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Users' experiences with an interactive Evidence to Decision (iEtD) framework: a qualitative analysis.

Jose Francisco Meneses-Echavez1, Sarah Rosenbaum2, Gabriel Rada3,4

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This study explored user experiences with the interactive Evidence to Decision (iEtD) tool. While generally positive, users reported needing improvements for guideline development and tool customization.

Keywords:
Clinical decision supportDecision-makingEvidence-based health careGRADE approach

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Area of Science:

  • Health decision-making
  • Health technology assessment
  • Evidence synthesis

Background:

  • Evidence to Decision (EtD) frameworks enhance clarity in healthcare decision-making.
  • The interactive Evidence to Decision (iEtD) tool facilitates the creation and application of EtD frameworks.
  • Understanding user experiences with the iEtD tool is crucial for its future development.

Purpose of the Study:

  • To describe user experiences with the iEtD tool.
  • To identify barriers and facilitators to iEtD tool utilization.
  • To inform future enhancements of the iEtD tool and similar solutions.

Main Methods:

  • Semi-structured interviews with iEtD tool users.
  • Directed content analysis of transcribed interviews.
  • User experience framework applied to guide analysis.

Main Results:

  • Eight users from six countries were interviewed, primarily for guideline development.
  • Most users reported positive experiences with the iEtD tool's navigation and core criteria.
  • Users customized frameworks and sometimes preferred offline versions due to perceived burden or technical issues.

Conclusions:

  • The iEtD tool has seen limited adoption among guideline developers.
  • User experiences are generally positive but highlight areas for improvement in customization and usability.
  • Findings offer insights for enhancing the iEtD tool and other EtD framework solutions.