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Health professionals

DECIDE work with health professionals
We have developed presentation strategies for clinicians in general. These presentations have the common feature that they are based in a systematic review of the relevant evidence using the GRADE system and that present the information in layers. The rationale for this is that users have different needs depending on the context and that the most relevant information should be quickly available first. We have produced a novel strategy for the layered presentation of recommendations to clinicians that can be implemented already in clinical guidelines. We have also produced a shared decision making prototype that will soon be available to semi automatically develop generic decision aids from guidelines. Finally, both for guideline users and developers, we have developed frameworks to develop recommendations. Want more information?  A longer summary of our work with health professionals can be read as a pdf.


Publications
1. Development of a novel, multilayered presentation format for clinical practice guidelines (http://www.ncbi.nlm.nih.gov/pubmed/25317597).

2. Decision aids that really promote shared decision making: the pace quickens (http://www.bmj.com/content/350/bmj.g7624.long).

3. Do clinicians understand the size of treatment effects? A randomized survey across 8 countries (http://www.ncbi.nlm.nih.gov/pubmed/26504102).

4. GRADE Evidence to Decision (EtD) frameworks: A systematic and transparent approach to making well-informed healthcare choices: 1. Introduction. BMJ 2016 (accepted)

5. GRADE Evidence to Decision (EtD) frameworks: 2. Clinical practice guidelines. BMJ 2016 (accepted)

Outputs
1. A multilayered presentation format for clinical practice guidelines.

2. An Evidence to Decision framework to develop clinical recommendations.

3. A GRADE-based decision aid prototype to be used at the point of care using electronic devices (e.g. tablets).

What is happening now?

We, in the context of the GRADE Working Group activities, are going to continue refining the work produced in the DECIDE project. More precisely we will be further developing the multilayer presentation in order to underpin some of the remaining research questions and after receiving feed-back from its implementation in guideline programs internationally. We are going, together with MAGIC, to continue developing the decision aid prototype and make it available during 2016-2017 both in GRADEproGDT and MAGICapp.