دورية أكاديمية

From guidelines to decision aids and adherence supports: Insights from the process of evidence translation.

التفاصيل البيبلوغرافية
العنوان: From guidelines to decision aids and adherence supports: Insights from the process of evidence translation.
المؤلفون: Sheridan SL; The Reaching for High Value Care Team, USA. Electronic address: staceysheridan4@gmail.com.
المصدر: Patient education and counseling [Patient Educ Couns] 2023 Aug; Vol. 113, pp. 107806. Date of Electronic Publication: 2023 May 19.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier Country of Publication: Ireland NLM ID: 8406280 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-5134 (Electronic) Linking ISSN: 07383991 NLM ISO Abbreviation: Patient Educ Couns
أسماء مطبوعة: Publication: Limerick : Elsevier
Original Publication: Princeton, N.J. : Excerpta Medica, c1983-
مواضيع طبية MeSH: Preventive Health Services* , Decision Support Techniques*, Humans
مستخلص: Objective: To explore the evidence-translator's experience of the expert-recommended process of translating guidelines into tools for decision making, action, and adherence with the goal of improvement.
Methods: A single reviewer dual reviewed the content, quality, certainty, and applicability of primary atherosclerotic cardiovascular prevention guidelines from the U.S. Preventive Services Task Force at the time of this work and used targeted searches of Medline to define the ideal structure and outcomes of tools; fill in gaps in guidelines; identify end-user needs; and choose and optimize existing tools in preparation for testing.
Results: Guidelines addressed screening, treatments, and/or supports, but never the combination of all three. None provided all of the information needed for evidence translation. Searches in Medline filled in some evidence gaps and provided key insights into end-user needs and effective tools. However, evidence translators are left with complicated decisions about how to use and align evidence.
Conclusion: Guidelines provide some, but not all, of the evidence needed for evidence translation, requiring additional intensive work. Evidence gaps result in complicated decisions about how to use and align evidence and balance feasibility and rigor.
Practice Implications: Guidelines, standards groups, and researchers should work to better support the process of evidence translation.
Competing Interests: Declaration of Competing Interest I have no conflicts of interest that would impair the scientific integrity of this publication.
(Copyright © 2023. Published by Elsevier B.V.)
فهرسة مساهمة: Keywords: Adherence; Decision support techniques; Evidence-based medicine; Guidelines as topic; Health behavior
تواريخ الأحداث: Date Created: 20230525 Date Completed: 20230605 Latest Revision: 20230619
رمز التحديث: 20240513
DOI: 10.1016/j.pec.2023.107806
PMID: 37229931
قاعدة البيانات: MEDLINE
الوصف
تدمد:1873-5134
DOI:10.1016/j.pec.2023.107806