Accepted for/Published in: Journal of Medical Internet Research
Date Submitted: Nov 21, 2025
Date Accepted: Feb 24, 2026
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How Should Horizon Scanning Studies be Reported? Developing a Checklist of Standard Items: a Pilot Study
ABSTRACT
Background:
Horizon-scanning identifies weak signals of innovation to anticipate future developments, providing strategic value for healthcare decision-making. Unlike evidence synthesis, it addresses emerging and uncertain areas but lacks standardised reporting, limiting transparency, consistency, and impact. Inconsistent terminology and poorly described methods hinder comparability and uptake.
Objective:
This study aimed to develop a prototype reporting checklist and glossary to support structured, transparent, and reproducible reporting of horizon-scanning methods in healthcare innovation.
Methods:
A multidisciplinary working group of horizon-scanning, evidence synthesis, and information specialists was convened at the NIHR Innovation Observatory, the UK national horizon-scanning center, in May 2024. Using PRISMA-ScR as a framework, four workshops were held to adapt relevant reporting items and build a prototype checklist. Internal validation was conducted on 17 eligible Innovation Observatory reports (2017–2024), with scoring to assess item coverage. Items were then refined, classified as mandatory or optional, and finalised through consensus.
Results:
Of 46 outputs screened, 17 met inclusion criteria. Fifteen checklist items achieved ≥50% coverage; 20 scored <50%. The final 35-item checklist (31 single and 4 multi-part items) includes 28 mandatory and 7 optional items. Four novel components were introduced: interest holder description, HIP-D/I scope framework, technology characteristics, and integration of the PESTLE framework.
Conclusions:
This is the first checklist to standardise reporting in health technology horizon-scanning. While this checklist prototype has been developed internally, external validation involving multidisciplinary experts via Delphi and a scoping review are planned. Its adoption can enhance transparency, reproducibility, and strategic impact, strengthening this methodological field. Clinical Trial: Not applicable
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