Adapting evidence‐based clinical practice guidelines at university teaching hospitals: A model for the Eastern Mediterranean Region

Amer, Yasser Sami; Wahabi, Hayfaa; Elkheir, Manal M. Abou; Bawazeer, Ghada; Iqbal, Shaikh; Titi, Maher A.; Ekhzaimy, Aishah; Alswat, Khalid; Alzeidan, Rasmieh; Al‐Ansary, Lubna A.

doi:10.1111/jep.12927

Cited by 29 publications

(59 citation statements)

References 33 publications

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“…Our experience with this adaptation methodology provides useful insight into its utilization on a national level in Saudi Arabia, and further demonstrates its potential suitability for the Eastern Mediterranean region. Additional modi cations to the adaptation process and tools as per the context are recommended and accepted [9,14].…”

Section: Discussionmentioning

confidence: 99%

“…The results of the preliminary search for ADHD Source CPGs encouraged us to proceed and o cially launch this CPG adaptation project with a national scope. Capacity building sessions were conducted by the CPG methodologist for the rest of the GAG on concepts of evidencebased healthcare including the CPG adaptation process methodology and its associated toolkit [9,11,14].…”

Section: Phase One (Set Up)mentioning

confidence: 99%

“…In phase two, we identi ed speci c health questions using the PIPOH model, relevant inclusion and exclusion criteria, and a full search strategy including a list of keywords. The elements of the PIPOH model include the target patient population (P), intervention(s) (I), professionals and clinical specialties (P), outcomes (O), and healthcare setting or context (H) that were reported earlier [1,9]. We searched eight bibliographic and CPG databases in addition to online libraries of relevant professional societies.…”

Section: Phase Two (Adaptation)mentioning

confidence: 99%

“…Afterwards, we assessed the currency of the NICE Source CPG to ensure the validity and currency of its recommendations and their evidence-base using the related assessment of the CPG currency from the KSU-Modi ed-ADAPTE (Appendix Table 4) [9].…”

Section: Phase Two (Adaptation)mentioning

confidence: 99%

“…Adaptation of CPGs is a valid and e cient alternative to de novo development of CPGs especially in resource-limited healthcare settings. It was proposed to avoid duplication of efforts, to use the available resources in a cost-effective manner, and to encourage trans-contextual customization of the CPG prepared for different economic and healthcare settings re ecting the local context and system [9][10][11][12][13].…”

Section: Introductionmentioning

confidence: 99%

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Adapting evidence-based clinical practice guidelines for people with attention deficit hyperactivity disorder in Saudi Arabia: process and outputs of a national initiative

Bashiri

Albatti

Hamad

et al. 2020

Preprint

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Background: We recently adapted the published National institute for Health and Care Excellence (NICE) Attention deficit hyperactivity disorder (ADHD) diagnosis and management guideline to the Saudi Arabian context. It has been postulated that adaptation of evidence-based clinical practice guidelines to the local healthcare context rather than de-novo development will improve their adoption and implementation without imposing a significant burden on resources. The objective of this paper is to describe the adaptation process methodology utilized for the generation of the first national guideline for management of people with ADHD in Saudi Arabia.Methods: We used the KSU-Modified-ADAPTE methodology for the guideline adaptation process. We describe the full process in detail including the three phases of set-up, adaptation, and finalization. The process was conducted by a multidisciplinary guideline adaptation group in addition to an external review for the clinical content and methodology.Results: The group adapted ten main categories of recommendations from one source CPG (NICE). The recommendations include; (i) service organisation and training, (ii) recognition, identification and referral, (iii) diagnosis, (iv) support, (v) managing ADHD, (vi) dietary advice, (vii) medication, (viii) maintenance and monitoring, (ix) adherence to treatment, and (x) review of medication and discontinuation. Several implementation tools were compiled and developed to enhance implementability including a clinical algorithm, quality measures, coding system, medication tables, translations, patient information, and online resources.Conclusions: The finalized clinical practice guideline provides healthcare providers with applicable evidence-based guidance for the management of people with ADHD in Saudi Arabia. The project also demonstrated the effectiveness of KSU-Modified-ADAPTE, and emphasized the value of a collaborative clinical and methodological expert group for adaptation of national guidelines.

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Section: Discussionmentioning

confidence: 99%

Section: Phase One (Set Up)mentioning

confidence: 99%

Section: Phase Two (Adaptation)mentioning

confidence: 99%

Section: Phase Two (Adaptation)mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Adapting evidence-based clinical practice guidelines for people with attention deficit hyperactivity disorder in Saudi Arabia: process and outputs of a national initiative

Bashiri

Albatti

Hamad

et al. 2020

Preprint

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Saudi Arabian evidence‐based clinical practice guideline for the management of children with autism spectrum disorder: A national guideline adaptation using the KSU‐modified‐ADAPTE methodology

Alenezi,

Bashiri,

Alawami

et al. 2024

Clinical and Public Health Guidelines

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IntroductionAutism spectrum disorder (ASD) is one of the national mental health priorities that has manifested a wide variability in practice in the Kingdom of Saudi Arabia (KSA). This work aimed to adapt evidence‐based clinical practice guidelines (CPGs) for ASD to synthesize the first national CPG for the management of children with ASD in KSA.MethodsThe CPG adaptation group comprised multidisciplinary expert clinicians and a CPG methodologist following the KSU‑Modified‑ADAPTE methodology. The last search date for source evidence‐based guidelines was March 2022.RecommendationsThree main categories of recommendations were included: (i) prevention and early identification, coding, psychometric tools, telehealth, risk factors and referral criteria, (ii) diagnosis, differential diagnosis, investigations and family support, (iii) interventions with problem minimization and avoidance, treatment goals, physical wellbeing, nonpharmacological interventions, sensory integration, parent‐mediated interventions, cognitive behavioural therapy, pharmacological interventions, psycho‐education of the family, special cases or comorbidities, sleep management, gastrointestinal and feeding interventions, the transition of care from paediatrics to adulthood. CPG implementation tools included a baseline assessment tool, clinical scenarios, pathways, quality measures, referral forms, screening tools and useful online resources. The adapted CPG presents practical, evidence‑based guidance with implementation tools for managing children with ASD in KSA. The project illustrated the applicability of the KSU‑modified‑ADAPTE and highlighted the importance of collaboration between clinicians and methodologists for adapting national CPGs.

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The development of the GIN‐McMaster checklist extension for guideline adaptation protocol

Song,

Zhang,

Amer

et al. 2024

Clinical and Public Health Guidelines

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BackgroundTo ensure rigour and transparency in guideline adaptation and contextualization processes, standardized tools and methodological principles are needed. However, methodological challenges have been continuously documented in guideline adaptation processes.ObjectiveTo develop a guideline international network (GIN)‐McMaster guidelines development checklist (GDC) extension for guideline adaptation.MethodsThis project follows multiphase iterative approach, including (1) compiling a list of key methodological steps for guideline adaptation, based on scoping reviews of the current knowledge of guideline adaptation; (2) proposing methodological principles for guideline adaptation based on key methodological steps, in parallel to developing the GIN‐McMaster Guideline Development Checklist extension for adaptation (GDC‐adaptation extension) concerning the original checklist and methodological steps for adaptation; (3) iteratively refining the methodological steps through GIN Adaptation working group discussions, and GDC‐adaptation extension items through several rounds of Delphi consensus survey and (4) Public consultation and finalization. For methodological principles, this involves public consultation; for GDC‐adaptation extension, we will conduct user testing through semi‐structured interviews. Finally, we will submit the final outputs to the GIN board and seek final approval.DiscussionThe identification of the key methodological principles, together with the GIN‐McMaster GDC extension for guideline adaptation and contextualization, will provide clarity in the planning and execution of adaptation, adoption and/or development of recommendations. The aim of the checklist is to improve efficiency and reduce research waste in guideline development while maintaining rigour and transparency.

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Adapting evidence‐based clinical practice guidelines at university teaching hospitals: A model for the Eastern Mediterranean Region

Abstract: This model for CPG adaptation represents a quick, practical, economical method with a sense of ownership by staff. Using this modified version can be replicated in other countries to assess its validity.

Cited by 29 publications

References 33 publications

Adapting evidence-based clinical practice guidelines for people with attention deficit hyperactivity disorder in Saudi Arabia: process and outputs of a national initiative

Adapting evidence-based clinical practice guidelines for people with attention deficit hyperactivity disorder in Saudi Arabia: process and outputs of a national initiative

Saudi Arabian evidence‐based clinical practice guideline for the management of children with autism spectrum disorder: A national guideline adaptation using the KSU‐modified‐ADAPTE methodology

The development of the GIN‐McMaster checklist extension for guideline adaptation protocol

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