Population Health Sciences, University of Dundee, Kirsty Semple Way, Dundee, UK.
Implement Sci. 2013 Jan 9;8:6. doi: 10.1186/1748-5908-8-6.
Healthcare decision makers face challenges when using guidelines, including understanding the quality of the evidence or the values and preferences upon which recommendations are made, which are often not clear.
GRADE is a systematic approach towards assessing the quality of evidence and the strength of recommendations in healthcare. GRADE also gives advice on how to go from evidence to decisions. It has been developed to address the weaknesses of other grading systems and is now widely used internationally. The Developing and Evaluating Communication Strategies to Support Informed Decisions and Practice Based on Evidence (DECIDE) consortium (http://www.decide-collaboration.eu/), which includes members of the GRADE Working Group and other partners, will explore methods to ensure effective communication of evidence-based recommendations targeted at key stakeholders: healthcare professionals, policymakers, and managers, as well as patients and the general public. Surveys and interviews with guideline producers and other stakeholders will explore how presentation of the evidence could be improved to better meet their information needs. We will collect further stakeholder input from advisory groups, via consultations and user testing; this will be done across a wide range of healthcare systems in Europe, North America, and other countries. Targeted communication strategies will be developed, evaluated in randomized trials, refined, and assessed during the development of real guidelines.
Results of the DECIDE project will improve the communication of evidence-based healthcare recommendations. Building on the work of the GRADE Working Group, DECIDE will develop and evaluate methods that address communication needs of guideline users. The project will produce strategies for communicating recommendations that have been rigorously evaluated in diverse settings, and it will support the transfer of research into practice in healthcare systems globally.
医疗保健决策者在使用指南时面临挑战，包括理解证据质量或推荐所依据的价值观和偏好，而这些通常不明确。
GRADE 是一种系统方法，用于评估医疗保健中证据质量和推荐强度。GRADE 还就如何从证据到决策提供建议。它是为了解决其他分级系统的弱点而开发的，现在在国际上广泛使用。包括 GRADE 工作组成员和其他合作伙伴在内的制定和评估沟通策略以支持基于证据的决策和实践（DECIDE）联盟（http://www.decide-collaboration.eu/）将探索确保有效沟通针对关键利益相关者的基于证据的建议的方法：医疗保健专业人员、政策制定者和管理人员，以及患者和公众。对指南制定者和其他利益相关者的调查和访谈将探讨如何改进证据的呈现方式，以更好地满足他们的信息需求。我们将通过咨询和用户测试，从顾问小组收集更多的利益相关者意见；这将在欧洲、北美和其他国家的广泛医疗保健系统中进行。将制定有针对性的沟通策略，并在随机试验中进行评估、改进和评估实际指南的制定过程。
DECIDE 项目的结果将改善基于证据的医疗保健建议的沟通。DECIDE 将在 GRADE 工作组的工作基础上，开发和评估满足指南用户沟通需求的方法。该项目将制定在不同环境中经过严格评估的沟通建议策略，并支持将研究成果转移到全球医疗保健系统中的实践中。
