Outdated guidelines can cause inadequate care. To counter this problem a dynamic updating process for guidelines is being internationally discussed (living guidelines). This process has specific challenges. The rhythm of updating has to be determined and a priori criteria have to be defined, which indicate that a substantial change of the medical practice is needed in order to then update individual recommendations. Digital tools have to be identified that can support a dynamic updating. Their (further) development has to be oriented to the specific requirements and needs of the trialogically composed guideline development teams. Recommendations have to be examined from the user perspective. The current guideline development methods that are still divergent, have to be harmonized and specific needs with respect to the cross-linking of guidelines have to be taken into account. The German Association for Psychiatry, Psychotherapy and Psychosomatics (DGPPN) supports and accompanies scientific projects dealing with the challenges of the dynamics of guideline development. From the first results of \"Guide2Guide\", a project funded by the Innovation Fund, it can be summarized that the development of living guidelines is a complex dynamic process that has only just started internationally and in Germany. It demands a special engagement of the guideline developers including representatives of patients and relatives, to responsibly work long term and flexibly. Digital tools can be useful in various process steps but at present they still have to be meaningfully linked into the process. Central elements of the development of S3 guidelines will continue to require substantial working time of the experts in the trialogue. In order for living guidelines to be actually used dissemination and implementation have to be integrated into the dynamic process.
UNASSIGNED: Nichtaktuelle Leitlinien können eine inadäquate Versorgung verursachen. Um dieser Problematik zu begegnen, wird international ein dynamischer Aktualisierungsprozess für Leitlinien diskutiert (Living Guideline). Dieser geht mit spezifischen Herausforderungen einher. So müssen der Rhythmus der Aktualisierung festgelegt und A‑priori-Kriterien definiert werden, die anzeigen, dass eine wesentliche Änderung der medizinischen Praxis erforderlich ist, um dann einzelne Empfehlungen zu aktualisieren. (Digitale) Tools müssen identifiziert werden, welche die dynamische Aktualisierung unterstützen können. Ihre (Weiter‑)Entwicklung und Anwendung muss an den spezifischen Anforderungen und Bedarfen der trialogisch besetzten Leitlinienentwicklerteams orientiert erfolgen. Empfehlungen müssen aus Nutzerperspektive überprüft werden. Die aktuell noch divergierende Leitlinienentwicklungsmethodik muss weitestgehend vereinheitlicht werden, besondere Bedarfe im Hinblick auf die Quervernetzung der Leitlinien müssen beachtet werden. Die Deutsche Gesellschaft für Psychiatrie und Psychotherapie, Psychosomatik und Nervenheilkunde (DGPPN) unterstützt und begleitet wissenschaftliche Projekte, welche sich mit den Herausforderungen der Dynamisierung der Leitlinienentwicklung auseinandersetzen. Aus den ersten Ergebnissen des Innovationsfondsprojekts „Guide2Guide“ kann resümiert werden, dass die Entwicklung von Living Guidelines ein komplexer dynamischer Prozess ist, der international und auch in Deutschland erst beginnt. Von den Leitlinienentwicklern inklusive den Patienten- und Angehörigenvertretern wird er ein besonderes Engagement verlangen, längerfristig und flexibel verantwortlich zu wirken. (Digitale) Tools können bei verschiedenen Prozessschritten hilfreich sein, sie müssen aktuell noch sinnvoll im Prozess verknüpft werden. Zentrale Elemente der S3-Leitlinien-Entwicklung werden weiterhin substanzielle Arbeitszeit der trialogischen Experten benötigen. Damit die Living Guidelines wirklich Anwendung finden, müssen Dissemination und Implementierung in den dynamischen Prozess integriert werden.

Along with the proliferation of health information technologies (HITs), there is a growing need to understand the potential privacy risks associated with using such tools. Although privacy policies are designed to inform consumers, such policies have consistently been found to be confusing and lack transparency.
This study aims to present consumer preferences for accessing privacy information; develop and apply a privacy policy risk assessment tool to assess whether existing HITs meet the recommended privacy policy standards; and propose guidelines to assist health professionals and service providers with understanding the privacy risks associated with HITs, so that they can confidently promote their safe use as a part of care.
In phase 1, participatory design workshops were conducted with young people who were attending a participating headspace center, their supportive others, and health professionals and service providers from the centers. The findings were knowledge translated to determine participant preferences for the presentation and availability of privacy information and the functionality required to support its delivery. Phase 2 included the development of the 23-item privacy policy risk assessment tool, which incorporated material from international privacy literature and standards. This tool was then used to assess the privacy policies of 34 apps and e-tools. In phase 3, privacy guidelines, which were derived from learnings from a collaborative consultation process with key stakeholders, were developed to assist health professionals and service providers with understanding the privacy risks associated with incorporating HITs as a part of clinical care.
When considering the use of HITs, the participatory design workshop participants indicated that they wanted privacy information to be easily accessible, transparent, and user-friendly to enable them to clearly understand what personal and health information will be collected and how these data will be shared and stored. The privacy policy review revealed consistently poor readability and transparency, which limited the utility of these documents as a source of information. Therefore, to enable informed consent, the privacy guidelines provided ensure that health professionals and consumers are fully aware of the potential for privacy risks in using HITs to support health and well-being.
A lack of transparency in privacy policies has the potential to undermine consumers\' ability to trust that the necessary measures are in place to secure and protect the privacy of their personal and health information, thus precluding their willingness to engage with HITs. The application of the privacy guidelines will improve the confidence of health professionals and service providers in the privacy of consumer data, thus enabling them to recommend HITs to provide or support care.