Clinical Practice Guideline Adaptation Research

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Clinical practice guideline is the deliberate product of inclusively considering factors influencing the decision making. Developing clinical practice guidelines is a time, resources and expertise consuming process. While for middle or low income countries where the resources and expertise may be scarce, adopting or adapting existing high quality clinical practice guidelines could be a potentially cost-effective strategy. Guideline adaptation is “a systematic process that guides local groups to identify, evaluate, adapt and use already available guidelines for their own purposes.” Although a potentially cost-effective strategy, guideline adaptation process is not widely taken across different settings, even poorly taken in some countries. …show more content…

Previous researches suggested a variety of guideline development process, which include guideline adaptation, but few studies focused specifically on the guideline adaptation process. Practice environment, evidence-based health care system, individual professional, politician and political context, innovation (CPG) and patients could be barriers to develop or adapt guidelines. These barriers may also apply to the guideline adaptation process. That is why although adaptation could be one of the best alternatives, those countries needing adapting guidelines may not follow. In addition to these mentioned factors, the incompliance to the proposed guideline adaptation strategy could be because of other reasons. Similar to the characteristics of practice guideline (i.e., quality of evidence, complexity) could be barriers for implementation, the characteristics of ADAPTE process could be potential barriers of guideline …show more content…

By combining quantitative measurement through a value to a property and qualitatively exploring the reason of a phenomenon or the theory underlying, the mixed methods could provide a more complete view and answer to a research question. The study on the barriers and facilitators of guideline adaptation process could potential promote the guideline adaptation process and facilitate the guideline enterprise. With the development in guideline adaptation methodology, we need to know the barriers and facilitators related to the guideline adaptation methodology, which existing evidence cannot answer. This study aims to compare the characteristics of the two adaptation approach and answer what barriers and facilitators exist in the guideline adaptation

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