Consumer involvement in topic and outcome selection in the development of clinical practice guidelines

Allison Tong, Pamela Lopez-Vargas, Martin Howell, Richard Phoon, David Johnson, Denise Campbell, Rowan G. Walker, Jonathan C. Craig

Research output: Contribution to journalArticlepeer-review

41 Citations (Scopus)
7 Downloads (Pure)


Background Consumer involvement in guideline development is advocated, but minimal participation, such as a nominated consumer representative on a guideline working group, can inhibit their decision-making power and contribution. Little is known about how to involve consumers more effectively in guideline development. Objective To describe a targeted approach for involving consumers actively in guideline development, by focusing on topic and outcome selection, and to discuss the impact on content and structure of the final guideline. Design Descriptive study. Setting and participants Patients and carers (n=24) from a tertiary hospital in Sydney attended three structured peer-facilitated workshops to complete group-based exercises on topic and outcome selection for guidelines for early stage chronic kidney disease. These workshops were run in parallel with the guideline-writing group. For each exercise, participants formed small groups and facilitated their own discussion, recorded their responses and presented them to the wider group. The topics and outcomes identified were fed back to the guideline writers. Results The participants actively engaged in the workshop discussions and articulated topics and outcomes they perceived should be included in clinical guidelines. Four main changes to guideline-related outputs were observed. A new guideline subtopic was introduced, guidelines were consumer-endorsed, guideline recommendations and suggestions for clinical care were augmented with consumer-focused issues, and plain English guidelines were developed. Conclusions Consumer workshops in parallel and feeding into guideline development can be a feasible and effective approach for active consumer contribution. This process can inform the development of both consumer-focused guidelines for clinicians and specific versions for consumers.

Original languageEnglish
Pages (from-to)410-423
Number of pages14
JournalHealth Expectations
Issue number4
Publication statusPublished - Dec 2012

Bibliographical note

This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.


  • carer
  • consumer
  • guideline
  • kidney disease
  • patient
  • Kidney disease
  • Consumer
  • Guideline
  • Patient
  • Carer


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