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Guidelines development process

How living guidelines work

The living guidelines use ‘evidence surveillance’ systems that continually scan for relevant new research, incorporate it into evidence summaries and rapidly update guideline recommendations whenever there is a substantial change in the evidence.

The ultimate goal is to create a near real-time, closed-loop evidence system in which global evidence and local data are integrated for insight and health decision making.

This work will be supported by new evidence systems from Cochrane Australia, including artificial intelligence, the Cochrane Crowd citizen science community, and the Covidence online systematic review platform.

Guideline recommendations will continue to be developed and published using the MAGICapp platform.

Diagram of how the evidence summaries turn newly published research and clinical practice data into updated recommendations, which then feed into clinical practice and policy

Further general, non-technical information about guideline development is documented in our Living Guidelines Methods and Processes [PDF 554 KB].

Living guideline methods are also described in our paper, Feasibility of national living guideline methods: The Australian Stroke Guidelines, published in the Journal of Clinical Epidemiology.

(Hill K, English C, Campbell BCV, McDonald S, Pattuwage L, Bates P, Lassig C, Turner T; Living Stroke Guidelines Executive Group and Content Development Group. Feasibility of national living guideline methods: The Australian Stroke Guidelines. J Clin Epidemiol. 2022 Feb;142:184-193. doi: 10.1016/j.jclinepi.2021.11.020. Epub 2021 Nov 14. PMID: 34785347).Diagram of how the evidence summaries turn newly published research and clinical practice data into updated recommendations, which then feed into clinical practice and policy

Guideline process documents

The 2016 NHMRC Standards for Guidelines outline requirements to document all guideline development processes, which are submitted for approval along with changes to recommendations.

Technical reports

A record of the evidence review process for our living stroke guidelines is now detailed in MAGICapp.

For each topic, you can view the clinical questions, PICO (population, intervention, comparator and outcomes), included references, evidence profile and summary. These feed into the rationale and evidence to decision for each recommendation, outlining benefits and harms, certainty of the evidence, preferences and values, and resources and other considerations.

To see these details, follow the links to topics in the Clinical Guidelines for Stroke Management, and click the tabs below each recommendation.

Administrative reports

Administrative reports are also produced for each guideline update submitted to NHMRC, with information specific to the topics updated. This includes which members of the Content Development Group were involved, and any conflicts of interest they have reported.

Public consultation submission summaries

Details of public consultation submissions and our responses are documented for each guideline update submitted to NHMRC.

Other documents

Additional documents listed below support our guideline development and implementation.

People involved in guideline development

The following tables list members of our Content Development Group (comprising a Steering Committee, ten Working Groups and a Consumer Panel) and Project Development Team. Further information on project governance is in the Administrative Report above.

Content Steering Committee

Title Name Discipline Role Organisation Working Group
Prof Bruce Campbell (Co-Chair) Neurology Neurologist and Research Fellow The Royal Melbourne Hospital Acute Medical
Dr Elizabeth Lynch (Co-Chair) Physiotherapy

Senior Research Fellow, Matthew Flinders Fellow, College of Nursing and Health Sciences

Flinders University Physiotherapy
Prof Dominique Cadilhac Program evaluation and health economics Head, Translational Public Health Unit Monash University Economics
Assoc Prof Steven Faux Rehabilitation Rehabilitation physician St Vincent's Hospital Rehabilitation Medicine
Prof Maree Hackett Psychology Head, Mental Health and Chronic Disease Program, Neurological & Mental Health Division The George Institute for Global Health Psychology
Prof Natasha Lannin Occupational therapy Researcher and lecturer La Trobe Uni Occupational Therapy
Prof Sandy Middleton Nursing Director, Nursing Research Institute SVHA & ACU Nursing Research Institute Nursing
Dr Lisa Murphy NSF Policy Director, Programs NSF Other
Prof Anna Ranta Neurologist Consultant neurologist Capital & Coast District Health Board Acute Medical
Dr Fiona Simpson Dietetics Clinical Specialist & Research Dietitian & Clinical Senior Lecturer Sydney University Dietetics
Prof Nigel Stocks General Practice Discipline of General Practice Adelaide Uni Rehabilitation Medicine
Dr Rachel Wenke Speech pathology Senior speech pathologist/Research fellow Gold Coast Health Speech Pathology

Content Working Groups

Title Name Discipline Role Organisation Working Group
A/Prof Amal Abou-Hamden Vascular neurosurgery Vascular neurosurgery Royal Adelaide Hospital Acute Medical
Dr Sabine Allida Psychology Research assistant The George Institute for Global Health Psychology
A/Prof Nadine Andrew Physiotherapy NHMRC Research Fellow Monash University Physiotherapy
Prof Beata Bajorek Pharmacy Responsible Academic Officer – Clinical University of Technology Rehabilitation Medicine
Dr Marie-Louise Bird Physiotherapy Academic Lead Allied Health Discipline, Senior Lecturer University of Tasmania Physiotherapy
  Chris Bladin Ambulance Director, Victorian Stroke Telemedicine (VST) Service Ambulance Victoria Acute Medical
Dr Kelly Bower Physiotherapy Lecturer Dept of Physiotherapy, Uni of Melb Physiotherapy
Ms Kerry Boyle Nursing Stroke Coordinator and project officer Hunter New England Health, Stroke service Nursing
Assoc Prof Janet Bray Nursing Senior Research Fellow,
Associate Director: Australian Resuscitation Outcomes Consortium (Aus-ROC) - NHMRC Centre of Research Excellence
Monash University Nursing
Dr Sonia Brownsett Speech Pathology Speech pathology Post doc QUT Speech Pathology
Prof Ken Butcher Neurosciences Director of Clinical Neurosciences Prince of Wales Clinical school, UNSW Acute Medical
Ms Liana Cahill Occupational therapy Lecturer in Occupational therapy School of Allied health, Australian Catholic University Occupational therapy
Dr Jan Cameron Public health and evaluation Senior research fellow Monash University Lifestyle modifications topic
Dr Jessica Campbell Speech pathology Postdoctoral research fellow University of Queensland Speech Pathology
  Aylissa Canning Nursing Clinical Nurse Consultant Princess Alexandra Hospital Nursing
Dr Cecilia Cappelen-Smith Neurology Senior Staff Specialist Neurologist Liverpool Hospital. Acute Medical
  Kristine Caprecho Nursing Stroke Liaison nurse Calvary Hospital Nursing
Assoc Prof Ronil Chandra Neurointerventional radiology Neurointerventional radiologist Monash Health Acute Medical
Dr Philip M.C. Choi Neurology Consultant Neurologist Box Hill Hospital Acute Medical
Ms Lauren Christie Occupational therapy Senior implementation science research fellow - allied health St Vincent's Hospital Sydney Occupational therapy
Prof Natalie Ciccone Speech Pathology Course Coordinator, Bachelor of Speech Pathology Edith Cowan University Speech Pathology
Assoc Prof Petrea Cornwell Speech Pathology Associate Professor, Speech Pathology Menzies Health Institute Speech Pathology
Ms Kelly Coughlan Nursing T3 Trial Assistant SVHA & ACU Nursing Research Institute Nursing
Ms Michelle Courtney-Harris Orthoptics   University of technology, Sydney Other
  Shahla Cowans Nursing A/g Stroke Liaison Nurse Canberra Hospital Nursing
Ms Simeon Dale Nursing Clinical Research Fellow
T3 Trial Project Manager
SVHA & ACU Nursing Research Institute Nursing
  Emily Dalton Occupational therapy Occupational therapist / PhD student University of Melbourne Occupational therapy
Dr Davide de Sousa Physiotherapy Senior Physiotherapist Ryde Hospital Physiotherapy
Ms Anne-Louise (Annie) Dent Speech Pathology Speech Pathologist- Neurosciences RPA Hospital Speech Pathology
Dr Simone Dorsch Physiotherapy Lectureer in Physiotherapy Australian Catholic University Physiotherapy
Ms Dijana Dragicevich (Wolffram) Speech Pathology Senior Speech Pathologist Royal North Shore Hospital Speech Pathology
Dr Caleb Ferguson Nursing Director of Post Graduate

Western Sydney Uni Nursing
Dr Emma Finch Speech pathology Research fellow University of Queensland Speech Pathology
Dr Natalie Fini Physiotherapy Academic, Physiotherapy Uni Melb Physiotherapy
Dr Yash Gawarikar Neurology Director, Stroke Services Calvary Hospital Acute Medical
Prof Stacey George Occupational Therapy Occupational Therapist / Clinical / Academic specialist Flinders University Occupational Therapy
A/Prof Darshan Ghia Neurology Consultant Neurologist& Clinical Senior Lecturer FSH and SJOG Subiaco hospitals
UWA School of Medicine and Pharmacology
Acute Medical
Assoc Prof Erin Godecke Speech pathology Clinical Director, Very Early Rehabilitation in SpeEch (VERSE) Trial for Aphasia after Stroke Edith Cowan University Speech Pathology
Prof Jonathan Golledge Vascular Surgery Vascular Surgeon Townsville Hospital Acute Medical
  Natalie Govind Nursing Lecturer, Nursing University of technology, Sydney Nursing
Prof Hugh Grantham Ambulance Professor of Paramedics Researcher Curtin University; Flinders Medical centre Acute Medical
Dr Carl Hanger Geriatrics Geriatrician The Princess Margaret Hospital Rehabilitation Medicine
Mr Brendon Haslam Physiotherapy Physiotherapist - Pain management University of Melbourne Central post-stroke pain
Dr Kate Hayward Physiotherapy Snr research fellow in stroke recovery Dept Physiotherapy, Uni of Melb Physiotherapy
A/Prof Deborah Hersh Speech Pathology Associate Professor, Speech Pathology Edith Cowan University Speech Pathology
Dr Lyndal Hickey Social Work Snr Project officer, Evidence base in family services Dept Health and Human Services Other
Dr Tenelle Hodson Occupational therapy Occupational therapist and lecturer Griffith university Occupational Therapy
Assoc Prof Stacey Jankelowitz Neurology Clinical Associate Professor University of Sydney Acute Medical
Dr Heidi Janssen Physiotherapy Physiotherapist and Researcher Hunter Medical Research Institute Physiotherapy
Ms Donna Jay Nursing Clinical Nurse Consultant - Rural Stroke Coordinator Shoalhaven District Memorial Hospital Nursing
Dr Laura Jolliffe Occupational therapy Graduate researcher, OT Monash University Occupational Therapy
Dr Bindu Joseph Nursing Lecturer / Course co-ordinator Federation University Australia Nursing
Dr Joosup Kim Public health research Translational Public Health Unit Monash University Economics
Mr Danny Kinsella Nursing Neuroscience Nurse Educator Alfred Hospital Nursing
Prof Tim Kleinig Neurology Director, Stroke Unit Royal Adelaide Hospital Acute Medical
Dr Sharon Kramer Physiotherapy Postdoctoral Researcher and Student Manager AVERT team Deakin University Physiotherapy
Ms Sarah Kuhle Nursing Stroke & TIA Coordinator (RN) Redcliffe Hospital Nursing
Assoc Prof John Laidlaw Neurosurgery Head of neurovascular disorders clinic Royal Melbourne Hospital Acute Medical
  Vicky Lam Occupational therapy Occupational therapist Gold Coast Health Occupational therapy
A/Prof Kate Laver Occupational Therapy Post-Doctoral Research Fellow
Rehabilitation Aged and Extended Care
Flinders University Occupational Therapy
Ms Sandra Lever Nursing CNC Rehabilitation Ryde Hospital Nursing
  Lien Lombardo Nursing Registered nurse and Associate research fellow Western Sydney Nursing & Midwifery Research centre Nursing
  Madeleine Long Psychology Clinical psychologist St Vincent's hospital, Sydney Psychology
Mr Wayne Loudon Ambulance Critcal care paramedic, Metro North Ambulance Metro North - QLD Acute Medical
Dr Elizabeth Lynch Physiotherapy PhD Candidate University of SA Physiotherapy
Ms Lesley MacDonald-Wicks Dietetics Snr lecturer, Nutrition and Dietetics Uni of Newcastle Dietetics
Dr Jodie Marquez Physiotherapy Physiotherapist University of Newcastle Physiotherapy
Dr Di Marsden Physiotherapy Education John Hunter Hospital Physiotherapy
Ms Judy Martineau Dietetics Team Leader Nutrition Wesley Hospital Dietetics
Ms Nikki Mitchell Nursing Clinical Nurse Consultant RPA Nursing
Prof Peter Mitchell Neuro radiology   Royal Melbourne Hospital Acute Medical
Dr Ferdinand Miteff Interventional Neurology Researcher University of Newcastle Acute Medical
Assoc Prof Prue Morgan Physiotherapy Head of Physiotherapy Monash University Physiotherapy
  Jessica Morton Nursing Registered nurse Flinders Medical centre Nursing
Ms Jo Murray Speech Pathology Lecturer, Speech Pathology Flinders University Speech Pathology
  Mali Newman-Plant Social Work Social worker Sacred Heart Rehabilitation Service Social Work
Ms Brittni Nielsen Occupational therapy Occupational therapist Caulfield hospital Occupational therapy
  Jane O'Connell Occupational therapy Snr Occupational therapist Gold Coast Health Occupational therapy
Mr Lachlan Parker Ambulance Executive Manager – Clinical Policy Development Queensland Ambulance Service Acute Medical
Dr Amanda Patterson Dietetics Senior Lecturer; Program Convenor Bachelor Nutrition and Dietetics Uni of Newcastle Dietetics
Prof Thanh Phan Neurology Head, Stroke Unit Monash Medical Centre Acute Medical
Assoc Prof Emma Power Speech Pathology Lecturer, Speech Pathology University of Technology, Sydney Speech Pathology
Dr Miia Rahja Public health research Research Associate - Rehabilitation, Aged and Palliative Care Flinders University Occupational Therapy
Dr Juan Rois Rehabilitation Rehabilitation Physician Ipswich Hospital Rehabilitation Medicine
Dr Ramesh Sahathevan Neurology Neurologist Ballarat Health Service Acute Medical
Dr Lauren Sanders Neurology Stroke Neurologist St Vincent’s Hospital Acute Medical
Ms Danielle Sansonetti Occupational Therapy Grade 4 Occupational Therapist ABI Rehabilitation Centre, Caulfield Hospital Occupational Therapy
Dr Emma Schneider Occupational Therapy Senior Occupational Therapist Caulfield Hospital Occupational Therapy
Mr Karl Schurr Physiotherapy Senior Physiotherapist Bankstown-Lidcombe Hospital Physiotherapy
Dr Alana Schuurs Psychology Senior Clinical and Health Psychologist Gold Coast Health Psychology
Dr Kate Scrivener Physiotherapy Lecturer Macquarie Uni Physiotherapy
  Fahad Shaikh Nursing PhD student / Pharmacist Western Sydney Uni Nursing
Dr Kirstine Shrubsole Speech pathology Lecturer School of Health and human sciences, Southern Cross University Speech pathology
Dr Dawn Simpson Physiotherapy Lecturer in Physiotherapy University of Newcastle Physiotherapy
Ms Susan Starr Speech pathology speech pathologist St V's Sydney Speech Pathology
A/Prof Rene Stolwyk Neuropsychology   Monash University Psychology
Miss Genevieve Tole Physiotherapy Senior Clinician Physiotherapist Caulfield Hospital Physiotherapy
A/Prof Melinda Truesdale Emergency Medicine Emergency Medicine Physician Royal Melbourne Hospital Acute Medical
Prof Carolyn Unsworth Occupational therapy Professor of occupational therapy Dept of Neuroscience, Monash Uni Occupational therapy
Ms Kim Walder Occupational therapy Lecturer, OT School of Allied Health Sciences, Griffith Uni Occupational therapy
  Kylie Wales Occupational therapy Lecturer, OT School of Health Sciences, Uni of Newcastle Occupational therapy
Dr Kylie Wall Speech Pathology Speech Pathologist
PhD student
University of Queensland Speech Pathology
  Sophie Watt Physiotherapy Physiotherapist Gold Coast Hospital Physiotherapy
Assoc Prof Andrew Wong Neurology Director, Neurology and Stroke Royal Brisbane & Women's Hospital Acute Medical
Dr Dana Wong Neuropsychology Snr lecturer in neuropsychology LaTrobe university Psychology
A/Prof Nawaf Yassi Neurology Neurologist and Stroke Research Fellow Royal Melbourne Hospital Acute Medical
Dr Henry Zhao Neurology Neurologist Royal Melbourne Hospital Acute Medical

Consumer Panel

Title Name Description
Ms Toni Arfaras Stroke survivor
Ms Karen Bayly Stroke survivor
Ms Kim Beesley Carer (of daughter)
Mr Brian Beh Stroke survivor
Ms Brenda Booth Stroke survivor
Ms Sue Bowden Stroke survivor
Ms Shelagh Brennand Stroke survivor
Ms Sally Byatt Stroke survivor
Mr Stephen Carpenter Stroke survivor
Ms Hannah Derwent Stroke survivor
Mrs Jessica D'Lima Carer (of husband)
Ms Joan Douglas-Haynes Carer (of husband)
Mr Paul Douglas-Haynes Stroke survivor
Ms Kim Draper Stroke survivor
Mrs Helen Ebzery Carer (of mum)
Mr Peter Eriksen Stroke survivor
Mr Tony Finneran Stroke survivor
Ms Jenny Holmes Carer (of son)
Mr Clive Kempson Stroke survivor
Mr Duncan Mitchell Stroke survivor
Ms Kathryn Moffatt (Thompson) Carer (of father)
Ms Samantha Owen Stroke survivor
Ms Christine Owens Carer (of brother)
Mr John Popham Stroke survivor
Ms Priya Sharma Stroke survivor
Ms Barbara Wolfenden Stroke survivor

Project Development Team

Title Name Role Organisation
Mr Kelvin Hill National Manager, Clinical Services Stroke Foundation
Ms Heidi Li Project Officer Stroke Foundation
Dr Chris Lassig Knowledge Translation Coordinator Stroke Foundation


For more information or to consider volunteering in the expert working group, please contact guidelines@strokefoundation.org.au

This project is a partnership between the Stroke Foundation and Cochrane Australia, and is supported by the Australian government’s Medical Research Future Fund.

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