How to adapt existing evidence-based clinical practice guidelines: a case example with smoking cessation guidelines in Canada. Issue 11 (3rd November 2017)

• Record Type: Journal Article
• Authors: Selby, Peter; Hunter, Katie; Rogers, Jess; Lang-Robertson, Kelly; Soklaridis, Sophie; Chow, Virginia; Tremblay, Michèle; Koubanioudakis, Denise; Dragonetti, Rosa; Hussain, Sarwar; Zawertailo, Laurie
• Is Part Of: BMJ open. Volume 7:Issue 11(2017)
• Publication Date: 2017-11-03
• Subjects: smoking cessation -- clinical practice guideline -- tobacco -- healthcare provider -- guideline implementation; Medicine -- Research -- Periodicals; 610.72
• DOI: 10.1136/bmjopen-2017-016124
• Languages: English
• ISSNs: 2044-6055

Abstract

Abstract : Objective: To develop and encourage the adoption of clinical practice guidelines (CPGs) for smoking cessation in Canada by engaging stakeholders in the adaptation of existing high-quality CPGs using principles of the ADAPTE framework. Methods: An independent expert body in guideline review conducted a review and identified six existing CPGs, which met a priori criteria for quality and potential applicability to the local context. Summary statements were extracted and assigned a grade of recommendation and level of evidence by a second expert panel. Regional knowledge exchange brokers recruited additional stakeholders to build a multidisciplinary network of over 800 clinicians, researchers and decision-makers from across Canada. This interprofessional network and other stakeholders were offered various opportunities to provide input on the guideline both online and in person. We actively encouraged end-user input into the development and adaptation of the guidelines to ensure applicability to various practice settings and to promote adoption. Results: The final guideline contained 24 summary statements along with supporting clinical considerations, across six topic area sections. The guideline was adopted by various provincial/territorial and national government and non-governmental organisations. Conclusions: This method can be applied in other jurisdictions to adapt existing high-quality smoking cessation CPGs to the local context and to facilitate subsequent adoption by various stakeholders.