Turning evidence into recommendations: Protocol for a study of guideline development groups
Turning evidence into recommendations: Protocol for a study of guideline development groups
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DOI：
10.1186/1748-5908-2-29
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发表时间：
2007-01-01
影响因子：
7.2
通讯作者：
Ellis, Simon
中科院分区：
文献类型：
--
作者：
Michie, Susan;Berentson-Shaw, Jessica;Ellis, Simon
背景资料：基于研究证据的卫生保健实践要求综合证据，并实施基于这些证据的建议。它还需要一个中间步骤：将综合证据转化为实践建议。有相当多的文献证据合成和实施，但很少在指南制定小组（GDGs）如何产生的建议。这是一个复杂的过程，对沟通和决策有许多影响，例如。例如，在一个实施例中，证据的质量、陈述方法、实际/资源限制、个人价值观、专业和科学兴趣、社会和心理过程。为了使这一过程更加透明和有效，我们需要了解这些影响。决策和社会影响的心理学理论提供了一个框架，这种understanding.Objectives：本研究的目的是调查的过程中，GDG制定的建议，决策和社会影响的心理学理论。调查结果可能会通知GDG方法的进一步发展，如成员的选择和程序提出证据，进行讨论和制定recommendations.Methods：纵向观察的三个国家卫生和临床卓越研究所（NICE）GDG的会议，一个从每个急性，精神卫生和公共卫生，将磁带记录和转录。在GDG工作的开始、中间和结束时对GDG成员进行的访谈将被记录和转录。将收集现场文件，包括相关的电子邮件交流、GDG会议记录和利益相关者对建议草案的回应。如果数据涉及证据或建议，则将选择这些数据进行分析;重点是“热点”，例如，在一个实施例中，困境、冲突和不确定性。将根据决策和社会影响的心理学理论，按主题和内容分析对数据进行分析。
Background: Health care practice based on research evidence requires that evidence is synthesised, and that recommendations based on this evidence are implemented. It also requires an intermediate step: translating synthesised evidence into practice recommendations. There is considerable literature on evidence synthesis and implementation, but little on how guideline development groups (GDGs) produce recommendations. This is a complex process, with many influences on communication and decision-making, e. g., the quality of evidence, methods of presentation, practical/resource constraints, individual values, professional and scientific interests, social and psychological processes. To make this process more transparent and potentially effective, we need to understand these influences. Psychological theories of decision-making and social influence provide a framework for this understanding.Objectives: This study aims to investigate the processes by which GDGs formulate recommendations, drawing on psychological theories of decision-making and social influence. The findings will potentially inform the further evolution of GDG methods, such as choice of members and procedures for presenting evidence, conducting discussion and formulating recommendations.Methods: Longitudinal observation of the meetings of three National Institute of Health and Clinical Excellence (NICE) GDGs, one from each of acute, mental health and public health, will be tape recorded and transcribed. Interviews with a sample of GDG members at the beginning, middle, and end of the GDG's work will be recorded and transcribed. Site documents including relevant e-mail interchanges, GDG meeting minutes, and stakeholders' responses to the drafts of the recommendations will be collected. Data will be selected for analysis if they refer to either evidence or recommendations; the focus is on "hot spots", e. g., dilemmas, conflicts, and uncertainty. Data will be analysed thematically and by content analysis, drawing on psychological theories of decision-making and social influence.