Understanding context in evidence synthesis and guideline development – connecting global evidence and local needs

Article type
Authors
Lukersmith S1, Zuiderent-Jerak T2, Wieringa S3, Shaw B4
1University of Sydney
2Linköping University
3Oxford University & Oslo University
4NICE
Abstract
Objectives:
• To define context;
• Explore where & how context should be considered;
• Identify methodological challenges in context knowledge.

Description: Many sources of knowledge and reasoning are used in evidence synthesis and guideline development. This can include knowledge of context – understanding the situation in which something exists or happens, and what can explain it . Randomised-controlled trials (RCTs) typically focus on treatment effects, rather than context of evaluation & practice. So understanding context requires a range of evidence & knowledge from different sources & different approaches to reasoning.
The session will take the form of an interactive workshop, allowing shared discussion and full participation from a range of disciplines & perspectives.

Outline:
1) Introduction
2) Presentation
 Why does context matter? The philosophical argument & varied - micro, macro, etc. - perspectives of context
3) Small group work with facilitators
 Participants will discuss context & how this might influence effectiveness of interventions.
4) Key themes
5) Small group work with facilitators
 Participants will be asked to consider when context is relevant to key stages of evidence synthesis and guideline development, and how they might source evidence of context
6) Key themes
7) Methodological work
8) Close
Please note, this workshop links with the special session on 'Global needs, local evidence; practical philosophy'.