Table 3 Themed barriers and facilitators to the development and use of LSGs
From: Is it possible to make ‘living’ guidelines? An evaluation of the Australian Living Stroke Guidelines
Development | Use | ||
|---|---|---|---|
Barriers | Facilitators | Barriers | Facilitators |
• High and unpredictable workload • Voluntary contribution – threatens sustainability • Lack of cross-talk and integration between different software platforms and collaborative tools | • Collaborative and sustained input from diverse stakeholders • Acknowledgement of contribution • Technical support (e-platforms streamline process) | • Lack of transparency around development group qualifications and potential COIs, decision-making around recommendation inclusion • Potential bias/lack of consensus between agencies • Lack of local context • Usability: o Limited search functionality o Difficulty sharing sections | • Email updates • Online platform • Discipline-specific accessible summaries • Limited acronyms / jargon • Ability to drill down to further evidence • Financial investment • Demonstrated impact (e.g., increased trust, greater use in practice) |