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Table 4 Evidence to decision framework

From: Methods for trustworthy nutritional recommendations NutriRECS (Nutritional Recommendations and accessible Evidence summaries Composed of Systematic reviews): a protocol

 JudgementResearch evidenceAdditional considerations
PROBLEMIs the problem a priority?
No
Probably no
Probably yes
Yes
Varies
Don’t know
  
DESIRABLE EFFECTSHow substantial are the desirable anticipated effects?
Trivial
Small
Moderate
Large
Varies
Don’t know
  
UNDESIRABLE EFFECTSHow substantial are the undesirable anticipated effects?
Large
Moderate
Small
Trivial
Varies
Don’t know
  
CERTAINTY OF EVIDENCEWhat is the overall certainty of the evidence of effects?
Very low
Low
Moderate
High
No included studies
  
VALUESIs there important uncertainty about or variability in how much people value the main outcomes?
Important uncertainty or variability
Possibly important uncertainty or variability
Probably no important uncertainty or variability
No important uncertainty or variability
  
BALANCE OF EFFECTSDoes 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 REQUIREDHow large are the resource requirements (costs)?
Large costs
Moderate costs
Negligible costs and savings
Moderate savings
Large savings
Varies
Don’t know
  
RESOURCES REQUIREDWhat is the certainty of the evidence of resource requirements (costs)?
Very low
Low
Moderate
High
No included studies
  
COST EFFECTIVENESSDoes the cost-effectiveness of the intervention 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
No included studies
  
EQUITYWhat would be the impact on health equity?
Reduced
Probably reduced
Probably no impact
Probably increased
Increased
Varies
Don’t know
  
ACCEPTABILITYIs the intervention acceptable to key stakeholders?
No
Probably no
Probably yes
Yes
Varies
Don’t know
  
FEASIBILITYIs the intervention feasible to implement?
No
Probably no
Probably yes
Yes
Varies
Don’t know