Exploration of barriers, facilitators and users’ experiences of the GRADE-DECIDE Interactive Evidence to Decision framework (iEtD)

Article type
Authors
Meneses-Echavez J1, Alonso Coelho P2, Rosenbaum S1, Moberg J1, Flottorp S1, Rada G3
1Norwegian Institute of Public Health
2Iberoamerican Cochrane Centre, CIBERESP-IIB Sant Pau, Barcelona, Spain; Department of Health Research Methods, Evidence, and Impact, McMaster University, Canada
3Epistemonikos foundation; Centro Evidencia UC, Pontificia Universidad Católica de Chile
Abstract
Background: The GRADE-DECIDE Evidence to Decision (EtD) framework supports going from evidence to clinical recommendations, coverage decisions and health system or public-health decisions. The framework has been used in several WHO guideline development processes, among others. An interactive Evidence to Decision (iEtD) tool (http://ietd.epistemonikos.org) enables the framework to be tailored for use by different organisations to generate reports and interactive resources for specific target audiences (patients and the public, health professionals, policy makers and managers). These EtD frameworks are now integrated in GRADEpro-GDT and MAGICapp in addition to the stand-alone interactive version. However, little is known about how organisations are currently experiencing and using the iEtD frameworks, or about the barriers and facilitators related to its utilisation in real guideline development.

Objectives: To evaluate users’ experiences of the stand-alone iEtD tool and identify the main barriers and facilitators for its utilisation.

Methods: The sample will consist of researchers who have registered and consequently used the iEtD. Initially, we will collect feedback through a survey and/or conduct semi-structured interviews. In a second phase we will evaluate the use of the iEtD in real guidelines.

Results: The results of this study are expected by August 2017.

Conclusions: The study will provide insight about how the EtD framework and the iEtD tool are being currently used, and what are the main barriers and facilitators for its use. This work will enable us to improve the iEtD tool and facilitate both its use and that of the EtD frameworks in general.