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Co-designing a Living Evidence Architecture

Understanding challenges and opportunities of current systems and ideating for a future platform

OVERVIEW
ACTIVITIES
KEY LEARNINGS
Date
17 February 2025
Location
Monash Victoria
Attendees
34
Activities
3
Duration
6 hours

The Australian Living Evidence Collaboration, Monash Faculties of IT and Art, Design and Architecture and Monash Indonesia hosted their first Incubator-supported workshop that brought together 34 attendees from Australia, Indonesia, Malaysia, Thailand, India and the Philippines. This first workshop focused on understanding the needs and experiences of living evidence synthesis developers. The co-design activities identified crucial strengths and weaknesses of the existing systems and technologies; and key opportunities to improve the development, adaptation and use of living evidence in our region.

ACTIVITIES

Activity 1: Current state challenges and opportunities: Understanding the experience of guideline developers

The workshop featured a series of short presentations offering international, regional, and local perspectives on living guidelines and evidence. Speakers from WHO Headquarters, WPRO, SEARO and Indonesia shared insights from their contexts, including challenges and innovations, helping participants situate their experiences within a broader global landscape.

Workshop 1: 'Hearing from our region' presentations

Activity 2: Current state of living evidence: Hearing from our region

The second activity invited speakers from the Southeast Asia Regional Office (SEARO), the Western Pacific Regional Office (WPRO), Cochrane Indonesia, Cochrane Thailand, and Cochrane Malaysia to discuss the current state of living evidence in their context and share insights from the region.

Workshop 1: 'Hearing from our region' presentations

Activity 3: Co-designing the future inputs to a Living Evidence Architecture for our region

The third activity asked participants to imagine it’s 2030, and a global living evidence platform for the WPRO/SEARO region has been a success, supporting clinical and public health decisions. They reflected on the platform’s key features, how it met regional needs, the most important guideline elements to capture, and which stakeholders were vital to its success.

KEY LEARNINGS

User needs for living guidelines / living evidence

  • Intuitive, person-centric interfaces
  • Customisable for different audiences / needs
  • Integration of automation
  • Interoperability with other systems
  • Reliable systems with an offline option
  • Transparency of methods
  • ‘One stop shop’: everything I need is
    in one place and/or easily retrieved

Challenges of the current living guidelines / living evidence ecosystem

  • Cost!!!
  • Existing systems and processes:
  • Effort required to change may be substantial
  • Stakeholders may not understand pain points of current system
  • Lack of consensus around “living”: what does it mean, when is it necessary, how do we prioritise?
  • Lack of expertise and discoverability: how do we know what’s out there? Who else is working on what?

Opportunities for developing a global living evidence platform

  • Engagement with a larger range of stakeholders
    to ensure varied needs can be met
  • Collaboration to reduce duplication in effort
  • Facilitation of translation into multiple contexts
  • Specific priorities to facilitate strategic allocation of living evidence resources (e.g. prioritise specific recommendations versus entire chapter or guideline)
  • Clearer communication of state of evidence
    (review, recommendations, updates, etc.)

OTHER EVENTS

PLUS Survey
23 January – 6 February 2025
A cross-sectional survey to investigate the usability, key strengths, limitations, and desired improvements of current living guideline platforms.
Learn more.

Convening SEA GLEA Coalition
20-21 May 2025
A two-day global workshop at Monash Indonesia bringing together ~50 evidence users and technology developers/support from 10 countries to understand the needs of the Asia Pacific region for living evidence.
Learn more.

Convening GLEA Software requirements
Q3/4 2025
In-depth co-design process for a globally sustainable/scalable LEA, with the associated co-designed software requirements.

Consolidation Workshop
Q4 2025
Finalising technology requirements and conducting user testing of concepts, bid development, communication strategy.

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