ArticleImplementation science : IS2018
Adapting clinical practice guidelines for diabetic retinopathy in Kenya: process and outputs.
Article in Implementation science : IS, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- National and international guidelines for young adults' sexual health education: a scoping review protocol.BMJ open · 2025Article
- Design, Implementation, and Evaluation of an Electronic Course of Sexual Health Education for Young Adults (18-35 Years): An Exploratory Sequential Mixed-Methods Study Protocol.Health science reports · 2025Article
- A clinical guideline for the Iranian women and newborns in the postpartum period.BMC health services research · 2024Article
- Evidence-based guidelines for hypertension and diabetes in sub-Saharan Africa: a scoping review.BMJ open · 2022Article
- International collaboration for the development of clinical guidelines in low and middle-income countries: case study on the development of a national framework and clinical guidelines for diabetic retinopathy in Ghana.Eye (London, England) · 2022Article
- Adaptation Frameworks for Clinical Guidelines and Proposing a Framework for Iran: A Review and Comparative Study.Medical journal of the Islamic Republic of Iran · 2022Review
- Feasibility of a cluster randomized controlled trial on the effectiveness of peer-led health education interventions to increase uptake of retinal examination for diabetic retinopathy in Kirinyaga, Kenya: a pilot trial.Pilot and feasibility studies · 2020Article
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Authors and funding
16 authors.
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Abstract
backgroundThe use of clinical practice guidelines envisages augmenting quality and best practice in clinical outcomes. Generic guidelines that are not adapted for local use often fail to produce these outcomes. Adaptation is a systematic and rigorous process that should maintain the quality and validity of the guideline, while making it more usable by the targeted users. Diverse skills are required for the task of adaptation. Although adapting a guideline is not a guarantee that it will be implemented, adaptation may improve acceptance and adherence to its recommendations.
methodsWe describe the process used to adapt clinical guidelines for diabetic retinopathy in Kenya, using validated tools and manuals. A technical working group consisting of volunteers provided leadership.
resultsThe process was intensive and required more time than anticipated. Flexibility in the process and concurrent health system activities contributed to the success of the adaptation. The outputs from the adaptation include the guidelines in different formats, point of care instruments, as well as tools for training, monitoring, quality assurance and patient education.
conclusionGuideline adaptation is applicable and feasible at the national level in Kenya. However, it is labor- and time -intensive. It presents a valuable opportunity to develop several additional outputs that are useful at the point of care.
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