Guideline adaptation is done to reduce duplication of efforts and increase commitment to evidence-informed principles by encouraging the participation of key stakeholders, ensuring guidelines are relevant to local contexts, increasing their uptake and improving their quality.

The program

This interactive manual will guide you and your panel through a three phase guideline adaptation and implementation process. CAN-IMPLEMENT is designed to facilitate guideline adaptation and knowledge activation. Although several excellent handbooks describe and support the development of clinical practice guidelines, they mainly focus on methods that require the skilled and labour intensive meta-analysis of original research. CAN-IMPLEMENT was developed as a practical guide to assist users who have made the strategic decision to adapt quality existing guidelines to their local context.

History

The CAN-IMPLEMENT planning resource was created in response to the successes and challenges experienced by Canadian cancer care groups as they engaged in guideline adaptation. The international ADAPTE 24 step process [1] provided a catalyst for engaging these groups in the Canadian Guideline Adaptation Study, sponsored by the Canadian Partnership Against Cancer. Between January 2008 and December 2011, study groups (called cases) received methodological, administrative, facilitation and logistical assistance using ADAPTE, while the Partnership team studied the process of adaptation and implementation as it naturally occurred in each case. Evaluation at each step of their journey informed the development of CAN-IMPLEMENT. The method was reframed within a knowledge-to-action framework and streamlined, while maintaining the essential tasks and rigour of the original ADAPTE process. Cases identified the need for dedicated facilitation, greater methodological support, and more tools to manage and document the process. CAN-IMPLEMENT adds an element of project management to the process by expanding the tactical support available to leaders and managers of guideline adaptation initiatives. Groups also requested an explicit dissemination and implementation planning component that was not fully addressed by ADAPTE. The evaluation was published in 2013. [2]

Target Audience:

Groups choosing guideline adaptation over guideline development:

Designated chairs or facilitators are advised to complete all the modules to gain an understanding of the entire process and the work needed to effectively conduct a full development, implementation and evaluation cycle. When you form the steering committee and working panel(s) for your guideline initiative, you will determine the specific roles and responsibilities of group members.

Other panel members may be asked to contribute to specific tasks (e.g., defining the scope of the recommendations, screening search results, appraising guidelines using the AGREEII Instrument, preparing a recommendations matrix, reviewing draft recommendations or developing the implementation strategy) and may wish to focus on only those elements or steps in the process.

Individuals managing the search and screen step or working with a library scientist may benefit from the additional tutorial on library science implications.

References:

  1. ADAPTE Collaboration, (2007). The ADAPTE Resource Toolkit for Guideline Adaptation Version 1.0; available at www.g-i-n.net.
  2. Harrison MB, Graham ID, van den Hoek J, Dogherty E, Carley M, Angus V. (2013). Guideline adaptation and implementation planning: a prospective observational study. Implementation Science 8:49. http://www.implementationscience.com/content/8/1/49.
  3. Harrison, M.B, Graham I.D, Fervers, B. & van den Hoek, J. (2013). Ch 3.2 Adopting knowledge to local context p110-120 in Knowledge Translation in Health Care. (eds Straus, S, Tetroe, J, & Graham, I.D.). Chichester, UK: Wiley-Blackwell.
  4. Dogherty, E.J., Harrison, M.B., Baker, C., & Graham, I.D. (2012). Following a natural experiment of guideline adaptation and early implementation: a mixed-methods study of facilitation. Implementation Science,7(9), 12 pages. http://www.implementationscience.com/content/7/1/9.
  5. Dogherty E., Harrison M.B., & Graham ID. (2010) Facilitation as a role and process in achieving evidence-based practice in nursing: a focused review of concept and meaning. Worldviews on Evidence-based Nursing, 7(2), 76-89.
  6. Harrison, M.B, Graham I.D, Fervers, B. & van den Hoek, J. (2013). Ch 3.2 Adopting knowledge to local context p110-120 in Knowledge Translation in Health Care. (eds Straus, S, Tetroe, J, & Graham, I.D.). Chichester, UK: Wiley-Blackwell.
  7. Dogherty, E.J., Harrison, M.B., Baker, C., & Graham, I.D. (2012). Following a natural experiment of guideline adaptation and early implementation: a mixed-methods study of facilitation. Implementation Science,7(9), 12 pages. http://www.implementationscience.com/content/7/1/9
  8. Dogherty E., Harrison M.B., & Graham ID. (2010). Facilitation as a role and process in achieving evidence-based practice in nursing: a focused review of concept and meaning. Worldviews on Evidence-based Nursing, 7(2), 76-89.

How to get started:

  • Step 1: Register
    You will first need to register with Cancerview (If you are already registered you can skip this step). When you register you will be asked for your email address and name, and to choose a password. After completing registration you will be sent your username and a link to log in. Register.
  • Step 2: Log in
    If you have registered, log in at the eLearning page using your Cancerview login to access the CAN-IMPLEMENT tutorial.
  • Step 3: Enrol
    The first time you log into the CAN-IMPLEMENT tutorial you will be asked to enrol. Afterwards, you will be able to start the tutorial immediately.
Last updated: August 19, 2015