Users' experiences with an interactive Evidence to Decision (iEtD) framework : a qualitative analysis
Meneses-Echavez, Jose Francisco (Division for Health Services. Norwegian Institute of Public Health)
Rosenbaum, Sarah (Division for Health Services. Norwegian Institute of Public Health)
Rada, Gabriel (UC Evidence Center. Cochrane Chile Associated Center. Pontificia Universidad Católica de Chile)
Flottorp, Signe (Norwegian Institute of Public Health. Institute of Health and Society. University of Oslo)
Moberg, Jenny (Division for Health Services. Norwegian Institute of Public Health)
Alonso-Coello, Pablo (Institut d'Investigació Biomèdica Sant Pau)

Data:	2021
Resum:	Background: Evidence to Decision (EtD) frameworks bring clarity, structure and transparency to health care decision making. The interactive Evidence to Decision (iEtD) tool, developed in the context of the DECIDE project and published by Epistemonikos, is a stand-alone online solution for producing and using EtD frameworks. Since its development, little is known about how organizations have been using the iEtD tool and what characterizes users' experiences with it. This missing information is necessary for any teams planning future developments of the iEtD tool. Methods: This study aimed to describe users' experiences with the iEtD and identify main barriers and facilitators related to use. We contacted all users registered in the iEtD via email and invited people who identified themselves as having used the solution to a semi-structured interview. Audio recordings were transcribed, and one researcher conducted a directed content analysis of the interviews guided by a user experience framework. Two researchers checked the content independently for accuracy. Results: Out of 860 people contacted, 81 people replied to our introductory email (response rate 9. 4%). Twenty of these had used the tool in a real scenario and were invited to an interview. We interviewed all eight users that accepted this invitation (from six countries, four continents). 'Guideline development' was the iEtD use scenario they most commonly identified. Most participants reported an overall positive experience, without major difficulties navigating or using the different sections. They reported having used most of the EtD framework criteria. Participants reported tailoring their frameworks, for instance by adding or deleting criteria, translating to another language, or rewording headings. Several people preferred to produce a Word version rather than working online, due to the burden of completing the framework, or lack of experience with the tool. Some reported difficulties working with the exportable formats, as they needed considerable editing. Conclusion: A very limited number of guideline developers have used the iEtD tool published by Epistemonikos since its development. Although users' general experiences are positive, our work has identified some aspects of the tool that need improvement. Our findings could be also applied to development or improvement of other solutions for producing or using EtD frameworks.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Decision-making ; Clinical decision support ; Evidence-based health care ; GRADE approach
Publicat a:	BMC Medical Informatics and Decision Making, Vol. 21 Núm. 1 (december 2021) , p. 169, ISSN 1472-6947

DOI: 10.1186/s12911-021-01532-8
PMID: 34034723

11 p, 1.0 MB

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