Adapting clinical practice guidelines for diabetic retinopathy in Kenya: process and outputs
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Date
2018Author
Mwangi, Nyawira
Gachago, Muchai
Gichangi, Michael
Gichuhi, Stephen
Githeko, Kibata
Jalango, Atieno
Karimurio, Jefitha
Kibachio, Joseph
Muthami, Lawrence
Ngugi, Nancy
Nduri, Carmichael
Nyaga, Patrick
Nyamori, Joseph
Zindamoyen, Alain N M
Bascaran, Covadonga
Foster, Allen
Type
ArticleLanguage
enMetadata
Show full item recordAbstract
Background
The use of clinical practice guidelines envisages augmenting quality and best practice in clinical outcomes. Generic guidelines that are not adapted for local use often fail to produce these outcomes. Adaptation is a systematic and rigorous process that should maintain the quality and validity of the guideline, while making it more usable by the targeted users. Diverse skills are required for the task of adaptation. Although adapting a guideline is not a guarantee that it will be implemented, adaptation may improve acceptance and adherence to its recommendations.
Methods
We describe the process used to adapt clinical guidelines for diabetic retinopathy in Kenya, using validated tools and manuals. A technical working group consisting of volunteers provided leadership.
Results
The process was intensive and required more time than anticipated. Flexibility in the process and concurrent health system activities contributed to the success of the adaptation. The outputs from the adaptation include the guidelines in different formats, point of care instruments, as well as tools for training, monitoring, quality assurance and patient education.
Conclusion
Guideline adaptation is applicable and feasible at the national level in Kenya. However, it is labor- and time -intensive. It presents a valuable opportunity to develop several additional outputs that are useful at the point of care.
URI
https://implementationscience.biomedcentral.com/articles/10.1186/s13012-018-0773-2http://hdl.handle.net/11295/103489
Citation
Mwangi, Nyawira, et al. "Adapting clinical practice guidelines for diabetic retinopathy in Kenya: process and outputs." Implementation science 13.1 (2018): 81.Publisher
University of Nairobi
Rights
Attribution-NonCommercial-NoDerivs 3.0 United StatesUsage Rights
http://creativecommons.org/licenses/by-nc-nd/3.0/us/Collections
- Faculty of Health Sciences (FHS) [10377]
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