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How important are client, caregiver and clinician values?
PLHIV and clinician values and preferences were integral in developing these recommendations.
Some of the recommendations have additional explanatory notes to further explain the context and PLHIV and clinician values (see online data supplement file 2).
We were uncertain how to weight the research evidence with PLHIV and clinician values and preferences in order to establish the strength of a given recommendation.
30 The supportive notes that augment the recommendations were derived primarily from PLHIV and clinician values and preferences to help situate the recommendation into the context of older adults with HIV.
The importance of clinician values in prioritising (so-called) evidence-based tasks The concerns of patients in the clinical setting are the focus of work by Values-Based Medicine (VBM) researchers, who explain how to integrate patient and practitioner values into clinical decision-making [ 12, 44 ].
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Clinicians' values, beliefs and attitudes regarding population health approaches seemed to be among them.
36 Effective interventions are likely to be multifaceted, have a focused and active educational outreach component, include skills development, and be congruent with clinicians' values.
A major issue emerging from the results of our study is the relevance of approaching the new to-be-implemented PRS tool to clinicians' values, needs and concerns.
25 26 Systematic reviews 24 27 28 29 of interventions to change clinician behaviour have found that successful interventions are most likely to be multifaceted, based on an assessment of barriers to change, responsive to local circumstances, and focused, and to incorporate an active educational outreach component including skills development and to resonate with clinicians' values.
Over 20 systematic reviews of interventions to change practitioner behaviour [ 14, 15] and reviews of those reviews [ 16, 17] suggest that such interventions should be multifaceted, have a focused and active educational outreach component, include skills development, and be congruent with clinicians' values [ 18, 19].
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