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Enhancing capacity for clinical practice guidelines in South Africa

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dc.contributor.authorYoung, T.
dc.contributor.authorDizon, J.
dc.contributor.authorKredo, T.
dc.contributor.authorMcCaul, M.
dc.contributor.authorOchodo, E.
dc.contributor.authorGrimmer, K.
dc.contributor.authorLouw, Q.
dc.date.issued2020
dc.description.abstractIntroduction: use of good quality, evidence-informed and up-to-date clinical practice guidelines (CPGs) has the potential to impact health outcomes. This paper describes the development, implementation and evaluation of a dedicated CPG training course to address the training needs of CPG stakeholders in South Africa. Methods: we first reviewed the content and teaching strategies of existing CPG courses. This review consisted of a systematic review of teaching and learning strategies for guideline teams and a document review of existing courses offered by international guideline groups, universities and professional groups. We then strengthened an existing CPG course and evaluated it. Results: we found no studies on teaching and learning strategies for guideline teams. We identified six CPG courses being offered as full courses (part of a postgraduate degree program) by universities or as independent training for continuing professional education by professional groups. Contents focused on new guideline development. One course included alternative methods of guideline approaches such as contextualization and adaptation. The format varied from face-to-face sessions, to online sessions, group exercises and discussions, seminar format and project based activities. The revised CPG four-month long course that we implemented was designed to be pragmatic, reflective and contextually relevant. It used local guideline examples, authentic tasks, and an online forum for discussions and resources. It covered de novo CPG development, alternative methods of development (adopting, contextualising, adapting), and implementing CPGs. Course evaluation identified strengths and areas for improvement. Conclusion: dedicated capacity development has potential to positively influence CPG development and implementation.
dc.identifier.citationPan African Medical Journal, 2020; 36:1-11
dc.identifier.doi10.11604/pamj.2020.36.18.20800
dc.identifier.issn1937-8688
dc.identifier.issn1937-8688
dc.identifier.orcidDizon, J. [0000-0002-4892-7310]
dc.identifier.urihttps://hdl.handle.net/11541.2/143472
dc.language.isoen
dc.publisherAfrican Field Epidemiology Network
dc.relation.fundingSouth African Medical Research Council AMRC-RFA-IFSP-01-2013/SAGE
dc.rightsCopyright 2020 The author(s). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
dc.source.urihttps://doi.org/10.11604/pamj.2020.36.18.20800
dc.subjectcapacity development
dc.subjectclinical practice guidelines
dc.subjectevaluation
dc.titleEnhancing capacity for clinical practice guidelines in South Africa
dc.typeJournal article
pubs.publication-statusPublished
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ror.mmsid9916426211501831

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