Table 4 Evidence to decision framework
Judgement | Research evidence | Additional considerations | |
|---|---|---|---|
PROBLEM | Is the problem a priority? ○ No ○ Probably no ○ Probably yes ○ Yes ○ Varies ○ Don’t know | ||
DESIRABLE EFFECTS | How substantial are the desirable anticipated effects? ○ Trivial ○ Small ○ Moderate ○ Large ○ Varies ○ Don’t know | ||
UNDESIRABLE EFFECTS | How substantial are the undesirable anticipated effects? ○ Large ○ Moderate ○ Small ○ Trivial ○ Varies ○ Don’t know | ||
CERTAINTY OF EVIDENCE | What is the overall certainty of the evidence of effects? â—‹ Very low â—‹ Low â—‹ Moderate â—‹ High â—‹ No included studies | ||
VALUES | Is there important uncertainty about or variability in how much people value the main outcomes? â—‹ Important uncertainty or variability â—‹ Possibly important uncertainty or variability â—‹ Probably no important uncertainty or variability â—‹ No important uncertainty or variability | ||
BALANCE OF EFFECTS | Does the balance between desirable and undesirable effects favor the intervention or the comparison? ○ Favors the comparison ○ Probably favors the comparison ○ Does not favor either the intervention or the comparison ○ Probably favors the intervention ○ Favors the intervention ○ Varies ○ Don’t know | ||
RESOURCES REQUIRED | How large are the resource requirements (costs)? ○ Large costs ○ Moderate costs ○ Negligible costs and savings ○ Moderate savings ○ Large savings ○ Varies ○ Don’t know | ||
RESOURCES REQUIRED | What is the certainty of the evidence of resource requirements (costs)? â—‹ Very low â—‹ Low â—‹ Moderate â—‹ High â—‹ No included studies | ||
COST EFFECTIVENESS | Does the cost-effectiveness of the intervention favor the intervention or the comparison? â—‹ Favors the comparison â—‹ Probably favors the comparison â—‹ Does not favor either the intervention or the comparison â—‹ Probably favors the intervention â—‹ Favors the intervention â—‹ Varies â—‹ No included studies | ||
EQUITY | What would be the impact on health equity? ○ Reduced ○ Probably reduced ○ Probably no impact ○ Probably increased ○ Increased ○ Varies ○ Don’t know | ||
ACCEPTABILITY | Is the intervention acceptable to key stakeholders? ○ No ○ Probably no ○ Probably yes ○ Yes ○ Varies ○ Don’t know | ||
FEASIBILITY | Is the intervention feasible to implement? ○ No ○ Probably no ○ Probably yes ○ Yes ○ Varies ○ Don’t know |