Step 6. Grading recommendations
All questions were transformed into recommendations prior to anonymous
voting. Post deliberation, the recommendation associated with the
intervention was presented to the GDG members followed by a discussion
focusing on the framing of the recommendation. For consistency, all
recommendations were initially framed as “recommend” and based on
voting results by the GDG members were changed to “recommend” or
“suggest” and in favor or against the intervention. The GDG members
initially voted for or against each recommendation, followed by a vote
on the strength of the recommendation (strong or weak). A simple
majority of >50% was used as the threshold to determine the
direction and strength of the recommendations.