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Table 2 ADAPTE vs PARM approach

From: To adopt, to adapt, or to contextualise? The big question in clinical practice guideline development

ADAPTE PARM contextualisation process
Step 1 establish an organising committee Implicit—purpose-driven  
Step 2 establish a guideline topic Implicit—purpose-driven
Step 3 check whether adaptation is feasible Implicit—purpose-driven
Step 4 identify necessary resources and skills Step 1 training
Step 5 complete tasks for set up phase  
Step 6 write adaptation plan Step 2 establish ‘usual’ patient journeys
Step 7 scope and purpose (determine the questions) Step 3 establish scope and purpose
  Step 4 establish a work plan and working groups
Step 8 search for guidelines and other relevant documents Step 5 search for appropriate guidelines
Step 9 screen retrieved guidelines Step 6 screen guidelines relevant to patient journeys and identifying relevant ones
Step 10 reduce a large number of retrieved guidelines  
Step 11 assess guideline quality Step 7 critically appraise guideline quality and currency and retain relevant high quality guidelines
  Step 8 contact developers for permission and to undertake external review of completed synthesised guidelines
Step 12 assess guideline currency  
Step 13 assess guideline content Step 9 summarise differences between guidelines in wording of recommendations, ways of reporting underpinning evidence, and summarising strength of the evidence
Step 14 assess guideline consistency  
  Step 10 identify recommendations relevant to steps along the patient journey
Step 11 develop a process for dealing with 2 or more relevant recommendations
  Step 12 develop PARM Writing Guide
Step 15 assess acceptability and applicability of recommendations Step 13 write PARM endorsements based on strength of evidence
Step 16 review assessments  
Step 17 select between guidelines and recommendations to create an adapted guideline Step 14 consider applicability and generalizability of recommendations to Filipino situations (NHMRC FORM) using PARM context points
Step 18 Prepare draft adapted guideline Step 15 map the PARM endorsements and Context Points for collated recommendations into the patient journey
  Step 16 collate guideline chapters and edit for consistency
  See Step 17 congruent with Steps 1315 Step 17 develop an implementation plan congruently with Steps 13–15
Step 19 external review Step 18 present guideline at national meeting  
Step 20 consult with endorsement bodies  
Step 21 consult with source guideline developers Step 19 undertake focused public consultation including seeking suggestions for additional PARM Context Points
Step 22 acknowledge source documentation  
Step 23 plan for aftercare of adapted guideline  
Step 24 produce final guideline document  
  Step 20 plan and evaluate the guideline roll out
  Step 21 establish partnerships