A demo is available online to experience the EVIDEM framework. It is being used in a number of workshops, and data is being collected to explore functionality and variation among participants.
Workshop participants included policy decisionmakers, physicians, pharmacists, nurses, other healthcare professionals, patients, health economists/epidemiologists, other researchers, and others not specified.
First, participants were asked to provide a relative weight for each criteria of the MCDA Matrix, independently of the intervention, to explicit their perspectives and preferences. Selected examples of individual weights are reported below.
[+ Click to enlarge]
Second, participants were asked to provide a score for each criteria of the MCDA matrix to appraise growth hormone for patients with Turner syndrome, using anchored scales and synthesized evidence prepared following the EVIDEM methodology.
Collected scores and normalized weights were combined using a linear model to calculate a MCDA estimate that is specific to participants and that can be used to rank interventions on the MCDA scale.

[+ Click to enlarge]
Impact of qualitative considerations (extrinsic criteria) is then incorporated into the overall appraisal (in this case, 4 criteria with negative impact overall and 2 criteria with neutral impact) to make a final decision on intervention.
The framework thus provides a transparent record of considerations and evidence available to support deliberation and helps striking a balance to make a decision. |