Objective: To understand developers' perception of patient (versions of) guidelines (PVGs), and identify challenges during the PVG development, with the aim to inform methodological guidance for future PVG development.
Methods: We used a descriptive qualitative design. Semi-structured interviews were conducted virtually from December 2021 to April 2022, with a purposive sampling of 12 PVG developers from nine teams in China. Conventional and directed content analysis was used for data analysis.
Results: The interviews identified PVG developers' understanding of PVGs, their current practice experience, and the challenges of developing PVGs. Participants believed PVGs were a type of health education material for patients; therefore, it should be based on patient needs and be understandable and accessible. Participants suggested that PVGs could be translated/adapted from one or several clinical practice guidelines (CPG), or developed de novo (i.e., the creation of an entirely new PVG with its own set of research questions that are independent of existing CPGs). Participants perceived those existing methodological guidelines for PVG development might not provide clear instructions for PVGs developed from multiple CPGs and from de novo development. Challenges to PVG development include (1) a lack of standardized and native guidance on developing PVGs; (2) a lack of standardized guidance on patient engagement; (3) other challenges: no publicly known and trusted platform that could disseminate PVGs; concerns about the conflicting interests with health professionals.
Conclusions And Practice Implications: Our study suggests clarifying the concept of PVG is the primary task to develop PVGs and carry out related research. There is a need to make PVG developers realize the roles of PVGs, especially in helping decision-making, to maximize the effect of PVG. It is necessary to develop native consensus-based guidance considering developers' perspectives regarding PVGs.
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http://dx.doi.org/10.1186/s12913-023-09591-5 | DOI Listing |
Front Public Health
January 2025
Institute of Encephalopathy, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China.
Objective: To develop a patient version of guidelines (PVG) for rehabilitation nursing (RN) in stroke patients with limb dysfunction, aiming to enhance patients' awareness, self-management skills, and adherence to rehabilitation programs.
Methods: This guideline was developed based on the cultural and healthcare context of China, and was guided on the Minimum standards for the Development Process, Content and Governance of Patient-Directed Knowledge Tools and the PVG tool book of the Guidelines International Network. The guideline was constructed through a normative process involving clarifying priority questions, assessing and integrating evidence, detailing and contextualizing recommendations, and evaluating the prototype of PVG.
Macromol Rapid Commun
December 2024
National Engineering Research Center for Biomaterials, Sichuan University, Chengdu, Sichuan, 610065, China.
Cureus
October 2024
Surgery, Kokura Memorial Hospital, Kitakyushu, JPN.
Pneumatosis intestinalis (PI) and portal venous gas (PVG) are pathological conditions suggesting serious underlying diseases such as intestinal ischemia, intestinal wall infarction, and necrotizing enterocolitis. Therefore, early detection, comprehensive management, and timely treatment of the underlying disease are important for improving outcomes. We experienced a case of a patient who developed gangrenous cholecystitis secondary to PI and PVG.
View Article and Find Full Text PDFAnal Chem
November 2024
State Key Laboratory of Geohazard Prevention and Geoenvironment Protection, College of Earth Sciences, Chengdu University of Technology, Chengdu, Sichuan 610059, China.
A highly sensitive method for the determination of total arsenic (As) has been developed using photochemical vapor generation (PVG) coupled with inductively coupled plasma mass spectrometry (ICP MS). The efficient PVG of As is reported for the first time in the presence of Cd(II) in diluted formic acid (FA) medium. The PVG efficiency of 93 ± 1% can be achieved in the system with 0.
View Article and Find Full Text PDFPediatr Res
September 2024
Department of Pediatrics, The Second Affiliated Hospital of Guangxi Medical University, Guangxi, China.
Background: Whether portal venous gas (PVG) is a sign of severe neonatal necrotizing enterocolitis (NEC) and predicts poor prognosis remains uncertain.
Methods: Patients from two centres were randomly assigned to a training set or a validation set. A nomogram model for predicting severe NEC was developed on the basis of the independent risk factors selected by least absolute shrinkage and selection operator (LASSO) regression analysis and multivariate logistic regression analysis.
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