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Updated: May 21, 2025

Involving Individuals with Developmental Language Disorder and Their Parents/Carers in Research Priority Setting

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Published on: June 6, 2020

Locally adapted guidelines: a scoping review.

Dawid Pieper^1,2, Alexander Pachanov^3,4, Carolin Bahns⁵

¹Brandenburg Medical School Theodor Fontane (MHB), Faculty of Health Sciences Brandenburg, Institute for Health Services and Health Systems Research, Immanuel Klinik Rüdersdorf, Seebad 82/83, Rüdersdorf Bei Berlin, 15562, Germany. dawid.pieper@mhb-fontane.de.

Systematic Reviews

|March 22, 2025

Summary

This summary is machine-generated.

Few randomized controlled trials (RCTs) evaluate locally adapted clinical practice guidelines (CPGs). More research is needed to understand the effectiveness of adapting CPGs to local contexts.

Keywords:

Clinical practice guidelines Contextualization Evidence-based practice Implementation Regional Usability

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Area of Science:

Health Services Research
Evidence-Based Medicine
Clinical Guideline Implementation

Background:

Clinical practice guidelines (CPGs) face implementation challenges due to inconsistencies with existing practices.
Tailoring national CPGs to local contexts, known as guideline adaptation, can improve implementation and maintain validity.
Local ownership is crucial for successful guideline adaptation.

Conclusions:

There is a significant lack of recent RCTs on locally adapted CPG effectiveness.
Clinical and methodological heterogeneity precludes a systematic review.
Future studies require strong rationale and adherence to reporting guidelines to avoid undermining evidence-based practices.