gms | German Medical Science

Background: The ADAPTE framework was established to enhance efficiency in guideline development and facilitate adaptation of high quality clinical practice guidelines for a local context. However the feasibility and usability of the process has not been widely evaluated.

Objectives: To describe the experiences of using the ADAPTE framework as a resource to adapt existing guidelines on the investigation and early referral for lung cancer for Australian general practitioners.

Methods: At each step of the ADAPTE process, all contributors, including Expert Advisory Panel members, project Steering Group members and Project Team members, reflected on the processes outlined in the ADAPTE framework. These reflections were collated into a lessons learned log and analysed following completion of the guide development process.

Results: The ADAPTE process provided useful structure and guidance however opportunities for improvement were noted in several steps in the process, in particular during the scope and purpose stage, the search and screen stage and the assessment stage. Issues related to efficiency of the process, level of assumed knowledge and expertise and resource requirements.

Discussion: Our project required modifications to the ADAPTE process to enhance its usability. Pending further evaluation, consideration should be given to including these modifications in updated versions of the ADAPTE framework.

Implications for guideline users: The ADAPTE framework offers an attractive alternative to de novo guideline synthesis in circumstances where high quality, compatible guidelines already exist. Further evaluation of the feasibility and usability of the ADAPTE by other guideline developers may be beneficial.