Introduction to the G-I-N Adaptation Working Group
What is guideline adaptation?
Guideline adaptation is the systematic approach to the endorsement and/or modification of a guideline(s) produced in one cultural and organisational setting for application in a different context. Where high quality guidelines are already available, adaptation may be used as an alternative to de novo guideline development to customise the existing guideline to the needs of local users.
Rationale for guideline adaptation
The development and updating of high-quality clinical practice guidelines require substantial time, expertise and resources. Health organisations are increasingly confronted by the need to standardise health policies and practises to better manage finite resources and to promote optimal, evidence-based patient care. There is pressure on organisations to produce guidelines rapidly, to ensure that medical practice is consistent with current, emerging medical knowledge and this work is often done with limited resources. Guideline adaptation recognises and responds to legitimate differences in organisational, regional or local contexts that could lead to variations in recommendations supported by the same evidence. We postulate that existing high quality guidelines as a resource may be an alternative to de novo development to reduce duplication of effort, enhance efficiency, and promote local uptake of quality guideline recommendations.
The ADAPTE collaboration developed a Manual and Resource Toolkit for guideline adaptation (v2 finalised in March 2010).
Following the development and evaluation of the manual and resource toolkit, the ADAPTE Collaboration decided to make these resources available to the international community through G-I-N. The establishment of the G-I-N Adaptation Working Group supports and facilitates the involvement of G-I-N members in these activities.
Aims and Objectives of the Adaptation Working Group
The Adaptation working group aims to:
- Support methods for efficient guideline development through the adaptation of existing guidelines and other sources of evidence syntheses
- Refine the adaptation resource toolkit and develop additional adaptation resources
- Provide support and training to groups undertaking or planning to undertake guideline adaptation projects
Targets for 2015
- Conduct and “Adaptation Survey” to explore the experience of G-I-N members with guideline adaptation. The survey methodology should build on the 2010 survey but it can be more focused and informative.
- Scoping/systematic review of the literature on adaptation methods currently used and published.
- Activate the discussion forum.
The Adaptation Working Group work plan includes the following priority areas:
- To disseminate and raise awareness of the ADAPTE manual and other adaptation methods
- To translate the ADAPTE manual into other languages, including Portuguese, Spanish and Korean
- To summarise the lessons learnt about guideline adaptation, including facilitators, barriers and resource implications
- To share resources that support training on guideline adaptation
- To improve the use of EnGINe to communicate to members about guideline adaptation
- To review and update GIN Adaptation Working Group web pages
All G-I-N members and interested conference participants are welcome to join us.
If you are interested in participating in the activities of the Adaptation working group please contact the G-I-N Office via firstname.lastname@example.org