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Tools for developing, adapting and evaluating guidelines

AGREE instrument

AGREE stands for "Appraisal of Guidelines Research and Evaluation". It originates from an international collaboration of researchers and policy makers who work together to improve the quality and effectiveness of clinical practice guidelines by establishing a shared framework for their development, reporting and assessment. The purpose of the AGREE Instrument is designed to provide a framework for assessing the quality of clinical practice guidelines.

ADAPTE instrument

The ADAPTE framework is a systematic approach to aid in the adaptation of guidelines produced in one setting to be used in a different cultural and/or organizational context. The ADAPTE framework is based on the following core principles: 1) respect of evidence-based principles for guideline development, 2) reliable and consistent methods to ensure the quality of the adapted guideline, 3) participation of key stakeholders to foster acceptance and ownership of the adapted guideline, 4) explicit consideration of context to ensure relevance for local practice and policies, 5) transparent reporting to promote confidence in the recommendations of the adapted guideline, 6) flexible format to accommodate specific needs and circumstances, 7) respect for and acknowledgement of source guidelines material. The ADAPTE framework is intended to be used by different groups, i.e. guideline developers, health care providers and policy makers at the local, national and international level.

GLIA instrument

The GuideLine Implementability Appraisal (GLIA) is a tool for the appraisal of the implementability of clinical guidelines. Implementability refers to a set of guideline characteristics that predict potential challenges to effective implementation. In addition to a series of questions that inquire about global aspects of a guideline's implementability, the instrument explores the following dimensions of individual recommendations:

  1. Decidability
  2. Executability
  3. Effect On Process Of Care
  4. Presentation & Formatting
  5. Measurable Outcomes
  6. Apparent Validity
  7. Novelty/Innovation
  8. Flexibility
  9. Computability

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