Guideline adaptation: an approach to enhance efficiency in guideline development and improve utilisation.

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State: Public
Version: author
Serval ID
serval:BIB_FC7DC80F9148
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Guideline adaptation: an approach to enhance efficiency in guideline development and improve utilisation.
Journal
Bmj Quality and Safety
Author(s)
Fervers B., Burgers J.S., Voellinger R., Brouwers M., Browman G.P., Graham I.D., Harrison M.B., Latreille J., Mlika-Cabane N., Paquet L., Zitzelsberger L., Burnand B.
Working group(s)
ADAPTE Collaboration
Contributor(s)
Brouwers M., Browman GP., Burgers JS., Burnand B., Fervers B., Graham ID., Harrison MB., Latreille J., Mlika-Cabanne N., Paquet L., Remy-Stockinger M., Simon A., Vlayen J., Zitzelsberger L.
ISSN
2044-5423 (Electronic)
ISSN-L
2044-5415
Publication state
Published
Issued date
2011
Peer-reviewed
Oui
Volume
20
Number
3
Pages
228-236
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Abstract
BACKGROUND: Developing and updating high-quality guidelines requires substantial time and resources. To reduce duplication of effort and enhance efficiency, we developed a process for guideline adaptation and assessed initial perceptions of its feasibility and usefulness.
METHODS: Based on preliminary developments and empirical studies, a series of meetings with guideline experts were organised to define a process for guideline adaptation (ADAPTE) and to develop a manual and a toolkit made available on a website (http://www.adapte.org). Potential users, guideline developers and implementers, were invited to register and to complete a questionnaire evaluating their perception about the proposed process.
RESULTS: The ADAPTE process consists of three phases (set-up, adaptation, finalisation), 9 modules and 24 steps. The adaptation phase involves identifying specific clinical questions, searching for, retrieving and assessing available guidelines, and preparing the draft adapted guideline. Among 330 registered individuals (46 countries), 144 completed the questionnaire. A majority found the ADAPTE process clear (78%), comprehensive (69%) and feasible (60%), and the manual useful (79%). However, 21% found the ADAPTE process complex. 44% feared that they will not find appropriate and high-quality source guidelines.
DISCUSSION: A comprehensive framework for guideline adaptation has been developed to meet the challenges of timely guideline development and implementation. The ADAPTE process generated important interest among guideline developers and implementers. The majority perceived the ADAPTE process to be feasible, useful and leading to improved methodological rigour and guideline quality. However, some de novo development might be needed if no high quality guideline exists for a given topic.
Keywords
Efficiency, Organizational, Guideline Adherence, Humans, Practice Guidelines as Topic
Pubmed
Web of science
Create date
23/05/2011 12:29
Last modification date
20/08/2019 17:27
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