How to disseminate and implement guidelines: a systematic review of guidance documents

Article type
Authors
Wang Z1, Shi Q2, Zhou Q2, Xun Y1, Zhao S3, Chen Y4
1Evidence-Based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou
2The First School of Clinical Medicine, Lanzhou University, Lanzhou
3School of Public Health, Lanzhou University, Lanzhou
4Evidence-Based Medicine Center, School of Basic Medical Sciences, Lanzhou University; WHO Collaborating Centre for Guideline Implementation and Knowledge Translation; Chinese GRADE Center; Cochrane China Network, Lanzhou
Abstract
Background:
It is a crucial part of the guideline development process to reach the target audience in a timely manner and better used by them. As the criteria of developing guidelines, some of the guidance documents have reported the content of dissemination and implementation. But the process of dissemination and implementation in guidelines may be different in each guidance documents. For guideline developers, what they want to know is the minimum number of steps required to produce a quality clinical practice guide in dissemination and implementation part. But there is no unified standard.
Objectives:
To assess how guidance documents for developing clinical practice guidelines (CPGs) address the dissemination and implementation in clinical guidelines.
Methods:
We collected the guidance documents for developing clinical practice guidelines by searching PubMed and Google search engine (Alphabet). The reference lists of all eligible documents and relevant literatures were also perused for additional materials not captured by the aforementioned searches. We included documents that provided guidance on the entire development process of practice guidelines and mentioned dissemination and implementation. Documents that were written by individuals, were outdated versions that had been subsequently updated, or were focused on specific aspects of guideline development (such as updating; systematic reviews, or the GRADE process) were excluded. Two researchers independently screened the records and extracted data. We extracted the title of guidance documents, publication date, development organization etc. as basic information. For the information on dissemination and implementation, the primary framework was based on the form of WHO Handbook for Guideline Development (2nd edition), and the information outside the primary framework were supplemented in an iterative way. The information related to dissemination and implementation in the current guidance documents were finally comprehensively summarized and graded according to the frequency of the report.
Results:
A total of 89 guidance documents were retrieved, 60 were reported dissemination and implementation. The detailed information of dissemination and implementation will be presented at the meeting.
Conclusions:
The results will be presented at the meeting.
Patient or healthcare consumer involvement:
None