Document Detail


Evidence summaries tailored to health policy-makers in low- and middle-income countries.
MedLine Citation:
PMID:  21346891     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To describe how the SUPPORT collaboration developed a short summary format for presenting the results of systematic reviews to policy-makers in low- and middle-income countries (LMICs).
METHODS: We carried out 21 user tests in six countries to explore users' experiences with the summary format. We modified the summaries based on the results and checked our conclusions through 13 follow-up interviews. To solve the problems uncovered by the user testing, we also obtained advisory group feedback and conducted working group workshops.
FINDINGS: Policy-makers liked a graded entry format (i.e. short summary with key messages up front). They particularly valued the section on the relevance of the summaries for LMICs, which compensated for the lack of locally-relevant detail in the original review. Some struggled to understand the text and numbers. Three issues made redesigning the summaries particularly challenging: (i) participants had a poor understanding of what a systematic review was; (ii) they expected information not found in the systematic reviews and (iii) they wanted shorter, clearer summaries. Solutions included adding information to help understand the nature of a systematic review, adding more references and making the content clearer and the document quicker to scan.
CONCLUSION: Presenting evidence from systematic reviews to policy-makers in LMICs in the form of short summaries can render the information easier to assimilate and more useful, but summaries must be clear and easy to read or scan quickly. They should also explain the nature of the information provided by systematic reviews and its relevance for policy decisions.
Authors:
Sarah E Rosenbaum; Claire Glenton; Charles Shey Wiysonge; Edgardo Abalos; Luciano Mignini; Taryn Young; Fernando Althabe; Agustín Ciapponi; Sebastian Garcia Marti; Qingyue Meng; Jian Wang; Ana Maria De la Hoz Bradford; Suzanne N Kiwanuka; Elizeus Rutebemberwa; George W Pariyo; Signe Flottorp; Andrew D Oxman
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-11-24
Journal Detail:
Title:  Bulletin of the World Health Organization     Volume:  89     ISSN:  1564-0604     ISO Abbreviation:  Bull. World Health Organ.     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2011-02-24     Completed Date:  2011-06-09     Revised Date:  2013-06-30    
Medline Journal Info:
Nlm Unique ID:  7507052     Medline TA:  Bull World Health Organ     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  54-61     Citation Subset:  IM    
Affiliation:
Norwegian Knowledge Centre for the Health Services, Boks, St Olavs Plass, Oslo, Norway. sarah@rosenbaum.no
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MeSH Terms
Descriptor/Qualifier:
Administrative Personnel*
Developing Countries*
Evaluation Studies as Topic
Health Policy*
Humans
Periodicals as Topic*
Research / organization & administration*
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