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To adopt, to adapt, or to contextualise? the big question in clinical practice guideline development

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dc.contributor.authorDizon, J.M.
dc.contributor.authorMachingaidze, S.
dc.contributor.authorGrimmer, K.
dc.date.issued2016
dc.description.abstractAIM:Developing new clinical practice guidelines (CPGs) can be time-consuming and expensive. A more efficient approach could be to adopt, adapt or contextualise recommendations from existing good quality CPGs so that the resultant guidance is tailored to the local context. RESULTS:The first steps are to search for international CPGs that have a similar purpose, end-users and patients to your situation. The second step is to critically appraise the methodological quality of the CPGs to ensure that your guidance is based on credible evidence. Then the decisions begin. Can you simply 'adopt' this (parent) clinical practice guidelines, and implement the recommendations in their entirety, without any changes, in your setting? If so, then no further work is required. However this situation is rare. What is more likely, is that even if recommendations from the parent clinical practice guidelines can be adopted, how they are implemented needs to address local issues. Thus you may need to 'contextualise' the guidance, by addressing implementation issues such as local workforce, training, health systems, equipment and/or access to services. Generally this means that additional information is required (Practice/Context Points) to support effective implementation of the clinical practice guidelines recommendations. In some cases, you may need to 'adapt' the guidance, where you will make changes to the recommendations so that care is relevant to your local environments. This may involve additional work to search for local research, or obtain local consensus, regarding how best to adapt recommendations. For example, adaptation might reflect substituting one drug for another (drugs have similar effects, but the alternative drug to the recommended one may be cheaper, more easily obtained or more culturally acceptable). There is lack of standardisation of clinical practice guidelines terminology, leading clinical practice guideline activities often being poorly conceptualised or reported. We provide an approach that would help improve efficiency and standardisation of clinical practice guidelines activities.
dc.identifier.citationBMC Research Notes, 2016; 9(1):442-442
dc.identifier.doi10.1186/s13104-016-2244-7
dc.identifier.issn1756-0500
dc.identifier.issn1756-0500
dc.identifier.orcidDizon, J.M. [0000-0002-4892-7310]
dc.identifier.urihttps://hdl.handle.net/11541.2/123342
dc.language.isoen
dc.publisherBioMed Central
dc.relation.fundingSouth African Medical Research Council SAMRC-RFA-IFSP-01-2013/SAGE flagship award project
dc.rightsCopyright 2016 The Author(s). This article is distributed under the terms of the Creative Commons Attribution 4.0 International License(http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium,provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license,and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated (http://creativecommons.org/publicdomain/zero/1.0/)
dc.source.urihttp://dx.doi.org/10.1186/s13104-016-2244-7
dc.subjectHumans
dc.subjectDeglutition Disorders
dc.subjectEvidence-Based Medicine
dc.subjectPractice Guidelines as Topic
dc.titleTo adopt, to adapt, or to contextualise? the big question in clinical practice guideline development
dc.typeJournal article
pubs.publication-statusPublished
ror.fileinfo12143239820001831 13143235870001831 9916105298401831_53140507840001831.pdf
ror.mmsid9916105298401831

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