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When is good, good enough? Methodological pragmatism for sustainable guideline development
George P Browman1, Mark R Somerfield2, Gary H Lyman3,4
1The BC Cancer Agency, Vancouver Island Centre, Victoria BC and the School of Population and Public Health, University of British Columbia, Vancouver, BC, Canada. gbrowman@yahoo.com.
Implementation Science : IS
|April 17, 2015
Summary
To ensure sustainable evidence-based guideline development, stakeholders must negotiate methodological compromises. A new framework, the "Efficiency-Validity Methodological Continuum," facilitates trustworthy and affordable guidelines by balancing rigor and efficiency.
Area of Science:
- Health research methodology
- Guideline development processes
Background:
- Escalating rigor in evidence-based guideline development increases costs and delays, threatening sustainability.
- Guideline sponsors fund these processes, while methodologists promote rigor.
Purpose of the Study:
- To propose a conceptual tool for negotiating trade-offs between methodological rigor and efficiency in guideline development.
- To promote trustworthy and affordable guidelines through stakeholder collaboration.
Main Methods:
- Development of the 'Efficiency-Validity Methodological Continuum' framework.
- Facilitating negotiation among stakeholders regarding methodological choices.
Main Results:
- The framework addresses transparency gaps in methodological decision-making.
- It supports explicit reporting of methodological compromises.
Conclusions:
- Stakeholder involvement is crucial for sustainable evidence-based guideline development.
- The 'Efficiency-Validity Methodological Continuum' enables negotiation of reasonable compromises.
- Adopting a 'good enough' principle ensures trustworthy and cost-worthy guidelines.
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