Users' experience of frameworks to support evidence-informed decision-making in public health : a scoping review
Pérez Bracchiglione, Javier Andrés (Institut de Recerca Sant Pau)
Song, Y. (Chinese University of HongKong)
Meneses-Echávez, J.F. (Norwegian Institute of Public Health)
de Carvalho Gomes, H. (European Centre for Disease Prevention and Control (ECDC))
Albiger, B. (European Centre for Disease Prevention and Control (ECDC))
Solà Arnau, Ivan (Institut de Recerca Sant Pau)
Rigau, David (Institut de Recerca Sant Pau)
Alonso-Coello, Pablo (Institut de Recerca Sant Pau)
Universitat Autònoma de Barcelona. Departament de Medicina

Data:	2025
Resum:	Background: Evidence-informed decision-making in public health (PH) is a complex process requiring the consideration of multiple perspectives and contextual factors. Evidence-to-decision (EtD) frameworks are structured approaches aiming to improve decision-making by considering critical criteria, but users' experience has not been systematically synthesised. Aim: We aim to summarise users' experiences of EtD frameworks used for PH. Methods: As part of a broader scoping review, we identified 15 EtD frameworks for PH decision-making. We searched MEDLINE and Health Systems Evidence, conducted a hand search and citation search strategy for documents reporting users' experience of EtD frameworks and surveyed key stakeholders. We conducted a descriptive thematic synthesis, identifying main barriers and facilitators, complementing with surveys to relevant stakeholders. Results: We identified 12 studies reporting users' experience of two EtD frameworks: Grading of Recommendations Assessment, Development and Evaluation (n = 9) and World Health Organization INTEGRATe Evidence (n = 3). Both were perceived as structured approaches that enhanced the use of evidence while including contextual factors and facilitating consensus-building processes. Main barriers were lack of high-quality evidence for the effectiveness of PH interventions, limitations of the terminology or unclear boundaries between specific criteria, perceptions of missing criteria and the need for more guidance. Survey responses (n = 13) were consistent with these findings. Conclusion: Users of the two frameworks had an overall positive perception of the approaches, but several barriers remain. These experiences may change over time as the frameworks evolve. There is an evidence gap regarding users' experience for other 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 de revisió ; recerca ; Versió publicada
Matèria:	Decision Making ; Decision Support Techniques ; Evidence-Based Medicine ; Humans ; Public Health
Publicat a:	Eurosurveillance, Vol. 30 Núm. 19 (2025) , p. 2400184, ISSN 1560-7917

DOI: 10.2807/1560-7917.ES.2025.30.19.2400184
PMID: 40376821

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