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. 2023 Aug 2;23(1):147.
doi: 10.1186/s12911-023-02220-5.

Committee experiences of using formal consensus in healthcare guidelines: a longitudinal qualitative study

V Roberts  1 , Patrice Carter  2   3 , P Barnett  4 , M A Mugglestone  1   5 , S Pilling  1   5
Affiliations

Committee experiences of using formal consensus in healthcare guidelines: a longitudinal qualitative study

V Roberts et al. BMC Med Inform Decis Mak. .

Abstract

Background: This feasibility study has the primary aim of capturing and comparing participant expectations and experiences of using a formal consensus method (FCM) and to explore whether these views change following participation within a guideline committee where FCM are used.

Methods: Twelve healthcare committee members and associated technical team members participated in semi-structured qualitative interviews before and after using FCM during guideline committee meetings. Interviews also focused on past experiences and expectations of informal consensus methods.

Results: Participants said formal consensus included a greater range of evidence. They described positive reactions and found it a useful way to encourage involvement by balancing group power dynamics. Group discussion time was identified as important to clarify ideas, supported by good group chairing. However, participants reported that undertaking FCM required additional resources and suggested targeting its use for low quality evidence, limited committee expertise, or where the evidence is controversial.

Conclusions: FCM is an acceptable alternative to informal consensus methods that has qualities specifically helpful to healthcare guidelines such as encouraging participation, inclusivity of a broad range of evidence, and managing group dynamics. More research is required to better understand when using formal consensus is most appropriate and effective.

Keywords: Formal consensus methods; Group decisions; Guidelines; Qualitative research.

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Conflict of interest statement

VR, PB, MM have nothing to declare. PC is employed by Health Economics & Outcomes Research Ltd who provide research and dissemination services to pharmaceutical companies. SP receives funding from NICE and the RCOG for the development of clinical guidelines.

References

    1. National Institute for Health and Care Excellence. Developing the NICE guidelines: the manual. 2014. Available from: https://www.nice.org.uk/process/pmg20/chapter/introduction. - PubMed
    1. Larson JR, Christensen C, Franz TM, et al. Diagnosing groups: the pooling, management, and impact of shared and unshared case information in team-based medical decision making. J Personal Soc Psychol. 1998;75(1):93–108. doi: 10.1037/0022-3514.75.1.93. - DOI - PubMed
    1. Wittenbaum GM, Hubbell AP, Zuckerman C. Mutual enhancement: toward an understanding of the collective preference for shared information. J Personal Soc Psychol. 1999;77(5):967–78. doi: 10.1037/0022-3514.77.5.967. - DOI
    1. Cramer RJ, Brodsky SL, DeCoster J. Expert witness confidence and juror personality: their impact on credibility and persuasion in the courtroom. J Am Acad Psychiatry Law. 2009;37(1):63–74. - PubMed
    1. Neal TM, Guadagno RE, Eno CA, et al. Warmth and competence on the witness stand: implications for the credibility of male and female expert witnesses. J Am Acad Psychiatry Law. 2012;40(4):488–97. - PubMed

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