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The ‘Adapted ADAPTE ’: an approach to improve utilization of the ADAPTE guideline adaptation resource toolkit in the A lexandria C enter for E vidence‐ B ased C linical P ractice G uidelines
Author(s) -
Amer Yasser Sami,
Elzalabany Mahmoud Munir,
Omar Tarek Ismael,
Ibrahim Afaf Gaber,
Dowidar Nabil Lotfy
Publication year - 2015
Publication title -
journal of evaluation in clinical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.737
H-Index - 73
eISSN - 1365-2753
pISSN - 1356-1294
DOI - 10.1111/jep.12479
Subject(s) - adaptation (eye) , guideline , clarity , process (computing) , context (archaeology) , quality (philosophy) , resource (disambiguation) , computer science , process management , medicine , knowledge management , business , psychology , geography , computer network , biochemistry , chemistry , philosophy , epistemology , pathology , neuroscience , operating system , archaeology
Rationale, aims and objectives The ADAPTE methodology for adaptation of guidelines has been used by many organizations to develop high‐quality clinical practice guidelines. Although it is a valid alternative for de novo development of guidelines, it might demand more time and resources in some institutions. The present study demonstrates the proposed ‘adapted ADAPTE ’ methodology to support more clarity, simplicity and practicality. It also aims at avoiding duplication within the process and reducing the resources and time allocated to the CPG adaptation projects. Methods Clinical guidelines' adaptation in the C enter for E vidence‐ B ased C linical P ractice G uidelines at the A lexandria F aculty of M edicine and U niversity H ospitals involves two stages: (1) cross‐sectional or retrospective study to reveal the current practice and prescribing patterns concerning the selected health topic; (2) the ‘adapted ADAPTE ’ methodology for CPGs adaptation that was based on the original ADAPTE Process. Results The ‘adapted ADAPTE ’ included three modified tools, three new tools based on the original ADAPTE framework and alternatives for four ADAPTE steps to enhance utilization. The finalized adapted CPGs included nine high priority topics for paediatrics and two topics for emergency medicine. Conclusions The ADAPTE methodology for guideline adaptation can be customized or ‘adapted’ to the local health care setting and resources. This proposal facilitates supports and improves the utilization and update of the ADAPTE process by CPG programmes or activities in health care organizations. This is of particular importance in health care systems in developing countries with limited resources in the E astern M editerranean region like E gypt.