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Development and validation of a clinical practice guidelines implementability assessment tool (CPG-IAT) based on the
Dongmei Zhong1, Gregory A Aarons2, Yaolong Chen3,4,5,6
1Dermatology Hospital, Southern Medical University, 1023 Satai South Road, Guangzhou, Guangdong Province, 510515, China.
A new tool, the Clinical Practice Guidelines Implementability Assessment Tool (CPG-IAT), has been developed to assess how likely clinical practice guidelines are to be used in practice. This validated instrument enhances the translation of evidence-based guidelines into patient care.
Area of Science:
- Healthcare Quality Improvement
- Clinical Practice Guideline Development
- Health Services Research
Background:
- Guideline implementability, crucial for clinical practice adoption, can be improved by enhancing intrinsic guideline qualities.
- Developing a reliable assessment tool for guideline implementability is essential for improving evidence-based practice translation.
- This study focused on creating and validating such a tool for clinical practice guidelines (CPGs).
Purpose of the Study:
- To develop the Clinical Practice Guidelines Implementability Assessment Tool (CPG-IAT).
- To evaluate the psychometric properties of the CPG-IAT.
- To provide a validated instrument for assessing CPG implementability.
Main Methods:
- Utilized 2022 CPGs from the STAR guideline repository.
- A 60-member evaluation team assessed the guidelines.
- Employed exploratory and confirmatory factor analyses, alongside reliability and validity analyses.
Main Results:
- Developed a 16-item CPG-IAT with four dimensions: Methodological Rigor and Transparency, Recommendation Clarity and Interpretability, clinical relevance, and actionability.
- Confirmatory factor analysis supported the proposed factor structure.
- The CPG-IAT demonstrated excellent reliability (internal consistency, split-half, test-retest, inter-rater) and validity (convergent, construct).
Conclusions:
- The CPG-IAT is a psychometrically validated instrument for assessing intrinsic CPG implementability.
- This tool can be used during and after guideline development.
- The CPG-IAT has the potential to improve the translation of evidence-based guidelines into clinical practice.
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