Table 1 Participants’ suggestions and potential solutions

Preference for different order and number of sections and criteria

Making explicit the already available possibility of collapsing several criteria

Make possible to change the order of sections and criteria (e.g., the recommendation stands at the top rather than at the bottom)

Large amount of work and time invested when completing frameworks in the iEtD

Raise awareness regarding the iEtD's flexibility (e.g., that it is not mandatory to include all criteria or to prepare systematic reviews for each criterion). The amount of work needs to be tailored to the resources of each organization

Difficulties when working with large groups

Small technical teams might be optimal size; explore what kind of extra guidance might be needed for larger technical teams

Make sure good Internet connectivity is available for the work with large groups

Rigorous technical testing needed, simulating use by large panels to resolve stability issues

Unclear wording of terminology and of the signaling questions in the Assessment section

Improve guidance, both general and contextual

Improve wording of the criteria. For example, specify for equity whether it refers to the intervention or the comparison

Increase training possibilities. For example, providing tutorials or related resources

Difficulties when inserting Summary of Findings (SoF) tables

Possible integration with GRADE-Pro or to facilitate a more flexible way of including tables in the iEtD

Further training on how to use the iEtD and other resources, such as Interactive Summary of Findings (iSoF) tables

Preference of some users for the horizontal presentation format (rather than vertical) of the cells for each criterion

Include an additional horizontal presentation format, both for visualization and for its exportation