Development and validation a methodology model for traditional Chinese medicine good practice recommendation: an exploratory sequential mixed methods study

BackgroundTo develop a rational and standardized traditional Chinese medicine (TCM) good practice recommendation (GPR) methodology model that guides the formulation of recommendations grounded in clinical experience.MethodsWe adopted an exploratory sequential mixed-method to develop a methodology mo...

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Main Authors: Su Li, Luan Zhang, Yangyang Wang, Runsheng Xie, Wenjia Chen, Myeong Soo Lee, Yasser Sami Amer, Amin Sharifan, Heba Hussein, Hui Li
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Pharmacology
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Online Access:https://www.frontiersin.org/articles/10.3389/fphar.2025.1501634/full
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author Su Li
Su Li
Su Li
Luan Zhang
Yangyang Wang
Yangyang Wang
Runsheng Xie
Runsheng Xie
Wenjia Chen
Wenjia Chen
Myeong Soo Lee
Yasser Sami Amer
Yasser Sami Amer
Yasser Sami Amer
Amin Sharifan
Heba Hussein
Hui Li
Hui Li
Hui Li
author_facet Su Li
Su Li
Su Li
Luan Zhang
Yangyang Wang
Yangyang Wang
Runsheng Xie
Runsheng Xie
Wenjia Chen
Wenjia Chen
Myeong Soo Lee
Yasser Sami Amer
Yasser Sami Amer
Yasser Sami Amer
Amin Sharifan
Heba Hussein
Hui Li
Hui Li
Hui Li
author_sort Su Li
collection DOAJ
description BackgroundTo develop a rational and standardized traditional Chinese medicine (TCM) good practice recommendation (GPR) methodology model that guides the formulation of recommendations grounded in clinical experience.MethodsWe adopted an exploratory sequential mixed-method to develop a methodology model by coding systematically collected literature on methodology and TCM guidelines related to TCM GPR using a best-fit framework synthesis. Then based on real-world data (published TCM guidelines), saturation tests, structural rationality validation, and discriminability tests were conducted to validate methodology model.ResultsA total of 35 methodological literature and 190 TCM guidelines were included. A TCM GPR methodology model was developed, including 3 themes, 10 sub-themes, and the relationships between themes and subthemes. The information of TCM GPR methodology model achieved data saturation. The fit indices were within the acceptable range, and were able to distinguish the overall differences between guidelines from different literature sources, development organizations, guideline types, discipline categories, and funding categories.ConclusionThe study developed a TCM GPR methodology model which describes the definition of a TCM GPR, how to formulate it, and how to report it. The methodology modeldemonstrates good fit, discriminability, and data saturation. It can standardize the specific formulation of TCM GPRs, facilitate the scientific and rational formation of TCM GPRs, and provide theoretical and methodological guidance for the formation of TCM GPRs.
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spelling doaj-art-368fb680ed354852a4a6a6f27f6892e72025-01-31T06:39:55ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122025-01-011610.3389/fphar.2025.15016341501634Development and validation a methodology model for traditional Chinese medicine good practice recommendation: an exploratory sequential mixed methods studySu Li0Su Li1Su Li2Luan Zhang3Yangyang Wang4Yangyang Wang5Runsheng Xie6Runsheng Xie7Wenjia Chen8Wenjia Chen9Myeong Soo Lee10Yasser Sami Amer11Yasser Sami Amer12Yasser Sami Amer13Amin Sharifan14Heba Hussein15Hui Li16Hui Li17Hui Li18Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, ChinaThe Second Clinical College, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, ChinaGuangdong Provincial Hospital of Chinese Medicine, Guangzhou, ChinaThe First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, ChinaThe Second Clinical College, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, ChinaGuangdong Provincial Hospital of Chinese Medicine, Guangzhou, ChinaThe Second Clinical College, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, ChinaGuangdong Provincial Hospital of Chinese Medicine, Guangzhou, ChinaThe Second Clinical College, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, ChinaGuangdong Provincial Hospital of Chinese Medicine, Guangzhou, ChinaKM Science Research Division, Korea Institute of Oriental Medicine (KIOM), Daejeon, Republic of KoreaDepartment of Pediatrics, King Saud University Medical City, Riyadh, Saudi ArabiaResearch Chair for Evidence-Based Health Care and Knowledge Translation, Family and Community Medicine Department, College of Medicine, King Saud University, Riyadh, Saudi ArabiaDepartment of Internal Medicine, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, BrazilDepartment for Evidence-Based Medicine and Evaluation, University for Continuing Education Krems, Krems an der Donau, Lower Austria, Austria0Oral Medicine, Oral Diagnosis, and Periodontology Department, Cairo University, Giza, Giza, EgyptThe Second Clinical College, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, ChinaGuangdong Provincial Hospital of Chinese Medicine, Guangzhou, China1State Key Laboratory of Traditional Chinese Medicine Syndrome, Research Group of Standardization of Chinese Medicine, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, ChinaBackgroundTo develop a rational and standardized traditional Chinese medicine (TCM) good practice recommendation (GPR) methodology model that guides the formulation of recommendations grounded in clinical experience.MethodsWe adopted an exploratory sequential mixed-method to develop a methodology model by coding systematically collected literature on methodology and TCM guidelines related to TCM GPR using a best-fit framework synthesis. Then based on real-world data (published TCM guidelines), saturation tests, structural rationality validation, and discriminability tests were conducted to validate methodology model.ResultsA total of 35 methodological literature and 190 TCM guidelines were included. A TCM GPR methodology model was developed, including 3 themes, 10 sub-themes, and the relationships between themes and subthemes. The information of TCM GPR methodology model achieved data saturation. The fit indices were within the acceptable range, and were able to distinguish the overall differences between guidelines from different literature sources, development organizations, guideline types, discipline categories, and funding categories.ConclusionThe study developed a TCM GPR methodology model which describes the definition of a TCM GPR, how to formulate it, and how to report it. The methodology modeldemonstrates good fit, discriminability, and data saturation. It can standardize the specific formulation of TCM GPRs, facilitate the scientific and rational formation of TCM GPRs, and provide theoretical and methodological guidance for the formation of TCM GPRs.https://www.frontiersin.org/articles/10.3389/fphar.2025.1501634/fulltraditional chinese medicine (TCM)guidelinesgood practice recommendation (GPR)methodology modelmixed method
spellingShingle Su Li
Su Li
Su Li
Luan Zhang
Yangyang Wang
Yangyang Wang
Runsheng Xie
Runsheng Xie
Wenjia Chen
Wenjia Chen
Myeong Soo Lee
Yasser Sami Amer
Yasser Sami Amer
Yasser Sami Amer
Amin Sharifan
Heba Hussein
Hui Li
Hui Li
Hui Li
Development and validation a methodology model for traditional Chinese medicine good practice recommendation: an exploratory sequential mixed methods study
Frontiers in Pharmacology
traditional chinese medicine (TCM)
guidelines
good practice recommendation (GPR)
methodology model
mixed method
title Development and validation a methodology model for traditional Chinese medicine good practice recommendation: an exploratory sequential mixed methods study
title_full Development and validation a methodology model for traditional Chinese medicine good practice recommendation: an exploratory sequential mixed methods study
title_fullStr Development and validation a methodology model for traditional Chinese medicine good practice recommendation: an exploratory sequential mixed methods study
title_full_unstemmed Development and validation a methodology model for traditional Chinese medicine good practice recommendation: an exploratory sequential mixed methods study
title_short Development and validation a methodology model for traditional Chinese medicine good practice recommendation: an exploratory sequential mixed methods study
title_sort development and validation a methodology model for traditional chinese medicine good practice recommendation an exploratory sequential mixed methods study
topic traditional chinese medicine (TCM)
guidelines
good practice recommendation (GPR)
methodology model
mixed method
url https://www.frontiersin.org/articles/10.3389/fphar.2025.1501634/full
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