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Turning evidence into recommendations: protocol of a study guideline development groups
Susan Michie1, Jessica Berentson-Shaw, Stephen Pilling
1Health Services Research Collaboration, University of Bristol and Centre for Outcomes Research and Effectiveness, Department of Psychology, University College London, 1-19 Torrington Place, London WC1E 7HB, UK. s.michie@ucl.ac.uk
Implementation Science : IS
|September 7, 2007
Summary
Guideline development groups
Area of Science:
- Health Services Research
- Clinical Guideline Development
- Evidence-Based Practice
Background:
- Translating synthesized evidence into practice recommendations is a critical step in evidence-based healthcare.
- The processes by which guideline development groups (GDGs) formulate recommendations are complex and influenced by various factors.
- Understanding these influences is crucial for improving the transparency and effectiveness of guideline development.
Purpose of the Study:
- To investigate the processes GDGs use to formulate recommendations.
- To apply psychological theories of decision-making and social influence to understand GDG processes.
- To inform improvements in GDG methods, including member selection and evidence presentation.
Main Methods:
- Longitudinal observation of three National Institute of Health and Clinical Excellence (NICE) GDG meetings (acute, mental health, public health).
- Interviews with GDG members at multiple time points.
- Collection and analysis of site documents, including emails, minutes, and stakeholder feedback.
- Thematic and content analysis focusing on 'hot spots' like dilemmas and conflicts, informed by decision-making and social influence theories.
Main Results:
- Analysis of GDG decision-making processes and influencing factors.
- Identification of key communication and decision-making dynamics within GDGs.
- Insights into how evidence quality, resource constraints, and individual/group factors shape recommendations.
Conclusions:
- GDG recommendation formulation is a complex socio-psychological process.
- Understanding these dynamics can lead to more effective and transparent guideline development.
- Potential for refining GDG methodologies to enhance the translation of evidence into practice.
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