Users' experiences with an interactive Evidence to Decision (iEtD) framework: a qualitative analysis

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 a...

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Autores: Meneses-Echavez, JF, Rosenbaum, S, Rada, G, Flottorp, S, Moberg, J, Alonso-Coello, P
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2021
País:España
Institución:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)
Repositorio:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
OAI Identifier:oai:iibsantpau.fundanetsuite.com:p4693
Acceso en línea:https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=4693
https://ddd.uab.cat/record/269724
Access Level:acceso abierto
Palabra clave:Decision-making
Clinical decision support
Evidence-based health care
GRADE approach
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spelling Users' experiences with an interactive Evidence to Decision (iEtD) framework: a qualitative analysisMeneses-Echavez, JFRosenbaum, SRada, GFlottorp, SMoberg, JAlonso-Coello, PDecision-makingClinical decision supportEvidence-based health careGRADE approachBackground 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.BMC2021info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=4693https://ddd.uab.cat/record/269724BMC Medical Informatics and Decision MakingISSN: 14726947reponame:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pauinstname:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)Inglésinfo:eu-repo/semantics/openAccessoai:iibsantpau.fundanetsuite.com:p46932026-06-14T12:41:47Z
dc.title.none.fl_str_mv Users' experiences with an interactive Evidence to Decision (iEtD) framework: a qualitative analysis
title Users' experiences with an interactive Evidence to Decision (iEtD) framework: a qualitative analysis
spellingShingle Users' experiences with an interactive Evidence to Decision (iEtD) framework: a qualitative analysis
Meneses-Echavez, JF
Decision-making
Clinical decision support
Evidence-based health care
GRADE approach
title_short Users' experiences with an interactive Evidence to Decision (iEtD) framework: a qualitative analysis
title_full Users' experiences with an interactive Evidence to Decision (iEtD) framework: a qualitative analysis
title_fullStr Users' experiences with an interactive Evidence to Decision (iEtD) framework: a qualitative analysis
title_full_unstemmed Users' experiences with an interactive Evidence to Decision (iEtD) framework: a qualitative analysis
title_sort Users' experiences with an interactive Evidence to Decision (iEtD) framework: a qualitative analysis
dc.creator.none.fl_str_mv Meneses-Echavez, JF
Rosenbaum, S
Rada, G
Flottorp, S
Moberg, J
Alonso-Coello, P
author Meneses-Echavez, JF
author_facet Meneses-Echavez, JF
Rosenbaum, S
Rada, G
Flottorp, S
Moberg, J
Alonso-Coello, P
author_role author
author2 Rosenbaum, S
Rada, G
Flottorp, S
Moberg, J
Alonso-Coello, P
author2_role author
author
author
author
author
dc.subject.none.fl_str_mv Decision-making
Clinical decision support
Evidence-based health care
GRADE approach
topic Decision-making
Clinical decision support
Evidence-based health care
GRADE approach
description 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.
publishDate 2021
dc.date.none.fl_str_mv 2021
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https://ddd.uab.cat/record/269724
url https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=4693
https://ddd.uab.cat/record/269724
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv BMC
publisher.none.fl_str_mv BMC
dc.source.none.fl_str_mv BMC Medical Informatics and Decision Making
ISSN: 14726947
reponame:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
instname:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)
instname_str Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)
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collection r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
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