guideline development – integrating the best …...guideline development – integrating the best...

Guideline Development – Integrating the best Research Evidence with Clinical Expertise and Patient Values Dr. Eve O’Toole and Ms Niamh O’Rourke National Cancer Control Programme January 24 th 2014

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Guideline Development – Integrating the best Research

Evidence with Clinical Expertise and Patient Values

Dr. Eve O’Toole and Ms Niamh O’Rourke National Cancer Control Programme

January 24th 2014

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Guideline Development• Agreed Terms of Reference• Clinical Governance• Conflict of interest must be declared by all

members

Agree terms of reference

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Membership of Guideline Development Groups

• Representatives from all relevant clinical disciplines• Project Manager• Methodologist• Librarian

A project manager, a methodologist and a librarian are essential.

Further research staff are invaluable.

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Resource Implications• Methodologist• Librarian• Researcher• Project Manager• Clinician’s time• Two year time period to develop a guideline

Guideline Development is labour Intensive and requires a substantial

commitment from all involved

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NCCP Methodology for Developing Evidence-Based Guidelines

• Step 1 Develop Clinical Questions» Defines the scope of the Guideline

• Step 2 Search for and find the evidence» International Guidelines» Primary Literature

• Step 3 Appraise the literature» For validity and applicability

• Step 4 Make recommendations» Applying the evidence in conjunction with clinical expertise

and population values

• Step 5 Draft Guideline» Internal peer review – NCCP website for six weeks» External peer review – International Guideline

development Group

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Guideline Implementation

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Page 8: Guideline Development – Integrating the best …...Guideline Development – Integrating the best Research Evidence with Clinical Expertise and Patient Values Dr. Eve O’Toole and

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The COM-B system: Behaviour occurs as an interaction between three necessary conditions

Michie et al (2011) Implementation Science

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Michie et al (2011) Implementation Science

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2013

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Implementation outcome variables • Acceptability • Adoption• Appropriateness• Feasibility • Fidelity• Implementation cost• Coverage• Sustainability

WHO, Implementation Research in Health, 2013

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Guideline Review and Implementation

• Internal review– NCCP Website & stakeholder review

• External Review– International Guideline Development Group

National Stakeholder involvement will be critical for Guideline Implementation

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Dr Eve O’Toole, Tumour Group Methodologist [email protected]

Niamh O’Rourke, Project Manager, Breast Cancer Tumour Group [email protected]

National Cancer Control Programme King's Inns House, 200 Parnell Street , Dublin 1.Web: www.cancercontrol.hse.ie

mailto:[email protected]

http://www.cancercontrol.hse.ie/

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