Premium
Exploring guideline adaptation strategy for Turkey: Is “ADAPTE” feasible or does it need adaptation as well?
Author(s) -
Ayhan Baser Duygu,
Kahveci Rabia,
Baydar Artantas Aylin,
Yasar İlknur,
Aksoy Hilal,
Koc Esra Meltem,
Kasim İsmail,
Kunnamo Ilkka,
Özkara Adem
Publication year - 2018
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.12730
Subject(s) - adaptation (eye) , guideline , context (archaeology) , process (computing) , process management , turkish , computer science , knowledge management , medicine , psychology , engineering , paleontology , linguistics , philosophy , pathology , neuroscience , biology , operating system
Abstract Rationale, aims, objectives Clinical Practice Guidelines are mostly developed by 3 methods; namely, de novo, adoption, and adaptation. Nonpublished studies and authors experience shows that most guidelines in Turkey are either by adoption or by adaptation. There is no available local tool for adaptation, so the process is not standardized and most of the time not explicitly defined. The objective of this study is to search for international guideline adaptation tools and test their feasibility in Turkish context, to serve a final goal of developing a unique local strategic tool for guideline adaptation.Methods The methodological design of this study includes selection of an international tool for Clinical Practice Guideline adaptation, piloting this tool with selected Turkish guidelines, identifying the feasibility of this tool and exploring the needs for adaptation of the tool, drawing recommendations for adaptation of the strategies, and validation of the process by local experts.Results The study from planning phase to finalizing the guidance, including pilot studies and panel but excluding translation of ADAPTE , lasted 18 months. Nine researchers were involved in the adaptation process and 15 more experts were involved in the validation panel. Following the suggestions of the research team on modifications and validation through the expert panel; 2 steps of the ADAPTE toolkit were rejected, 2 steps were accepted by modification, 7 steps were accepted by additional recommendations. In addition, 2 tools were suggested to be added to the toolkit.Conclusion This is the first study on adaptation of guidelines in Turkey. Pilot adaptation of 2 guidelines with ADAPTE revealed that ADAPTE is a useful and feasible tool in Turkish setting, but might require certain changes in recommendations and revision of tools.