[EQ] SIGN 50. A Guideline developer's handbook

 

SIGN 50. A Guideline developer’s handbook

Scottish Intercollegiate Guidelines Network  - Revised Edition, January 2008

 

Available online as PDF file [110p.] at: http://www.sign.ac.uk/pdf/sign50.pdf

 

“….The principal aim of this manual is to provide a reference tool that may be used by individual members of guideline development groups as they work through the development process. SIGN 50 is structured to follow the guideline development process from beginning to end, taking each step in turn.

 

It starts with the context of guideline development in Scotland, and progresses from first proposal of a new topic to final publication and implementation of the guideline….”

 

“….The accepted criteria for validity of guidelines have evolved from the ‘essential elements of good guidelines’ identified by the US Institute of Medicine in 1990.³ These recommended ‘attributes of good guidelines’ included validity, reliability, clinical applicability, clinical flexibility, clarity, multidisciplinary process, scheduled review, and documentation.

The recommendations were underpinned by the twin themes of credibility and accountability: “The link between a set of guidelines and the scientific evidence must be explicit, and scientific and clinical evidence should take precedence over expert judgement.” SIGN’s original Criteria for Appraisal of Clinical Guidelines for National Use,⁴ and the more recent AGREE (Appraisal of Guidelines, Research and Evaluation for Europe) guideline appraisal instrument⁵ are based on these founding principles of guideline development. …”

 

Content:

 

1.       Introduction

2.       Organisation of guideline development

3.       Selection of guideline topics

4.       Involving patients and their representatives

5.       The guideline development group

6.       Systematic literature review

7.       Forming guideline recommendations

8.       Consultation and peer review

9.       Presentation and dissemination

10.    Implementation

·         References

·         Annex A

·         Annex B

·         Annex C

·         Annex D

 

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This message from the Pan American Health Organization, PAHO/WHO, is part of an effort to disseminate
information Related to: Equity; Health inequality; Socioeconomic inequality in health; Socioeconomic
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and interpretations included in the Materials are those of the authors and not necessarily of The Pan American
Health Organization PAHO/WHO or its country members”.
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[EQ] State of the Evidence Review on Urban Health and Healthy Weights

State of the Evidence Review on Urban Health and Healthy Weights

 

Canadian Population Health Initiative - 2008 Canadian Institute for Health Information

 

Available online PDF file [126p.] at: http://secure.cihi.ca/cihiweb/dispPage.jsp?cw_page=GR_1929_E

 

"…….The relationship between urban environments and obesity has received little systematic attention. Our purpose was to review and synthesize the evidence on:

a) structural and community level characteristics of urban environments that promote or inhibit the achievement of healthy weights; and

b) the effectiveness of interventions to assist urban populations in achieving healthy weights.

 

Research findings were categorized and tabulated within a framework that examines social determinants of health and multiple levels of the environment (i.e. community-level vs. structural). Four outcome areas were considered: obesity/healthy weights, food/diet/nutrition, physical activity and sedentary behaviour.

The resulting analyses provide a high-level overview of the strengths of and gaps in the research on associations between urban environments and healthy weights. The report also identifies priorities for future policy-relevant research and presents the author suggestions for promising interventions that may help to reduce population obesity levels in urban places….."

 

Method for Literature Review

Extensive searches were conducted through numerous databases and documents across a variety of fields, including health, social sciences, urban planning and transportation; 65,929 titles were scanned, resulting in approximately 2,349 documents being retrieved, with 355 included in the final review.

 

Using two conceptual frameworks, ANGELO (analysis grid for environments linked to obesity) and SDEHP (social determinants of health and environmental health promotion), all documents were coded for relationships between types of environment (physical, economic, political, socio‐cultural) and levels of environment

(settings, sectors) and obesogenic behaviour (diet, physical activity, sedentary) or body weight.

 

Findings from these levels and outcome behaviours were summarized and crosstabulated with key article quality indicators to determine the strength of the evidence gathered for each section. To assist with putting the findings into context, an analysis of policy relevant documents was conducted, along with a survey of researchers and decision makers who attended a think tank on obesity in October 2005.

 

Table of Contents

Executive Summary

Abstract

1 Project Background

1.1 Introduction

1.2 Statement of Purpose

1.3 Conceptual Framework

2 Methodology

2.1 Systematic Literature Review

2.1.1 Literature Search Strategy

2.1.2 Literature Title Scan

2.1.3 Literature Abstract Scan

2.1.4 Literature Full Review

2.2 Stakeholder Survey (Informed Opinion)

3 Results

4 Conclusions

Reference List

Appendix A: Project Flow Chart

Appendix B: Sample MEDLINE/HealthStar Search Strategy

Appendix C: Article Coding Form and Reference Guide

Appendix D: Online Stakeholder Survey

Appendix E: Bibliography of Assessed Literature

Appendix F: Bibliography of Policy Documents

Appendix G: Potential Policy Instruments Categorized Using the ANGELO Framework

Appendix H: Aggregate Results From Online Stakeholder Survey

 

PDF: http://secure.cihi.ca/cihiweb/dispPage.jsp?cw_page=download_form_e&cw_sku=SEROUHHWPDF&cw_ctt=2&cw_dform=null

 

 

  *      *      *     * 

This message from the Pan American Health Organization, PAHO/WHO, is part of an effort to disseminate
information Related to: Equity; Health inequality; Socioeconomic inequality in health; Socioeconomic
health differentials; Gender; Violence; Poverty; Health Economics; Health Legislation; Ethnicity; Ethics;
Information Technology - Virtual libraries; Research & Science issues.  [DD/ IKM Area] 

"Materials provided in this electronic list are provided "as is".Unless expressly stated otherwise, the findings
and interpretations included in the Materials are those of the authors and not necessarily of The Pan American
Health Organization PAHO/WHO or its country members".
---------------------------------------------------------------------------------------------------
PAHO/WHO Website: http://www.paho.org/
EQUITY List - Archives - Join/remove: http://listserv.paho.org/Archives/equidad.html

 

 

 

    IMPORTANT: This transmission is for use by the intended recipient and it may contain privileged, proprietary or confidential information. If you are not the intended recipient or a person responsible for delivering this transmission to the intended recipient, you may not disclose, copy or distribute this transmission or take any action in reliance on it. If you received this transmission in error, please notify us immediately by email to infosec@paho.org, and please dispose of and delete this transmission. Thank you.