Developing and evaluating communication strategies to support informed decisions and practice based on evidence (DECIDE): protocol and preliminary results

被引：145

作者：

Treweek, Shaun ^{[1
]}

Oxman, Andrew D. ^{[2
]}

Alderson, Philip ^{[3
]}

Bossuyt, Patrick M. ^{[4
]}

Brandt, Linn ^{[2
]}

Brozek, Jan ^{[5
]}

Davoli, Marina ^{[6
]}

Flottorp, Signe ^{[2
]}

Harbour, Robin ^{[7
]}

Hill, Suzanne ^{[8
]}

Liberati, Alessandro ^{[9
]}

Liira, Helena ^{[10
]}

Schuenemann, Holger J. ^{[5
,11
]}

Rosenbaum, Sarah ^{[2
]}

Thornton, Judith ^{[3
]}

Vandvik, Per Olav ^{[2
]}

Alonso-Coello, Pablo ^{[12
]}

机构：

[1] Univ Dundee, Dundee DD2 4BF, Scotland

[2] Norwegian Knowledge Ctr Hlth Serv, N-0130 Oslo, Norway

[3] Natl Inst Hlth & Clin Excellence, Manchester M1 4BT, Lancs, England

[4] Univ Amsterdam, Acad Med Ctr, NL-91105 AZ Amsterdam, Netherlands

[5] McMaster Univ, Hlth Sci Ctr, Hamilton, ON L8S 4K1, Canada

[6] Italian Cochrane Network, Lazio Reg Hlth Serv, Dept Epidemiol, I-00198 Rome, Italy

[7] Scottish Intercollegiate Guidelines Network Delta, Glasgow G1 2NP, Lanark, Scotland

[8] Australian Natl Univ, Canberra, ACT, Australia

[9] Italian Cochrane Ctr, Milan, Italy

[10] Finnish Med Soc Duodecim, FIN-00101 Helsinki, Finland

[11] Univ Med Ctr, D-79106 Freiburg, Germany

[12] Biomed Res Inst St Pau IIB St Pau, Iberoamer Cochrane Ctr, Barcelona 08041, Spain

来源：

IMPLEMENTATION SCIENCE | 2013年 / 8卷

关键词：

Guidelines; Recommendations; Communication; Presentation formats; CLINICAL-PRACTICE; HEALTH-POLICY; STRENGTH; QUALITY; IMPLEMENTATION; INTERVENTIONS; GUIDELINES; GRADE; RECOMMENDATIONS; SUMMARIES;

D O I：

10.1186/1748-5908-8-6

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Background: Healthcare decision makers face challenges when using guidelines, including understanding the quality of the evidence or the values and preferences upon which recommendations are made, which are often not clear. Methods: GRADE is a systematic approach towards assessing the quality of evidence and the strength of recommendations in healthcare. GRADE also gives advice on how to go from evidence to decisions. It has been developed to address the weaknesses of other grading systems and is now widely used internationally. The Developing and Evaluating Communication Strategies to Support Informed Decisions and Practice Based on Evidence (DECIDE) consortium (http://www.decide-collaboration.eu/), which includes members of the GRADE Working Group and other partners, will explore methods to ensure effective communication of evidence-based recommendations targeted at key stakeholders: healthcare professionals, policymakers, and managers, as well as patients and the general public. Surveys and interviews with guideline producers and other stakeholders will explore how presentation of the evidence could be improved to better meet their information needs. We will collect further stakeholder input from advisory groups, via consultations and user testing; this will be done across a wide range of healthcare systems in Europe, North America, and other countries. Targeted communication strategies will be developed, evaluated in randomized trials, refined, and assessed during the development of real guidelines. Discussion: Results of the DECIDE project will improve the communication of evidence-based healthcare recommendations. Building on the work of the GRADE Working Group, DECIDE will develop and evaluate methods that address communication needs of guideline users. The project will produce strategies for communicating recommendations that have been rigorously evaluated in diverse settings, and it will support the transfer of research into practice in healthcare systems globally.

引用

页数：12

共 39 条

[1] Symbols were superior to numbers for presenting strength of recommendations to health care consumers: a randomized trial [J].