Article type
Abstract
Background
Guideline adaptation allows for developing trustworthy recommendations using rigorous processes while limiting the intensive use of resources. New approaches and experiences continually emerge to improve the adaption process. The adaptation methods have yet to be standardized, and how the existing adaptation approaches have been used is unclear.
Objective
To map and analyze adaptation approaches through a scoping review, addressing the following:
1. What are the definitions and rationales for guideline adaptation?
2. What are the key strategies for adaptation?
3. How have the adaptation approaches been used?
4. What are the barriers and facilitators of adaptation approaches?
Methods
We conducted a scoping review following The University of Adelaide Joanna Briggs Institute Scoping Review Network Resources and adhering to PRISMA Extension for Scoping Reviews for reporting. We searched MEDLINE and EMBASE until March 2023 and conducted forwarded citations in Scopus, Google Scholar, and Web of Science. We included individual adaptation approaches used by different settings and identified corresponding adapted guidelines that reflect the application of each adaptation approach. We will further consult experts to collect more adaptation approaches within the Guideline International Network adaptation working group.
Results
We identified 33 adaptation approaches published from 2000 to 2023. Half of them were developed by high-income countries (51%), with major objectives to properly use available resources, avoid duplications, and save time and resources. We yielded 1264 additional records through a citation search and are finalizing data analysis. The ADAPTE, GRADE-ADOLOPMENT, and CAN-IMPLEMENT are the most cited approaches. We have linked the adapted guidelines and experiences paper to each adaptation approach to reflect their applications. We will report the findings in the Global Evidence Summit.
Discussion
The scoping review results clarify the current development status regarding guideline adaptation approaches. The final results will support the standardization of guideline adaptation methods and inform international methodological principles for guideline adaptation.
Guideline adaptation allows for developing trustworthy recommendations using rigorous processes while limiting the intensive use of resources. New approaches and experiences continually emerge to improve the adaption process. The adaptation methods have yet to be standardized, and how the existing adaptation approaches have been used is unclear.
Objective
To map and analyze adaptation approaches through a scoping review, addressing the following:
1. What are the definitions and rationales for guideline adaptation?
2. What are the key strategies for adaptation?
3. How have the adaptation approaches been used?
4. What are the barriers and facilitators of adaptation approaches?
Methods
We conducted a scoping review following The University of Adelaide Joanna Briggs Institute Scoping Review Network Resources and adhering to PRISMA Extension for Scoping Reviews for reporting. We searched MEDLINE and EMBASE until March 2023 and conducted forwarded citations in Scopus, Google Scholar, and Web of Science. We included individual adaptation approaches used by different settings and identified corresponding adapted guidelines that reflect the application of each adaptation approach. We will further consult experts to collect more adaptation approaches within the Guideline International Network adaptation working group.
Results
We identified 33 adaptation approaches published from 2000 to 2023. Half of them were developed by high-income countries (51%), with major objectives to properly use available resources, avoid duplications, and save time and resources. We yielded 1264 additional records through a citation search and are finalizing data analysis. The ADAPTE, GRADE-ADOLOPMENT, and CAN-IMPLEMENT are the most cited approaches. We have linked the adapted guidelines and experiences paper to each adaptation approach to reflect their applications. We will report the findings in the Global Evidence Summit.
Discussion
The scoping review results clarify the current development status regarding guideline adaptation approaches. The final results will support the standardization of guideline adaptation methods and inform international methodological principles for guideline adaptation.