A collaborative approach to adopting/adapting guidelines - The Australian 24-Hour Movement Guidelines for the early years (Birth to 5 years): an integration of physical activity, sedentary behavior, and sleep.
A collaborative approach to adopting/adapting guidelines - The Australian 24-Hour Movement Guidelines for the early years (Birth to 5 years): an integration of physical activity, sedentary behavior, and sleep.
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采用/适应指南的一种协作方法 - 早年的澳大利亚24小时运动指南（出生到5年）：体育锻炼，久坐行为和睡眠的整合。
DOI：
10.1186/s12889-017-4867-6
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发表时间：
2017-11-20
影响因子：
4.5
通讯作者：
Tremblay MS
中科院分区：
文献类型：
--
作者：
Okely AD;Ghersi D;Hesketh KD;Santos R;Loughran SP;Cliff DP;Shilton T;Grant D;Jones RA;Stanley RM;Sherring J;Hinkley T;Trost SG;McHugh C;Eckermann S;Thorpe K;Waters K;Olds TS;Mackey T;Livingstone R;Christian H;Carr H;Verrender A;Pereira JR;Zhang Z;Downing KL;Tremblay MS
2017年，澳大利亚政府资助更新了《国家0-5岁儿童身体活动建议》，旨在将24小时内的运动行为整合起来。对澳大利亚的好处是，它可以利用加拿大的研究，在制定其24小时指南的早期。与此同时，建议评估、发展和评价分级工作组发布了一个模型，利用建议评估、发展和评价分级的证据到决策框架，在采纳、调整和/或重新发展的基础上制定准则。被称为GRADE-ADOLOPMENT方法，它允许指南制定者以更有效的方式遵循结构化和透明的过程，可能避免不必要地重复昂贵的任务，如进行系统性审查。本文的目的是概述的过程和结果，为适应加拿大24小时运动指南的早期发展的澳大利亚24小时运动指南的早期年级的指导下，ADOLOPMENT框架。 开发过程以等级调整方法为指导。成立了一个领导小组和共识小组，并确定了现有的可信准则。加拿大最初几年的24小时综合移动准则草案最符合小组确定的标准。根据GRADE表中的证据、结果总结表和加拿大指南草案中的建议草案对这些进行了评价。对加拿大的每一项系统审查进行了更新，共识小组分别审查了每一种行为的证据，并决定采用或调整加拿大对每一种行为的建议，或重新提出建议。然后进行了一项在线调查（n = 302）沿着五个焦点小组（n = 30）和五个关键的知情人访谈（n = 5），以获得利益攸关方对准则草案的反馈。根据来自加拿大系统性审查和澳大利亚更新的系统性审查的证据，共识小组同意采纳加拿大的建议，除了对良好做法声明的措辞做一些小的改动外，保留加拿大准则的措辞、序言和标题。澳大利亚指南为健康的一天（24小时）提供了循证建议，整合了身体活动，久坐行为（包括限制屏幕时间）以及婴儿（<1岁），幼儿（1-2岁）和学龄前儿童（3-5岁）的睡眠。据我们所知，这只是第二次使用等级调整方法。按照这一办法，澳大利亚共识小组的判断没有出现足以改变建议方向和力度的差异，因此，加拿大的建议在作了很小改动后获得通过。这使《准则》得以更快和更低成本地制定。因此，我们建议采用等级调整方法，特别是如果有一套可信的指导方针，以及所有支持材料，并采用透明的程序制定。其他国家在制定和/或修订国家转移准则时可考虑采用这一办法。
In 2017, the Australian Government funded the update of the National Physical Activity Recommendations for Children 0–5 years, with the intention that they be an integration of movement behaviours across the 24-h period. The benefit for Australia was that it could leverage research in Canada in the development of their 24-h guidelines for the early years. Concurrently, the Grading of Recommendations Assessment, Development and Evaluation (GRADE) working group published a model to produce guidelines based on adoption, adaption and/or de novo development using the GRADE evidence-to-decision framework. Referred to as the GRADE-ADOLOPMENT approach, it allows guideline developers to follow a structured and transparent process in a more efficient manner, potentially avoiding the need to unnecessarily repeat costly tasks such as conducting systematic reviews. The purpose of this paper is to outline the process and outcomes for adapting the Canadian 24-Hour Movement Guidelines for the Early Years to develop the Australian 24-Hour Movement Guidelines for the Early Years guided by the GRADE-ADOLOPMENT framework. The development process was guided by the GRADE-ADOLOPMENT approach. A Leadership Group and Consensus Panel were formed and existing credible guidelines identified. The draft Canadian 24-h integrated movement guidelines for the early years best met the criteria established by the Panel. These were evaluated based on the evidence in the GRADE tables, summaries of findings tables and draft recommendations from the Canadian Draft Guidelines. Updates to each of the Canadian systematic reviews were conducted and the Consensus Panel reviewed the evidence for each behaviour separately and made a decision to adopt or adapt the Canadian recommendations for each behaviour or create de novo recommendations. An online survey was then conducted (n = 302) along with five focus groups (n = 30) and five key informant interviews (n = 5) to obtain feedback from stakeholders on the draft guidelines. Based on the evidence from the Canadian systematic reviews and the updated systematic reviews in Australia, the Consensus Panel agreed to adopt the Canadian recommendations and, apart from some minor changes to the wording of good practice statements, keep the wording of the guidelines, preamble and title of the Canadian Guidelines. The Australian Guidelines provide evidence-informed recommendations for a healthy day (24-h), integrating physical activity, sedentary behaviour (including limits to screen time), and sleep for infants (<1 year), toddlers (1–2 years) and preschoolers (3–5 years). To our knowledge, this is only the second time the GRADE-ADOLOPMENT approach has been used. Following this approach, the judgments of the Australian Consensus Panel did not differ sufficiently to change the directions and strength of the recommendations and as such, the Canadian recommendations were adopted with very minor alterations. This allowed the Guidelines to be developed much faster and at lower cost. As such, we would recommend the GRADE-ADOLOPMENT approach, especially if a credible set of guidelines, with all supporting materials and developed using a transparent process, is available. Other countries may consider using this approach when developing and/or revising national movement guidelines.
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