Table 1 The adaptation procedures of the ADAPTE framework and the Grading of Recommendations Assessment, Development and Evaluation-adoption, adaptation, and de novo development of recommendations (GRADE-ADOLOPMENT) framework

The ADAPTE framework

 Phase I—Set up

Prepare for ADAPTE process

Preparation

Step 1. Establish an organizing committee

Step 2. Select a guideline topic

Step 3. Check whether adaptation is feasible

Step 4. Identify necessary resources and skills

Step 5. Complete tasks for the set-up phase

Step 6. Write adaptation plan

 Phase II—Adaptation

Define health questions

Scope and purpose

Step 7. Determine the health questions

Search and screen guidelines

Search and screen

Step 8. Search for guidelines and other relevant documents

Step 9. Screen retrieved guidelines

Step 10. Reduce a large number of retrieved guidelines

Assess guidelines

Assessment

Step 11. Assess guideline quality

Step 12. Assess guideline currency

Step 13. Assess guideline content

Step 14. Assess guideline consistency

Step 15. Assess acceptability and applicability of the recommendations

Decide and select

Decision and selection

Step 16. Review assessments

Step 17. Select between guidelines and recommendations to create an adapted guideline

Draft guideline report

Customization

Step 18. Prepare draft adapted guideline

 Phase III—Finalization

External review

External review

Step 19. External review—target audience of the guideline

Step 20. Consult with endorsement bodies

Step 21. Consult with source guideline developers

Step 22. Acknowledge source documents

Plan for future review and update

Aftercare planning

Step 23. Plan for aftercare of the adapted guideline

Procedure final guideline

Final production

Step 24. Produce final guidance document

The GRADE-ADOLOPMENT framework

 Phases

Steps

  Phase I—Identify and prioritize credible existing guidelines or evidence syntheses of interest and relevance

Step 1. Groups and roles

Step 2. Selection of guideline topics

Step 3. Prioritizing questions for selected guidelines

  Phase II—Evaluate and complete GRADE evidence to decision framework for each recommendation

Step 4. Using the GRADE Evidence to Decision frameworks

Step 5. Updating systematic reviews of health effects and identifying local data

Step 6. Preparing GRADE evidence tables and Evidence to Decision frameworks

Step 7. Formulating and rating strength of recommendations

  Phase III—GRADE-ADOLOPMENT of recommendations in a guideline (adoption, adaptation, and de novo)

Step 8. Arriving at a final framework for GRADE-ADOLOPMENT