"Might" or "suggest"? No wording approach was clearly superior in conveying the strength of recommendation
"Might" or "suggest"? No wording approach was clearly superior in conveying the strength of recommendation
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DOI：
10.1016/j.jclinepi.2011.08.001
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发表时间：
2012-03-01
影响因子：
7.2
通讯作者：
Schuenemann, Holger J.
中科院分区：
文献类型：
--
作者：
Akl, Elie A.;Guyatt, Gordon H.;Schuenemann, Holger J.
目的：比较不同的措辞方法传达的强度healthcare recommendations.Study设计和设置：参与者是在加拿大和美国的医疗居民。我们将他们随机分为三种措辞方式，每种表达两种推荐强度，强和弱：（1）“我们推荐”，“我们建议”;（2）“临床医生应该”，“临床医生可能”;（3）“我们推荐”，“我们有条件地推荐”。“每个参与者都收到了一个强有力的建议和一个弱有力的建议。对于每一个建议，他们选择了一个假设的行动方针，我们判断他们的选择是否是适当的强度的recommendation.Results：响应率为77%（341/441）。大多数与会者在回应强有力的建议时，选择了适合弱有力建议的假设行动方案。在表达建议的力度方面，没有一种措辞方法明显优于上级。然而，不同的方法出现上级取决于强度和方向（支持或反对干预）的recommendation.Conclusion：没有措辞的方法是明确的上级在传达的强度的建议。指南制定者需要明确措辞与其预期强度之间的联系。(C)2012 Elsevier Inc. All rights reserved.
Objective: To compare different wording approaches for conveying the strength of health care recommendations.Study Design and Setting: Participants were medical residents in Canada and the United States. We randomized them to one of three wording approaches, each expressing two strengths of recommendation, strong and weak: (1) "we recommend," "we suggest:" (2) "clinicians should," "clinicians might:" (3) "we recommend," "we conditionally recommend." Each participant received one strong and one weak recommendation. For each recommendation, they chose a hypothetical course of action; we judged whether their choice was appropriate for the strength of the recommendation.Results: The response rate was 77% (341/441). Most participants, in response to strong recommendations, chose hypothetical courses of action appropriate for weak recommendations. None of the wording approaches was clearly superior in conveying the strength of a recommendation. However, different approaches appeared superior depending on the strength and direction (for or against an intervention) of the recommendation.Conclusion: No wording approach was clearly superior in conveying the strength of recommendation. Guideline developers need to make the connection between the wording and their intended strength explicit. (C) 2012 Elsevier Inc. All rights reserved.