Abstract
Background: Lactation is associated with significantly improved health outcomes for mothers and infants across the life-course. Despite improvements in initiation rates, little impact has been made on sustained lactation with most women (in high income countries) failing to continue to breastfeed for minimum recommended durations. Doctors report insufficient training to treat patients with lactation difficulties. LactaMap is a comprehensive online care support system designed to deliver evidence-based clinical lactation information to doctors during a medical consult (the point of care).
Method: Established methodologies for clinical practice guideline (CPG) development were used as a starting point to develop content. A common sense approach was used, then quality appraised and modified according to AGREE II methodology.
Results: A customised three-dimensional framework for translation of lactation research to doctors was developed. The first dimension involved definition of scope and creation of initial drafts of 112 clinical practice guidelines by a multidisciplinary expert group. To assist with identification of appropriate CPGs by the clinician, the additional layer of an overarching decision tree was conceptualised and CPGs organised around this accordingly. The second dimension involved creation of framework for ongoing literature review and content update after initial manuscripts were complete. Content needed to be usable at the point of care and therefore succinct. An online format was used, enabling additional supporting information and patient information documents to be linked to guidelines without compromising accessibility of core content. This necessitated development of the third and novel dimension, a process that considers consistency of all interlinked content in LactaMap.
Conclusions: The need for evidence-based lactation information precipitated the development of LactaMap, an online lactation care support system. Existing guideline development methodology was insufficient for effective clinical information delivery, resulting in development of a novel 3-D framework that has potential value in other areas of health.
Method: Established methodologies for clinical practice guideline (CPG) development were used as a starting point to develop content. A common sense approach was used, then quality appraised and modified according to AGREE II methodology.
Results: A customised three-dimensional framework for translation of lactation research to doctors was developed. The first dimension involved definition of scope and creation of initial drafts of 112 clinical practice guidelines by a multidisciplinary expert group. To assist with identification of appropriate CPGs by the clinician, the additional layer of an overarching decision tree was conceptualised and CPGs organised around this accordingly. The second dimension involved creation of framework for ongoing literature review and content update after initial manuscripts were complete. Content needed to be usable at the point of care and therefore succinct. An online format was used, enabling additional supporting information and patient information documents to be linked to guidelines without compromising accessibility of core content. This necessitated development of the third and novel dimension, a process that considers consistency of all interlinked content in LactaMap.
Conclusions: The need for evidence-based lactation information precipitated the development of LactaMap, an online lactation care support system. Existing guideline development methodology was insufficient for effective clinical information delivery, resulting in development of a novel 3-D framework that has potential value in other areas of health.
| Original language | English |
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| Publication status | Published - 21 Oct 2019 |
| Event | International Society for Developmental Origins of Health and Disease World Congress 2019: Investing in a Healthy Future for All: Research, Education, Policy - Melbourne Convention and Exhibition Centre, Melbourne, Australia Duration: 20 Oct 2019 → 23 Oct 2019 |
Conference
| Conference | International Society for Developmental Origins of Health and Disease World Congress 2019 |
|---|---|
| Abbreviated title | DOHaD 2019 |
| Country/Territory | Australia |
| City | Melbourne |
| Period | 20/10/19 → 23/10/19 |