Strategies for disseminating recommendations or guidelines to patients: a systematic review

Abstract

BackgroundThe aim of this systematic literature review was to assess what dissemination strategies are feasible to inform and educate patients about recommendations (also known as guidelines).MethodsThe search was performed in February 2016 in PubMed, Ebsco/PsycINFO, Ebsco/CINAHL and Embase. Studies evaluating dissemination strategies, involving patients and/or reaching patients, were included. A hand search and a search in the grey literature, also done in February 2016, were added. Searches were not restricted by language or publication type.Publications that referred to (1) guideline(s) or recommendation(s), (2) dissemination, (3) dissemination with patients/patient organisations and (4) dissemination to patients/patient organisations were included in this article. Criteria 1 AND 2 were mandatory together with criteria 3 OR 4.ResultsThe initial search revealed 3753 unique publications. Forty-seven articles met the inclusion criteria and were selected for detailed review. The hand search and grey literature resulted in four relevant articles. After reading the full text of the 47 articles, 21 were relevant for answering our research question. Most publications had low levels of evidence, 3 or 4 of the Oxford levels of evidence. One article had a level of evidence of 2(b).This article gives an overview of tools and strategies to disseminate recommendations to patients. Key factors of success were a dissemination plan, written at the start of the recommendation development process, involvement of patients in this development process and the use of a combination of traditional and innovative dissemination tools. The lack of strong evidence calls for more research of the effectiveness of different dissemination strategies as well as the barriers for implementing a strategic approach of dissemination.ConclusionOur findings provide the first systematic overview of tools and strategies to disseminate recommendations to patients and patient organisations. Participation of patients in the whole process is one of the most important findings. These findings are relevant to develop, implement and evaluate more (effective) dissemination strategies which can improve health care.Electronic supplementary materialThe online version of this article (doi:10.1186/s13012-016-0447-x) contains supplementary material, which is available to authorized users.

Outcomes of a randomized controlled trial of nutrition education to promote farmers’ market fruit and vegetable purchases and consumption among women enrolled in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)

“…This may be because CVV are distributed year-round; as such, participants would need to be reminded that they can be redeemed at farmers' markets at the beginning of the farmers' market season. Strategies recommended for effectively reaching participants with this information, e.g., the development of a dissemination plan detailing when information will be provided and the use of such materials as leaflets or brochures accompanied by repetition from credible sources (for example, WIC nutritionists) should therefore be considered [31]. Intervention policies and programs to expand the reach of CVV also are needed.…”

Why is breast cancer early detection important?

“…In the health area, many guidelines or recommendations for disease management are developed, especially those directed to the improvement of daily routines of professionals in health systems. Dissemination and implementation of these recommendations are often focused on professionals, not on patients 12 . As a result, in many countries, patients are not aware of such guidelines and are not able to access the publications, or do not fully understand academic and medical terminologies 13 .…”

Patient-centred standards of care for adults with myositis

“…Several barriers to implementation have been identified and various solutions offered [7,8]. The process undertaken to create these standards of care is consistent with several of these recommendations.…”