The Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach was used in the development of this guideline. The RACGP commissioned the Safer Families Centre of Research Excellence at the University of Melbourne to conduct the evidence review and update the evidence base.
A systematic search of the literature was conducted for each clinical question. The results are presented in GRADE ‘summary of findings’ tables. These tables provide a synthesis of findings along with a rating of certainty of evidence (also referred to as quality or confidence in evidence) and clinical importance.
‘Summary of findings’ tables were presented to the Expert Advisory Group and relevant chapter authors to move from the synthesised research evidence to formulate practice recommendations. All relevant research findings are considered in the formulation of recommendations. Additional research findings (eg qualitative, quantitative and/or mixed method) and practice consensus were also considered, where possible, when formulating recommendations and ensuring transparent and practice-based recommendations.
The technical report of evidence reviews and summary of findings contains further information on the evidence review, a description of the methods, assessment of the risk of bias, data extraction, synthesised results per outcome, a ‘summary of findings’ table per clinical question, including a rating of certainty in the evidence, and additional relevant findings, which complement the GRADE process.