Evidence map›Paper›PMID 35033068›Full record

ArticleBMC health services research2022

User testing of a Scottish Intercollegiate Guideline Network public guideline for the parents of children with autism.

Naomi Fearns, Laura Walker, Karen Graham, Norman Gibb, Duncan Service

Abstract read
In one paragraph

Article in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Perceptions and Attitudes of People With Cancer and Diabetes Towards Patient Guidelines: A Mixed Methods Study.Health expectations : an international journal of public participation in health care and health policy · 2025
    Article
  4. Article
  5. Article
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

5 authors.

Naomi FearnsHealthcare Improvement Scotland, Gyle Square 1 South Gyle Crescent, Edinburgh, EH12 9EB, Scotland, UK. Naomi.fearns2@nhs.scot.
Laura WalkerHealthcare Improvement Scotland, Gyle Square 1 South Gyle Crescent, Edinburgh, EH12 9EB, Scotland, UK.
Karen GrahamHealthcare Improvement Scotland, Gyle Square 1 South Gyle Crescent, Edinburgh, EH12 9EB, Scotland, UK.
Norman GibbHealthcare Improvement Scotland, Gyle Square 1 South Gyle Crescent, Edinburgh, EH12 9EB, Scotland, UK.
Duncan ServiceHealthcare Improvement Scotland, Gyle Square 1 South Gyle Crescent, Edinburgh, EH12 9EB, Scotland, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Scottish Intercollegiate Guidelines Network (SIGN) is the leading national clinical guideline producer in Scotland. Improved design and dissemination of guidelines produced for the public can empower people to take an active role in self-management and shared decision-making. The public version of the guideline examined covered getting assessed and diagnosed with autism, and approaches that can help. The aim of this study was to test a public version of a guideline for the parents of children and young people with autism, implement improvements, and identify what works in making it usable and accessible.

methodsWe recruited mothers from across Scotland. User testing involved formal 'think aloud' semi-structured interviews that guided users through the booklet. Interviews took place individually and were recorded and transcribed. Key findings were identified and themed using the honeycomb user experience model.

resultsFourteen user-testing interviews were conducted. Facilitators for usability and desirability of the guideline included the chunking of text, consistent use of colour and boxes to highlight important information. Simple language, written in a tone of partnership, helped to engage mothers. Value arose from the guidelines ability to explain the process of diagnosis and make mothers feel empowered in their relationships with healthcare professionals. There was a lack of consensus on the usefulness of rating the strength of evidence and recommendations.

conclusionThere was a marked similarity between what was important to the mothers and what has been found to be important to other groups. The involvement of service users and carers in the guidelines development was key to its credibility. One size does not fit all in presenting evidence-based recommendations to the public and it is a challenge to provide sufficient information while avoiding information overload. Recommendations and evidence levels are suitable for use in public versions, but these should be kept as simple as possible.

Indexed as

Autistic DisorderAdolescentCaregiversChildGuidelines as TopicHealth PersonnelHumansLanguageParentsAutismClinical practice guidelineGuidelinesPatient guidelinesPatient versionPublic versionUser testing

Identifiers

PMID35033068
PMCPMC8761326

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.