The DECIDE framework – a tool for implementation adapted to the public health field in Sweden

Abstract

Background The DECIDE (Developing and Evaluating Communication Strategies to Support Informed Decisions and Practice Based on Evidence) framework aims to facilitate decision making and to improve dissemination and implementation of recommendations in the health care and public health sector. The aim of this study was to investigate if the DECIDE framework is applicable in the public health field in Sweden. Methods The DECIDE framework was presented and discussed in interviews with stakeholders and governmental organisations and tested in stakeholder panels. Content analyses were performed. Findings The informants were positive to the DECIDE framework. However, two criteria regarding individual autonomy and method sustainability were felt to be missing. Importance of the composition of the DECIDE stakeholder panel was highlighted, as was the significant role of the chair. Discussion The international DECIDE health system and public health evidence to recommendation framework might be useful as a tool for dissemination and implementation of recommendations in the public health field in Sweden. Important questions for further research are whether these findings are suitable for other public health topics and in other public health settings.