Norwegian Knowledge Centre for the Health Services, Boks, St Olavs Plass, Oslo, Norway.
Bull World Health Organ. 2011 Jan 1;89(1):54-61. doi: 10.2471/BLT.10.075481. Epub 2010 Nov 24.
To describe how the SUPPORT collaboration developed a short summary format for presenting the results of systematic reviews to policy-makers in low- and middle-income countries (LMICs).
We carried out 21 user tests in six countries to explore users' experiences with the summary format. We modified the summaries based on the results and checked our conclusions through 13 follow-up interviews. To solve the problems uncovered by the user testing, we also obtained advisory group feedback and conducted working group workshops.
Policy-makers liked a graded entry format (i.e. short summary with key messages up front). They particularly valued the section on the relevance of the summaries for LMICs, which compensated for the lack of locally-relevant detail in the original review. Some struggled to understand the text and numbers. Three issues made redesigning the summaries particularly challenging: (i) participants had a poor understanding of what a systematic review was; (ii) they expected information not found in the systematic reviews and (iii) they wanted shorter, clearer summaries. Solutions included adding information to help understand the nature of a systematic review, adding more references and making the content clearer and the document quicker to scan.
Presenting evidence from systematic reviews to policy-makers in LMICs in the form of short summaries can render the information easier to assimilate and more useful, but summaries must be clear and easy to read or scan quickly. They should also explain the nature of the information provided by systematic reviews and its relevance for policy decisions.
描述 SUPPORT 合作如何为中低收入国家（LMICs）的政策制定者制定系统评价结果的简短摘要格式。
我们在六个国家进行了 21 次用户测试，以探索用户对摘要格式的体验。我们根据测试结果对摘要进行了修改，并通过 13 次后续访谈检查了我们的结论。为了解决用户测试中发现的问题，我们还征求了顾问小组的反馈意见，并举办了工作组研讨会。
政策制定者喜欢分级输入格式（即简短摘要，关键信息前置）。他们特别重视摘要中与 LMICs 相关的部分，这弥补了原始综述中缺乏本地相关细节的不足。一些人难以理解文本和数字。有三个问题使得重新设计摘要特别具有挑战性：（i）参与者对系统评价的性质理解较差；（ii）他们期望在系统评价中找不到信息；（iii）他们希望摘要更简短、更清晰。解决方案包括添加有助于理解系统评价性质的信息，添加更多参考文献，并使内容更清晰，文档更易于快速浏览。
以简短摘要的形式向 LMICs 的政策制定者呈现系统评价证据可以使信息更容易吸收和更有用，但摘要必须清晰易读或快速浏览。它们还应该解释系统评价提供的信息的性质及其与政策决策的相关性。
