title: The DECIDE evidence to recommendation framework adapted to the public health field in Sweden.
abstract: Organizations worldwide compile results from scientific studies, and grade the evidence of interventions, in order to assist policy makers. However, quality of evidence alone is seldom sufficient to make a recommendation. The Developing and Evaluating Communication Strategies to Support Informed Decisions and Practice Based on Evidence (DECIDE) framework aims to facilitate decision making and to improve dissemination and implementation of recommendations in the healthcare and public health sector. The aim of this study was to investigate whether the DECIDE framework is applicable in the public health field in Sweden. The DECIDE framework was presented and discussed in interviews with stakeholders and governmental organizations and tested in panels. Content analyses were performed. In general, the informants were positive to the DECIDE framework. However, two questions, the first regarding individual autonomy and the second regarding method sustainability, were by the stakeholders felt to be missing in the framework. The importance of the composition of the DECIDE stakeholder panel was lifted by the informants, as was the significant role of the chair. Further, the informants raised concerns about the general lack of research evidence based on RCT design regarding universal methods in the public health sector. Finally, the local, regional and national levels' responsibility for dissemination and implementation of recommendations were lifted by the informants. The DECIDE framework might be useful as a tool for dissemination and implementation of recommendations in the public health field in Sweden. Important questions for further research are whether these findings are suitable for other public health topics and in other public health settings.
authors.affiliation: Public Health Agency of Sweden, Folkhälsomyndigheten, SE-171 82 Solna, Sweden karin.guldbrandsson@folkhalsomyndigheten.se.|Department of Public Health Sciences, Karolinska Institutet, SE-171 77 Stockholm, Sweden.
authors.forename: Karin
authors.initials: K
authors.lastname: Guldbrandsson
authors.affiliation: Public Health Agency of Sweden, Folkhälsomyndigheten, SE-171 82 Solna, Sweden.|The National Board of Health and Welfare, SE-106 30 Stockholm, Sweden.
authors.forename: Nils
authors.initials: N
authors.lastname: Stenström
authors.affiliation: Public Health Agency of Sweden, Folkhälsomyndigheten, SE-171 82 Solna, Sweden.|Department of Public Health Sciences, Karolinska Institutet, SE-171 77 Stockholm, Sweden.
authors.forename: Regina
authors.initials: R
authors.lastname: Winzer
mesh_terms: D003142:Communication; D003657:Decision Making; D004059:Diffusion of Innovation; D006801:Humans; D026684:Personal Autonomy; D015397:Program Evaluation; D011634:Public Health; D011635:Public Health Administration / Q000379:methods*; D013548:Sweden
keywords: decision aid; recommendation framework