American Psychological Association (2002). Criteria for evaluating treatment guidelines. Flashcards

1
Q

twee soorten

A
  • practice guidelines
  • treatment guidelines

(this article focuses on treatment guidelines)

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2
Q

two dimensions

A
  • treatment efficacy
  • clinical utility
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3
Q

treatment efficacy=

A

Assesses how well an intervention works by systematically evaluating its effects compared to alternatives (e.g. professional judgement) or no treatment in a controlled clinical context.

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4
Q

guidelines should…

A
  1. be based on the relevant empirical literature
  2. consider the quality of the research methods and the level of expertise in clinical practices
  3. consider comparison conditions or groups
  4. consider patient-treatment matching (one treatment works better than other for a specific individual)
  5. specify the outcomes the intervention is intended to produce
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5
Q

clinical utility=

A

Assessing the intervention’s practicality, applicability, and cost in real-world clinical settings. It addresses the treatment’s acceptance by healthcare professionals and patients

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6
Q

4 onderdelen van clinical utility

A
  • generalizability
  • feasibility
  • consideration of costs
  • guideline development process
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7
Q

generalizability onderdelen

A
  1. reflect on patient variables that may influence the utility: complexity, culture, gender and sex, age, other
  2. differences between professionals
  3. setting
  4. treatment robustness
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8
Q

feasibility onderdelen

A
  1. acceptability
  2. adverse effects and benefits
  3. preparation of the professional to deliver the intervention
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9
Q

consideration of costs

A
  1. consideration of costs is separate from consideration of effectiveness
  2. direct and indirect costs to the patient, professional and system
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10
Q

guideline development process onderdelen

A
  1. guideline panels consist of individuals with broad range of expertise
  2. conflicts of interest
  3. scientific openness
  4. guideline panels should agree on treatment
  5. methods should be clearly defined
  6. specification of the methods
  7. specification of the methods for evaluating their own guidelines
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11
Q
A
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