Titre
Guideline adaptation: an approach to enhance efficiency in guideline development and improve utilisation.
Type
article
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Périodique
Auteur(s)
Fervers, B.
Auteure/Auteur
Burgers, J.S.
Auteure/Auteur
Voellinger, R.
Auteure/Auteur
Brouwers, M.
Auteure/Auteur
Browman, G.P.
Auteure/Auteur
Graham, I.D.
Auteure/Auteur
Harrison, M.B.
Auteure/Auteur
Latreille, J.
Auteure/Auteur
Mlika-Cabane, N.
Auteure/Auteur
Paquet, L.
Auteure/Auteur
Zitzelsberger, L.
Auteure/Auteur
Burnand, B.
Auteure/Auteur
Contributrices/contributeurs
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.
Groupes de travail
ADAPTE Collaboration
Liens vers les personnes
Liens vers les unités
ISSN
2044-5423
Statut éditorial
Publié
Date de publication
2011
Volume
20
Numéro
3
Première page
228
Dernière page/numéro d’article
236
Peer-reviewed
Oui
Langue
anglais
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Publication Status: ppublish
Résumé
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.
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.
PID Serval
serval:BIB_FC7DC80F9148
PMID
Date de création
2011-05-23T10:29:33.077Z
Date de création dans IRIS
2025-05-21T05:59:33Z
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BIB_FC7DC80F9148.P001.pdf
Version du manuscrit
preprint
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243.26 KB
Format
Adobe PDF
PID Serval
serval:BIB_FC7DC80F9148.P001
Somme de contrôle
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