Table 2.

ADAPTE vs PARM approach

ADAPTE	PARM contextualisation process
Step 1 establish an organising committee	Implicit—purpose-driven
Step 2 establish a guideline topic	Implicit—purpose-driven
Step 3 check whether adaptation is feasible	Implicit—purpose-driven
Step 4 identify necessary resources and skills	Step 1 training
Step 5 complete tasks for set up phase
Step 6 write adaptation plan	Step 2 establish ‘usual’ patient journeys
Step 7 scope and purpose (determine the questions)	Step 3 establish scope and purpose
	Step 4 establish a work plan and working groups
Step 8 search for guidelines and other relevant documents	Step 5 search for appropriate guidelines
Step 9 screen retrieved guidelines	Step 6 screen guidelines relevant to patient journeys and identifying relevant ones
Step 10 reduce a large number of retrieved guidelines
Step 11 assess guideline quality	Step 7 critically appraise guideline quality and currency and retain relevant high quality guidelines
	Step 8 contact developers for permission and to undertake external review of completed synthesised guidelines
Step 12 assess guideline currency
Step 13 assess guideline content	Step 9 summarise differences between guidelines in wording of recommendations, ways of reporting underpinning evidence, and summarising strength of the evidence
Step 14 assess guideline consistency
	Step 10 identify recommendations relevant to steps along the patient journey Step 11 develop a process for dealing with 2 or more relevant recommendations
	Step 12 develop PARM Writing Guide
Step 15 assess acceptability and applicability of recommendations	Step 13 write PARM endorsements based on strength of evidence
Step 16 review assessments
Step 17 select between guidelines and recommendations to create an adapted guideline	Step 14 consider applicability and generalizability of recommendations to Filipino situations (NHMRC FORM) using PARM context points
Step 18 Prepare draft adapted guideline	Step 15 map the PARM endorsements and Context Points for collated recommendations into the patient journey
	Step 16 collate guideline chapters and edit for consistency
	See Step 17 congruent with Steps 13–15	Step 17 develop an implementation plan congruently with Steps 13–15
Step 19 external review	Step 18 present guideline at national meeting
Step 20 consult with endorsement bodies
Step 21 consult with source guideline developers	Step 19 undertake focused public consultation including seeking suggestions for additional PARM Context Points
Step 22 acknowledge source documentation
Step 23 plan for aftercare of adapted guideline
Step 24 produce final guideline document
	Step 20 plan and evaluate the guideline roll out
	Step 21 establish partnerships