title: Supporting a person-centred approach in clinical guidelines. A position paper of the Allied Health Community - Guidelines International Network (G-I-N).
abstract: BACKGROUND
  A person-centred approach in the context of health services delivery implies a biopsychosocial model focusing on all factors that influence the person's health and functioning. Those wishing to monitor change should consider this perspective when they develop and use guidelines to stimulate active consideration of the person's needs, preferences and participation in goal setting, intervention selection and the use of appropriate outcome measures.
  
  
  OBJECTIVE
  To develop a position paper that promotes a person-centred approach in guideline development and implementation.
  
  
  METHODS
  We used three narrative discussion formats to collect data for achieving consensus: a nominal group technique for the Allied Health Steering Group, an Internet discussion board and a workshop at the annual G-I-N conference. We analysed the data for relevant themes to draft recommendations.
  
  
  RESULTS
  We built the position paper on the values of the biopsychosocial model. Four key themes for enhancing a person-centred approach in clinical guidelines emerged: (i) use a joint definition of health-related quality of life as an essential component of intervention goals, (ii) incorporate the International Classification of Functioning, Disability and Health (ICF) as a framework for considering all domains related to health, (iii) adopt a shared decision-making method, and (iv) incorporate patient-reported health outcome measures. The position statement includes 14 recommendations for guideline developers, implementers and users.
  
  
  CONCLUSIONS
  This position paper describes essential elements for incorporating a person-centred approach in clinical guidelines. The consensus process provided information about barriers and facilitators that might help us develop strategies for implementing person-centred care.
authors.affiliation: Radboud University Nijmegen Medical Centre, Scientific Institute for Quality of Healthcare, Nijmegen, The Netherlands.
authors.forename: Simone A
authors.initials: SA
authors.lastname: van Dulmen
authors.affiliation: Lukersmith & Assoc. Sydney, NSW, Australia.
authors.forename: Sue
authors.initials: S
authors.lastname: Lukersmith
authors.affiliation: Dalhousie School of Nursing, Halifax, Nova Scotia, Canada.
authors.forename: Josephine
authors.initials: J
authors.lastname: Muxlow
authors.affiliation: Daphne Cockwell School of Nursing, Ryerson University Toronto, Toronto, ON, Canada.
authors.forename: Elaine
authors.initials: E
authors.lastname: Santa Mina
authors.affiliation: Radboud University Nijmegen Medical Centre, Scientific Institute for Quality of Healthcare, Nijmegen, The Netherlands.
authors.forename: Maria W G
authors.initials: MW
authors.lastname: Nijhuis-van der Sanden
authors.affiliation: Radboud University Nijmegen Medical Centre, Scientific Institute for Quality of Healthcare, Nijmegen, The Netherlands.
authors.forename: Philip J
authors.initials: PJ
authors.lastname: van der Wees
mesh_terms: D000488:Allied Health Personnel; D003657:Decision Making; D006801:Humans; D038622:Internationality; D008960:Models, Psychological; D010043:Outcome and Process Assessment, Health Care; D018802:Patient-Centered Care; D017410:Practice Guidelines as Topic; D011788:Quality of Life
keywords: International Classification of Functioning, Disability and Health; guidelines; health-related quality of life; patient-centred care; shared decision making