Adapting low back pain guidelines within a multidisciplinary context: a process evaluation

Harstall, Christa; Taenzer, Paul; Zuck, Nancy; Angus, Donna; Moga, Carmen; Scott, N. Ann

doi:10.1111/j.1365-2753.2012.01848.x

Cited by 8 publications

(13 citation statements)

References 22 publications

(32 reference statements)

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“…A survey by the G‐I‐N reported that the need for training, the complexity of the process, and the time needed to adapt a CPG are perceived as barriers to the use of a formal adaptation process . Similar barriers were identified elsewhere . Our observations are in line with the literature.…”

Section: Discussionsupporting

confidence: 93%

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Exploring guideline adaptation strategy for Turkey: Is “ADAPTE” feasible or does it need adaptation as well?

Başer

Kahveci

Artantaş

et al. 2017

Evaluation Clinical Practice

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Section: Discussionsupporting

confidence: 93%

“…32 Similar barriers were identified elsewhere. 31,[33][34][35] Our observations are in line with the literature.…”

Section: Findings Related To Pilot Adaptationssupporting

confidence: 92%

Exploring guideline adaptation strategy for Turkey: Is “ADAPTE” feasible or does it need adaptation as well?

Başer

Kahveci

Artantaş

et al. 2017

Evaluation Clinical Practice

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show abstract

“…Very similar barriers were identified by Harstall et al . in the evaluation of the Alberta Ambassador Project [24,29], by Chakraborty et al . [19] in Australia.…”

Section: Discussionmentioning

confidence: 99%

“…A survey by the Guideline International Network reported that the need for training, the complexity of the process and the time needed to adapt a CPG are perceived as barriers to the use of a formal adaptation process [31]. Very similar barriers were identified by Harstall et al in the evaluation of the Alberta Ambassador Project [24,29], by Chakraborty et al [19] in Australia. They were very much the same as those expressed by the participants involved in our process.…”

Section: Improving the Adaptation Processmentioning

confidence: 90%

Adapting a large database of point of care summarized guidelines: a process description

Delvaux¹,

Velde²,

Aertgeerts³

et al. 2015

Evaluation Clinical Practice

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Rationale, aims and objectivesQuestions posed at the point of care (POC) can be answered using POC summarized guidelines. To implement a national POC information resource, we subscribed to a large database of POC summarized guidelines to complement locally available guidelines. Our challenge was in developing a sustainable strategy for adapting almost 1000 summarized guidelines. The aim of this paper was to describe our process for adapting a database of POC summarized guidelines.MethodsAn adaptation process based on the ADAPTE framework was tailored to be used by a heterogeneous group of participants. Guidelines were assessed on content and on applicability to the Belgian context. To improve efficiency, we chose to first aim our efforts towards those guidelines most important to primary care doctors.ResultsOver a period of 3 years, we screened about 80% of 1000 international summarized guidelines. For those guidelines identified as most important for primary care doctors, we noted that in about half of the cases, remarks were made concerning content. On the other hand, at least two‐thirds of all screened guidelines required no changes when evaluating their local usability.ConclusionsAdapting a large body of POC summarized guidelines using a formal adaptation process is possible, even when faced with limited resources. This can be done by creating an efficient and collaborative effort and ensuring user‐friendly procedures. Our experiences show that even though in most cases guidelines can be adopted without adaptations, careful review of guidelines developed in a different context remains necessary. Streamlining international efforts in adapting international POC information resources and adopting similar adaptation processes may lessen duplication efforts and prove more cost‐effective.

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“…The ADAPTE framework consists of 24 steps in three main phases: (1) set–up (preparation), (2) adaptation and (3) finalization [ 7 ]. The evaluation of guideline adaptation has been recommended to ensure the reproducibility and efficiency of the methods in producing high quality guidelines [ 8 ].…”

mentioning

confidence: 99%

Methods used in adaptation of health–related guidelines: A systematic survey

Abdul-Khalek¹,

Darzi²,

Godah³

et al. 2017

Journal of Global Health

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BackgroundAdaptation refers to the systematic approach for considering the endorsement or modification of recommendations produced in one setting for application in another as an alternative to de novo development.ObjectiveTo describe and assess the methods used for adapting health–related guidelines published in peer–reviewed journals, and to assess the quality of the resulting adapted guidelines.MethodsWe searched Medline and Embase up to June 2015. We assessed the method of adaptation, and the quality of included guidelines.ResultsSeventy–two papers were eligible. Most adapted guidelines and their source guidelines were published by professional societies (71% and 68% respectively), and in high–income countries (83% and 85% respectively). Of the 57 adapted guidelines that reported any detail about adaptation method, 34 (60%) did not use a published adaptation method. The number (and percentage) of adapted guidelines fulfilling each of the ADAPTE steps ranged between 2 (4%) and 57 (100%). The quality of adapted guidelines was highest for the “scope and purpose” domain and lowest for the “editorial independence” domain (respective mean percentages of the maximum possible scores were 93% and 43%). The mean score for “rigor of development” was 57%.ConclusionMost adapted guidelines published in peer–reviewed journals do not report using a published adaptation method, and their adaptation quality was variable.

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Adapting low back pain guidelines within a multidisciplinary context: a process evaluation

Cited by 8 publications

References 22 publications

Exploring guideline adaptation strategy for Turkey: Is “ADAPTE” feasible or does it need adaptation as well?

Exploring guideline adaptation strategy for Turkey: Is “ADAPTE” feasible or does it need adaptation as well?

Adapting a large database of point of care summarized guidelines: a process description

Methods used in adaptation of health–related guidelines: A systematic survey

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