ArticleBMJ open2021
Current practices and challenges in adaptation of clinical guidelines: a qualitative study based on semistructured interviews.
Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.
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Who cites it
11 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Transitioning to adolescent and young adult or adult cancer survivorship care: A systematic review of contemporary guidelines and trials.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Pooled it
- Pooled it
- Developing Evidence-Based Implementation Strategies for the Management of Women With Early Pregnancy Bleeding in the Emergency Department: A Multi-Method Study.Journal of advanced nursing · 2026Article
- Article
- Awareness of adapting clinical practice guidelines to a local context.Clinical and public health guidelines · 2025Article
- Development of self-efficacy skills of prospective music teachers in singing activity: insights of educators.Frontiers in psychology · 2025Article
- The development of the GIN-McMaster checklist extension for guideline adaptation protocol.Clinical and public health guidelines · 2025Article
- Development and pilot testing of the Population And ContExt adaption of decision aids (PACE) framework.PEC innovation · 2024Article
- Revolutionizing healthcare in KSA: A deep dive into clinical practice guideline development and implementation.Journal of Taibah University Medical Sciences · 2024Article
- Strengthening guideline contextualization in the WHO European Region.Bulletin of the World Health Organization · 2024Article
- Translating guidelines into practice via implementation science: an update in lipidology.Current opinion in lipidology · 2022Review
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThis study aims to better understand the current practice of clinical guideline adaptation and identify challenges raised in this process, given that published adapted clinical guidelines are generally of low quality, poorly reported and not based on published frameworks.
designA qualitative study based on semistructured interviews. We conducted a framework analysis for the adaptation process, and thematic analysis for participants' views and experiences about adaptation process.
settingNine guideline development organisations from seven countries.
participantsGuideline developers who have adapted clinical guidelines within the last 3 years. We identified potential participants through published adapted clinical guidelines, recommendations from experts, and a review of the Guideline International Network Conference attendees' list.
resultsWe conducted ten interviews and identified nine adaptation methodologies. The reasons for adapting clinical guidelines include developing
conclusionsAdaptation processes have been increasingly used to develop clinical guidelines, with the emergence of different purposes. The identification of core steps and assessment levels could help guideline adaptation developers streamline their processes. More methodological research is needed to develop rigorous international standards for adapting clinical guidelines.
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