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Determinants of complexity in clinical practice guidelines: a Delphi study including perspectives from guideline developers and implementers.


ABSTRACT:

Abstract

The Medical Research Council proposed a framework to develop and implement complex interventions in practice. How to adopt these interventions is described in recommendations of evidence-based clinical practice guidelines. Many factors may influence the complexity of a guideline. The aim of this paper is to describe the determinants of complexity in the development and implementation of an evidence-based clinical practice guideline.A working group with 16 participants was established, consisting of a debate team and a Delphi panel. The debate team discussed online to define the key elements of the MRC's definition of a complex intervention to see whether these elements are applicable to guidelines. These elements were presented to the Delphi panel to assess their relevance

SUBMITTER: Corremans M 

PROVIDER: S-EPMC12557998 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature