gms | German Medical Science

G-I-N Conference 2012

Guidelines International Network

22.08 - 25.08.2012, Berlin

Development of optimal presentation formats of guidelines for health care professionals

Meeting Abstract

  • L. Brandt - Department of Medicine, Innlandet Hospital Trust, Gjovik, Norway
  • A. Kristiansen - Department of Medicine, Innlandet Hospital Trust, Gjovik, Norway
  • S. Rosenbaum - Norwegian Knowledge Centre for the Health Services, Oslo, Norway
  • D. Riagu - Iberoamerican Cochrane Centre, Institute of Biomedical Research (IIB Sant Pau), Barcelona, Spain
  • P. Alonso-Coello - Iberoamerican Cochrane Centre, Institute of Biomedical Research (IIB Sant Pau), Barcelona, Spain
  • E. Akl - Department of Medicine, State University of New York at Buffalo, Buffalo, United States
  • F. Sepencer - Department of Medicine (Division of Cardiology), McMaster University, Hamilton, Canada
  • I. Neumann - Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Canada; Department of Medicine, Pontificia Universidad Catolica de Chile, Santiago de Chile, Chile
  • G. Guyatt - Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Canada
  • P.O. Vandvik - Department of Medicine, Innlandet Hospital Trust, Gjovik, Norway; Norwegian Knowledge Centre for the Health Services, Oslo, Norway

Guidelines International Network. G-I-N Conference 2012. Berlin, 22.-25.08.2012. Düsseldorf: German Medical Science GMS Publishing House; 2012. DocP042

DOI: 10.3205/12gin154, URN: urn:nbn:de:0183-12gin1540

Veröffentlicht: 10. Juli 2012

© 2012 Brandt et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Background:Recommendations about diagnosis and treatment can promote evidence-based practice at the point of care. Guidelines provide such recommendations but often have shortcomings both in content and presentation.

Objectives:To develop optimal presentation formats of health care recommendations.

Methods:Following brainstorming workshops, we developed an initial prototype based on a guideline using GRADE methodology (ACCP Antithrombotic Guidelines, 9th edition) The prototype was developed to allow multilayered presentation of guidelines in a wide variety of outputs including web, smartphones or electronic medical records. We gathered user feedback through user testing, employing a think-aloud protocol in a sample of physicians with different clinical backgrounds. We collected stakeholder feedback via email. We produced successive iterations of the prototype, following the rounds of feedback.

Results:Our resulting prototype builds, on a ”top layer” format, the information in the guideline that we judge to be a minimum for point-of-care decisions. This includes a structured recommendation and its strength, a key information section (benefits and harms, confidence in effects, values and preferences, and resource considerations) and a rationale (description of the guideline panels´ judgements in moving from evidence to recommendations).

Discussion:Our preliminary format may overcome some previous deficiencies of recommendation presentations. Further work includes testing in real-life guidelines and the evaluation of its impact on decision making outcomes.

Implications for guideline developers/users:Optimal presentation of guideline content is crucial to allow clinicians to act on the recommendations. Our format has the potential to improve this process.