RT Journal Article
SR Electronic
T1 Developing a Clinician Friendly Tool to Identify Useful Clinical Practice Guidelines: G-TRUST
JF The Annals of Family Medicine
JO Ann Fam Med
FD American Academy of Family Physicians
SP 413
OP 418
DO 10.1370/afm.2119
VO 15
IS 5
A1 Shaughnessy, Allen F.
A1 Vaswani, Akansha
A1 Andrews, Bonnie K.
A1 Erlich, Deborah R.
A1 D’Amico, Frank
A1 Lexchin, Joel
A1 Cosgrove, Lisa
YR 2017
UL http://www.annfammed.org/content/15/5/413.abstract
AB BACKGROUND Clinicians are faced with a plethora of guidelines. To rate guidelines, they can select from a number of evaluation tools, most of which are long and difficult to apply. The goal of this project was to develop a simple, easy-to-use checklist for clinicians to use to identify trustworthy, relevant, and useful practice guidelines, the Guideline Trustworthiness, Relevance, and Utility Scoring Tool (G-TRUST).METHODS A modified Delphi process was used to obtain consensus of experts and guideline developers regarding a checklist of items and their relative impact on guideline quality. We conducted 4 rounds of sampling to refine wording, add and subtract items, and develop a scoring system. Multiple attribute utility analysis was used to develop a weighted utility score for each item to determine scoring.RESULTS Twenty-two experts in evidence-based medicine, 17 developers of high-quality guidelines, and 1 consumer representative participated. In rounds 1 and 2, items were rewritten or dropped, and 2 items were added. In round 3, weighted scores were calculated from rankings and relative weights assigned by the expert panel. In the last round, more than 75% of experts indicated 3 of the 8 checklist items to be major indicators of guideline usefulness and, using the AGREE tool as a reference standard, a scoring system was developed to identify guidelines as useful, may not be useful, and not useful.CONCLUSION The 8-item G-TRUST is potentially helpful as a tool for clinicians to identify useful guidelines. Further research will focus on its reliability when used by clinicians.