Article

Dissemination of clinical practice guidelines: A content analysis of patient versions

Details

Citation

Santesso N, Morgano GP, Jack SA, Haynes RB, Hill S, Treweek S, Schunemann H, Callaghan M, Graham K, Harbour R, Kunnamo I, Liira H, Loudon K, McFarlane E, Ritchie K, Service D & Thornton J (2016) Dissemination of clinical practice guidelines: A content analysis of patient versions. Medical Decision Making, 36 (6), pp. 692-702. https://doi.org/10.1177/0272989X16644427

Abstract
Background. Clinical practice guidelines (CPGs) are typically written for health care professionals but are meant to assist patients with health care decisions. A number of guideline producers have started to develop patient versions of CPGs to reach this audience. Objective. To describe the content and purpose of patient versions of CPGs and compare with patient and public views of CPGs. Design. A descriptive qualitative study with a directed content analysis of a sample of patient versions of CPGs published and freely available in English from 2012 to 2014. Results. We included 34 patient versions of CPGs from 17 guideline producers. Over half of the patient versions were in dedicated patient sections of national/professional agency websites. There was essentially no information about how to manage care in the health care system. The most common purpose was to equip people with information about disease, tests or treatments, and recommendations, but few provided quantitative data about benefits and harms of treatments. Information about beliefs, values and preferences, accessibility, costs, or feasibility of the interventions was rarely addressed. Few provided personal stories or scenarios to personalize the information. Three versions described the strength of the recommendation or the level of evidence. Limitations. Our search for key institutions that produce patient versions of guidelines was comprehensive, but we only included English and freely available versions. Future work will include other languages. Conclusions. This review describes the current landscape of patient versions of CPGs and suggests that these versions may not address the needs of their targeted audience. Research is needed about how to personalize information, provide information about factors contributing to the recommendations, and provide access.

Keywords
patient decision making; risk communication; risk perception; clinical practice guidelines; qualitative methods

Journal
Medical Decision Making: Volume 36, Issue 6

StatusPublished
Publication date31/08/2016
Publication date online18/04/2016
Date accepted by journal18/03/2016
URLhttp://hdl.handle.net/1893/23106
PublisherSAGE
ISSN0272-989X