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Table 1 Strategies to address implementation challenges during development of the Disease Prevention Guidelines

From: Addressing implementation challenges during guideline development – a case study of Swedish national guidelines for methods of preventing disease

Framework Theme Category Sub-category
Guideline scope and purpose Broad agreements and consensus about scope and purpose Target audience involved in framing the guideline scope and purpose Hearings with health-promoting organizations and politicians, professional groups
Political proposal preceded guidelines with health-promoting scope
  Systematic and active involvement of stakeholders   Health-promoting hospitals networks used for piloting scope and identifying target population of Disease Prevention Guidelines
Formalized and structured development procedure Using systematic methodology for identifying and defining the Disease Prevention Guidelines concepts and health questions Formal criteria for initiating CPG-process
Preparatory development process defining concepts and scope
Systematic methodology in defining guideline health questions and key concepts
Stakeholder involvement Systematic and active involvement of stakeholders Guideline development group included a wide scope of relevant professional groups and fields of knowledge Experts representing: the CPG target area/s; methodology; communication; ethics; health economics
Health professionals representing: the CPG target area/s; different parts of the country; different patient groups; and different parts of the health care system
Involvement of stakeholder throughout the guideline development process Meetings and collaboration with health-promoting organizations, politicians, and professional groups in the early phases of development
Regional conferences with health providers in the county councils
Rigour of development Formalized and structured development procedure Formalized CPG development procedure Formalized procedure for defining purpose, scope and concepts
Formalized procedure for searching and assessing evidence
Formalized consensus procedure when there is a lack of evidence
Formalized procedures are suggested for monitoring, evaluation and follow- up of Disease Prevention Guidelines
Openness and transparency in Disease Prevention Guidelines development procedure Transparency in methodology Guideline development procedures explicit and overt
Recommendations and the supporting evidence are clearly connected
Clarity of presentation Openness and transparency in Disease Prevention Guidelines development procedure Clear presentation of guideline development model Description of the general Guideline development model is presented
Description of the Disease Prevention Guidelines development model and organization is presented
Methodology for collecting evidence is presented
Clear presentation of the Disease Prevention Guidelines recommendations Experts in communication involved in the formulation of Disease Prevention Guidelines
Links between recommendations and evidence are clear
Applicability Systematic and active involvement of stakeholders Target users tested the hypothetical use of the Disease Prevention Guidelines recommendations Health professionals hypothetical tested the use of the Disease Prevention Guidelines in clinical setting
Health care providers hypothetical tested the use of the Disease Prevention Guidelines in a health care management setting
Openness and transparency in Disease Prevention Guidelines development procedure Barriers/facilitators for the Disease Prevention Guidelines application were presented Facilitating factors for the implementation of the Disease Prevention Guidelines were sought by target users
Monitoring, evaluation and update of Disease Prevention Guidelines Barriers for the implementation of the Disease Prevention Guidelines were sought by target users
Formalized procedures for monitoring, evaluation and follow- up of Disease Prevention Guidelines are suggested
Editorial independence Openness and transparency in Disease Prevention Guidelines development procedure Autonomy of Guideline developers The NBHW autonomous government agency
Formalized procedures for seeking and recording possible competing interests of all members of development group