Evidence map›Paper›PMID 27115476›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2017

Framework for enhancing clinical practice guidelines through continuous patient engagement.

Melissa J Armstrong, Juan-David Rueda, Gary S Gronseth, C Daniel Mullins

Abstract read
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 81 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
81citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

81 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Financial relationships between patient and consumer representatives and the health industry: A systematic review.Health expectations : an international journal of public participation in health care and health policy · 2020
    Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Frameworks for Action: A Scoping Review of Organisational Patient Engagement Models in Healthcare.The International journal of health planning and management · 2026
    Article
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  12. Putting People at the Centre of Guidelines.Clinical and public health guidelines · 2026
    Article
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  16. Review
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  19. Frameworks to support evidence-informed decision-making in public health and infectious disease prevention and control: a scoping review.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2025
    Article
  20. Article

21 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Melissa J ArmstrongDepartment of Neurology, University of Florida College of Medicine, Gainesville, FL, USA.
Juan-David RuedaPharmaceutical Health Research Department, University of Maryland School of Pharmacy, Baltimore, MD, USA.
Gary S GronsethDepartment of Neurology, University of Kansas Medical Center, Kansas City, KS, USA.
C Daniel MullinsPharmaceutical Health Research Department, University of Maryland School of Pharmacy, Baltimore, MD, USA.

Funding

Enhancing Clinical Guideline Development via Patient and Stakeholder EngagementK08HS024159 · AHRQ · UNIVERSITY OF MARYLAND BALTIMORE · PI ARMSTRONG, MELISSA JO · 2015 to 2019
$693k
AHRQ HHS K08 HS024159
6 · The paper itself

Abstract

backgroundPatient engagement in clinical practice guideline (CPG) development is recommended by multiple institutions and instruments measuring guideline quality. Approaches to engaging patients, however, vary between oversight organizations, quality tools and guideline developers.

objectiveWe propose a ten-step framework outlining steps and options for patient engagement in guideline development with the goal of highlighting steps for patient engagement and methods by which this can be achieved. DISCUSSION: This framework provides a model for continuous patient engagement in CPGs by outlining ten steps of guideline development occurring at the levels of the developer/committee and the individual guideline project. At the developer level, patients can assist in topic nomination (step 1), topic prioritization (step 2) and guideline development group selection (step 3). Within specific guideline projects, patients' opinions may be incorporated when framing the question (step 4), creating an analytic framework and research plan (step 5), conducting the systematic review and conclusion formation (step 6), development of recommendations (step 7) and dissemination and implementation (step 8). At the end of process, patients can again be engaged at the developer level by helping determine when guidelines need updating (step 9) and evaluating the developer's approach to patient engagement (step 10).

conclusionsPatient engagement at each CPG development step has different purposes, mechanisms, advantages and disadvantages, and implications for resource utilization. This framework can serve as a resource for guideline developers desiring to increase patient engagement and reference for researchers investigating engagement methodology at different steps of the CPG lifecycle.

Indexed as

Patient ParticipationPractice Guidelines as TopicClinical ProtocolsQuality Improvementdecision-makingguideline adherenceguidelines as topicpatient-centred carepatient participation

Identifiers

PMID27115476
PMCPMC5217879

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.