Welcome to visit Zhongnan Medical Journal Press Series journal website!

Research on evidence-based social intervention guidelines and standards Ⅱ: analysis of evidence and recommendations development methods in evidence-based social care guidance

Published on Mar. 02, 2024Total Views: 1077 timesTotal Downloads: 1983 timesDownloadMobile

Author: GU Shuyin 1, 2 BAI Zhenggang 1, 2 CHEN Hao 3 GAI Qiongyan 4 BAI Ruhai 1, 2 TONG Feng 5 Campbell China Network

Affiliation: 1. School of Public Affairs, Nanjing University of Science and Technology, Nanjing 210094, China 2. Evidence-Based Research Center of Social Science & Health, Nanjing University of Science and Technology, Nanjing 210094, China 3. School of Acupuncture-Moxibustionand Tuina, School of Rehabilitationand Health Preservation, Nanjing University of Chinese Medicine, Nanjing 210023, China 4. Department of Urology, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing 210008, China 5. College of International Law and Sociology, Sichuan International Studies University, Chongqing 400031, China

Keywords: Evidence-based social care guidelines Evidence Recommendation opinions Methodology

DOI: 10.12173/j.issn.1004-5511.202310044

Reference: Gu SY, Bai ZG, Chen H, Gai QY, Bai RH, Tong F, Campbell China Network. Research on evidence-based social intervention guidelines and standards Ⅱ: analysis of evidence and recommendations development methods in evidence-based social care guidance[J]. Yixue Xinzhi Zazhi, 2024, 34(2): 167-178. DOI:10.12173/j.issn.1004-5511.202310044.[Article in Chinese]

  • Abstract
  • Full-text
  • References
Abstract

The generation of evidence and the formation of recommendation opinions are key links in the development of evidence-based social care guidelines. They are also important bases for ensuring the scientific nature of decisions and practices in the social sciences. This process involves relatively complicated and cumbersome methods and steps, and requires consideration of many factors. However, there are currently no complete and rigorous methodological guidelines to guide the process from evidence to recommendation opinions, posing certain challenges to the development and promotion of evidence-based social care guidelines. To make this process more systematic and transparent, this article elaborates on two aspects of content: First, based on the Evidence-Based Social Care Guidelines Development Manual published by National Institute for Health and Care Excellence(NICE), it summarizes and combs through the process and methods of evidence generation and recommendation formation, and elaborate on them combined with case studies. Second, after consulting relevant research materials, it explores and reflects on the important factors that need to be considered in the process of transforming evidence into recommendation opinions. The goal is to clarify the methods of evidence generation in evidence-based social care guidelines, and make clear the process of forming guideline recommendation opinions, in order to promote the research, development and application of evidence-based social care guidelines, and ensure the scientific nature and effectiveness of evidence-based practices.

Full-text
Please download the PDF version to read the full text: download
References

1.National Institute for Health and Care Excellence.The social care guidance manual[EB/OL].(2013-04-13)[2023-08-10]. https://www.nice.org.uk/process/pmg10/chapter/introduction

2.Stansfield C, Liabo K. Identifying social care research literature: case studies from guideline development[J]. Evidence Based Library and Information Practice, 2017, 12(3): 114-131. DOI: 10.18438/B8M371.

3.Jinquan G, Gewei W, Yafeng W, et al. Nowcasting and forecasting the care needs of the older population in China: analysis of data from the China Health and Retirement Longitudinal Study (CHARLS)[J]. Lancet, Public health, 2022, 7(12): e1005-e1013. DOI: 10.1016/S2468-2667(22)00203-1.

4.Jones K. Evidence based medicine—how to practice and teach EBM[J]. BMJ, 1996, 313(7069): 1410-1410. DOI: 10.1136/bmj.313.7069.1410.

5.陈耀龙,王梦书,李晓, 等.卫生研究中证据的定义与循证规范[J].中国循证医学杂志, 2008, 8(12): 1034-1038. [Chen YL, Wang MS, Li X, et al. Definition of evidence and evidence-based paradigm in health research[J]. Chinese Journal of Evidence-Based Medicine, 2008, 8(12): 1034-1038.] DOI: 10.3969/j.issn.1672-2531. 2008.12.004.

6.钱洪良.论循证视角下的证据科学[J].证据科学, 2013, 21(5): 566-573. [Qian HL. Evidence science from the evidence-based perspective[J]. Evidence Science, 2013, 21(5): 566-573.] DOI:10.3969/j.issn.1674-1226. 2013.05.006.

7.杨克虎.循证社会科学的产生、发展与未来[J].图书与情报, 2018, (3): 1-10. [Yang KH. Evidence-based social science: the origin, development and prospects[J].Library & Information, 2018, (3): 1-10.] DOI: 10.11968/tsyqb.1003-6938.2018038.

8.Robinson KA, Brunnhuber K, Ciliska D, et al. Evidence-based research network. evidence-based research series-paper 1: what evidence-based research is and why is it important?[J]. J Clin Epidemiol, 2021, 129: 151-157. DOI: 10.1016/j.jclinepi.2020.07.020.

9.陈超. 针灸临床证据转化为推荐意见的关键因素研究 [D].北京: 中国中医科学院, 2019. [Chen C. Study on the key factors of converting clinical evidence into recommendations in acupuncture and moxibustion[D]. Beijing: Chinese Academy of Traditional Chinese medicine, 2019.] https://kns.cnki.net/KCMS/detail/detail.aspx?dbname=CDFDLAST2019&filename=1019240576.nh.

10.National Institute for Health and Care Excellence.Developing NICE guidelines: the manual[EB/OL]. (2014) [2023-08-14]. https://www.nice.org.uk/process/pmg20/chapter/introduction#main-stages-of-guideline-development.

11.梁丹丹,刘洁,曾宪涛, 等.临床实践指南制订方法——证据的检索及评价[J].中国循证心血管医学杂志, 2018, 10(6): 641-646. [Liang DD, Liu J, Zeng XT, et al. Methodology for clinical practice guidelines——evidence searching and evaluation[J]. Chinese Journal of Evidence-Based Cardiovascular Medicine, 2018, 10(6): 641-646.] DOI: 10.3969/j.issn.1674-4055.2018.06.01.

12.何俐.证据的来源与检索[J].中国循证医学, 2001, 1(1): 39-41. [He L. Sources of evidence and searching for evidence[J]. Chinese Journal of Evidence-Based Medicine, 2001, 1(1): 39-41.] DOI: 10.3969/j.issn.1672-2531.2001.01.011.

13.周芬,郝玉芳,丛雪, 等.指南研究与评价工具AGREE Ⅱ及各领域分值的补充解释及思考[J].护理学报, 2018, 25(18): 56-58. [Zhou F, He YF, Cong X, et al. Supplementary explanations and reflections on AGREEII, a research and evaluation tool for guidelines, and its scores in various fields[J]. Journal of Nursing, 2018, 25(18): 56-58.] DOI: 10.16460/j.issn1008-9969.2018.18.056.

14.张方圆,沈傲梅,曾宪涛, 等.系统评价方法学质量评价工具AMSTAR 2解读[J].中国循证心血管医学杂志, 2018, 10(1): 14-18. [Zang FY, Shen AM, Zeng XT, et al. An introduction to AMSTAR 2: a critical appraisal tool for systematic reviews[J]. Chinese Journal of Evidence-Based Cardiovascular Medicine, 2018, 10(1): 14-18.] DOI: 10.3969/j.issn.1674-4055.2018.01.03.

15.Higgins JPT, Altman DG, Gtzsche PC, et al. The Cochrane Collaboration's tool for assessing risk of bias in randomised trials[J]. BMJ, 2011, 343: d5928. DOI: 10.1136/bmj.d5928.

16.Wells GA, Shea B, Connell D, et al. The Newcastle-Ottawa Scale (NOS) for assessing the quality of non-randomised studies in Meta-analyses[EB/OL]. [2023-08-10]https://www.ohri.ca/Programs/Clinical_epidemiology/Oxford.Asp

17.Elm VE, Altman GD, Egger M, et al. The strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies[J]. PLOS Medicine, 2007, 4(10): e296. DOI: 10.1371/journal.pmed.0040296.

18.王小钦,王吉耀. 循证临床实践指南的制定与实施(第一版)[M].北京:人民卫生出版社, 2016: 33-34. [Wang XQ, Wang JY. Development and implementation of evidence-based clinical practice guidelines (first edition) [M]. Beijing: People's Medical Publishing House, 2016: 33-34.]

19.曾宪涛,冷卫东,李胜等.如何正确理解及使用GRADE系统[J].中国循证医学杂志, 2011, 11(9): 985-990. [Zeng XT, Leng WD, Li S, et al. How to understand and use GRADE system correctly? A briefly outline[J]. Chinese Journal of Evidence-Based Medicine, 2011, 11(9): 985-990.] DOI: 10.3969/j.issn.1672-2531.2011.09.002.

20.Guyatt G, D.Oxman A, Akl E, et al. GRADE指南: Ⅰ.导论——GRADE证据概要表和结果总结表[J]. 中国循证医学杂志, 2011, 11(4): 437-445. [Guyatt G, D.Oxman A, Akl E, et al. GRADE guidelines: 1. introduction to GRADE evidence profiles and summary of findings tables[J]. Chinese Journal of Evidence-Based Medicine, 2011, 11(4): 437-445.] DOI: 10.3969/j.issn.1672-2531. 2011.04.015.

21.王春青,胡雁. JBI证据预分级及证据推荐级别系统(2014版)[J].护士进修杂志, 2015, 30(11): 964-967. [Wang CQ, Hu Y. JBI evidence pregrading and evidence recommendation level system (2014 Edition), 2015, 30(11): 964-967.] DOI: 10.16821/j.cnki.hsjx.2015.11.002.

22.高一城,夏如玉,柴倩云, 等.组建患者小组:将患者价值观与偏好整合融入指南制订过程的建议[J]. 协和医学杂志, 2023, 14(4): 875-880. [Gao YC, Xia RY, Chai QY, et al. Organizing patient panel: suggestions on incorporating patient's values and preferences intoguideline development[J]. Medical Journal of Peking Union Medical College Hospital, 2023, 14(4): 875-880.] DOI: 10.12290/xhyxzz.2022-0528.

23.姚永玲,王雅蓁.中国区域发展差距的多尺度分解[J].统计与决策, 2023, 39(3): 104-109. [Yao YL, Wang YZ. Multiscale decomposition of regional development gap in China[J]. Statistics and Decision, 2023, 39(3): 104-109.] DOI: 10.13546/j.cnki.tjyjc.2023.03.019.

24.陶立波,刘畅.增量成本效果比(ICER)的决策含义辨析[J].中国医疗保险, 2021, (4): 66-68. [Tao LB, Liu C. Discrimination in decision making implications of incremental cost effectiveness ratio (ICER)[J]. China Health Insurance, 2021, (4): 66-68.] DOI: 10.19546/j.issn. 1674-3830.2021.4.015.

25.National Institute for Health and Care Excellence.Looked-after children and young people[EB/OL]. (2021-10-20)[2022-08-10]. https://www.nice.org.uk/guidance/ng205.