Abstract
Study design
Guideline adaptation study using the ADAPTE method.
Objective
The aim of this study was the development and validation of a Danish clinical practice guideline for PU/PI prevention and treatment for people with SCI through adaptation of existing guidelines.
Methods
The ADAPTE method is a systematic framework used to adapt existing clinical practice guidelines to a new context, such as a different healthcare setting or population. This method ensures that the adapted guidelines are relevant, evidence-based, and practical for the specific context in which they will be implemented.
Setting
Relevant stakeholders and treatment units within the Danish healthcare system involved in the rehabilitation, treatment, and care of people with SCI.
Results
The adaptation yielded 22 topics and 121 recommendations, which underwent external review. Stakeholders gave positive feedback and qualified the recommendations. However, they also highlighted challenges in implementation due to the complexity of PU/PI prevention and treatment and organizational issues within the Danish healthcare system.
Conclusions
This study has resulted in the development of a comprehensive Danish clinical practice guideline tailored specifically for the prevention and treatment of PU/PI among people with SCI within the Danish healthcare system. The external review emphasizes the imperative for continuous research aimed at strengthening evidence-based approaches to both prevention and treatment. Furthermore, it highlights the necessity for systematic dissemination strategies to facilitate the integration of the guideline into clinical practice.
Guideline adaptation study using the ADAPTE method.
Objective
The aim of this study was the development and validation of a Danish clinical practice guideline for PU/PI prevention and treatment for people with SCI through adaptation of existing guidelines.
Methods
The ADAPTE method is a systematic framework used to adapt existing clinical practice guidelines to a new context, such as a different healthcare setting or population. This method ensures that the adapted guidelines are relevant, evidence-based, and practical for the specific context in which they will be implemented.
Setting
Relevant stakeholders and treatment units within the Danish healthcare system involved in the rehabilitation, treatment, and care of people with SCI.
Results
The adaptation yielded 22 topics and 121 recommendations, which underwent external review. Stakeholders gave positive feedback and qualified the recommendations. However, they also highlighted challenges in implementation due to the complexity of PU/PI prevention and treatment and organizational issues within the Danish healthcare system.
Conclusions
This study has resulted in the development of a comprehensive Danish clinical practice guideline tailored specifically for the prevention and treatment of PU/PI among people with SCI within the Danish healthcare system. The external review emphasizes the imperative for continuous research aimed at strengthening evidence-based approaches to both prevention and treatment. Furthermore, it highlights the necessity for systematic dissemination strategies to facilitate the integration of the guideline into clinical practice.
| Originalsprog | Engelsk |
|---|---|
| Tidsskrift | Spinal Cord |
| Vol/bind | 63 |
| Udgave nummer | 2 |
| Sider (fra-til) | 66-74 |
| Antal sider | 9 |
| ISSN | 1362-4393 |
| DOI | |
| Status | Udgivet - 2025 |
Bibliografisk note
Funding Information:This study is part of a PhD project funded by: University of Southern Denmark, Region of Southern Denmark, the European PU Advisory Panel (EPUAP), and AV Lykfeldt og Hustrus legat [AV Lykfeldt and Wife Foundation]. Funders have no role in data collection, interpretation, or reporting.
Publisher Copyright:
© The Author(s), under exclusive licence to International Spinal Cord Society 2024.