A new framing approach in guideline development to manage different sources of knowledge

作者：Lukersmith Sue^*; Hopman Katherine; Vine Kristina; Krahe Lee; McColl Alexander

来源：Journal of Evaluation in Clinical Practice, 2017, 23(1): 66-72.

DOI：10.1111/jep.12566

• clinical guidelines
• evidence-based medicine
• health services research

RationaleContemporary guideline methodology struggles to consider context and information from different sources of knowledge besides quantitative research. Return to work programmes involve multiple components and stakeholders. If the guideline is to be relevant and practical for a complex intervention such as return to work, it is essential to use broad sources of knowledge.
Aims and ObjectiveThis paper reports on a new method in guideline development to manage different sources of knowledge.
MethodsThe method used framing for the return-to-work guidance within the Clinical Practice Guidelines for the Management of Rotator Cuff Syndrome in the Workplace. The development involved was a multi-disciplinary working party of experts including consumers. The researchers considered a broad range of research, expert (practice and experience) knowledge, the individual's and workplace contexts, and used framing with the International Classification of Functioning, Disability and Health. Following a systematic database search on four clinical questions, there were seven stages of knowledge management to extract, unpack, map and pack information to the ICF domains framework. Companion graded recommendations were developed.
ResultsThe results include practical examples, user and consumer guides, flow charts and six graded or consensus recommendations on best practice for return to work intervention.
ConclusionsOur findings suggest using framing in guideline methodology with internationally accepted frames such as the ICF is a reliable and transparent framework to manage different sources of knowledge. Future research might examine other examples and methods for managing complexity and using different sources of knowledge in guideline development.

• 出版日期2017-2