. 2020 Feb 1;9(1):21.

doi: 10.1186/s13643-020-1272-5.

Protocol for the development of guidance for stakeholder engagement in health and healthcare guideline development and implementation

Jennifer Petkovic¹, Alison Riddle², Elie A Akl³, Joanne Khabsa⁴, Lyubov Lytvyn⁵, Pearl Atwere⁶, Pauline Campbell⁷, Kalipso Chalkidou⁸, Stephanie M Chang⁹, Sally Crowe¹⁰, Leonila Dans¹¹, Fadi El Jardali¹², Davina Ghersi¹³, Ian D Graham^{14

15}, Sean Grant¹⁶, Regina Greer-Smith¹⁷, Jeanne-Marie Guise¹⁸, Glen Hazlewood¹⁹, Janet Jull²⁰, S Vittal Katikireddi²¹, Etienne V Langlois²², Anne Lyddiatt²³, Lara Maxwell²⁴, Richard Morley²⁵, Reem A Mustafa²⁶, Francesco Nonino²⁷, Jordi Pardo Pardo²⁸, Alex Pollock²⁹, Kevin Pottie^{30

31}, John Riva³², Holger Schünemann³³, Rosiane Simeon², Maureen Smith³⁴, Airton T Stein³⁵, Anneliese Synnot^{36

37}, Janice Tufte³⁸, Howard White^{39

40}, Vivian Welch^{2

41}, Thomas W Concannon^{42

43}, Peter Tugwell^{44

45

46}

Affiliations

¹ Bruyère Research Institute, Bruyère Continuing Care and University of Ottawa, 85 Primrose Ave East, Ottawa, Ontario, Canada. jennifer.petkovic@uottawa.ca.
² Bruyère Research Institute, Bruyère Continuing Care and University of Ottawa, 85 Primrose Ave East, Ottawa, Ontario, Canada.
³ Department of Internal Medicine, American University of Beirut, Beirut, Lebanon.
⁴ Clinical Research Institute, American University of Beirut, Beirut, Lebanon.
⁵ McMaster University, Hamilton, Ontario, Canada.
⁶ Bruyère Research Institute, 85 Primrose Ave East, Ottawa, Ontario, Canada.
⁷ Nursing, Midwifery and Allied Health Professions (NMAHP) Research Unit, Glasgow Caledonian University, Glasgow, UK.
⁸ Faculty of Medicine, School of Public Health Imperial College, London, UK.
⁹ Agency for Healthcare Research and Quality, Rockville, MD, USA.
¹⁰ Crowe Associates Ltd., Oxford, UK.
¹¹ Department of Clinical Epidemiology, University of the Philippines-Manila, Taft Ave, 1000, Manila, Philippines.
¹² American University of Beirut, Beirut, Lebanon.
¹³ National Health and Medical Research Council, Canberra, Australia.
¹⁴ School of Epidemiology and Public Health, University of Ottawa, Ottawa, Canada.
¹⁵ Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
¹⁶ Department of Social & Behavioral Sciences, Richard M. Fairbanks School of Public Health, Indiana University, 1050 Wishard Blvd, RG 6046, Indianapolis, IN, 46202, USA.
¹⁷ LLC/S.T.A.R. Initiative, Apple Valley, CA, USA.
¹⁸ Departments of Obstetrics and Gynecology, Medical Informatics & Clinical Epidemiology, Emergency Medicine Oregon Health & Science, University School of Medicine and the OHSU-PSU School of Public Health, Portland, USA.
¹⁹ University of Calgary, Calgary, Canada.
²⁰ School of Rehabilitation Therapy, Faculty of Health Sciences, Queen's University, Kingston, Ontario, Canada.
²¹ MRC/CSO Social & Public Health Sciences Unit, University of Glasgow, 200 Renfield Street, Glasgow, G2 3AX, UK.
²² Alliance for Health Policy and Systems Research, World Health Organization, Geneva, Switzerland.
²³ Cochrane Musculoskeletal Group, London, Ontario, Canada.
²⁴ University of Ottawa, Ottawa, Canada.
²⁵ The Cochrane Collaboration, Cochrane Consumer Network, London, UK.
²⁶ Department of Internal Medicine/Division of Nephrology and Hypertension, University of Kansas Medical Center, Kansas, USA.
²⁷ Unit of Epidemiology and Statistics, IRCCS - Institute of Neurological Sciences of Bologna, Bologna, Italy.
²⁸ Ottawa Hospital Research Institute, The Ottawa Hospital, Ottawa, Canada.
²⁹ Nursing Midwifery and Allied Health Professions (NMAHP) Research Unit, Glasgow Caledonian University, Glasgow, UK.
³⁰ Departments of Family Medicine and Epidemiology and Public Health, University of Ottawa, Ottawa, Canada.
³¹ Primary Care Research Group and Equity Methods Group, Bruyère Research Institute, Ottawa, Canada.
³² Department of Family Medicine, McMaster University, Hamilton, Ontario, Canada.
³³ Department of Health Research Methods, Evidence, and Impact, Cochrane Canada and McMaster GRADE Centre, Hamilton, Canada.
³⁴ Cochrane Consumer Executive, Ottawa, Ontario, Canada.
³⁵ Programa de Pós-Graduação em Ciências da Saúde, Universidade Federal de Ciências da Saúde de Porto Alegre - UFCSPA, Rua Sarmento Leite 245, Porto Alegre, RS, 90050-170, Brazil.
³⁶ Centre for Health Communication and Participation, School of Psychology and Public Health, La Trobe University, Melbourne, Australia.
³⁷ Cochrane Australia, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.
³⁸ PCORI, Seattle, USA.
³⁹ Alfred Deakin University, Geelong, Australia.
⁴⁰ Journal of Development Studies and Journal of Development Effectiveness, Geelong, Victoria, Australia.
⁴¹ The Campbell Collaboration, Oslo, Norway.
⁴² The RAND Corporation, Boston, MA, USA.
⁴³ Tufts Clinical & Translational Science Institute, Tufts University School of Medicine, Boston, MA, USA.
⁴⁴ University of Ottawa, Department of Medicine, Faculty of Medicine, Ottawa, Canada.
⁴⁵ Ottawa Hospital Research Institute, Clinical Epidemiology Program, Ottawa, Canada.
⁴⁶ University of Ottawa, School of Epidemiology and Public Health, Faculty of Medicine, Ottawa, Canada.

PMID: 32007104
PMCID: PMC6995157
DOI: 10.1186/s13643-020-1272-5

Protocol for the development of guidance for stakeholder engagement in health and healthcare guideline development and implementation

Jennifer Petkovic et al. Syst Rev. 2020.

. 2020 Feb 1;9(1):21.

doi: 10.1186/s13643-020-1272-5.

Authors

Affiliations

¹ Bruyère Research Institute, Bruyère Continuing Care and University of Ottawa, 85 Primrose Ave East, Ottawa, Ontario, Canada. jennifer.petkovic@uottawa.ca.
² Bruyère Research Institute, Bruyère Continuing Care and University of Ottawa, 85 Primrose Ave East, Ottawa, Ontario, Canada.
³ Department of Internal Medicine, American University of Beirut, Beirut, Lebanon.
⁴ Clinical Research Institute, American University of Beirut, Beirut, Lebanon.
⁵ McMaster University, Hamilton, Ontario, Canada.
⁶ Bruyère Research Institute, 85 Primrose Ave East, Ottawa, Ontario, Canada.
⁷ Nursing, Midwifery and Allied Health Professions (NMAHP) Research Unit, Glasgow Caledonian University, Glasgow, UK.
⁸ Faculty of Medicine, School of Public Health Imperial College, London, UK.
⁹ Agency for Healthcare Research and Quality, Rockville, MD, USA.
¹⁰ Crowe Associates Ltd., Oxford, UK.
¹¹ Department of Clinical Epidemiology, University of the Philippines-Manila, Taft Ave, 1000, Manila, Philippines.
¹² American University of Beirut, Beirut, Lebanon.
¹³ National Health and Medical Research Council, Canberra, Australia.
¹⁴ School of Epidemiology and Public Health, University of Ottawa, Ottawa, Canada.
¹⁵ Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
¹⁶ Department of Social & Behavioral Sciences, Richard M. Fairbanks School of Public Health, Indiana University, 1050 Wishard Blvd, RG 6046, Indianapolis, IN, 46202, USA.
¹⁷ LLC/S.T.A.R. Initiative, Apple Valley, CA, USA.
¹⁸ Departments of Obstetrics and Gynecology, Medical Informatics & Clinical Epidemiology, Emergency Medicine Oregon Health & Science, University School of Medicine and the OHSU-PSU School of Public Health, Portland, USA.
¹⁹ University of Calgary, Calgary, Canada.
²⁰ School of Rehabilitation Therapy, Faculty of Health Sciences, Queen's University, Kingston, Ontario, Canada.
²¹ MRC/CSO Social & Public Health Sciences Unit, University of Glasgow, 200 Renfield Street, Glasgow, G2 3AX, UK.
²² Alliance for Health Policy and Systems Research, World Health Organization, Geneva, Switzerland.
²³ Cochrane Musculoskeletal Group, London, Ontario, Canada.
²⁴ University of Ottawa, Ottawa, Canada.
²⁵ The Cochrane Collaboration, Cochrane Consumer Network, London, UK.
²⁶ Department of Internal Medicine/Division of Nephrology and Hypertension, University of Kansas Medical Center, Kansas, USA.
²⁷ Unit of Epidemiology and Statistics, IRCCS - Institute of Neurological Sciences of Bologna, Bologna, Italy.
²⁸ Ottawa Hospital Research Institute, The Ottawa Hospital, Ottawa, Canada.
²⁹ Nursing Midwifery and Allied Health Professions (NMAHP) Research Unit, Glasgow Caledonian University, Glasgow, UK.
³⁰ Departments of Family Medicine and Epidemiology and Public Health, University of Ottawa, Ottawa, Canada.
³¹ Primary Care Research Group and Equity Methods Group, Bruyère Research Institute, Ottawa, Canada.
³² Department of Family Medicine, McMaster University, Hamilton, Ontario, Canada.
³³ Department of Health Research Methods, Evidence, and Impact, Cochrane Canada and McMaster GRADE Centre, Hamilton, Canada.
³⁴ Cochrane Consumer Executive, Ottawa, Ontario, Canada.
³⁵ Programa de Pós-Graduação em Ciências da Saúde, Universidade Federal de Ciências da Saúde de Porto Alegre - UFCSPA, Rua Sarmento Leite 245, Porto Alegre, RS, 90050-170, Brazil.
³⁶ Centre for Health Communication and Participation, School of Psychology and Public Health, La Trobe University, Melbourne, Australia.
³⁷ Cochrane Australia, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.
³⁸ PCORI, Seattle, USA.
³⁹ Alfred Deakin University, Geelong, Australia.
⁴⁰ Journal of Development Studies and Journal of Development Effectiveness, Geelong, Victoria, Australia.
⁴¹ The Campbell Collaboration, Oslo, Norway.
⁴² The RAND Corporation, Boston, MA, USA.
⁴³ Tufts Clinical & Translational Science Institute, Tufts University School of Medicine, Boston, MA, USA.
⁴⁴ University of Ottawa, Department of Medicine, Faculty of Medicine, Ottawa, Canada.
⁴⁵ Ottawa Hospital Research Institute, Clinical Epidemiology Program, Ottawa, Canada.
⁴⁶ University of Ottawa, School of Epidemiology and Public Health, Faculty of Medicine, Ottawa, Canada.

PMID: 32007104
PMCID: PMC6995157
DOI: 10.1186/s13643-020-1272-5

Abstract

Background: Stakeholder engagement has become widely accepted as a necessary component of guideline development and implementation. While frameworks for developing guidelines express the need for those potentially affected by guideline recommendations to be involved in their development, there is a lack of consensus on how this should be done in practice. Further, there is a lack of guidance on how to equitably and meaningfully engage multiple stakeholders. We aim to develop guidance for the meaningful and equitable engagement of multiple stakeholders in guideline development and implementation.

Methods: This will be a multi-stage project. The first stage is to conduct a series of four systematic reviews. These will (1) describe existing guidance and methods for stakeholder engagement in guideline development and implementation, (2) characterize barriers and facilitators to stakeholder engagement in guideline development and implementation, (3) explore the impact of stakeholder engagement on guideline development and implementation, and (4) identify issues related to conflicts of interest when engaging multiple stakeholders in guideline development and implementation.

Discussion: We will collaborate with our multiple and diverse stakeholders to develop guidance for multi-stakeholder engagement in guideline development and implementation. We will use the results of the systematic reviews to develop a candidate list of draft guidance recommendations and will seek broad feedback on the draft guidance via an online survey of guideline developers and external stakeholders. An invited group of representatives from all stakeholder groups will discuss the results of the survey at a consensus meeting which will inform the development of the final guidance papers. Our overall goal is to improve the development of guidelines through meaningful and equitable multi-stakeholder engagement, and subsequently to improve health outcomes and reduce inequities in health.

Keywords: Coproduction; Equity; Guidance; Guidelines; Integrated knowledge translation; Stakeholder engagement; Systematic reviews.

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Conflict of interest statement

The authors declare that they have no competing interests.

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Protocol for the development of guidance for stakeholder engagement in health and healthcare guideline development and implementation

Affiliations

Protocol for the development of guidance for stakeholder engagement in health and healthcare guideline development and implementation

Authors

Affiliations

Abstract

Conflict of interest statement

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