BACKGROUND Stakeholder engagement has become widely accepted as a necessary component of guideline development and implementation. While frameworks for developing guidelines express the need for those potentially affected by guideline recommendations to be involved in their development, there is a lack of consensus on how this should be done in practice. Further, there is a lack of guidance on how to equitably and meaningfully engage multiple stakeholders. We aim to develop guidance for the meaningful and equitable engagement of multiple stakeholders in guideline development and implementation. METHODS This will be a multi-stage project. The first stage is to conduct a series of four systematic reviews. These will (1) describe existing guidance and methods for stakeholder engagement in guideline development and implementation, (2) characterize barriers and facilitators to stakeholder engagement in guideline development and implementation, (3) explore the impact of stakeholder engagement on guideline development and implementation, and (4) identify issues related to conflicts of interest when engaging multiple stakeholders in guideline development and implementation. DISCUSSION We will collaborate with our multiple and diverse stakeholders to develop guidance for multi-stakeholder engagement in guideline development and implementation. We will use the results of the systematic reviews to develop a candidate list of draft guidance recommendations and will seek broad feedback on the draft guidance via an online survey of guideline developers and external stakeholders. An invited group of representatives from all stakeholder groups will discuss the results of the survey at a consensus meeting which will inform the development of the final guidance papers. Our overall goal is to improve the development of guidelines through meaningful and equitable multi-stakeholder engagement, and subsequently to improve health outcomes and reduce inequities in health.

中文翻译：

---

制定利益相关者参与健康和医疗保健指南制定和实施指南的协议。

背景 利益相关者参与已被广泛接受为指南制定和实施的必要组成部分。虽然制定指南的框架表示需要那些可能受指南建议影响的人参与其制定，但在实践中应该如何做到这一点缺乏共识。此外，缺乏关于如何公平和有意义地参与多个利益相关者的指导。我们的目标是为多个利益相关者在指南制定和实施中有意义和公平地参与制定指南。方法 这将是一个多阶段的项目。第一阶段是进行一系列四项系统评价。这些将 (1) 描述利益相关者参与指南制定和实施的现有指南和方法，(2) 描述利益相关者参与指南制定和实施的障碍和促进因素，(3) 探索利益相关者参与对指南制定和实施的影响，以及 (4) 在让多个利益相关者参与指南制定和实施时识别与利益冲突相关的问题，执行。讨论 我们将与我们的多个和不同的利益相关者合作，为多利益相关者参与指南制定和实施制定指南。我们将使用系统审查的结果来制定指南建议草案的候选列表，并将通过指南制定者和外部利益相关者的在线调查寻求对指南草案的广泛反馈。来自所有利益相关者团体的受邀代表小组将在共识会议上讨论调查结果，这将为最终指导文件的制定提供信息。我们的总体目标是通过有意义和公平的多方利益相关者参与来改进指南的制定，并随后改善健康结果并减少健康方面的不平等。