健康指南是全球众多利益相关者制作和使用的关键知识翻译工具。有效参与准则制定小组或发展小组对准则成功至关重要,然而,这些团体的成员几乎没有指导。在这项研究中,我们提出了指南参与者工具(GPT)来支持指南组的有效参与,特别是那些使用建议分级的人,评估,发展,和评估(等级)方法。
我们使用了混合方法和迭代方法来开发支持指南参与的工具。我们使用已发表的系统评价的结果来制定指南参与者的初始项目清单。然后,我们通过对指南椅的关键线人采访来完善这份名单,赞助商,和参与者。最后,我们在有26名指南组成员的3个指南组中验证了GPT.
基于现有系统审查的37篇文章的初始项目清单包括15个主题和61个工具草案项目。十个关键的线人访谈帮助我们完善了列表,以包括以下主题:选择参与者,指导小组进程,和工具格式。26名受访者完成了来自三个指南组的验证调查。该工具的改进最终生成了一个GPT,其中有33个项目供参与者考虑,during,以及指导小组会议的后续行动。
GPT包含对所有指南参与者的有用指导,特别是那些以前没有指导经验的人。未来的研究应进一步探索是否需要额外的工具来支持指南参与者,并确定和制定改善指南成员参与指南小组的策略。这项工作将被纳入指南国际网络和麦克马斯特大学的INGUIDE.org指南培训和认证工作。
Health
guidelines are a key knowledge translation tool produced and used by numerous stakeholders worldwide. Effective participation in
guideline development groups or development groups is crucial for
guideline success, yet little guidance exists for members of these groups. In this study, we present the Guideline Participant Tool (GPT) to support effective participation in guideline groups, in particular those using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) approach.
We used a mixed methods and iterative approach to develop a tool to support guideline participation. We used the findings of a published systematic review to develop an initial list of items for considerations for guideline participants. Then, we refined this list through key informant interviews with guideline chairs, sponsors, and participants. Finally, we validated the GPT in three
guideline groups with 26
guideline group members.
The initial list of items based on 37 articles from the existing systematic review included 15 themes and 61 items for a draft tool. Ten key informant interviews helped us refine the list to include the following themes: selection of participants, guideline group process, and tool format. 26 respondents completed the validation survey from three guideline groups. Refinement of the tool ultimately generated a GPT with 33 items for participant consideration before, during, and in follow-up to guideline group meetings.
The GPT contains helpful guidance for all guideline participants, particularly those without previous
guideline experience. Future research should further explore the need for additional tools to support guideline participants and identify and develop strategies for improving guideline members\' participation in guideline groups. This work will be incorporated into INGUIDE.org
guideline training and credentialing efforts by the
Guidelines International Network and McMaster University.