• Area Covid-19
  • deplazio
    The Department of Epidemiology of the Lazio Regional Health Service (DEP)
    is based in Rome and has over 30 years of experience
  • ambientale-valutativo

    The staff of the DEP has specific expertise in epidemiological methods
  • rischi ambientali
    Provide decision makers with the best epidemiological evidence
    to plan interventions to reduce health risks
  • esiti
    Outcome evaluation of health care
  • cure sanitarie
    Provide evidence to improve the quality
    and effectiveness of health care
  • inquinamento
    Assess the risks associated with
    short and long term exposure to air pollutants
  • cambiamenti climatici
    Assessing the health impact of climate change and extreme events

Registro Regionale Dialisi e Trapianti Lazio (RRDTL)

Decide PDF Print E-mail

DECIDE is a 5-year project (running from January 2011 to 2015) co-funded by the European Commission under the Seventh Framework Programme.

Project Objective

"To improve the dissemination of evidence-based recommendations by building on the work of the GRADE Working Group to develop and evaluate methods that address the targeted dissemination of guidelines."


Healthcare decision makers face challenges in understanding guidelines, including the quality of the evidence upon which recommendations are made, which often is not clear. Guidelines are also typically developed as a one-size-fits-all package. By developing and evaluating targeted dissemination strategies, DECIDE aims to increase the use of evidence-based interventions in a sustainable way and to reduce the use of interventions where benefits are uncertain.


GRADE is a systematic approach towards assessing and communicating the quality of evidence and the strength of recommendations. It has been developed to address the weaknesses of other grading systems and is now widely used internationally. The DECIDE consortium, which is composed of members of the GRADE Working Group, will further develop this approach to ensure effective dissemination of evidence-based recommendations targeted at the key stakeholders (healthcare professionals; policymakers and managers; patients and the general public) who determine what happens in clinical practice. We will collect stakeholder input from advisory groups, consultations and user testing. This will be done across a wide range of health systems in Europe. The targeted dissemination strategies that are developed will be evaluated in randomized trials, refined and used and evaluated with real guidelines developed by the DECIDE partners and other guideline developers that we support.

Expected results

Dissemination strategies for recommendations that have been rigorously evaluated in diverse settings, support the transfer of research into practice, and are adapted to real-world healthcare systems.

Work Packages & Strategies

DECIDE comprises eight work packages:

  • WP 1: Health professional focussed strategies for communicating evidence-based recommendations
  • WP 2: Policymaker and manager focussed strategies for communicating evidence-based recommendations
  • WP 3: Patient and public focussed strategies for communicating evidence-based recommendations
  • WP 4: Strategies for communicating evidence based recommendations about diagnostic tests
  • WP 5: Strategies for communicating evidence based recommendations about public health and health system policy
  • WP 6: Strategies for collaboration among European guideline developers and health technology assessment agencies in Europe
  • WP 7: Dissemination and exploitation
  • WP 8: Management

The Department of Epidemiology of Lazio Regional Health Service, in collaboration with the Italian Cochrane Centre is responsible for coordination of the work package two.

DECIDE - Work Package Two

Newsletter DECIDE