Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2017 Feb;23(1):66-72.
doi: 10.1111/jep.12566. Epub 2016 May 19.

A new framing approach in guideline development to manage different sources of knowledge

Affiliations

A new framing approach in guideline development to manage different sources of knowledge

Sue Lukersmith et al. J Eval Clin Pract. 2017 Feb.

Abstract

Rationale: Contemporary guideline methodology struggles to consider context and information from different sources of knowledge besides quantitative research. Return to work programmes involve multiple components and stakeholders. If the guideline is to be relevant and practical for a complex intervention such as return to work, it is essential to use broad sources of knowledge.

Aims and objective: This paper reports on a new method in guideline development to manage different sources of knowledge.

Methods: The method used framing for the return-to-work guidance within the Clinical Practice Guidelines for the Management of Rotator Cuff Syndrome in the Workplace. The development involved was a multi-disciplinary working party of experts including consumers. The researchers considered a broad range of research, expert (practice and experience) knowledge, the individual's and workplace contexts, and used framing with the International Classification of Functioning, Disability and Health. Following a systematic database search on four clinical questions, there were seven stages of knowledge management to extract, unpack, map and pack information to the ICF domains framework. Companion graded recommendations were developed.

Results: The results include practical examples, user and consumer guides, flow charts and six graded or consensus recommendations on best practice for return to work intervention.

Conclusions: Our findings suggest using framing in guideline methodology with internationally accepted frames such as the ICF is a reliable and transparent framework to manage different sources of knowledge. Future research might examine other examples and methods for managing complexity and using different sources of knowledge in guideline development.

Keywords: clinical guidelines; evidence-based medicine; health services research.

PubMed Disclaimer

LinkOut - more resources