Table 1.

Phases and steps of the ADAPTE process

Phases	Steps
Set–up phase	1. Establish an organizing committee
	2. Select a topic
	3. Check whether adaptation is feasible
	4. Identify skills and resources needed
	5. Complete set–up tasks
	6. Write protocol
Adaptation phase	7. Determine the health questions
	8. Search for guidelines and other relevant documentation
	9. Screen retrieved guidelines
	10. Reduce total number of guidelines if there are more than can be dealt with by the panel
	11. Assess guideline quality
	12. Assess guideline currency
	13. Assess guideline content
	14. Assess guideline consistency (search and selection of studies, links between evidence and recommendations)
	15. Assess acceptability/applicability of the recommendations
	16. Review assessments to aid in decision–making
	17. Select between guidelines and recommendations to create an adapted guideline
	18. Prepare a document that respects the needs of the end users and provides a detailed transparent explanation of the process
Finalization phase	19. External review by target users
	20. Consult with relevant endorsement bodies
	21. Consult with developers of source guidelines
	22. Acknowledge source documents
	23. Plan for aftercare of the adapted guideline
	24. Produce high quality final guideline