Co-design workshops to develop evidence synthesis summary formats for use by clinical guideline development groups DOI Creative Commons

Ruairi Murray,

Erindaa Magendran,

Neya Chander

et al.

Research Square (Research Square), Journal Year: 2023, Volume and Issue: unknown

Published: Dec. 29, 2023

Abstract Background: Evidence synthesis is used by decision-makers in various ways, such as developing evidence-based recommendations for clinical guidelines. Clinical guideline development groups (GDGs) typically discuss evidence findings a multidisciplinary group, including patients, healthcare providers, policymakers, etc. A recent mixed methods systematic review (MMSR) identified no gold standard format optimally presenting to these groups. However, it provided 94 help produce more effective summary formats general syntheses (e.g., reviews). To refine the MMSR create actionable guidance producers, we aimed explore with participants involved and development. Methods: We conducted descriptive qualitative study using online focus group workshops February March 2023. These participatory co-design approach interactive voting activities identify preferences format's essential content style. created topic guide focused on from support, ≥3 supporting studies, those prioritised an expert advisory via pragmatic prioritisation exercise MoSCoW method (Must, Should, Could, Will not haves). Eligible must be/have been GDGs and/or synthesis. Groups were recorded transcribed. Two independent researchers analysed transcripts directed analysis pre-defined codes MMSR. Results: Thirty individuals participated six coded 79 of codes. Participants suggested “less more” structured that minimises methodological steps statistical data, promoting accessibility all audiences judicious use links further information full report. They emphasised concise, consistently-presented which highlight key messages, flag readers indicators trust producers (i.e., logos, websites, conflict interest statements), certainty (without extenuating details). Conclusions: This based developers about summaries support decision-making. Next involve user-testing prototype through one-on-one semi-structured interviews optimise

Language: Английский

Sources of information on monkeypox virus infection. A systematic review with meta-analysis DOI Creative Commons
Darwin A. León‐Figueroa, Joshuan J. Barboza, Mario J. Valladares-Garrido

et al.

BMC Public Health, Journal Year: 2024, Volume and Issue: 24(1)

Published: Jan. 23, 2024

Abstract Background Monkeypox (Mpox) virus infection is a topic of growing interest today because its potential public health impact and concern about possible outbreaks. Reliable up-to-date sources information that provide accurate data on transmission, symptoms, prevention, treatment are essential for understanding effectively addressing this disease. Therefore, the aim present study to determine prevalence Mpox infection. Methods An exhaustive systematic review meta-analysis was carried out using available in PubMed, Scopus, Web Science, Embase, ScienceDirect databases up August 3, 2023. The were analyzed R software version 4.2.3. quality cross-sectional studies formed part assessed Joanna Briggs Institute Meta-Analysis Statistics Assessment Review Instrument (JBI-MAStARI) tool. In addition, subgroup analysis performed based populations. Results Through electronic searches five databases, total 1833 identified. Twenty-four articles included, with sample 35,959 participants from 34 countries. pooled each included was: social networks reached 59% (95% CI: 50–68%; 29,146 participants; 22 studies; I 2 = 100%; p < 0.01); Internet 61% 44–77%; 14,002 5 0.01), radio 10% 07–13%; 8917 4 93%; television accounted 24% 09–43%; 14,896 8 combination 45% 31–60%; 4207 7 99%; newspapers, it 15% 05–27%; 2841 6 friends relatives 19% 12–28%; 28,470 19 World Health Organization (WHO) 17% 07–29%; 1656 3 97%; Centers Disease Control Prevention (CDC) 03–21%; 2378 98%; WHO CDC websites 60% 48–72%; 1828 96%; finally, scientific journals 16–33%; 16,775 13 0.01). Conclusion suggests people access variety gain knowledge infection, strong emphasis online such as Internet. However, important note accuracy these can vary, underscoring need promote reliable disease ensure health.

Language: Английский

Citations

8

An Innovative Approach to Addressing Gender-Based Violence and Adverse Childhood Experiences: An Evaluation of the Alliance against Violence and Adversity (AVA) Community Agency Internship Program DOI Creative Commons
Ashley Stewart-Tufescu, Stefan Kurbatfinski, Kharah M. Ross

et al.

Deleted Journal, Journal Year: 2025, Volume and Issue: unknown, P. 100116 - 100116

Published: Feb. 1, 2025

Language: Английский

Citations

0

Ensuring sustainable development through comprehensive psychological support and population rehabilitation DOI
Mykyta Minin, Nina Tverezovska,

Kristina Tabakar

et al.

Salud Ciencia y Tecnología, Journal Year: 2025, Volume and Issue: 5, P. 1467 - 1467

Published: Feb. 22, 2025

Introduction: The article addresses the issue of state policy aimed at comprehensive psychological support and rehabilitation population in context sustainable development. Methods: research was conducted based on empirical experience effective management decisions Ukraine over past three years Russian-Ukrainian war, using a approach involving analysis, synthesis, descriptive, (survey method), structural methods.Results: study measured stress levels different age categories before after group training sessions (duration – 2 months) to assess effectiveness for internally displaced persons PSM-25 Lemyr-Tessier-Fillion measurement methodology. Resilience Centre (Ivano-Frankivsk) as shelter during 2023-2024 covered 120 people from various groups persons. results obtained method indicate significant all groups. As statistics show, high level respondents decreased by 7%, low 6%. Conclusions: Thus, 31% reported high-stress completing sessions, lowest figure compared percentage with medium low-stress levels. highest indicator, 37%, observed adolescent (15-22 years), which is quite logical, this age, there reduced capacity self-regulation emotional background.

Language: Английский

Citations

0

Evaluating Evidence-Based Communication through Generative AI using a Cross-Sectional Study with Laypeople Seeking Screening Information DOI Creative Commons
Felix G. Rebitschek, Angelo Michele Carella,

Silja Kohlrausch-Pazin

et al.

Research Square (Research Square), Journal Year: 2025, Volume and Issue: unknown

Published: March 20, 2025

Abstract Large language models (LLMs) are used to seek health information. We investigate the prompt-dependent compliance of LLMs with evidence-based communication guidelines and evaluate efficacy a minimal behavioral intervention for boosting laypeople’s prompting. Study 1 systematically varied prompt informedness, topic, LLM compliance. 2 randomized 300 UK participants interact under standard or boosted prompting conditions. Independent blinded raters assessed response instruments. found that failed standards, even informed The quality responses was be contingent upon informedness. revealed laypeople frequently generated poor-quality responses; however, simple boost improved quality, though it remained below optimal standards. These findings underscore inadequacy as standalone tool. It is imperative enhance interfaces, integrate them frameworks, teach engineering. Study Registration: German Clinical Trials Register (DRKS) (Reg. No.: DRKS00035228) Ethical Approval: Ethics Committee University Potsdam (Approval No. 52/2024)

Language: Английский

Citations

0

Genetic and infectious determinants of puerperal fever: a study of viral and bacterial coinfections in postpartum women DOI Creative Commons
Mathew Folaranmi Olaniyan, Odekunle Bola Odegbemi,

Wakili Adelani Tijani

et al.

Egyptian Journal of Medical Human Genetics, Journal Year: 2025, Volume and Issue: 26(1)

Published: April 3, 2025

Abstract Background Puerperal fever is a major cause of maternal morbidity, traditionally associated with bacterial infections. However, the role viral pathogens and genetic factors remains inadequately studied, particularly in low- middle-income countries (LMICs). Objective This study aimed to investigate prevalence infections, pathogens, variants postpartum women diagnosed puerperal at Edo State University Teaching Hospital, Auchi, Nigeria. Methods A cross-sectional involving 300 (200 100 controls) was conducted from April 2021 May 2022. Blood samples were analyzed for antibodies DNA/RNA using Bio-Rad ELISA kits polymerase chain reaction (PCR). PCR–RFLP real-time PCR TaqMan probes used genotyping. Bacterial identified through culture techniques. Genetic polymorphisms immune-regulatory genes (IL-6, TNF-α, TLR4, HLA Class I II) PCR-based methods. Statistical analysis employed SPSS version 25, Chi-square tests, multivariate logistic regression, corrections multiple comparisons. Results The group showed significantly higher rates Cytomegalovirus (CMV) (40% vs. 10%, p < 0.001), Herpes Simplex Virus (HSV-1: 35% 15%, = 0.002; HSV-2: 28% 14%, 0.01), Epstein-Barr (EBV) (30% 12%, 0.005). confirmed presence group: CMV (30%), HSV-1 (25%), HSV-2 (20%), EBV (22%), compared controls (5%, 8%, 6%, 4%, respectively). infections more prevalent group, Streptococcus pyogenes (32% 0.001) Escherichia coli (25% 0.002) being notable contributors. Additionally, IL-6 (rs1800795) TNF-α (rs1800629) an increased risk ( 0.05). controlled confounding variables such as socioeconomic health status. Conclusion highlights dual well factors, fever. findings underscore need integrated diagnostic approaches, including screening testing, enhance outcomes LMICs.

Language: Английский

Citations

0

Challenges for research uptake for health policymaking and practice in low- and middle-income countries: a scoping review DOI Creative Commons

Agumasie Semahegn,

Tsegahun Manyazewal, Charlotte Hanlon

et al.

Health Research Policy and Systems, Journal Year: 2023, Volume and Issue: 21(1)

Published: Dec. 6, 2023

An estimated 85% of research resources are wasted worldwide, while there is growing demand for context-based evidence-informed health policymaking. In low- and middle-income countries (LMICs), uptake policymaking practice even lower, little known about the barriers to translation evidence policy local implementation. We aimed compile current on in LMICs using scoping review.

Language: Английский

Citations

8

Promoting knowledge translation: An ecosystem approach to evidence in health DOI Creative Commons
Marcelle Miranda da Silva, Cristina Lavareda Baixinho,

Maria Fátima Mendes Marques

et al.

Heliyon, Journal Year: 2024, Volume and Issue: 10(7), P. e28871 - e28871

Published: March 29, 2024

The dissemination and implementation of evidence in health contexts have been a concern several international organizations responsible for recommending actions to policymakers. World Health Organization has advocating an ecosystem improve clinical practice professional education. Thus, this article, we address the challenges developing from point view education, considering teaching, focused on knowledge translation. There are three pivotal challenges: producing qualified knowledge; adequate communication synthesized evidence; institutional policy sustain implemented continuous updated flow. helps understand these flows between production knowledge, based capacity resources different systems. It needs be developed field feedback contribute third-generation being used by users services.

Language: Английский

Citations

1

Nutrition Users’ Guides: RCTs Part 2 – structured guide for interpreting and applying study results from randomised controlled trials on therapy or prevention questions DOI Creative Commons
Małgorzata M Bała, Arnav Agarwal, Kevin C. Klatt

et al.

BMJ Nutrition Prevention & Health, Journal Year: 2024, Volume and Issue: 7(2), P. 415 - 425

Published: Aug. 29, 2024

This article continues from a prior commentary on evaluating the risk of bias in randomised controlled trials addressing nutritional interventions. Having provided synopsis issues, we now address how to understand trial results, including interpretation best estimates effect and corresponding precision (eg, 95% CIs), as well applicability evidence patients based their unique circumstances patients' values preferences when trading off potential desirable undesirable health outcomes indicators cholesterol), burden cost an intervention). Authors can express for relative terms (relative risks, reductions, OR or HRs)-measures that are generally consistent across populations-and absolute (risk differences)-measures more intuitive clinicians patients. CIs, range which true plausibly lies, capture estimates. To apply results patients, should consider extent study participants were similar interventions evaluated applicable if all patient-important benefit harm reported. Subsequently, with respect balance benefits, harms burdens (and possibly costs) making decisions about dietary

Language: Английский

Citations

1

Co-design workshops to develop evidence synthesis summary formats for use by clinical guideline development groups DOI Creative Commons

Ruairi Murray,

Erindaa Magendran,

Neya Chander

et al.

Systematic Reviews, Journal Year: 2024, Volume and Issue: 13(1)

Published: March 27, 2024

Abstract Background Evidence synthesis is used by decision-makers in various ways, such as developing evidence-based recommendations for clinical guidelines. Clinical guideline development groups (GDGs) typically discuss evidence findings a multidisciplinary group, including patients, healthcare providers, policymakers, etc. A recent mixed methods systematic review (MMSR) identified no gold standard format optimally presenting to these groups. However, it provided 94 help produce more effective summary formats general syntheses (e.g., reviews). To refine the MMSR create actionable guidance producers, we aimed explore with participants involved and development. Methods We conducted descriptive qualitative study using online focus group workshops February March 2023. These participatory co-design approach interactive voting activities identify preferences format's essential content style. created topic guide focused on from support, ≥ 3 supporting studies, those prioritized an expert advisory via pragmatic prioritization exercise MoSCoW method (Must, Should, Could, Will not haves). Eligible must be/have been GDGs and/or synthesis. Groups were recorded transcribed. Two independent researchers analyzed transcripts directed analysis pre-defined codes MMSR. Results Thirty individuals participated six coded 79 of codes. Participants suggested “less more” structured that minimizes methodological steps statistical data, promoting accessibility all audiences judicious use links further information full report. They emphasized concise, consistently presented highlight key messages, flag readers indicators trust producers (i.e., logos, websites, conflict interest statements), certainty (without extenuating details). Conclusions This based developers about summaries support decision-making. The next involve user-testing prototype through one-on-one semi-structured interviews optimize

Language: Английский

Citations

0

Supporting evidence-based judicial decisions on health care in Brazil: an experience report DOI Creative Commons
Isabela Porto De Toledo, Rafael Leite Pacheco, Ana Luiza Cabrera Martimbianco

et al.

CADERNOS IBERO-AMERICANOS DE DIREITO SANITÁRIO, Journal Year: 2024, Volume and Issue: 13(3), P. 12 - 25

Published: Sept. 30, 2024

Objective: The main objective of this study is to report on the implementation and results “Supporting Health-Related Judicial Decisions in Brazil” project conducted at Health Technology Assessment Center, Hospital Sírio-Libanês through “Programa de Apoio ao Desenvolvimento Institucional do Sistema Único Saúde”, Brazil. Methods: This an experience a Sírio-Libanês. Results: activities occurred 2023 included two online training courses primary studies systematic reviews, 11 one-day workshops with technical-scientific content for members Technical Support Centers Judiciary (NATJus), 40 consultations magistrates digital platform, reports addressing most legally claimed technologies Brazil; methodological tools, national forum (hybrid event), 10 chat-based mentorships NATJus members; maintenance open-access blog, by publishing news relevant topics law health. Discussion conclusion: has contributed improvement judicial decision-making process providing range aimed aiding prioritization health that are clearly effective safe over those ineffective, harmful, or have uncertain effects. Submission: 04/09/24| Review: 06/29/24| Approval: 08/18/24

Language: Английский

Citations

0