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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