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Guideline Activity

Sharon Welburn (Slovina)

Created on October 9, 2025

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Transcript

Guideline Zen

Sharon Welburn, PhD
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Pre-Class Prep

You should have already gathered 2--3 existing guidelines related to your health topic. Let's explore how guidelines differ across organizations, and how these different organizations analyze and weigh research evidence.

Answer the following questions

  1. What’s the most striking difference between your agencies?
  2. How do the grading systems differ (e.g., A vs. B vs. C; strong vs. conditional)?
  3. Is there disagreement about screening intervals or target age? If so, what are these differences?
  4. What evidence or contextual factors might explain these differences?
  5. Has the Guide to Community Preventive Services weighed in on your topic? If so, what is their position? If not, why do you think they haven't?

Share and Compare Create a Visualization that demonstrates overlaps / gaps

1. Patterns:What similarities or differences did you observe across topics?Are certain organizations consistently more conservative or aggressive in their recommendations?2. Behind the Scenes:How do methodological frameworks (GRADE, consensus-based, expert opinion) affect recommendations?How might political, ethical, or economic considerations influence guideline issuance?3. Implications for Epidemiology:What gaps in evidence emerge across these guidelines?How could epidemiologic research help reconcile discrepancies or fill evidence gaps? 4. Public Health Perspective:How does the absence of guidance in the Community Guide impact implementation in public health practice?What could bridge the gap between clinical and community guidance?

Shared Takeaways

You now have a head start on the Module 2 project!

You now have a little background on the current guidelines available for your health topic, and you've weighed the evidence that was used, any agreements/disagreements across agencies, and other important contextual factors of the current guidelines. For those examining risk factor reduction, consider the relative / absolute effect size for reducing the risk factor in those who receive the intervention. What are the relative / absolute harms? How does this affect your target population? For those examining screening, consider the relative / absolute effect size for disease detection (i.e., outcome reduction for early disease intervention). What are the relative / absolute harms? How does this affect your population approach for screening for this health outcome?

Questions?