Designing Decision Aids Derived from Clinical Practice Guidelines: Insights from a Single-Center Experience in Spain and Future Perspectives

Poster
2024 Prague [Global Evidence Summit]
Duarte-Díaz A1, Ramos-García V2, Álvarez-Pérez Y1, Rivero-Santana A1, del Pino-Sedeño T1, Trujillo-Martín M1, Perestelo-Pérez L3
1Evaluation Unit of the Canary Islands Health Service (SESCS), Tenerife, Spain; Canary Islands Health Research Institute Foundation (FIISC), Tenerife, Spain; The Spanish Network of Agencies for Health Technology Assessment and Services of the National Health System (RedETS), Tenerife, Spain; Research Network on Chronic Diseases, Primary Care, and Health Promotion (RICAPPS), Carlos III Health Institute (ISCIII), Tenerife, Spain
2Evaluation Unit of the Canary Islands Health Service (SESCS), Tenerife, Spain; Canary Islands Health Research Institute Foundation (FIISC), Tenerife, Spain; The Spanish Network of Agencies for Health Technology Assessment and Services of the National Health System (RedETS), Tenerife, Spain; Research Network on Chronic Diseases, Primary Care, and Health Promotion (RICAPPS), Carlos III Health Institute (ISCIII), Tenerife, Spain; Universidad de La Laguna (ULL), Tenerife, Spain
3Evaluation Unit of the Canary Islands Health Service (SESCS), Tenerife, Spain; The Spanish Network of Agencies for Health Technology Assessment and Services of the National Health System (RedETS), Tenerife, Spain; Research Network on Chronic Diseases, Primary Care, and Health Promotion (RICAPPS), Carlos III Health Institute (ISCIII), Tenerife, Spain

Background:

Clinical Practice Guidelines (CPGs) are key for healthcare decision-making, providing guidance for professionals, policymakers and patients to make evidence-based choices. Integrating CPGs recommendations into Shared Decision Making (SDM) through Patient Decision Aids (PtDAs) can significantly enhance the decision-making process.

Objective:

To disseminate our experience in developing PtDAs derived from CPG to foster SDM.

Methods:

Over the past decade, the Spanish Network of Agencies for Health Technology Assessment (RedETS), GuíaSalud, the Spanish organization that coordinates the CPG Program in the National Health Service, and other national organizations have dedicated joint efforts to facilitate the integration of patients' preferences using PtDAs linked to CPGs. In 2017, a first methodological document, based on a systematic review and a qualitative study was published, which laid the groundwork for a unified approach to the development of PtDAs based on CPGs. By 2022, these initial endeavors resulted in the publication of the "Methodological Manual for Applying Clinical Practice Guideline Recommendations to Shared Decision Making." This manual provides a structured methodology and practical tools for identifying and prioritizing recommendations from CPGs for SDM processes, along with guidance on creating PtDAs for these prioritized areas.

Results:

Building upon this methodological framework, the Evaluation Unit of the Canary Islands Health Service (SESCS) has developed a PtDA for generalized anxiety disorder. This PtDA has been well-received by patients, who have deemed it both acceptable and useful. Its effectiveness is currently being assessed in a randomized controlled trial. In the upcoming months, our efforts will focus on updating a PtDA for depression. This approach begins with a systematic review of CPGs to identify recommendations suitable for PtDAs. Then, we will apply the Spanish methodological framework to integrate these CPG recommendations into SDM.

Conclusions:

The journey toward integrating CPGs into SDM represents a significant advancement in patient-centered healthcare. This integration, facilitated through the development of PtDA derived from CPGs, underscores a commitment to evidence-based practice while respecting patient preferences. Our experience within the Spanish healthcare context has demonstrated the usefulness of a structured approach. The methodological manuals mark a milestone, offering systematic methodology for integrating CPG recommendations into SDM.