thematic organization makes it much easier to examine contrasting perspectives, theoretical approaches, methodologies, findings, etc, and to analyze the strengths and weaknesses of, and point out any gaps in, previous research. And this is the heart of what a literature review is about. A literature review may offer new interpretations, theoretical approaches, or other ideas; if it is part of a research proposal or report it should demonstrate the relationship of the proposed or reported research to others' work; but whatever else it does, it must provide a critical overview of the current state of research efforts. 

Literature reviews are common and very important in the sciences and social sciences. They are less common and have a less important role in the humanities, but they do have a place, especially stand-alone reviews.

Types of Literature Reviews

There are different types of literature reviews, and different purposes for writing a review, but the most common are:

  • Stand-alone literature review articles . These provide an overview and analysis of the current state of research on a topic or question. The goal is to evaluate and compare previous research on a topic to provide an analysis of what is currently known, and also to reveal controversies, weaknesses, and gaps in current work, thus pointing to directions for future research. You can find examples published in any number of academic journals, but there is a series of Annual Reviews of *Subject* which are specifically devoted to literature review articles. Writing a stand-alone review is often an effective way to get a good handle on a topic and to develop ideas for your own research program. For example, contrasting theoretical approaches or conflicting interpretations of findings can be the basis of your research project: can you find evidence supporting one interpretation against another, or can you propose an alternative interpretation that overcomes their limitations?
  • Part of a research proposal . This could be a proposal for a PhD dissertation, a senior thesis, or a class project. It could also be a submission for a grant. The literature review, by pointing out the current issues and questions concerning a topic, is a crucial part of demonstrating how your proposed research will contribute to the field, and thus of convincing your thesis committee to allow you to pursue the topic of your interest or a funding agency to pay for your research efforts.
  • Part of a research report . When you finish your research and write your thesis or paper to present your findings, it should include a literature review to provide the context to which your work is a contribution. Your report, in addition to detailing the methods, results, etc. of your research, should show how your work relates to others' work.

A literature review for a research report is often a revision of the review for a research proposal, which can be a revision of a stand-alone review. Each revision should be a fairly extensive revision. With the increased knowledge of and experience in the topic as you proceed, your understanding of the topic will increase. Thus, you will be in a better position to analyze and critique the literature. In addition, your focus will change as you proceed in your research. Some areas of the literature you initially reviewed will be marginal or irrelevant for your eventual research, and you will need to explore other areas more thoroughly. 

Examples of Literature Reviews

See the series of Annual Reviews of *Subject* which are specifically devoted to literature review articles to find many examples of stand-alone literature reviews in the biomedical, physical, and social sciences. 

Research report articles vary in how they are organized, but a common general structure is to have sections such as:

  • Abstract - Brief summary of the contents of the article
  • Introduction - A explanation of the purpose of the study, a statement of the research question(s) the study intends to address
  • Literature review - A critical assessment of the work done so far on this topic, to show how the current study relates to what has already been done
  • Methods - How the study was carried out (e.g. instruments or equipment, procedures, methods to gather and analyze data)
  • Results - What was found in the course of the study
  • Discussion - What do the results mean
  • Conclusion - State the conclusions and implications of the results, and discuss how it relates to the work reviewed in the literature review; also, point to directions for further work in the area

Here are some articles that illustrate variations on this theme. There is no need to read the entire articles (unless the contents interest you); just quickly browse through to see the sections, and see how each section is introduced and what is contained in them.

The Determinants of Undergraduate Grade Point Average: The Relative Importance of Family Background, High School Resources, and Peer Group Effects , in The Journal of Human Resources , v. 34 no. 2 (Spring 1999), p. 268-293.

This article has a standard breakdown of sections:

  • Introduction
  • Literature Review
  • Some discussion sections

First Encounters of the Bureaucratic Kind: Early Freshman Experiences with a Campus Bureaucracy , in The Journal of Higher Education , v. 67 no. 6 (Nov-Dec 1996), p. 660-691.

This one does not have a section specifically labeled as a "literature review" or "review of the literature," but the first few sections cite a long list of other sources discussing previous research in the area before the authors present their own study they are reporting.

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Literature Review: What is a Literature Review?

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A literature review is an in-depth critical analysis of published scholarly research related to a specific topic. Published scholarly research (the "literature") may include journal articles, books, book chapters, dissertations and thesis, or conference proceedings. 

A solid lit review must:

  • be organized around and related directly to the thesis or research question you're developing
  • synthesize results into a summary of what is and is not known
  • identify areas of controversy in the literature
  • formulate questions that need further research

Why Conduct a Literature Review?

  • to distinguish what has been done from what needs to be done
  • to discover important variables relevant to the topic
  • to synthesize and gain new perspective
  • to identify relationships between ideas and practices
  • to establish the context of the topic
  • to rationalize the significance of the problem
  • to enhance and acquire subject vocabulary
  • to understand the structure of the subject
  • tp relate ideas and theory to applications
  • to identify main methodologies and research techniques that have been used
  • to place research in a historical context to show familiarity with state-of-art development

Questions to Consider

  • What is the overarching question or problem your literature review seeks to address?
  • How much familiarity do you already have with the field? Are you already familiar with common methodologies or professional vocabularies?
  • What types of strategies or questions have others in your field pursued?
  • How will you synthesize or summarize the information you gather?
  • What do you or others perceive to be lacking in your field?
  • Is your topic broad? How could it be narrowed?
  • Can you articulate why your topic is important in your field?
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Reviewing literature for research: Doing it the right way

Shital amin poojary.

Department of Dermatology, K J Somaiya Medical College, Mumbai, Maharashtra, India

Jimish Deepak Bagadia

In an era of information overload, it is important to know how to obtain the required information and also to ensure that it is reliable information. Hence, it is essential to understand how to perform a systematic literature search. This article focuses on reliable literature sources and how to make optimum use of these in dermatology and venereology.

INTRODUCTION

A thorough review of literature is not only essential for selecting research topics, but also enables the right applicability of a research project. Most importantly, a good literature search is the cornerstone of practice of evidence based medicine. Today, everything is available at the click of a mouse or at the tip of the fingertips (or the stylus). Google is often the Go-To search website, the supposed answer to all questions in the universe. However, the deluge of information available comes with its own set of problems; how much of it is actually reliable information? How much are the search results that the search string threw up actually relevant? Did we actually find what we were looking for? Lack of a systematic approach can lead to a literature review ending up as a time-consuming and at times frustrating process. Hence, whether it is for research projects, theses/dissertations, case studies/reports or mere wish to obtain information; knowing where to look, and more importantly, how to look, is of prime importance today.

Literature search

Fink has defined research literature review as a “systematic, explicit and reproducible method for identifying, evaluating, and synthesizing the existing body of completed and recorded work produced by researchers, scholars and practitioners.”[ 1 ]

Review of research literature can be summarized into a seven step process: (i) Selecting research questions/purpose of the literature review (ii) Selecting your sources (iii) Choosing search terms (iv) Running your search (v) Applying practical screening criteria (vi) Applying methodological screening criteria/quality appraisal (vii) Synthesizing the results.[ 1 ]

This article will primarily concentrate on refining techniques of literature search.

Sources for literature search are enumerated in Table 1 .

Sources for literature search

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PubMed is currently the most widely used among these as it contains over 23 million citations for biomedical literature and has been made available free by National Center for Biotechnology Information (NCBI), U.S. National Library of Medicine. However, the availability of free full text articles depends on the sources. Use of options such as advanced search, medical subject headings (MeSH) terms, free full text, PubMed tutorials, and single citation matcher makes the database extremely user-friendly [ Figure 1 ]. It can also be accessed on the go through mobiles using “PubMed Mobile.” One can also create own account in NCBI to save searches and to use certain PubMed tools.

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PubMed home page showing location of different tools which can be used for an efficient literature search

Tips for efficient use of PubMed search:[ 2 , 3 , 4 ]

Use of field and Boolean operators

When one searches using key words, all articles containing the words show up, many of which may not be related to the topic. Hence, the use of operators while searching makes the search more specific and less cumbersome. Operators are of two types: Field operators and Boolean operators, the latter enabling us to combine more than one concept, thereby making the search highly accurate. A few key operators that can be used in PubMed are shown in Tables ​ Tables2 2 and ​ and3 3 and illustrated in Figures ​ Figures2 2 and ​ and3 3 .

Field operators used in PubMed search

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Boolean operators used in PubMed search

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PubMed search results page showing articles on donovanosis using the field operator [TIAB]; it shows all articles which have the keyword “donovanosis” in either title or abstract of the article

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PubMed search using Boolean operators ‘AND’, ‘NOT’; To search for articles on treatment of lepra reaction other than steroids, after clicking the option ‘Advanced search’ on the home page, one can build the search using ‘AND’ option for treatment and ‘NOT’ option for steroids to omit articles on steroid treatment in lepra reaction

Use of medical subject headings terms

These are very specific and standardized terms used by indexers to describe every article in PubMed and are added to the record of every article. A search using MeSH will show all articles about the topic (or keywords), but will not show articles only containing these keywords (these articles may be about an entirely different topic, but still may contain your keywords in another context in any part of the article). This will make your search more specific. Within the topic, specific subheadings can be added to the search builder to refine your search [ Figure 4 ]. For example, MeSH terms for treatment are therapy and therapeutics.

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PubMed search using medical subject headings (MeSH) terms for management of gonorrhea. Click on MeSH database ( Figure 1 ) →In the MeSH search box type gonorrhea and click search. Under the MeSH term gonorrhea, there will be a list of subheadings; therapy, prevention and control, click the relevant check boxes and add to search builder →Click on search →All articles on therapy, prevention and control of gonorrhea will be displayed. Below the subheadings, there are two options: (1) Restrict to medical subject headings (MeSH) major topic and (2) do not include MeSH terms found below this term in the MeSH hierarchy. These can be used to further refine the search results so that only articles which are majorly about treatment of gonorrhea will be displayed

Two additional options can be used to further refine MeSH searches. These are located below the subheadings for a MeSH term: (1) Restrict to MeSH major topic; checking this box will retrieve articles which are majorly about the search term and are therefore, more focused and (2) Do not include MeSH terms found below this term in the MeSH hierarchy. This option will again give you more focused articles as it excludes the lower specific terms [ Figure 4 ].

Similar feature is available with Cochrane library (also called MeSH), EMBASE (known as EMTREE) and PsycINFO (Thesaurus of Psychological Index Terms).

Saving your searches

Any search that one has performed can be saved by using the ‘Send to’ option and can be saved as a simple word file [ Figure 5 ]. Alternatively, the ‘Save Search’ button (just below the search box) can be used. However, it is essential to set up an NCBI account and log in to NCBI for this. One can even choose to have E-mail updates of new articles in the topic of interest.

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Saving PubMed searches. A simple option is to click on the dropdown box next to ‘Send to’ option and then choose among the options. It can be saved as a text or word file by choosing ‘File’ option. Another option is the “Save search” option below the search box but this will require logging into your National Center for Biotechnology Information account. This however allows you to set up alerts for E-mail updates for new articles

Single citation matcher

This is another important tool that helps to find the genuine original source of a particular research work (when few details are known about the title/author/publication date/place/journal) and cite the reference in the most correct manner [ Figure 6 ].

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Single citation matcher: Click on “Single citation matcher” on PubMed Home page. Type available details of the required reference in the boxes to get the required citation

Full text articles

In any search clicking on the link “free full text” (if present) gives you free access to the article. In some instances, though the published article may not be available free, the author manuscript may be available free of charge. Furthermore, PubMed Central articles are available free of charge.

Managing filters

Filters can be used to refine a search according to type of article required or subjects of research. One can specify the type of article required such as clinical trial, reviews, free full text; these options are available on a typical search results page. Further specialized filters are available under “manage filters:” e.g., articles confined to certain age groups (properties option), “Links” to other databases, article specific to particular journals, etc. However, one needs to have an NCBI account and log in to access this option [ Figure 7 ].

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Managing filters. Simple filters are available on the ‘search results’ page. One can choose type of article, e.g., clinical trial, reviews etc. Further options are available in the “Manage filters” option, but this requires logging into National Center for Biotechnology Information account

The Cochrane library

Although reviews are available in PubMed, for systematic reviews and meta-analysis, Cochrane library is a much better resource. The Cochrane library is a collection of full length systematic reviews, which can be accessed for free in India, thanks to Indian Council of Medical Research renewing the license up to 2016, benefitting users all over India. It is immensely helpful in finding detailed high quality research work done in a particular field/topic [ Figure 8 ].

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Cochrane library is a useful resource for reliable, systematic reviews. One can choose the type of reviews required, including trials

An important tool that must be used while searching for research work is screening. Screening helps to improve the accuracy of search results. It is of two types: (1) Practical: To identify a broad range of potentially useful studies. Examples: Date of publication (last 5 years only; gives you most recent updates), participants or subjects (humans above 18 years), publication language (English only) (2) methodological: To identify best available studies (for example, excluding studies not involving control group or studies with only randomized control trials).

Selecting the right quality of literature is the key to successful research literature review. The quality can be estimated by what is known as “The Evidence Pyramid.” The level of evidence of references obtained from the aforementioned search tools are depicted in Figure 9 . Systematic reviews obtained from Cochrane library constitute level 1 evidence.

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Evidence pyramid: Depicting the level of evidence of references obtained from the aforementioned search tools

Thus, a systematic literature review can help not only in setting up the basis of a good research with optimal use of available information, but also in practice of evidence-based medicine.

Source of Support: Nil.

Conflict of Interest: None declared.

Literature reviews as independent studies: guidelines for academic practice

  • Original Paper
  • Open access
  • Published: 14 October 2022
  • Volume 16 , pages 2577–2595, ( 2022 )

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  • Sascha Kraus   ORCID: orcid.org/0000-0003-4886-7482 1 , 2 ,
  • Matthias Breier 3 ,
  • Weng Marc Lim 4 , 8 , 22 ,
  • Marina Dabić 5 , 6 ,
  • Satish Kumar 7 , 8 ,
  • Dominik Kanbach 9 , 10 ,
  • Debmalya Mukherjee 11 ,
  • Vincenzo Corvello 12 ,
  • Juan Piñeiro-Chousa 13 ,
  • Eric Liguori 14 ,
  • Daniel Palacios-Marqués 15 ,
  • Francesco Schiavone 16 , 17 ,
  • Alberto Ferraris 18 , 21 ,
  • Cristina Fernandes 19 , 20 &
  • João J. Ferreira 19  

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Review articles or literature reviews are a critical part of scientific research. While numerous guides on literature reviews exist, these are often limited to the philosophy of review procedures, protocols, and nomenclatures, triggering non-parsimonious reporting and confusion due to overlapping similarities. To address the aforementioned limitations, we adopt a pragmatic approach to demystify and shape the academic practice of conducting literature reviews. We concentrate on the types, focuses, considerations, methods, and contributions of literature reviews as independent, standalone studies. As such, our article serves as an overview that scholars can rely upon to navigate the fundamental elements of literature reviews as standalone and independent studies, without getting entangled in the complexities of review procedures, protocols, and nomenclatures.

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1 Introduction

A literature review – or a review article – is “a study that analyzes and synthesizes an existing body of literature by identifying, challenging, and advancing the building blocks of a theory through an examination of a body (or several bodies) of prior work (Post et al. 2020 , p. 352). Literature reviews as standalone pieces of work may allow researchers to enhance their understanding of prior work in their field, enabling them to more easily identify gaps in the body of literature and potential avenues for future research. More importantly, review articles may challenge established assumptions and norms of a given field or topic, recognize critical problems and factual errors, and stimulate future scientific conversations around that topic. Literature reviews Footnote 1 come in many different formats and purposes:

Some review articles conduct a critical evaluation of the literature, whereas others elect to adopt a more exploratory and descriptive approach.

Some reviews examine data, methodologies, and findings, whereas others look at constructs, themes, and theories.

Some reviews provide summaries by holistically synthesizing the existing research on a topic, whereas others adopt an integrative approach by assessing related and interdisciplinary work.

The number of review articles published as independent or standalone studies has been increasing over time. According to Scopus (i.e., search database ), reviews (i.e., document type ) were first published in journals (i.e., source type ) as independent studies in 1945, and they subsequently appeared in three digits yearly from the late 1980s to the late 1990s, four digits yearly from the early 2000s to the late 2010s, and five digits in the year 2021 (Fig.  1 ). This increase is indicative that reviewers and editors in business and management research alike see value and purpose in review articles to such a level that they are now commonly accepted as independent, standalone studies. This development is also reflected in the fact that some academic journals exclusively publish review articles (e.g., the Academy of Management Annals , or the  International Journal of Management Reviews ), and journals publishing in various fields often have special issues dedicated to literature reviews on certain topic areas (e.g., the Journal of Management and the Journal of International Business Studies ).

figure 1

Full-year publication trend of review articles on Scopus (1945–2021)

One of the most important prerequisites of a high-quality review article is that the work follows an established methodology, systematically selects and analyzes articles, and periodically covers the field to identify latest developments (Snyder 2019 ). Additionally, it needs to be reproducible, well-evidenced, and transparent, resulting in a sample inclusive of all relevant and appropriate studies (Gusenbauer and Haddaway 2020; Hansen et al. 2021 ). This observation is in line with Palmatier et al. ( 2018 ), who state that review articles provide an important synthesis of findings and perspectives in a given body of knowledge. Snyder ( 2019 ) also reaffirmed this rationale, pointing out that review articles have the power to answer research questions beyond that which can be achieved in a single study. Ultimately, readers of review articles stand to gain a one-stop, state-of-the-art synthesis (Lim et al. 2022a ; Popli et al. 2022) that encapsulates critical insights through the process of re-interpreting, re-organizing, and re-connecting a body knowledge (Fan et al. 2022 ).

There are many reasons to conduct review articles. Kraus et al. ( 2020 ) explicitly mention the benefits of conducting systematic reviews by declaring that they often represent the first step in the context of larger research projects, such as doctoral dissertations. When carrying out work of this kind, it is important that a holistic overview of the current state of literature is achieved and embedded into a proper synthesis. This allows researchers to pinpoint relevant research gaps and adequately fit future conceptual or empirical studies into the state of the academic discussion (Kraus et al., 2021 ). A review article as an independent or standalone study is a viable option for any academic – especially young scholars, such as doctoral candidates – who wishes to delve into a specific topic for which a (recent) review article is not available.

The process of conducting a review article can be challenging, especially for novice scholars (Boell and Cecez-Kecmanovic 2015 ). Therefore, it is not surprising that numerous guides have been written in an attempt to improve the quality of review studies and support emerging scholars in their endeavors to have their work published. These guides for conducting review articles span a variety of academic fields, such as engineering education (Borrego et al. 2014 ), health sciences (Cajal et al. 2020 ), psychology (Laher and Hassem 2020 ), supply chain management (Durach et al. 2017 ), or business and entrepreneurship (Kraus et al. 2020 ; Tranfield et al. 2003 ) – the latter were among the first scholars to recognize the need to educate business/management scholars on the roles of review studies in assembling, ascertaining, and assessing the intellectual territory of a specific knowledge domain. Furthermore, they shed light on the stages (i.e., planning the review, conducting the review, reporting, and dissemination) and phases (i.e., identifying the need for a review, preparation of a proposal for a review, development of a review protocol, identification of research, selection of studies, study quality assessment, data extraction and monitoring progress, data synthesis, the report and recommendations, and getting evidence into practice) of conducting a systematic review. Other scholars have either adapted and/or developed new procedures (Kraus et al. 2020 ; Snyder 2019 ) or established review protocols such as the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) flow diagram (Moher et al. 2015 ). The latter provides a checklist that improves transparency and reproducibility, thus reducing questionable research practices. The declarative and procedural knowledge of a checklist allows users to derive value from (and, in some cases, produce) methodological literature reviews.

Two distinct and critical gaps or issues provide impetus for our article. First, while the endeavors of the named scholars are undoubtedly valuable contributions, they often encourage other scholars to explain the methodology of their review studies in a non-parsimonious way ( 1st issue ). This can become problematic if this information distracts and deprives scholars from providing richer review findings, particularly in instances in which publication outlets impose a strict page and/or word limit. More often than not, the early parts (i.e., stages/phases, such as needs, aims, and scope) of these procedures or protocols are explained in the introduction, but they tend to be reiterated in the methodology section due to the prescription of these procedures or protocols. Other parts of these procedures or protocols could also be reported more parsimoniously, for example, by filtering out documents, given that scientific databases (such as Scopus or Web of Science ) have since been upgraded to allow scholars to select and implement filtering criteria when conducting a search (i.e., criterion-by-criterion filtering may no longer be necessary). More often than not, the procedures or protocols of review studies can be signposted (e.g., bracket labeling) and disclosed in a sharp and succinct manner while maintaining transparency and replicability.

Other guides have been written to introduce review nomenclatures (i.e., names/naming) and their equivalent philosophical underpinnings. Palmatier et al. ( 2018 ) introduced three clearly but broadly defined nomenclatures of literature reviews as independent studies: domain-based reviews, theory-based reviews, and method-based reviews. However, such review nomenclatures can be confusing due to their overlapping similarities ( 2nd issue ). For example, Lim et al. ( 2022a ) highlighted their observation that the review nomenclatures associated with domain-based reviews could also be used for theory-based and method-based reviews.

The two aforementioned issues – i.e., the lack of a parsimonious understanding and the reporting of the review methodology , and the confusion emerging from review nomenclatures – are inarguably the unintended outcomes of diving into an advanced (i.e., higher level) understanding of literature review procedures, protocols, and nomenclatures from a philosophical perspective (i.e., underpinnings) without a foundational (i.e., basic level) understanding of the fundamental (i.e., core) elements of literature reviews from a pragmatic perspective. Our article aims to shed light on these issues and hopes to provide clarity for future scholarly endeavors.

Having a foundational understanding of literature reviews as independent studies is (i) necessary when addressing the aforementioned issues; (ii) important in reconciling and scaffolding our understanding, and (iii) relevant and timely due to the proliferation of literature reviews as independent studies. To contribute a solution toward addressing this gap , we aim to demystify review articles as independent studies from a pragmatic standpoint (i.e., practicality). To do so, we deliberately (i) move away from review procedures, protocols, and nomenclatures, and (ii) invest our attention in developing a parsimonious, scaffolded understanding of the fundamental elements (i.e., types, focuses, considerations, methods, and contributions) of review articles as independent studies.

Three contributions distinguish our article. It is worth noting that pragmatic guides (i.e., foundational knowledge), such as the present one, are not at odds with extant philosophical guides (i.e., advanced knowledge), but rather they complement them. Having a foundational knowledge of the fundamental elements of literature reviews as independent studies is valuable , as it can help scholars to (i) gain a good grasp of the fundamental elements of literature reviews as independent studies ( 1st contribution ), and (ii) mindfully adopt or adapt existing review procedures, protocols, and nomenclatures to better suit the circumstances of their reviews (e.g., choosing and developing a well-defined review nomenclature, and choosing and reporting on review considerations and steps more parsimoniously) ( 2nd contribution ). Therefore, this pragmatic guide serves as (iii) a foundational article (i.e., preparatory understanding) for literature reviews as independent studies ( 3rd contribution ). Following this, extant guides using a philosophical approach (i.e., advanced understanding) could be relied upon to make informed review decisions (e.g., adoption, adaptation) in response to the conventions of extant review procedures, protocols, and nomenclatures (Fig.  2 ).

figure 2

Foundational and advanced understanding of literature reviews as independent studies

2 Fundamental elements of literature reviews as independent studies

A foundational understanding of literature reviews as independent studies can be acquired through the appreciation of five fundamental elements – i.e., types, focuses, considerations, methods, and contributions – which are illustrated in Fig.  3 and summarized in the following sections.

figure 3

Fundamental elements of literature reviews as independent studies

There are two types of literature reviews as independent studies: systematic literature reviews ( SLRs ) and non-systematic literature reviews ( non-SLRs ). It is important to recognize that SLRs and non-SLRs are not review nomenclatures (i.e., names/naming) but rather review types (i.e., classifications).

In particular, SLRs are reviews carried out in a systematic way using an adopted or adapted procedure or protocol to guide data curation and analysis, thus enabling transparent disclosure and replicability (Lim et al. 2022a ; Kraus et al. 2020 ). Therefore, any review nomenclature guided by a systematic methodology is essentially an SLR. The origin of this type of literature review can be traced back to the evidence-based medicine movement in the early 1990s, with the objective being to overcome the issue of inconclusive findings in studies for medical treatments (Boell and Cecez-Kecmanovic 2015 ).

In contrast, non-SLRs are reviews conducted without any systematic procedure or protocol; instead, they weave together relevant literature based on the critical evaluations and (subjective) choices of the author(s) through a process of discovery and critique (e.g., pointing out contradictions and questioning assertions or beliefs); they are shaped by the exposure, expertise, and experience (i.e., the “3Es” in judgement calls) of the author(s). Therefore, non-SLRs are essentially critical reviews of the literature (Lim and Weissmann 2021 ).

2.2 Focuses

Unlike Palmatier et al. ( 2018 ) who considered domain-based reviews, theory-based reviews, and method-based reviews as review nomenclatures, we consider domain , theory , and method as three substantive focuses that can take center stage in literature reviews as independent studies. This is in line with our attempt to move away from review nomenclatures when providing a foundational understanding of literature reviews as independent studies.

A review that is domain-focused can examine: (i) a  concept (e.g., customer engagement; Lim et al. 2022b ; digital transformation; Kraus et al. 2021 ; home sharing; Lim et al. 2021 ; sharing economy; Lim 2020 ), (ii) a context (e.g., India; Mukherjee et al. 2022a ), (iii) a discipline (e.g., entrepreneurship; Ferreira et al. 2015 ; international business; Ghauri et al. 2021 ), (iv) a field (e.g., family business; Lahiri et al. 2020 ; Rovelli et al. 2021 ; female entrepreneurship; Ojong et al. 2021 ), or (v) an outlet (e.g., Journal of Business Research ; Donthu et al. 2020 ; Management International Review ; Mukherjee et al. 2021 ; Review of Managerial Science ; Mas-Tur et al. 2020 ), which typically offer broad, overarching insights.

Domain-focused hybrids , such as the between-domain hybrid (e.g., concept-discipline hybrid, such as digital transformation in business and management; Kraus et al. 2022 ; religion in business and entrepreneurship; Kumar et al. 2022a ; personality traits in entrepreneurship; Salmony and Kanbach 2022 ; and policy implications in HR and OB research; Aguinis et al., 2022 ) and the within-domain hybrid (e.g., the concept-concept hybrid, such as customer engagement and social media; Lim and Rasul 2022 ; and global business and organizational excellence; Lim 2022 ; and the discipline-discipline hybrid, such as neuromarketing; Lim 2018 ) are also common as they can provide finer-grained insights.

A review that is theory-focused can explore a standalone theory (e.g., theory of planned behavior; Duan and Jiang 2008 ), as well as a theory in conjunction with a domain , such as the concept-theory hybrid (e.g., behavioral control and theory of planned behavior; Lim and Weissmann 2021 ) and the theory-discipline hybrid (e.g., theory of planned behavior in hospitality, leisure, and tourism; Ulker-Demirel and Ciftci 2020 ), or a theory in conjunction with a method (e.g., theory of planned behavior and structural equation modeling).

A review that is method-focused can investigate a standalone method (e.g., structural equation modeling; Deng et al. 2018 ) or a method in conjunction with a domain , such as the method-discipline hybrid (e.g., fsQCA in business and management; Kumar et al. 2022b ).

2.3 Planning the review, critical considerations, and data collection

The considerations required for literature reviews as independent studies depend on their type: SLRs or non-SLRs.

For non-SLRs, scholars often rely on the 3Es (i.e., exposure, expertise, and experience) to provide a critical review of the literature. Scholars who embark on non-SLRs should be well versed with the literature they are dealing with. They should know the state of the literature (e.g., debatable, underexplored, and well-established knowledge areas) and how it needs to be deciphered (e.g., tenets and issues) and approached (e.g., reconciliation proposals and new pathways) to advance theory and practice. In this regard, non-SLRs follow a deductive reasoning approach, whereby scholars initially develop a set of coverage areas for reviewing a domain, theory, or method and subsequently draw on relevant literature to shed light and support scholarly contentions in each area.

For SLRs, scholars often rely on a set of criteria to provide a well-scoped (i.e., breadth and depth), structured (i.e., organized aspects), integrated (i.e., synthesized evidence) and interpreted/narrated (i.e., describing what has happened, how and why) systematic review of the literature. Footnote 2 In this regard, SLRs follow an inductive reasoning approach, whereby a set of criteria is established and implemented to develop a corpus of scholarly documents that scholars can review. They can then deliver a state-of-the-art overview, as well as a future agenda for a domain, theory, or method. Such criteria are often listed in philosophical guides on SLR procedures (e.g., Kraus et al. 2020 ; Snyder 2019 ) and protocols (e.g., PRISMA), and they may be adopted/adapted with justifications Footnote 3 . Based on their commonalities they can be summarized as follows:

Search database (e.g., “Scopus” and/or “Web of Science”) can be defined based on justified evidence (e.g., by the two being the largest scientific databases of scholarly articles that can provide on-demand bibliographic data or records; Pranckutė 2021 ). To avoid biased outcomes due to the scope covered by the selected database, researchers could utilize two or more different databases (Dabić et al. 2021 ).

Search keywords may be developed by reading scholarly documents and subsequently brainstorming with experts. The expanding number of databases, journals, periodicals, automated approaches, and semi-automated procedures that use text mining and machine learning can offer researchers the ability to source new, relevant research and forecast the citations of influential studies. This enables them to determine further relevant articles.

Boolean operators (e.g., AND, OR) should be strategically used in developing the  string   of search keywords (e.g., “engagement” AND “customer” OR “consumer” OR “business”). Furthermore, the correct and precise application of quotation marks is important but is very frequently sidestepped, resulting in incorrect selection processes and differentiated results.

Search period (e.g., between a specified period [e.g., 2000 to 2020] or up to the latest full year at the time or writing [e.g., up to 2021]) can be defined based on the justified scope of study (e.g., contemporary evolution versus historical trajectory).

Search field (e.g., “article title, abstract, keywords”) can be defined based on justified assumptions (e.g., it is assumed that the focus of relevant documents will be mentioned in the article title, abstract, and/or keywords).

Subject area (e.g., “business, management, and accounting”) can be defined based on justified principles (e.g., the focus of the review is on the marketing discipline, which is located under the “business, management, and accounting” subject area in Scopus).

Publication stage (e.g., “final”) can be defined based on justified grounds (e.g., enabling greater accuracy in replication).

Document type (e.g., “article” and/or “review”), which reflects the type of scientific/practical contributions (e.g., empirical, synthesis, thought), can be defined based on justified rationales (e.g., articles selected because they are peer-reviewed; editorials not selected because they are not peer-reviewed).

Source type (e.g., “journal”) can be defined based on justified reasons (e.g., journals selected because they publish finalized work; conference proceedings not selected because they are work in progress, and in business/management, they are usually not being considered as full-fledged “publications”).

Language (e.g., “English”) can be determined based on justified limitations (e.g., nowadays, there are not many reasons to use another language besides the academic lingua franca English). Different spellings should also be considered, as the literature may contain both American and British spelling variants (e.g., organization and organisation). Truncation and wildcards in searches are recommended to capture both sets of spellings. It is important to note that each database varies in its symbology.

Quality filtering (e.g., “A*” and “A” or “4*”, “4”, and “3”) can be defined based on justified motivations (e.g., the goal is to unpack the most originally and rigorously produced knowledge, which is the hallmark of premier journals, such as those ranked “A*” and “A” by the Australian Business Deans Council [ABDC] Journal Quality List [JQL] and rated “4*”, “4”, and “3” by the Chartered Association of Business Schools [CABS] Academic Journal Guide [AJG]).

Document relevance (i.e., within the focus of the review) can be defined based on justified judgement (e.g., for a review focusing on customer engagement, articles that mention customer engagement as a passing remark without actually investigating it would be excluded).

Others: Screening process should be accomplished by beginning with the deduction of duplicate results from other databases, tracked using abstract screening to exclude unfitting studies, and ending with the full-text screening of the remaining documents.

Others: Exclusion-inclusion criteria interpretation of the abstracts/articles is obligatory when deciding whether or not the articles dealt with the matter. This step could involve removing a huge percentage of initially recognized articles.

Others: Codebook building pertains to the development of a codebook of the main descriptors within a specific field. An inductive approach can be followed and, in this case, descriptors are not established beforehand. Instead, they are established through the analysis of the articles’ content. This procedure is made up of several stages: (i) the extraction of important content from titles, abstracts, and keywords; (ii) the classification of this content to form a reduced list of the core descriptors; and (iii) revising the codebook in iterations and combining similar categories, thus developing a short list of descriptors (López-Duarte et al. 2016 , p. 512; Dabić et al. 2015 ; Vlacic et al. 2021 ).

2.4 Methods

Various methods are used to analyze the pertinent literature. Often, scholars choose a method for corpus analysis before corpus curation. Knowing the analytical technique beforehand is useful, as it allows researchers to acquire and prepare the right data in the right format. This typically occurs when scholars have decided upon and justified pursuing a specific review nomenclature upfront (e.g., bibliometric reviews) based on the problem at hand (e.g., broad domain [outlet] with a large corpus [thousands of articles], such as a premier journal that has been publishing for decades) (Donthu et al. 2021 ). However, this may not be applicable in instances where (i) scholars do not curate a corpus of articles (non-SLRs), and (ii) scholars only know the size of the corpus of articles once that corpus is curated (SLRs). Therefore, scholars may wish to decide on a method of analyzing the literature depending on (i) whether they rely on a corpus of articles (i.e., yes or no), and (ii) the size of the corpus of articles that they rely on to review the literature (i.e., n  = 0 to ∞).

When analytical techniques (e.g., bibliometric analysis, critical analysis, meta-analysis) are decoupled from review nomenclatures (e.g., bibliometric reviews, critical reviews, meta-analytical reviews), we uncover a toolbox of the following methods for use when analyzing the literature:

Bibliometric analysis measures the literature and processes data by using algorithm, arithmetic, and statistics to analyze, explore, organize, and investigate large amounts of data. This enables scholars to identify and recognize potential “hidden patterns” that could help them during the literature review process. Bibliometrics allows scholars to objectively analyze a large corpus of articles (e.g., high hundreds or more) using quantitative techniques (Donthu et al. 2021 ). There are two overarching categories for bibliometric analysis: performance analysis and science mapping. Performance analysis enables scholars to assess the productivity (publication) and impact (citation) of the literature relating to a domain, method, or theory using various quantitative metrics (e.g., average citations per publication or year, h -index, g -index, i -index). Science mapping grants scholars the ability to map the literature in that domain, method, or theory based on bibliographic data (e.g., bibliographic coupling generates thematic clusters based on similarities in shared bibliographic data [e.g., references] among citing articles; co-citation analysis generates thematic clusters based on commonly cited articles; co-occurrence analysis generates thematic clusters based on bibliographic data [e.g., keywords] that commonly appear together; PageRank analysis generates thematic clusters based on articles that are commonly cited in highly cited articles; and topic modeling generates thematic clusters based on the natural language processing of bibliographic data [e.g., article title, abstract, and keywords]). Footnote 4 Given the advancement in algorithms and technology, reviews using bibliometric analysis are considered to be smart (Kraus et al. 2021 ) and technologically-empowered (Kumar et al. 2022b ) SLRs, in which a review has harnessed the benefits of (i) the machine learning of the bibliographic data of scholarly research from technologically-empowered scientific databases, and (ii) big data analytics involving various science mapping techniques (Kumar et al. 2022c ).

Content analysis allows scholars to analyze a small to medium corpus of articles (i.e., tens to low hundreds) using quantitative and qualitative techniques. From a quantitative perspective , scholars can objectively carry out a content analysis by quantifying a specific unit of analysis . A useful method of doing so involves adopting, adapting, or developing an organizing framework . For example, Lim et al. ( 2021 ) employed an organizing (ADO-TCM) framework to quantify content in academic literature based on: (i) the categories of knowledge; (ii) the relationships between antecedents, decisions, and outcomes; and (iii) the theories, contexts, and methods used to develop the understanding for (i) and (ii). The rapid evolution of software for content analysis allows scholars to carry out complex elaborations on the corpus of analyzed articles, so much so that the most recent software enables the semi-automatic development of an organizing framework (Ammirato et al. 2022 ). From a qualitative perspective , scholars can conduct a content analysis or, more specifically, a thematic analysis , by subjectively organizing the content into themes. For example, Creevey et al. ( 2022 ) reviewed the literature on social media and luxury, providing insights on five core themes (i.e., luxury brand strategy, luxury brand social media communications, luxury consumer attitudes and perceptions, engagement, and the influence of social media on brand performance-related outcomes) generated through a content (thematic) analysis. Systematic approaches for inductive concept development through qualitative research are similarly applied in literature reviews in an attempt to reduce the subjectivity of derived themes. Following the principles of the approach by Gioia et al. ( 2012 ), Korherr and Kanbach ( 2021 ) develop a taxonomy of human-related capabilities in big data analytics. Building on a sample of 75 studies for the literature review, 33 first-order concepts are identified. These are categorized into 15 second-order themes and are finally merged into five aggregate dimensions. Using the same procedure, Leemann and Kanbach ( 2022 ) identify 240 idiosyncratic dynamic capabilities in a sample of 34 studies for their literature review. They then categorize these into 19 dynamic sub-capabilities. The advancement of technology also makes it possible to conduct content analysis using computer assisted qualitative data analysis (CAQDA) software (e.g., ATLAS.ti, Nvivo, Quirkos) (Lim et al. 2022a ).

Critical analysis allows scholars to subjectively use their 3Es (i.e., exposure, expertise, and experience) to provide a critical evaluation of academic literature. This analysis is typically used in non-SLRs, and can be deployed in tandem with other analyses, such as bibliometric analysis and content analysis in SLRs, which are used to discuss consensual, contradictory, and underexplored areas of the literature. For SLRs, scholars are encouraged to engage in critical evaluations of the literature so that they can truly contribute to advancing theory and practice (Baker et al. 2022 ; Lim et al. 2022a ; Mukherjee et al. 2022b ).

Meta-analysis allows scholars to objectively establish a quantitative estimate of commonly studied relationships in the literature (Grewal et al. 2018 ). This analysis is typically employed in SLRs intending to reconcile a myriad of relationships (Lim et al. 2022a ). The relationships established are often made up of conflicting evidence (e.g., a positive or significant effect in one study, but a negative or non-significant effect in another study). However, through meta-analysis, scholars are able to identify potential factors (e.g., contexts or sociodemographic information) that may have led to the conflict.

Others: Multiple correspondence analysis helps to map the field, assessing the associations between qualitative content within a matrix of variables and cases. Homogeneity Analysis by Means of Alternating Least Squares ( HOMALS ) is also considered useful in allowing researchers to map out the intellectual structure of a variety of research fields (Gonzalez-Loureiro et al. 2015 ; Gonzalez-Louriero 2021; Obradović et al. 2021 ). HOMALS can be performed in R or used along with a matrix through SPSS software. In summary, the overall objective of this analysis is to discover a low dimensional representation of the original high dimensional space (i.e., the matrix of descriptors and articles). To measure the goodness of fit, a loss function is used. This function is used minimally, and the HOMALS algorithm is applied to the least squares loss functions in SPSS. This analysis provides a proximity map, in which articles and descriptors are shown in low-dimensional spaces (typically on two axes). Keywords are paired and each couple that appears together in a large number of articles is shown to be closer on the map and vice-versa.

When conducting a literature review, software solutions allow researchers to cover a broad range of variables, from built-in functions of statistical software packages to software orientated towards meta-analyses, and from commercial to open-source solutions. Personal preference plays a huge role, but the decision as to which software will be the most useful is entirely dependent on how complex the methods and the dataset are. Of all the commercial software providers, we have found the built-in functions of (i) R and VOSviewer most useful in performing bibliometric analysis (Aria and Cuccurullo 2017 ; R Core Team 2021 ; Van Eck and Waltman 2014 ) and (ii) Stata most useful in performing meta-analytical tasks.

Many different analytical tools have been used. These include simple document counting, citation analysis, word frequency analysis, cluster analysis, co-word analysis, and cooperation analysis (Daim et al. 2006 ). Software has also been produced for bibliometric analysis, such as the Thomson Data Analyzer (TDA), which Thomson Reuters created, and CiteSpace developed by Chen ( 2013 ). VOSviewer helps us to construct and visualize bibliometric networks, which can include articles, journals, authors, countries, and institutions, among others (Van Eck and Waltman 2014 ). These can be organized based on citations, co-citations, bibliographic coupling, or co-authorship relations. In addition, VOSviewer provides text mining functions, which can be used to facilitate a better understanding of co-occurrence networks with regards to the key terms taken from a body of scientific literature (Donthu et al. 2021 ; Wong 2018 ). Other frequently used tools include for bibliometric analysis include Bibliometrix/Biblioshiny in R, CitNetExplorer, and Gephi, among others.

2.5 Contributions

Well-conducted literature reviews may make multiple contributions to the literature as standalone, independent studies.

Generally, there are three primary contributions of literature reviews as independent studies: (i) to provide an overview of current knowledge in the domain, method, or theory, (ii) to provide an evaluation of knowledge progression in the domain, method, or theory, including the establishment of key knowledge, conflicting or inconclusive findings, and emerging and underexplored areas, and (iii) to provide a proposal for potential pathways for advancing knowledge in the domain, method, or theory (Lim et al. 2022a , p. 487). Developing theory through literature reviews can take many forms, including organizing and categorizing the literature, problematizing the literature, identifying and exposing contradictions, developing analogies and metaphors, and setting out new narratives and conceptualizations (Breslin and Gatrell 2020 ). Taken collectively, these contributions offer crystalized, evidence-based insights that both ‘mine’ and ‘prospect’ the literature, highlighting extant gaps and how they can be resolved (e.g., flags paradoxes or theoretical tensions, explaining why something has not been done, what the challenges are, and how these challenges can be overcome). These contributions can be derived through successful bibliometric analysis, content analysis, critical analysis, and meta-analysis.

Additionally, the deployment of specific methods can bring in further added value. For example, a performance analysis in a bibliometric analysis can contribute to: (i) objectively assessing and reporting research productivity and impact ; (ii) ascertaining reach for coverage claims ; (iii) identifying social dominance and hidden biases ; (iv) detecting anomalies ; and (v) evaluating ( equitable ) relative performance ; whereas science mapping in bibliometric analysis can contribute to: (i) objectively discovering thematic clusters of knowledge ; (ii) clarifying nomological networks ; (iii) mapping social patterns ; (iv) tracking evolutionary nuances ; and (v) recognizing knowledge gaps (Mukherjee et al. 2022b , p. 105).

3 Conclusion

Independent literature reviews will continue to be written as a result of their necessity, importance, relevance, and urgency when it comes to advancing knowledge (Lim et al. 2022a ; Mukherjee et al. 2022b ), and this can be seen in the increasing number of reviews being published over the last several years. Literature reviews advance academic discussion. Journal publications on various topics and subject areas are becoming more frequent sites for publication. This trend will only heighten the need for literature reviews. This article offers directions and control points that address the needs of three different stakeholder groups: producers (i.e., potential authors), evaluators (i.e., journal editors and reviewers), and users (i.e., new researchers looking to learn more about a particular methodological issue, and those teaching the next generation of scholars). Future producers will derive value from this article’s teachings on the different fundamental elements and methodological nuances of literature reviews. Procedural knowledge (i.e., using control points to assist in decision-making during the manuscript preparation phase) will also be of use. Evaluators will be able to make use of the procedural and declarative knowledge evident in control points as well. As previously outlined, the need to cultivate novelty within research on business and management practices is vital. Scholars must also be supported to choose not only safe mining approaches; they should also be encouraged to attempt more challenging and risky ventures. It is important to note that abstracts often seem to offer a lot of potential, stating that authors intend to make large conceptual contributions, broadening the horizons of the field.

Our article offers important insights also for practitioners. Noteworthily, our framework can support corporate managers in decomposing and better understanding literature reviews as ad-hoc and independent studies about specific topics that matter for their organization. For instance, practitioners can understand more easily what are the emerging trends within their domain of interest and make corporate decisions in line with such trends.

This article arises from an intentional decoupling from philosophy, in favor of adopting a more pragmatic approach. This approach can assist us in clarifying the fundamental elements of literature reviews as independent studies. Five fundamental elements must be considered: types, focuses, considerations, methods, and contributions. These elements offer a useful frame for scholars starting to work on a literature review. Overview articles (guides) such as ours are thus invaluable, as they equip scholars with a solid foundational understanding of the integral elements of a literature review. Scholars can then put these teachings into practice, armed with a better understanding of the philosophy that underpins the procedures, protocols, and nomenclatures of literature reviews as independent studies.

Data availability

Our manuscript has no associate data.

Our focus here is on standalone literature reviews in contrast with literature reviews that form the theoretical foundation for a research article.

Scoping reviews, structured reviews, integrative reviews, and interpretive/narrative reviews are commonly found in review nomenclature. However, the philosophy of these review nomenclatures essentially reflects what constitutes a good SLR. That is to say, a good SLR should be well scoped, structured, integrated, and interpreted/narrated. This observation reaffirms our position and the value of moving away from review nomenclatures to gain a foundational understanding of literature reviews as independent studies.

Given that many of these considerations can be implemented simultaneously in contemporary versions of scientific databases, scholars may choose to consolidate them into a single (or a few) step(s), where appropriate, so that they can be reported more parsimoniously. For a parsimonious but transparent and replicable exemplar, see Lim ( 2022 ).

Where keywords are present (e.g., author keywords or keywords derived from machine learning [e.g., natural language processing]), it is assumed that each keyword represents a specific meaning (e.g., topic [concept, context], method), and that a collection of keywords grouped under the same cluster represents a specific theme.

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A systematic review and multivariate meta-analysis of the physical and mental health benefits of touch interventions

  • Julian Packheiser   ORCID: orcid.org/0000-0001-9805-6755 2   na1   nAff1 ,
  • Helena Hartmann 2 , 3 , 4   na1 ,
  • Kelly Fredriksen 2 ,
  • Valeria Gazzola   ORCID: orcid.org/0000-0003-0324-0619 2 ,
  • Christian Keysers   ORCID: orcid.org/0000-0002-2845-5467 2 &
  • Frédéric Michon   ORCID: orcid.org/0000-0003-1289-2133 2  

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  • Human behaviour
  • Paediatric research
  • Randomized controlled trials

Receiving touch is of critical importance, as many studies have shown that touch promotes mental and physical well-being. We conducted a pre-registered (PROSPERO: CRD42022304281) systematic review and multilevel meta-analysis encompassing 137 studies in the meta-analysis and 75 additional studies in the systematic review ( n  = 12,966 individuals, search via Google Scholar, PubMed and Web of Science until 1 October 2022) to identify critical factors moderating touch intervention efficacy. Included studies always featured a touch versus no touch control intervention with diverse health outcomes as dependent variables. Risk of bias was assessed via small study, randomization, sequencing, performance and attrition bias. Touch interventions were especially effective in regulating cortisol levels (Hedges’ g  = 0.78, 95% confidence interval (CI) 0.24 to 1.31) and increasing weight (0.65, 95% CI 0.37 to 0.94) in newborns as well as in reducing pain (0.69, 95% CI 0.48 to 0.89), feelings of depression (0.59, 95% CI 0.40 to 0.78) and state (0.64, 95% CI 0.44 to 0.84) or trait anxiety (0.59, 95% CI 0.40 to 0.77) for adults. Comparing touch interventions involving objects or robots resulted in similar physical (0.56, 95% CI 0.24 to 0.88 versus 0.51, 95% CI 0.38 to 0.64) but lower mental health benefits (0.34, 95% CI 0.19 to 0.49 versus 0.58, 95% CI 0.43 to 0.73). Adult clinical cohorts profited more strongly in mental health domains compared with healthy individuals (0.63, 95% CI 0.46 to 0.80 versus 0.37, 95% CI 0.20 to 0.55). We found no difference in health benefits in adults when comparing touch applied by a familiar person or a health care professional (0.51, 95% CI 0.29 to 0.73 versus 0.50, 95% CI 0.38 to 0.61), but parental touch was more beneficial in newborns (0.69, 95% CI 0.50 to 0.88 versus 0.39, 95% CI 0.18 to 0.61). Small but significant small study bias and the impossibility to blind experimental conditions need to be considered. Leveraging factors that influence touch intervention efficacy will help maximize the benefits of future interventions and focus research in this field.

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The sense of touch has immense importance for many aspects of our life. It is the first of all the senses to develop in newborns 1 and the most direct experience of contact with our physical and social environment 2 . Complementing our own touch experience, we also regularly receive touch from others around us, for example, through consensual hugs, kisses or massages 3 .

The recent coronavirus pandemic has raised awareness regarding the need to better understand the effects that touch—and its reduction during social distancing—can have on our mental and physical well-being. The most common touch interventions, for example, massage for adults or kangaroo care for newborns, have been shown to have a wide range of both mental and physical health benefits, from facilitating growth and development to buffering against anxiety and stress, over the lifespan of humans and animals alike 4 . Despite the substantial weight this literature gives to support the benefits of touch, it is also characterized by a large variability in, for example, studied cohorts (adults, children, newborns and animals), type and duration of applied touch (for example, one-time hug versus repeated 60-min massages), measured health outcomes (ranging from physical health outcomes such as sleep and blood pressure to mental health outcomes such as depression or mood) and who actually applies the touch (for example, partner versus stranger).

A meaningful tool to make sense of this vast amount of research is through meta-analysis. While previous meta-analyses on this topic exist, they were limited in scope, focusing only on particular types of touch, cohorts or specific health outcomes (for example, refs. 5 , 6 ). Furthermore, despite best efforts, meaningful variables that moderate the efficacy of touch interventions could not yet be identified. However, understanding these variables is critical to tailor touch interventions and guide future research to navigate this diverse field with the ultimate aim of promoting well-being in the population.

In this Article, we describe a pre-registered, large-scale systematic review and multilevel, multivariate meta-analysis to address this need with quantitative evidence for (1) the effect of touch interventions on physical and mental health and (2) which moderators influence the efficacy of the intervention. In particular, we ask whether and how strongly health outcomes depend on the dynamics of the touching dyad (for example, humans or robots/objects, familiarity and touch directionality), demographics (for example, clinical status, age or sex), delivery means (for example, type of touch intervention or touched body part) and procedure (for example, duration or number of sessions). We did so separately for newborns and for children and adults, as the health outcomes in newborns differed substantially from those in the other age groups. Despite the focus of the analysis being on humans, it is widely known that many animal species benefit from touch interactions and that engaging in touch promotes their well-being as well 7 . Since animal models are essential for the investigation of the mechanisms underlying biological processes and for the development of therapeutic approaches, we accordingly included health benefits of touch interventions in non-human animals as part of our systematic review. However, this search yielded only a small number of studies, suggesting a lack of research in this domain, and as such, was insufficient to be included in the meta-analysis. We evaluate the identified animal studies and their findings in the discussion.

Touch interventions have a medium-sized effect

The pre-registration can be found at ref. 8 . The flowchart for data collection and extraction is depicted in Fig. 1 .

figure 1

Animal outcomes refer to outcomes measured in non-human species that were solely considered as part of a systematic review. Included languages were French, Dutch, German and English, but our search did not identify any articles in French, Dutch or German. MA, meta-analysis.

For adults, a total of n  = 2,841 and n  = 2,556 individuals in the touch and control groups, respectively, across 85 studies and 103 cohorts were included. The effect of touch overall was medium-sized ( t (102) = 9.74, P  < 0.001, Hedges’ g  = 0.52, 95% confidence interval (CI) 0.42 to 0.63; Fig. 2a ). For newborns, we could include 63 cohorts across 52 studies comprising a total of n  = 2,134 and n  = 2,086 newborns in the touch and control groups, respectively, with an overall effect almost identical to the older age group ( t (62) = 7.53, P  < 0.001, Hedges’ g  = 0.56, 95% CI 0.41 to 0.71; Fig. 2b ), suggesting that, despite distinct health outcomes, touch interventions show comparable effects across newborns and adults. Using these overall effect estimates, we conducted a power sensitivity analysis of all the included primary studies to investigate whether such effects could be reliably detected 9 . Sufficient power to detect such effect sizes was rare in individual studies, as investigated by firepower plots 10 (Supplementary Figs. 1 and 2 ). No individual effect size from either meta-analysis was overly influential (Cook’s D  < 0.06). The benefits were similar for mental and physical outcomes (mental versus physical; adults: t (101) = 0.79, P  = 0.432, Hedges’ g difference of −0.05, 95% CI −0.16 to 0.07, Fig. 2c ; newborns: t (61) = 1.08, P  = 0.284, Hedges’ g difference of −0.19, 95% CI −0.53 to 0.16, Fig. 2d ).

figure 2

a , Orchard plot illustrating the overall benefits across all health outcomes for adults/children across 469 in part dependent effect sizes from 85 studies and 103 cohorts. b , The same as a but for newborns across 174 in part dependent effect sizes from 52 studies and 63 cohorts. c , The same as a but separating the results for physical versus mental health benefits across 469 in part dependent effect sizes from 85 studies and 103 cohorts. d , The same as b but separating the results for physical versus mental health benefits across 172 in part dependent effect sizes from 52 studies and 63 cohorts. Each dot reflects a measured effect, and the number of effects ( k ) included in the analysis is depicted in the bottom left. Mean effects and 95% CIs are presented in the bottom right and are indicated by the central black dot (mean effect) and its error bars (95% CI). The heterogeneity Q statistic is presented in the top left. Overall effects of moderator impact were assessed via an F test, and post hoc comparisons were done using t tests (two-sided test). Note that the P values above the mean effects indicate whether an effect differed significantly from a zero effect. P values were not corrected for multiple comparisons. The dot size reflects the precision of each individual effect (larger indicates higher precision). Small-study bias for the overall effect was significant ( F test, two-sided test) in the adult meta-analysis ( F (1, 101) = 21.24, P  < 0.001; Supplementary Fig. 3 ) as well as in the newborn meta-analysis ( F (1, 61) = 5.25, P  = 0.025; Supplementary Fig. 4 ).

Source data

On the basis of the overall effect of both meta-analyses as well as their median sample sizes, the minimum number of studies necessary for subgroup analyses to achieve 80% power was k  = 9 effects for adults and k  = 8 effects for newborns (Supplementary Figs. 5 and 6 ). Assessing specific health outcomes with sufficient power in more detail in adults (Fig. 3a ) revealed smaller benefits to sleep and heart rate parameters, moderate benefits to positive and negative affect, diastolic blood and systolic blood pressure, mobility and reductions of the stress hormone cortisol and larger benefits to trait and state anxiety, depression, fatigue and pain. Post hoc tests revealed stronger benefits for pain, state anxiety, depression and trait anxiety compared with respiratory, sleep and heart rate parameters (see Fig. 3 for all post hoc comparisons). Reductions in pain and state anxiety were increased compared with reductions in negative affect ( t (83) = 2.54, P  = 0.013, Hedges’ g difference of 0.31, 95% CI 0.07 to 0.55; t (83) = 2.31, P  = 0.024, Hedges’ g difference of 0.27, 95% CI 0.03 to 0.51). Benefits to pain symptoms were higher compared with benefits to positive affect ( t (83) = 2.22, P  = 0.030, Hedges’ g difference of 0.29, 95% CI 0.04 to 0.54). Finally, touch resulted in larger benefits to cortisol release compared with heart rate parameters ( t (83) = 2.30, P  = 0.024, Hedges’ g difference of 0.26, 95% CI 0.04–0.48).

figure 3

a , b , Health outcomes in adults analysed across 405 in part dependent effect sizes from 79 studies and 97 cohorts ( a ) and in newborns analysed across 105 in part dependent effect sizes from 46 studies and 56 cohorts ( b ). The type of health outcomes measured differed between adults and newborns and were thus analysed separately. Numbers on the right represent the mean effect with its 95% CI in square brackets and the significance level estimating the likelihood that the effect is equal to zero. Overall effects of moderator impact were assessed via an F test, and post hoc comparisons were done using t tests (two-sided test). The F value in the top right represents a test of the hypothesis that all effects within the subpanel are equal. The Q statistic represents the heterogeneity. P values of post hoc tests are depicted whenever significant. P values above the horizontal whiskers indicate whether an effect differed significantly from a zero effect. Vertical lines indicate significant post hoc tests between moderator levels. P values were not corrected for multiple comparisons. Physical outcomes are marked in red. Mental outcomes are marked in blue.

In newborns, only physical health effects offered sufficient data for further analysis. We found no benefits for digestion and heart rate parameters. All other health outcomes (cortisol, liver enzymes, respiration, temperature regulation and weight gain) showed medium to large effects (Fig. 3b ). We found no significant differences among any specific health outcomes.

Non-human touch and skin-to-skin contact

In some situations, a fellow human is not readily available to provide affective touch, raising the question of the efficacy of touch delivered by objects and robots 11 . Overall, we found humans engaging in touch with other humans or objects to have medium-sized health benefits in adults, without significant differences ( t (99) = 1.05, P  = 0.295, Hedges’ g difference of 0.12, 95% CI −0.11 to 0.35; Fig. 4a ). However, differentiating physical versus mental health benefits revealed similar benefits for human and object touch on physical health outcomes, but larger benefits on mental outcomes when humans were touched by humans ( t (97) = 2.32, P  = 0.022, Hedges’ g difference of 0.24, 95% CI 0.04 to 0.44; Fig. 4b ). It must be noted that touching with an object still showed a significant effect (see Supplementary Fig. 7 for the corresponding orchard plot).

figure 4

a , Forest plot comparing humans versus objects touching a human on health outcomes overall across 467 in part dependent effect sizes from 85 studies and 101 cohorts. b , The same as a but separately for mental versus physical health outcomes across 467 in part dependent effect sizes from 85 studies and 101 cohorts. c , Results with the removal of all object studies, leaving 406 in part dependent effect sizes from 71 studies and 88 cohorts to identify whether missing skin-to-skin contact is the relevant mediator of higher mental health effects in human–human interactions. Numbers on the right represent the mean effect with its 95% CI in square brackets and the significance level estimating the likelihood that the effect is equal to zero. Overall effects of moderator impact were assessed via an F test, and post hoc comparisons were done using t tests (two-sided test). The F value in the top right represents a test of the hypothesis that all effects within the subpanel are equal. The Q statistic represents the heterogeneity. P values of post hoc tests are depicted whenever significant. P values above the horizontal whiskers indicate whether an effect differed significantly from a zero effect. Vertical lines indicate significant post hoc tests between moderator levels. P values were not corrected for multiple comparisons. Physical outcomes are marked in red. Mental outcomes are marked in blue.

We considered the possibility that this effect was due to missing skin-to-skin contact in human–object interactions. Thus, we investigated human–human interactions with and without skin-to-skin contact (Fig. 4c ). In line with the hypothesis that skin-to-skin contact is highly relevant, we again found stronger mental health benefits in the presence of skin-to-skin contact that however did not achieve nominal significance ( t (69) = 1.95, P  = 0.055, Hedges’ g difference of 0.41, 95% CI −0.00 to 0.82), possibly because skin-to-skin contact was rarely absent in human–human interactions, leading to a decrease in power of this analysis. Results for skin-to-skin contact as an overall moderator can be found in Supplementary Fig. 8 .

Influences of type of touch

The large majority of touch interventions comprised massage therapy in adults and kangaroo care in newborns (see Supplementary Table 1 for a complete list of interventions across studies). However, comparing the different types of touch explored across studies did not reveal significant differences in effect sizes based on touch type, be it on overall health benefits (adults: t (101) = 0.11, P  = 0.916, Hedges’ g difference of 0.02, 95% CI −0.32 to 0.29; Fig. 5a ) or comparing different forms of touch separately for physical (massage therapy versus other forms: t (99) = 0.99, P  = 0.325, Hedges’ g difference 0.16, 95% CI −0.15 to 0.47) or for mental health benefits (massage therapy versus other forms: t (99) = 0.75, P  = 0.458, Hedges’ g difference of 0.13, 95% CI −0.22 to 0.48) in adults (Fig. 5c ; see Supplementary Fig. 9 for the corresponding orchard plot). A similar picture emerged for physical health effects in newborns (massage therapy versus kangaroo care: t (58) = 0.94, P  = 0.353, Hedges’ g difference of 0.15, 95% CI −0.17 to 0.47; massage therapy versus other forms: t (58) = 0.56, P  = 0.577, Hedges’ g difference of 0.13, 95% CI −0.34 to 0.60; kangaroo care versus other forms: t (58) = 0.07, P  = 0.947, Hedges’ g difference of 0.02, 95% CI −0.46 to 0.50; Fig. 5d ; see also Supplementary Fig. 10 for the corresponding orchard plot). This suggests that touch types may be flexibly adapted to the setting of every touch intervention.

figure 5

a , Forest plot of health benefits comparing massage therapy versus other forms of touch in adult cohorts across 469 in part dependent effect sizes from 85 studies and 103 cohorts. b , Forest plot of health benefits comparing massage therapy, kangaroo care and other forms of touch for newborns across 174 in part dependent effect sizes from 52 studies and 63 cohorts. c , The same as a but separating mental and physical health benefits across 469 in part dependent effect sizes from 85 studies and 103 cohorts. d , The same as b but separating mental and physical health outcomes where possible across 164 in part dependent effect sizes from 51 studies and 62 cohorts. Note that an insufficient number of studies assessed mental health benefits of massage therapy or other forms of touch to be included. Numbers on the right represent the mean effect with its 95% CI in square brackets and the significance level estimating the likelihood that the effect is equal to zero. Overall effects of moderator impact were assessed via an F test, and post hoc comparisons were done using t tests (two-sided test). The F value in the top right represents a test of the hypothesis that all effects within the subpanel are equal. The Q statistic represents heterogeneity. P values of post hoc tests are depicted whenever significant. P values above the horizontal whiskers indicate whether an effect differed significantly from a zero effect. Vertical lines indicate significant post hoc tests between moderator levels. P values were not corrected for multiple comparisons. Physical outcomes are marked in red. Mental outcomes are marked in blue.

The role of clinical status

Most research on touch interventions has focused on clinical samples, but are benefits restricted to clinical cohorts? We found health benefits to be significant in clinical and healthy populations (Fig. 6 ), whether all outcomes are considered (Fig. 6a,b ) or physical and mental health outcomes are separated (Fig. 6c,d , see Supplementary Figs. 11 and 12 for the corresponding orchard plots). In adults, however, we found higher mental health benefits for clinical populations compared with healthy ones (Fig. 6c ; t (99) = 2.11, P  = 0.037, Hedges’ g difference of 0.25, 95% CI 0.01 to 0.49).

figure 6

a , Health benefits for clinical cohorts of adults versus healthy cohorts of adults across 469 in part dependent effect sizes from 85 studies and 103 cohorts. b , The same as a but for newborn cohorts across 174 in part dependent effect sizes from 52 studies and 63 cohorts. c , The same as a but separating mental versus physical health benefits across 469 in part dependent effect sizes from 85 studies and 103 cohorts. d , The same as b but separating mental versus physical health benefits across 172 in part dependent effect sizes from 52 studies and 63 cohorts. Numbers on the right represent the mean effect with its 95% CI in square brackets and the significance level estimating the likelihood that the effect is equal to zero. Overall effects of moderator impact were assessed via an F test, and post hoc comparisons were done using t tests (two-sided test).The F value in the top right represents a test of the hypothesis that all effects within the subpanel are equal. The Q statistic represents the heterogeneity. P values of post hoc tests are depicted whenever significant. P values above the horizontal whiskers indicate whether an effect differed significantly from a zero effect. Vertical lines indicate significant post hoc tests between moderator levels. P values were not corrected for multiple comparisons. Physical outcomes are marked in red. Mental outcomes are marked in blue.

A more detailed analysis of specific clinical conditions in adults revealed positive mental and physical health benefits for almost all assessed clinical disorders. Differences between disorders were not found, with the exception of increased effectiveness of touch interventions in neurological disorders (Supplementary Fig. 13 ).

Familiarity in the touching dyad and intervention location

Touch interventions can be performed either by familiar touchers (partners, family members or friends) or by unfamiliar touchers (health care professionals). In adults, we did not find an impact of familiarity of the toucher ( t (99) = 0.12, P  = 0.905, Hedges’ g difference of 0.02, 95% CI −0.27 to 0.24; Fig. 7a ; see Supplementary Fig. 14 for the corresponding orchard plot). Similarly, investigating the impact on mental and physical health benefits specifically, no significant differences could be detected, suggesting that familiarity is irrelevant in adults. In contrast, touch applied to newborns by their parents (almost all studies only included touch by the mother) was significantly more beneficial compared with unfamiliar touch ( t (60) = 2.09, P  = 0.041, Hedges’ g difference of 0.30, 95% CI 0.01 to 0.59) (Fig. 7b ; see Supplementary Fig. 15 for the corresponding orchard plot). Investigating mental and physical health benefits specifically revealed no significant differences. Familiarity with the location in which the touch was applied (familiar being, for example, the participants’ home) did not influence the efficacy of touch interventions (Supplementary Fig. 16 ).

figure 7

a , Health benefits for being touched by a familiar (for example, partner, family member or friend) versus unfamiliar toucher (health care professional) across 463 in part dependent effect sizes from 83 studies and 101 cohorts. b , The same as a but for newborn cohorts across 171 in part dependent effect sizes from 51 studies and 62 cohorts. c , The same as a but separating mental versus physical health benefits across 463 in part dependent effect sizes from 83 studies and 101 cohorts. d , The same as b but separating mental versus physical health benefits across 169 in part dependent effect sizes from 51 studies and 62 cohorts. Numbers on the right represent the mean effect with its 95% CI in square brackets and the significance level estimating the likelihood that the effect is equal to zero. Overall effects of moderator impact were assessed via an F test, and post hoc comparisons were done using t tests (two-sided test). The F value in the top right represents a test of the hypothesis that all effects within the subpanel are equal. The Q statistic represents the heterogeneity. P values of post hoc tests are depicted whenever significant. P values above the horizontal whiskers indicate whether an effect differed significantly from a zero effect. Vertical lines indicate significant post hoc tests between moderator levels. P values were not corrected for multiple comparisons. Physical outcomes are marked in red. Mental outcomes are marked in blue.

Frequency and duration of touch interventions

How often and for how long should touch be delivered? For adults, the median touch duration across studies was 20 min and the median number of touch interventions was four sessions with an average time interval of 2.3 days between each session. For newborns, the median touch duration across studies was 17.5 min and the median number of touch interventions was seven sessions with an average time interval of 1.3 days between each session.

Delivering more touch sessions increased benefits in adults, whether overall ( t (101) = 4.90, P  < 0.001, Hedges’ g  = 0.02, 95% CI 0.01 to 0.03), physical ( t (81) = 3.07, P  = 0.003, Hedges’ g  = 0.02, 95% CI 0.01–0.03) or mental benefits ( t (72) = 5.43, P  < 0.001, Hedges’ g  = 0.02, 95% CI 0.01–0.03) were measured (Fig. 8a ). A closer look at specific outcomes for which sufficient data were available revealed that positive associations between the number of sessions and outcomes were found for trait anxiety ( t (12) = 7.90, P  < 0.001, Hedges’ g  = 0.03, 95% CI 0.02–0.04), depression ( t (20) = 10.69, P  < 0.001, Hedges’ g  = 0.03, 95% CI 0.03–0.04) and pain ( t (37) = 3.65, P  < 0.001, Hedges’ g  = 0.03, 95% CI 0.02–0.05), indicating a need for repeated sessions to improve these adverse health outcomes. Neither increasing the number of sessions for newborns nor increasing the duration of touch per session in adults or newborns increased health benefits, be they physical or mental (Fig. 8b–d ). For continuous moderators in adults, we also looked at specific health outcomes as sufficient data were generally available for further analysis. Surprisingly, we found significant negative associations between touch duration and reductions of cortisol ( t (24) = 2.71, P  = 0.012, Hedges’ g  = −0.01, 95% CI −0.01 to −0.00) and heart rate parameters ( t (21) = 2.35, P  = 0.029, Hedges’ g  = −0.01, 95% CI −0.02 to −0.00).

figure 8

a , Meta-regression analysis examining the association between the number of sessions applied and the effect size in adults, either on overall health benefits (left, 469 in part dependent effect sizes from 85 studies and 103 cohorts) or for physical (middle, 245 in part dependent effect sizes from 69 studies and 83 cohorts) or mental benefits (right, 224 in part dependent effect sizes from 60 studies and 74 cohorts) separately. b , The same as a for newborns (overall: 150 in part dependent effect sizes from 46 studies and 53 cohorts; physical health: 127 in part dependent effect sizes from 44 studies and 51 cohorts; mental health: 21 in part dependent effect sizes from 11 studies and 12 cohorts). c , d the same as a ( c ) and b ( d ) but for the duration of the individual sessions. For adults, 449 in part dependent effect sizes across 80 studies and 96 cohorts were included in the overall analysis. The analysis of physical health benefits included 240 in part dependent effect sizes across 67 studies and 80 cohorts, and the analysis of mental health benefits included 209 in part dependent effect sizes from 56 studies and 69 cohorts. For newborns, 145 in part dependent effect sizes across 45 studies and 52 cohorts were included in the overall analysis. The analysis of physical health benefits included 122 in part dependent effect sizes across 43 studies and 50 cohorts, and the analysis of mental health benefits included 21 in part dependent effect sizes from 11 studies and 12 cohorts. Each dot represents an effect size. Its size indicates the precision of the study (larger indicates better). Overall effects of moderator impact were assessed via an F test (two-sided test). The P values in each panel represent the result of a regression analysis testing the hypothesis that the slope of the relationship is equal to zero. P values are not corrected for multiple testing. The shaded area around the regression line represents the 95% CI.

Demographic influences of sex and age

We used the ratio between women and men in the single-study samples as a proxy for sex-specific effects. Sex ratios were heavily skewed towards larger numbers of women in each cohort (median 83% women), and we could not find significant associations between sex ratio and overall ( t (62) = 0.08, P  = 0.935, Hedges’ g  = 0.00, 95% CI −0.00 to 0.01), mental ( t (43) = 0.55, P  = 0.588, Hedges’ g  = 0.00, 95% CI −0.00 to 0.01) or physical health benefits ( t (51) = 0.15, P  = 0.882, Hedges’ g  = −0.00, 95% CI −0.01 to 0.01). For specific outcomes that could be further analysed, we found a significant positive association of sex ratio with reductions in cortisol secretion ( t (18) = 2.31, P  = 0.033, Hedges’ g  = 0.01, 95% CI 0.00 to 0.01) suggesting stronger benefits in women. In contrast to adults, sex ratios were balanced in samples of newborns (median 53% girls). For newborns, there was no significant association with overall ( t (36) = 0.77, P  = 0.447, Hedges’ g  = −0.01, 95% CI −0.02 to 0.01) and physical health benefits of touch ( t (35) = 0.93, P  = 0.359, Hedges’ g  = −0.01, 95% CI −0.02 to 0.01). Mental health benefits did not provide sufficient data for further analysis.

The median age in the adult meta-analysis was 42.6 years (s.d. 21.16 years, range 4.5–88.4 years). There was no association between age and the overall ( t (73) = 0.35, P  = 0.727, Hedges’ g = 0.00, 95% CI −0.01 to 0.01), mental ( t (53) = 0.94, P  = 0.353, Hedges’ g  = 0.01, 95% CI −0.01 to 0.02) and physical health benefits of touch ( t (60) = 0.16, P  = 0.870, Hedges’ g  = 0.00, 95% CI −0.01 to 0.01). Looking at specific health outcomes, we found significant positive associations between mean age and improved positive affect ( t (10) = 2.54, P  = 0.030, Hedges’ g  = 0.01, 95% CI 0.00 to 0.02) as well as systolic blood pressure ( t (11) = 2.39, P  = 0.036, Hedges’ g  = 0.02, 95% CI 0.00 to 0.04).

A list of touched body parts can be found in Supplementary Table 1 . For the touched body part, we found significantly higher health benefits for head touch compared with arm touch ( t (40) = 2.14, P  = 0.039, Hedges’ g difference of 0.78, 95% CI 0.07 to 1.49) and torso touch ( t (40) = 2.23, P  = 0.031; Hedges’ g difference of 0.84, 95% CI 0.10 to 1.58; Supplementary Fig. 17 ). Touching the arm resulted in lower mental health compared with physical health benefits ( t (37) = 2.29, P  = 0.028, Hedges’ g difference of −0.35, 95% CI −0.65 to −0.05). Furthermore, we found a significantly increased physical health benefit when the head was touched as opposed to the torso ( t (37) = 2.10, P  = 0.043, Hedges’ g difference of 0.96, 95% CI 0.06 to 1.86). Thus, head touch such as a face or scalp massage could be especially beneficial.

Directionality

In adults, we tested whether a uni- or bidirectional application of touch mattered. The large majority of touch was applied unidirectionally ( k  = 442 of 469 effects). Unidirectional touch had higher health benefits ( t (101) = 2.17, P  = 0.032, Hedges’ g difference of 0.30, 95% CI 0.03 to 0.58) than bidirectional touch. Specifically, mental health benefits were higher in unidirectional touch ( t (99) = 2.33, P  = 0.022, Hedges’ g difference of 0.46, 95% CI 0.06 to 0.66).

Study location

For adults, we found significantly stronger health benefits of touch in South American compared with North American cohorts ( t (95) = 2.03, P  = 0.046, Hedges’ g difference of 0.37, 95% CI 0.01 to 0.73) and European cohorts ( t (95) = 2.22, P  = 0.029, Hedges’ g difference of 0.36, 95% CI 0.04 to 0.68). For newborns, we found weaker effects in North American cohorts compared to Asian ( t (55) = 2.28, P  = 0.026, Hedges’ g difference of −0.37, 95% CI −0.69 to −0.05) and European cohorts ( t (55) = 2.36, P  = 0.022, Hedges’ g difference of −0.40, 95% CI −0.74 to −0.06). Investigating the interaction with mental and physical health benefits did not reveal any effects of study location in both meta-analyses (Supplementary Fig. 18 ).

Systematic review of studies without effect sizes

All studies where effect size data could not be obtained or that did not meet the meta-analysis inclusion criteria can be found on the OSF project 12 in the file ‘Study_lists_final_revised.xlsx’ (sheet ‘Studies_without_effect_sizes’). Specific reasons for exclusion are furthermore documented in Supplementary Table 2 . For human health outcomes assessed across 56 studies and n  = 2,438 individuals, interventions mostly comprised massage therapy ( k  = 86 health outcomes) and kangaroo care ( k  = 33 health outcomes). For datasets where no effect size could be computed, 90.0% of mental health and 84.3% of physical health parameters were positively impacted by touch. Positive impact of touch did not differ between types of touch interventions. These results match well with the observations of the meta-analysis of a highly positive benefit of touch overall, irrespective of whether a massage or any other intervention is applied.

We also assessed health outcomes in animals across 19 studies and n  = 911 subjects. Most research was conducted in rodents. Animals that received touch were rats (ten studies, k  = 16 health outcomes), mice (four studies, k  = 7 health outcomes), macaques (two studies, k  = 3 health outcomes), cats (one study, k  = 3 health outcomes), lambs (one study, k  = 2 health outcomes) and coral reef fish (one study, k  = 1 health outcome). Touch interventions mostly comprised stroking ( k  = 13 health outcomes) and tickling ( k  = 10 health outcomes). For animal studies, 71.4% of effects showed benefits to mental health-like parameters and 81.8% showed positive physical health effects. We thus found strong evidence that touch interventions, which were mostly conducted by humans (16 studies with human touch versus 3 studies with object touch), had positive health effects in animal species as well.

The key aim of the present study was twofold: (1) to provide an estimate of the effect size of touch interventions and (2) to disambiguate moderating factors to potentially tailor future interventions more precisely. Overall, touch interventions were beneficial for both physical and mental health, with a medium effect size. Our work illustrates that touch interventions are best suited for reducing pain, depression and anxiety in adults and children as well as for increasing weight gain in newborns. These findings are in line with previous meta-analyses on this topic, supporting their conclusions and their robustness to the addition of more datasets. One limitation of previous meta-analyses is that they focused on specific health outcomes or populations, despite primary studies often reporting effects on multiple health parameters simultaneously (for example, ref. 13 focusing on neck and shoulder pain and ref. 14 focusing on massage therapy in preterms). To our knowledge, only ref. 5 provides a multivariate picture for a large number of dependent variables. However, this study analysed their data in separate random effects models that did not account for multivariate reporting nor for the multilevel structure of the data, as such approaches have only become available recently. Thus, in addition to adding a substantial amount of new data, our statistical approach provides a more accurate depiction of effect size estimates. Additionally, our study investigated a variety of moderating effects that did not reach significance (for example, sex ratio, mean age or intervention duration) or were not considered (for example, the benefits of robot or object touch) in previous meta-analyses in relation to touch intervention efficacy 5 , probably because of the small number of studies with information on these moderators in the past. Owing to our large-scale approach, we reached high statistical power for many moderator analyses. Finally, previous meta-analyses on this topic exclusively focused on massage therapy in adults or kangaroo care in newborns 15 , leaving out a large number of interventions that are being carried out in research as well as in everyday life to improve well-being. Incorporating these studies into our study, we found that, in general, both massages and other types of touch, such as gentle touch, stroking or kangaroo care, showed similar health benefits.

While it seems to be less critical which touch intervention is applied, the frequency of interventions seems to matter. More sessions were positively associated with the improvement of trait outcomes such as depression and anxiety but also pain reductions in adults. In contrast to session number, increasing the duration of individual sessions did not improve health effects. In fact, we found some indications of negative relationships in adults for cortisol and blood pressure. This could be due to habituating effects of touch on the sympathetic nervous system and hypothalamic–pituitary–adrenal axis, ultimately resulting in diminished effects with longer exposure, or decreased pleasantness ratings of affective touch with increasing duration 16 . For newborns, we could not support previous notions that the duration of the touch intervention is linked to benefits in weight gain 17 . Thus, an ideal intervention protocol does not seem to have to be excessively long. It should be noted that very few interventions lasted less than 5 min, and it therefore remains unclear whether very short interventions have the same effect.

A critical issue highlighted in the pandemic was the lack of touch due to social restrictions 18 . To accommodate the need for touch in individuals with small social networks (for example, institutionalized or isolated individuals), touch interventions using objects/robots have been explored in the past (for a review, see ref. 11 ). We show here that touch interactions outside of the human–human domain are beneficial for mental and physical health outcomes. Importantly, object/robot touch was not as effective in improving mental health as human-applied touch. A sub-analysis of missing skin-to-skin contact among humans indicated that mental health effects of touch might be mediated by the presence of skin-to-skin contact. Thus, it seems profitable to include skin-to-skin contact in future touch interventions, in line with previous findings in newborns 19 . In robots, recent advancements in synthetic skin 20 should be investigated further in this regard. It should be noted that, although we did not observe significant differences in physical health benefits between human–human and human–object touch, the variability of effect sizes was higher in human–object touch. The conditions enabling object or robot interactions to improve well-being should therefore be explored in more detail in the future.

Touch was beneficial for both healthy and clinical cohorts. These data are critical as most previous meta-analytic research has focused on individuals diagnosed with clinical disorders (for example, ref. 6 ). For mental health outcomes, we found larger effects in clinical cohorts. A possible reason could relate to increased touch wanting 21 in patients. For example, loneliness often co-occurs with chronic illnesses 22 , which are linked to depressed mood and feelings of anxiety 23 . Touch can be used to counteract this negative development 24 , 25 . In adults and children, knowing the toucher did not influence health benefits. In contrast, familiarity affected overall health benefits in newborns, with parental touch being more beneficial than touch applied by medical staff. Previous studies have suggested that early skin-to-skin contact and exposure to maternal odour is critical for a newborn’s ability to adapt to a new environment 26 , supporting the notion that parental care is difficult to substitute in this time period.

With respect to age-related effects, our data further suggest that increasing age was associated with a higher benefit through touch for systolic blood pressure. These findings could potentially be attributed to higher basal blood pressure 27 with increasing age, allowing for a stronger modulation of this parameter. For sex differences, our study provides some evidence that there are differences between women and men with respect to health benefits of touch. Overall, research on sex differences in touch processing is relatively sparse (but see refs. 28 , 29 ). Our results suggest that buffering effects against physiological stress are stronger in women. This is in line with increased buffering effects of hugs in women compared with men 30 . The female-biased primary research in adults, however, begs for more research in men or non-binary individuals. Unfortunately, our study could not dive deeper into this topic as health benefits broken down by sex or gender were almost never provided. Recent research has demonstrated that sensory pleasantness is affected by sex and that this also interacts with the familiarity of the other person in the touching dyad 29 , 31 . In general, contextual factors such as sex and gender or the relationship of the touching dyad, differences in cultural background or internal states such as stress have been demonstrated to be highly influential in the perception of affective touch and are thus relevant to maximizing the pleasantness and ultimately the health benefits of touch interactions 32 , 33 , 34 . As a positive personal relationship within the touching dyad is paramount to induce positive health effects, future research applying robot touch to promote well-being should therefore not only explore synthetic skin options but also focus on improving robots as social agents that form a close relationship with the person receiving the touch 35 .

As part of the systematic review, we also assessed the effects of touch interventions in non-human animals. Mimicking the results of the meta-analysis in humans, beneficial effects of touch in animals were comparably strong for mental health-like and physical health outcomes. This may inform interventions to promote animal welfare in the context of animal experiments 36 , farming 37 and pets 38 . While most studies investigated effects in rodents, which are mostly used as laboratory animals, these results probably transfer to livestock and common pets as well. Indeed, touch was beneficial in lambs, fish and cats 39 , 40 , 41 . The positive impact of human touch in rodents also allows for future mechanistic studies in animal models to investigate how interventions such as tickling or stroking modulate hormonal and neuronal responses to touch in the brain. Furthermore, the commonly proposed oxytocin hypothesis can be causally investigated in these animal models through, for example, optogenetic or chemogenetic techniques 42 . We believe that such translational approaches will further help in optimizing future interventions in humans by uncovering the underlying mechanisms and brain circuits involved in touch.

Our results offer many promising avenues to improve future touch interventions, but they also need to be discussed in light of their limitations. While the majority of findings showed robust health benefits of touch interventions across moderators when compared with a null effect, post hoc tests of, for example, familiarity effects in newborns or mental health benefit differences between human and object touch only barely reached significance. Since we computed a large number of statistical tests in the present study, there is a risk that these results are false positives. We hope that researchers in this field are stimulated by these intriguing results and target these questions by primary research through controlled experimental designs within a well-powered study. Furthermore, the presence of small-study bias in both meta-analyses is indicative that the effect size estimates presented here might be overestimated as null results are often unpublished. We want to stress however that this bias is probably reduced by the multivariate reporting of primary studies. Most studies that reported on multiple health outcomes only showed significant findings for one or two among many. Thus, the multivariate nature of primary research in this field allowed us to include many non-significant findings in the present study. Another limitation pertains to the fact that we only included articles in languages mostly spoken in Western countries. As a large body of evidence comes from Asian countries, it could be that primary research was published in languages other than specified in the inclusion criteria. Thus, despite the large and inclusive nature of our study, some studies could have been missed regardless. Another factor that could not be accounted for in our meta-analysis was that an important prerequisite for touch to be beneficial is its perceived pleasantness. The level of pleasantness associated with being touched is modulated by several parameters 34 including cultural acceptability 43 , perceived humanness 44 or a need for touch 45 , which could explain the observed differences for certain moderators, such as human–human versus robot–human interaction. Moreover, the fact that secondary categorical moderators could not be investigated with respect to specific health outcomes, owing to the lack of data points, limits the specificity of our conclusions in this regard. It thus remains unclear whether, for example, a decreased mental health benefit in the absence of skin-to-skin contact is linked mostly to decreased anxiolytic effects, changes in positive/negative affect or something else. Since these health outcomes are however highly correlated 46 , it is likely that such effects are driven by multiple health outcomes. Similarly, it is important to note that our conclusions mainly refer to outcomes measured close to the touch intervention as we did not include long-term outcomes. Finally, it needs to be noted that blinding towards the experimental condition is essentially impossible in touch interventions. Although we compared the touch intervention with other interventions, such as relaxation therapy, as control whenever possible, contributions of placebo effects cannot be ruled out.

In conclusion, we show clear evidence that touch interventions are beneficial across a large number of both physical and mental health outcomes, for both healthy and clinical cohorts, and for all ages. These benefits, while influenced in their magnitude by study cohorts and intervention characteristics, were robustly present, promoting the conclusion that touch interventions can be systematically employed across the population to preserve and improve our health.

Open science practices

All data and code are accessible in the corresponding OSF project 12 . The systematic review was registered on PROSPERO (CRD42022304281) before the start of data collection. We deviated from the pre-registered plan as follows:

Deviation 1: During our initial screening for the systematic review, we were confronted with a large number of potential health outcomes to look at. This observation of multivariate outcomes led us to register an amendment during data collection (but before any effect size or moderator screening). In doing so, we aimed to additionally extract meta-analytic effects for a more quantitative assessment of our review question that can account for multivariate data reporting and dependencies of effects within the same study. Furthermore, as we noted a severe lack of studies with respect to health outcomes for animals during the inclusion assessment for the systematic review, we decided that the meta-analysis would only focus on outcomes that could be meaningfully analysed on the meta-analytic level and therefore only included health outcomes of human participants.

Deviation 2: In the pre-registration, we did not explicitly exclude non-randomized trials. Since an explicit use of non-randomization for group allocation significantly increases the risk of bias, we decided to exclude them a posteriori from data analysis.

Deviation 3: In the pre-registration, we outlined a tertiary moderator level, namely benefits of touch application versus touch reception. This level was ignored since no included study specifically investigated the benefits of touch application by itself.

Deviation 4: In the pre-registration, we suggested using the RoBMA function 47 to provide a Bayesian framework that allows for a more accurate assessment of publication bias beyond small-study bias. Unfortunately, neither multilevel nor multivariate data structures are supported by the RoBMA function, to our knowledge. For this reason, we did not further pursue this analysis, as the hierarchical nature of the data would not be accounted for.

Deviation 5: Beyond the pre-registered inclusion and exclusion criteria, we also excluded dissertations owing to their lack of peer review.

Deviation 6: In the pre-registration, we stated to investigate the impact of sex of the person applying the touch. This moderator was not further analysed, as this information was rarely given and the individuals applying the touch were almost exclusively women (7 males, 24 mixed and 85 females in studies on adults/children; 3 males, 17 mixed and 80 females in studied on newborns).

Deviation 7: The time span of the touch intervention as assessed by subtracting the final day of the intervention from the first day was not investigated further owing to its very high correlation with the number of sessions ( r (461) = 0.81 in the adult meta-analysis, r (145) = 0.84 in the newborn meta-analysis).

Inclusion and exclusion criteria

To be included in the systematic review, studies had to investigate the relationship between at least one health outcome (physical and/or mental) in humans or animals and a touch intervention, include explicit physical touch by another human, animal or object as part of an intervention and include an experimental and control condition/group that are differentiated by touch alone. Of note, as a result of this selection process, no animal-to-animal touch intervention study was included, as they never featured a proper no-touch control. Human touch was always explicit touch by a human (that is, no brushes or other tools), either with or without skin-to-skin contact. Regarding the included health outcomes, we aimed to be as broad as possible but excluded parameters such as neurophysiological responses or pleasantness ratings after touch application as they do not reflect health outcomes. All included studies in the meta-analysis and systematic review 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 , 75 , 76 , 77 , 78 , 79 , 80 , 81 , 82 , 83 , 84 , 85 , 86 , 87 , 88 , 89 , 90 , 91 , 92 , 93 , 94 , 95 , 96 , 97 , 98 , 99 , 100 , 101 , 102 , 103 , 104 , 105 , 106 , 107 , 108 , 109 , 110 , 111 , 112 , 113 , 114 , 115 , 116 , 117 , 118 , 119 , 120 , 121 , 122 , 123 , 124 , 125 , 126 , 127 , 128 , 129 , 130 , 131 , 132 , 133 , 134 , 135 , 136 , 137 , 138 , 139 , 140 , 141 , 142 , 143 , 144 , 145 , 146 , 147 , 148 , 149 , 150 , 151 , 152 , 153 , 154 , 155 , 156 , 157 , 158 , 159 , 160 , 161 , 162 , 163 , 164 , 165 , 166 , 167 , 168 , 169 , 170 , 171 , 172 , 173 , 174 , 175 , 176 , 177 , 178 , 179 , 180 , 181 , 182 , 183 , 184 , 185 , 186 , 187 , 188 , 189 , 190 , 191 , 192 , 193 , 194 , 195 , 196 , 197 , 198 , 199 , 200 , 201 , 202 , 203 , 204 , 205 , 206 , 207 , 208 , 209 , 210 , 211 , 212 , 213 , 214 , 215 , 216 , 217 , 218 , 219 , 220 , 221 , 222 , 223 , 224 , 225 , 226 , 227 , 228 , 229 , 230 , 231 , 232 , 233 , 234 , 235 , 236 , 237 , 238 , 239 , 240 , 241 , 242 , 243 , 244 , 245 , 246 , 247 , 248 , 249 , 250 , 251 , 252 , 253 , 254 , 255 , 256 , 257 , 258 , 259 , 260 , 261 , 262 , 263 are listed in Supplementary Table 2 . All excluded studies are listed in Supplementary Table 3 , together with a reason for exclusion. We then applied a two-step process: First, we identified all potential health outcomes and extracted qualitative information on those outcomes (for example, direction of effect). Second, we extracted quantitative information from all possible outcomes (for example, effect sizes). The meta-analysis additionally required a between-subjects design (to clearly distinguish touch from no-touch effects and owing to missing information about the correlation between repeated measurements 264 ). Studies that explicitly did not apply a randomized protocol were excluded before further analysis to reduce risk of bias. The full study lists for excluded and included studies can be found in the OSF project 12 in the file ‘Study_lists_final_revised.xlsx’. In terms of the time frame, we conducted an open-start search of studies until 2022 and identified studies conducted between 1965 and 2022.

Data collection

We used Google Scholar, PubMed and Web of Science for our literature search, with no limitations regarding the publication date and using pre-specified search queries (see Supplementary Information for the exact keywords used). All procedures were in accordance with the updated Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines 265 . Articles were assessed in French, Dutch, German or English. The above databases were searched from 2 December 2021 until 1 October 2022. Two independent coders evaluated each paper against the inclusion and exclusion criteria. Inconsistencies between coders were checked and resolved by J.P. and H.H. Studies excluded/included for the review and meta-analysis can be found on the OSF project.

Search queries

We used the following keywords to search the chosen databases. Agents (human versus animal versus object versus robot) and touch outcome (physical versus mental) were searched separately together with keywords searching for touch.

TOUCH: Touch OR Social OR Affective OR Contact OR Tactile interaction OR Hug OR Massage OR Embrace OR Kiss OR Cradling OR Stroking OR Haptic interaction OR tickling

AGENT: Object OR Robot OR human OR animal OR rodent OR primate

MENTAL OUTCOME: Health OR mood OR Depression OR Loneliness OR happiness OR life satisfaction OR Mental Disorder OR well-being OR welfare OR dementia OR psychological OR psychiatric OR anxiety OR Distress

PHYSICAL OUTCOME: Health OR Stress OR Pain OR cardiovascular health OR infection risk OR immune response OR blood pressure OR heart rate

Data extraction and preparation

Data extraction began on 10 October 2022 and was concluded on 25 February 2023. J.P. and H.H. oversaw the data collection process, and checked and resolved all inconsistencies between coders.

Health benefits of touch were always coded by positive summary effects, whereas adverse health effects of touch were represented by negative summary effects. If multiple time points were measured for the same outcome on the same day after a single touch intervention, we extracted the peak effect size (in either the positive or negative direction). If the touch intervention occurred multiple times and health outcomes were assessed for each time point, we extracted data points separately. However, we only extracted immediate effects, as long-term effects not controlled through the experimental conditions could be due to influences other than the initial touch intervention. Measurements assessing long-term effects without explicit touch sessions in the breaks were excluded for the same reason. Common control groups for touch interventions comprised active (for example, relaxation therapy) as well as passive control groups (for example, standard medical care). In the case of multiple control groups, we always contrasted the touch group to the group that most closely matched the touch condition (for example, relaxation therapy was preferred over standard medical care). We extracted information from all moderators listed in the pre-registration (Supplementary Table 4 ). A list of included and excluded health outcomes is presented in Supplementary Table 5 . Authors of studies with possible effects but missing information to calculate those effects were contacted via email and asked to provide the missing data (response rate 35.7%).

After finalizing the list of included studies for the systematic review, we added columns for moderators and the coding schema for our meta-analysis per our updated registration. Then, each study was assessed for its eligibility in the meta-analysis by two independent coders (J.P., H.H., K.F. or F.M.). To this end, all coders followed an a priori specified procedure: First, the PDF was skimmed for possible effects to extract, and the study was excluded if no PDF was available or the study was in a language different from the ones specified in ‘ Data collection ’. Effects from studies that met the inclusion criteria were extracted from all studies listing descriptive values or statistical parameters to calculate effect sizes. A website 266 was used to convert descriptive and statistical values available in the included studies (means and standard deviations/standard errors/confidence intervals, sample sizes, F values, t values, t test P values or frequencies) into Cohen’s d , which were then converted in Hedges’ g . If only P value thresholds were reported (for example, P  < 0.01), we used this, most conservative, value as the P value to calculate the effect size (for example, P  = 0.01). If only the total sample size was given but that number was even and the participants were randomly assigned to each group, we assumed equal sample sizes for each group. If delta change scores (for example, pre- to post-touch intervention) were reported, we used those over post-touch only scores. In case frequencies were 0 when frequency tables were used to determine effect sizes, we used a value of 0.5 as a substitute to calculate the effect (the default setting in the ‘metafor’ function 267 ). From these data, Hedges’ g and its variance could be derived. Effect sizes were always computed between the experimental and the control group.

Statistical analysis and risk of bias assessment

Owing to the lack of identified studies, health benefits to animals were not included as part of the statistical analysis. One meta-analysis was performed for adults, adolescents and children, as outcomes were highly comparable. We refer to this meta-analysis as the adult meta-analysis, as children/adolescent cohorts were only targeted in a minority of studies. A separate meta-analysis was performed for newborns, as their health outcomes differed substantially from any other age group.

Data were analysed using R (version 4.2.2) with the ‘rma.mv’ function from the ‘metafor’ package 267 in a multistep, multivariate and multilevel fashion.

We calculated an overall effect of touch interventions across all studies, cohorts and health outcomes. To account for the hierarchical structure of the data, we used a multilevel structure with random effects at the study, cohort and effects level. Furthermore, we calculated the variance–covariance matrix of all data points to account for the dependencies of measured effects within each individual cohort and study. The variance–covariance matrix was calculated by default with an assumed correlation of effect sizes within each cohort of ρ  = 0.6. As ρ needed to be assumed, sensitivity analyses for all computed effect estimates were conducted using correlations between effects of 0, 0.2, 0.4 and 0.8. The results of these sensitivity analyses can be found in ref. 12 . No conclusion drawn in the present manuscript was altered by changing the level of ρ . The sensitivity analyses, however, showed that higher assumed correlations lead to more conservative effect size estimates (see Supplementary Figs. 19 and 20 for the adult and newborn meta-analyses, respectively), reducing the type I error risk in general 268 . In addition to these procedures, we used robust variance estimation with cluster-robust inference at the cohort level. This step is recommended to more accurately determine the confidence intervals in complex multivariate models 269 . The data distribution was assumed to be normal, but this was not formally tested.

To determine whether individual effects had a strong influence on our results, we calculated Cook’s distance D . Here, a threshold of D  > 0.5 was used to qualify a study as influential 270 . Heterogeneity in the present study was assessed using Cochran’s Q , which determines whether the extracted effect sizes estimate a common population effect size. Although the Q statistic in the ‘rma.mv’ function accounts for the hierarchical nature of the data, we also quantified the heterogeneity estimator σ ² for each random-effects level to provide a comprehensive overview of heterogeneity indicators. These indicators for all models can be found on the OSF project 12 in the Table ‘Model estimates’. To assess small study bias, we visually inspected the funnel plot and used the standard error as a moderator in the overarching meta-analyses.

Before any sub-group analysis, the overall effect size was used as input for power calculations. While such post hoc power calculations might be limited, we believe that a minimum number of effects to be included in subgroup analyses was necessary to allow for meaningful conclusions. Such medium effect sizes would also probably be the minimum effect sizes of interest for researchers as well as clinical practitioners. Power calculation for random-effects models further requires a sample size for each individual effect as well as an approximation of the expected heterogeneity between studies. For the sample size input, we used the median sample size in each of our studies. For heterogeneity, we assumed a value between medium and high levels of heterogeneity ( I ² = 62.5% 271 ), as moderator analyses typically aim at reducing heterogeneity overall. Subgroups were only further investigated if the number of observed effects achieved ~80% power under these circumstances, to allow for a more robust interpretation of the observed effects (see Supplementary Figs. 5 and 6 for the adult and newborn meta-analysis, respectively). In a next step, we investigated all pre-registered moderators for which sufficient power was detected. We first looked at our primary moderators (mental versus physical health) and how the effect sizes systematically varied as a function of our secondary moderators (for example, human–human or human–object touch, duration, skin-to-skin presence, etc.). We always included random slopes to allow for our moderators to vary with the random effects at our clustering variable, which is recommended in multilevel models to reduce false positives 272 . All statistical tests were performed two-sided. Significance of moderators was determined using omnibus F tests. Effect size differences between moderator levels and their confidence intervals were assessed via t tests.

Post hoc t tests were performed comparing mental and physical health benefits within each interacting moderator (for example, mental versus physical health benefits in cancer patients) and mental or physical health benefits across levels of the interacting moderator (for example, mental health benefits in cancer versus pain patients). The post hoc tests were not pre-registered. Data were visualized using forest plots and orchard plots 273 for categorical moderators and scatter plots for continuous moderators.

For a broad overview of prior work and their biases, risk of bias was assessed for all studies included in both meta-analyses and the systematic review. We assessed the risk of bias for the following parameters:

Bias from randomization, including whether a randomization procedure was performed, whether it was a between- or within-participant design and whether there were any baseline differences for demographic or dependent variables.

Sequence bias resulting from a lack of counterbalancing in within-subject designs.

Performance bias resulting from the participants or experiments not being blinded to the experimental conditions.

Attrition bias resulting from different dropout rates between experimental groups.

Note that four studies in the adult meta-analysis did not explicitly mention randomization as part of their protocol. However, since these studies never showed any baseline differences in all relevant variables (see ‘Risk of Bias’ table on the OSF project ) , we assumed that randomization was performed but not mentioned. Sequence bias was of no concern for studies for the meta-analysis since cross-over designs were excluded. It was, however, assessed for studies within the scope of the systematic review. Importantly, performance bias was always high in the adult/children meta-analysis, as blinding of the participants and experimenters to the experimental conditions was not possible owing to the nature of the intervention (touch versus no touch). For studies with newborns and animals, we assessed the performance bias as medium since neither newborns or animals are likely to be aware of being part of an experiment or specific group. An overview of the results is presented in Supplementary Fig. 21 , and the precise assessment for each study can be found on the OSF project 12 in the ‘Risk of Bias’ table.

Reporting summary

Further information on research design is available in the Nature Portfolio Reporting Summary linked to this article.

Data availability

All data are available via Open Science Framework at https://doi.org/10.17605/OSF.IO/C8RVW (ref. 12 ). Source data are provided with this paper.

Code availability

All code is available via Open Science Framework at https://doi.org/10.17605/OSF.IO/C8RVW (ref. 12 ).

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Acknowledgements

We thank A. Frick and E. Chris for supporting the initial literature search and coding. We also thank A. Dreisoerner, T. Field, S. Koole, C. Kuhn, M. Henricson, L. Frey Law, J. Fraser, M. Cumella Reddan, and J. Stringer, who kindly responded to our data requests and provided additional information or data with respect to single studies. J.P. was supported by the German National Academy of Sciences Leopoldina (LPDS 2021-05). H.H. was supported by the Marietta-Blau scholarship of the Austrian Agency for Education and Internationalisation (OeAD) and the Deutsche Forschungsgemeinschaft (DFG, German Research Foundation, project ID 422744262 – TRR 289). C.K. received funding from OCENW.XL21.XL21.069 and V.G. from the European Research Council (ERC) under European Union’s Horizon 2020 research and innovation programme, grant ‘HelpUS’ (758703) and from the Dutch Research Council (NWO) grant OCENW.XL21.XL21.069. The funders had no role in study design, data collection and analysis, decision to publish or preparation of the manuscript.

Open access funding provided by Ruhr-Universität Bochum.

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Julian Packheiser

Present address: Social Neuroscience, Faculty of Medicine, Ruhr University Bochum, Bochum, Germany

These authors contributed equally: Julian Packheiser, Helena Hartmann.

Authors and Affiliations

Social Brain Lab, Netherlands Institute for Neuroscience, Royal Netherlands Academy of Art and Sciences, Amsterdam, the Netherlands

Julian Packheiser, Helena Hartmann, Kelly Fredriksen, Valeria Gazzola, Christian Keysers & Frédéric Michon

Center for Translational and Behavioral Neuroscience, University Hospital Essen, Essen, Germany

Helena Hartmann

Clinical Neurosciences, Department for Neurology, University Hospital Essen, Essen, Germany

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J.P. contributed to conceptualization, methodology, formal analysis, investigation, data curation, writing the original draft, review and editing, visualization, supervision and project administration. HH contributed to conceptualization, methodology, formal analysis, investigation, data curation, writing the original draft, review and editing, visualization, supervision and project administration. K.F. contributed to investigation, data curation, and review and editing. C.K. and V.G. contributed to conceptualization, and review and editing. F.M. contributed to conceptualization, methodology, formal analysis, investigation, writing the original draft, and review and editing.

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Supplementary Figs. 1–21 and Tables 1–4.

Reporting Summary

Peer review file, supplementary table 1.

List of studies included in and excluded from the meta-analyses/review.

Supplementary Table 2

PRISMA checklist, manuscript.

Supplementary Table 3

PRISMA checklist, abstract.

Source Data Fig. 2

Effect size/error (columns ‘Hedges_g’ and ‘variance’) information for each study/cohort/effect included in the analysis. Source Data Fig. 3 Effect size/error (columns ‘Hedges_g’ and ‘variance’) together with moderator data (column ‘Outcome’) for each study/cohort/effect included in the analysis. Source Data Fig. 4 Effect size/error (columns ‘Hedges_g’ and ‘variance’) together with moderator data (columns ‘dyad_type’ and ‘skin_to_skin’) for each study/cohort/effect included in the analysis. Source Data Fig. 5 Effect size/error (columns ‘Hedges_g’ and ‘variance’) together with moderator data (column ‘touch_type’) for each study/cohort/effect included in the analysis. Source Data Fig. 6 Effect size/error (columns ‘Hedges_g’ and ‘variance’) together with moderator data (column ‘clin_sample’) for each study/cohort/effect included in the analysis. Source Data Fig. 7 Effect size/error (columns ‘Hedges_g’ and ‘variance’) together with moderator data (column ‘familiarity’) for each study/cohort/effect included in the analysis. Source Data Fig. 7 Effect size/error (columns ‘Hedges_g’ and ‘variance’) together with moderator data (columns ‘touch_duration’ and ‘sessions’) for each study/cohort/effect included in the analysis.

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Packheiser, J., Hartmann, H., Fredriksen, K. et al. A systematic review and multivariate meta-analysis of the physical and mental health benefits of touch interventions. Nat Hum Behav (2024). https://doi.org/10.1038/s41562-024-01841-8

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