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Co-creation of a step-by-step guide for specifying the test-management pathway to formulate focused guideline
Mariska K Tuut1,2, Gowri Gopalakrishna3,4, Mariska M Leeflang4,5
1Department of Family Medicine, Care and Public Health Research Institute CAPHRI, Maastricht University, PO Box 616, Maastricht, MD, 6200, The Netherlands. mariska.tuut@maastrichtuniversity.nl.
Background:
Guideline development on testing is known to be difficult for guideline developers. It requires consideration of various aspects, such as accuracy, purpose of testing, and consequences on management and people-important outcomes. This can be outlined in a test-management pathway. We aimed to create and user-test a step-by-step guide for guideline developers for designing a test-management pathway.
Methods:
Developmental design with a co-creative strategy. We created a draft step-by-step guide, that was user tested in a workshop with 19 experts, and by interviewing 7 guideline panel members.
Results:
Our proposed guide consists of five blocks of signalling questions: patients/population, index test(s), current practice/comparison/control, people-important outcomes, and the link between testing and outcome(s). The user testing led to refinement of the signalling questions, the use of inclusive terminology, and addition of a test-management pathway figure with detailed explanation.
Conclusions:
The step-by-step guide for formulating focused guideline questions regarding healthcare related testing can help in identifying relevant characteristics of the population, tests, and outcomes and to create a test management pathway. This should facilitate the formulation of evidence-based guideline recommendations about healthcare related testing.
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