Page 76 - Shared Guideline Development Experiences in Fertility Care

Chapter 4
Prioritizing Recommendations
All patients visiting the wiki website were invited to prioritize their top 5 (modi ed) recommendations in each section (for the laboratory section, we asked them to identify their top 3 due to the small number of recommendations). is prioritization was privately conducted by assigning 5, 4, 3, 2, and 1 points for the most important recommendations for determining high-quality fertility care for each of the 5 sections and independently from the subsections.
Assessing Eligibility of the Selected Recommendations
Initially, the CPG development group had intended to integrate this nal top selection of patients’ recommendations directly into the CPG. However, before integrating these recommendations, the entire CPG development group (n = 11) assessed the eligibility of the recommendations for inclusion in terms of the scope of the guideline.
Evaluation of the Wiki
To evaluate the feasibility of the wiki, we performed a multimethod evaluation study including three components [31]. First, to assess the ability to involve large and diverse patient populations compared with other methods such as interviews, we evaluated wiki use and users’ characteristics. Second, we evaluated wiki content quality (i.e., recommendations) and, third, wiki system quality (i.e., ease of use, layout), identifying factors that could potentially in uence adoption of the wiki (barriers and facilitators) as well as potential factors for improvement.
Evaluation of Wiki Use and Users’ Characteristics
Data on actual use of the wiki (e.g., number of unique visitors, page views) were generated through log les on the website of the patient association (Freya). Unique visitors were determined by IP address logged and stored on the website.
Evaluation of Wiki Content Quality
To evaluate the content quality of the wiki, we assessed various aspects of the nal set of unique recommendations, particularly the number of recommendations, their content, and their eligibility for integration into the CPG for high-quality fertility care.
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