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Table 1 IGEST development process by methods and results

From: The International Guideline Evaluation Screening Tool (IGEST): development and validation

 

METHODS

RESULTS

Steps and nature of activity

IGEST version

Methods

People involved

Number of items

Other modifications

Phase I

Development

1

Define the IGEST scope

 

Analyse CPGs’ methodological quality standards

ISS project steering group

  

2

Generation of items

IGEST initial version

2a. Literature review and item extraction

ISS project steering group

151 items from literature review

 

32 items after extraction

Removed 119 items for overlapping (n=62), other contents (n=52), lack of clarity (n=5)

IGEST vers.1

2b. Focus group on IGEST refinement

7 experts

16

Removed and merged 13 and 3 items, respectively.

16 items grouped into 4 dimensions (management of conflict of interest, quality of evidence and consistency, panel composition, and reporting)

3

Testing feasibility/usability

IGEST vers.2

Pilot testing

2 external researchers

16

Changes in item sequence.

Dimension 4 on reporting was considered as primary conditions:

- 3 dimensions (management of conflict of interest, quality of evidence and consistency, panel composition)

Phase II

Content validity

4

Content validity index

IGEST vers.3

4a. CVI - first round

14 experts

16

Rewording of items

Sentence specifications with some footnotes

IGEST

final version

4b. CVI - second round