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Australian Dental Journal Dec 2023Oral health promotion initiatives must be evidence-based and consistent with broader health messaging. The Oral Health Messages for the Australian Public were first...
BACKGROUND
Oral health promotion initiatives must be evidence-based and consistent with broader health messaging. The Oral Health Messages for the Australian Public were first produced in 2009 and sought to enable a focused, and strategic approach to oral health promotion in Australia. As the evidence base and needs of the Australian population have since changed, this consensus statement was updated in 2022-2023.
METHODS
The process of updating the messages consisted of 3 phases (preparatory phase, the Delphi technique, final revision phase). The preparatory phase included public and expert consultation, an umbrella review of published scientific literature and review of available recommendations, policies and guidelines. The Delphi technique used in this study was guided by Guidance on Conducting and REporting DElphi Studies (CREDES) and included 2 voting rounds. There were 70 experts in round 1 and 60 experts in round 2. Delphi participants comprised of experts from a variety of fields to ensure diversity and inclusion, balance expertise and maximize stakeholder representation. Consensus was defined as 75% agreement.
RESULTS
A total of 11 messages were included in the 2022 update of Oral Health Messages for Australia.
CONCLUSION
The updated oral health messages will support oral health promotion policy and activity at both individual and population level to improve the oral health of Australians.
Topics: Humans; Oral Health; Australia; Health Promotion; Consensus; Delphi Technique
PubMed: 37665214
DOI: 10.1111/adj.12973 -
Revista Brasileira de Enfermagem 2020to develop the safe surgery checklist for liver transplantation according to the original model of the World Health Organization and perform content validation. (Review)
Review
OBJECTIVES
to develop the safe surgery checklist for liver transplantation according to the original model of the World Health Organization and perform content validation.
METHODS
a methodological research developed in four stages: integrative review; expert participation; consensus among researchers; and content validation using the Delphi technique in two rounds, by five judges. For data analysis, the Content Validation Index was used.
RESULTS
the first version of the checklist consisted of four surgical moments with 64 items of verification, with an average Content Validation Index of 0.80. After adjustments, in the second round the checklist maintained four surgical moments with 76 items and a Content Validation Index of 0.87.
CONCLUSIONS
the checklist was validated and adequate for the safety of liver transplantation in the surgical environment, given that each item established must be mapped and managed for the success and effectiveness of the procedure.
Topics: Checklist; Consensus; Delphi Technique; Liver Transplantation; World Health Organization
PubMed: 33338123
DOI: 10.1590/0034-7167-2019-0538 -
Journal of Anatomy Jan 2016The Anatomical Society's core syllabus for anatomy (2003 and later refined in 2007) set out a series of learning outcomes that an individual medical student should... (Review)
Review
The Anatomical Society's core syllabus for anatomy (2003 and later refined in 2007) set out a series of learning outcomes that an individual medical student should achieve on graduation. The core syllabus, with 182 learning outcomes grouped in body regions, referenced in the General Medical Council's Teaching Tomorrow's Doctors, was open to criticism on the grounds that the learning outcomes were generated by a relatively small group of anatomists, albeit some of whom were clinically qualified. We have therefore used a modified Delphi technique to seek a wider consensus. A Delphi panel was constructed involving 'experts' (n = 39). The revised core syllabus of 156 learning outcomes presented here is applicable to all medical programmes and may be used by curriculum planners, teachers and students alike in addressing the perennial question: 'What do I need to know ?'
Topics: Anatomy, Regional; Curriculum; Delphi Technique; Education, Medical, Undergraduate; Humans; Societies, Medical
PubMed: 26612592
DOI: 10.1111/joa.12405 -
Gadamerian philosophical hermeneutics as a useful methodological framework for the Delphi technique.International Journal of Qualitative... 2015In this article we aim to demonstrate how Gadamerian philosophical hermeneutics may provide a sound methodological framework for researchers using the Delphi Technique... (Review)
Review
In this article we aim to demonstrate how Gadamerian philosophical hermeneutics may provide a sound methodological framework for researchers using the Delphi Technique (Delphi) in studies exploring health and well-being. Reporting of the use of Delphi in health and well-being research is increasing, but less attention has been given to covering its methodological underpinnings. In Delphi, a structured anonymous conversation between participants is facilitated, via an iterative survey process. Participants are specifically selected for their knowledge and experience with the topic of interest. The purpose of structuring conversation in this manner is to cultivate collective opinion and highlight areas of disagreement, using a process that minimizes the influence of group dynamics. The underlying premise is that the opinion of a collective is more useful than that of an individual. In designing our study into health literacy, Delphi aligned well with our research focus and would enable us to capture collective views. However, we were interested in the methodology that would inform our study. As researchers, we believe that methodology provides the framework and principles for a study and is integral to research integrity. In assessing the suitability of Delphi for our research purpose, we found little information about underpinning methodology. The absence of a universally recognized or consistent methodology associated with Delphi was highlighted through a scoping review we undertook to assist us in our methodological thinking. This led us to consider alternative methodologies, which might be congruent with the key principles of Delphi. We identified Gadamerian philosophical hermeneutics as a methodology that could provide a supportive framework and principles. We suggest that this methodology may be useful in health and well-being studies utilizing the Delphi method.
Topics: Data Collection; Delphi Technique; Health; Hermeneutics; Humans; Philosophy; Research Design
PubMed: 25948132
DOI: 10.3402/qhw.v10.26291 -
Nursing in Critical Care Sep 2023
Topics: Humans; Critical Care Nursing; Delphi Technique; Health Priorities; Critical Care
PubMed: 37495262
DOI: 10.1111/nicc.12950 -
The Journal of International Advanced... Apr 2015Development of a consensus on the definitions and classification of cholesteatoma is essential for scientific community to exchange information on clinical studies and... (Review)
Review
Development of a consensus on the definitions and classification of cholesteatoma is essential for scientific community to exchange information on clinical studies and compare their outcomes. The aim of the study is to reach a consensus among members of the European Academy of Otology and Neurotology (EAONO) regarding the definitions and classification related to cholesteatoma. A set of statements was developed by the authors utilizing the literature on the definition and classification of cholesteatoma. A questionnaire was sent to the members of the EAONO, inviting them to state if they are in agreement with each of the statements and if not, then to provide comments or suggestions for revision. Responses were evaluated and modified using online questionnaire and survey software based on the Delphi technique, a cyclical process of gathering information, summarizing, and re-submitting the revised statements to the same target population until a consensus is reached. Target agreement among the responders was set at a minimum of 80%, and the cycle of revision and re-submission of the statements were repeated until a consensus was reached on a majority of the statements. A steering group has been established to evaluate the results of the survey and worked via the process of cognitive debriefing. Out of 364 EAONO members, 123 responded to the first consensus cycle, 77 to the second cycle, and 53 to the third cycle. After three cycles, all statements concerning cholesteatoma definitions reached the target of 80% consensus. However, a consensus on the classification of cholesteatoma could not be achieved. The steering group excluded four statements of cholesteatoma definition and established a consensus on cholesteatoma classification. A consensus on cholesteatoma definitions was reached among the members of the EAONO. The final revision on consensus statements for cholesteatoma definition and classification has been made via the process of cognitive debriefing of the steering group.
Topics: Cholesteatoma; Consensus; Delphi Technique; Humans; Surveys and Questionnaires
PubMed: 26223725
DOI: 10.5152/iao.2015.1206 -
Respiratory Care Dec 2022Delphi survey techniques are a common consensus method used to collect feedback from an expert panel to inform practices, establish guidelines, and identify research... (Review)
Review
Delphi survey techniques are a common consensus method used to collect feedback from an expert panel to inform practices, establish guidelines, and identify research priorities. Collecting respiratory therapists' (RT) expertise and experiences as part of consensus-building methodologies is one way to ensure that they align with RT practices and to better influence respiratory care practice. This narrative review aimed to report the RT representation in expert panels of Delphi studies focused on respiratory therapy practices and research priorities. The research question that guided this review is: to what extent are RTs included as expert participants among published Delphi studies relate to respiratory therapy and research topics? We conducted a structured search of the literature and identified 23 papers that reported Delphi studies related to respiratory care practices and 15 that reported on respiratory-related research priorities. Delphi studies that focused on reporting consensus on respiratory care practices included the following: (1) mechanical ventilation, (2) high-flow nasal cannula therapy, (3) COVID-19 respiratory management, (4) home oxygen therapy, (5) cardiopulmonary monitoring, and (6) disease-specific guidelines. Delphi studies that focused on establishing respiratory research priorities included the following: (1) theory and practice-orientated knowledge gaps, and (2) priority research topics for empirical investigation. The results of this review suggest that RTs were rarely included as expert participants and, when involved, were minimally represented (5% to 33%). Given RTs' diverse and relevant experience in respiratory care, incorporating their perspectives to inform future education, respiratory care practices, and research priorities would allow evidence to better align with knowledge gaps deemed important for the respiratory therapy profession.
Topics: Humans; Delphi Technique; COVID-19; Respiratory System; Research; Allied Health Personnel
PubMed: 36442987
DOI: 10.4187/respcare.10012 -
Hu Li Za Zhi the Journal of Nursing Feb 2022Older adults have unique and complex care needs that are multifaceted, continuous, and integrated and that span prevention and treatment to long-term rehabilitation.... (Review)
Review
BACKGROUND
Older adults have unique and complex care needs that are multifaceted, continuous, and integrated and that span prevention and treatment to long-term rehabilitation. Case managers are able to integrate healthcare and social resources to help older adults and their caregivers manage the needs of daily life. Therefore, identifying the role and core competencies of geriatric case managers in Taiwan is crucial.
PURPOSE
To develop the role and core competencies of geriatric case managers in Taiwan.
METHODS
Based on a review of the literature, a two-round modified Delphi technique was used to evaluate the framework of the geriatric case manager role and core competencies. Experts were invited to join a panel to review and rank the importance of each role and competency within the context of the Delphi technique.
RESULTS
Four roles and 36 core competencies of geriatric case managers were identified, and 94.4% consensus was reached in round two. The roles and core competencies included care expert (18 competencies), coordinator (6 competencies), consultant (6 competencies), and evidence-based practitioner (6 competencies).
CONCLUSIONS / IMPLICATIONS FOR PRACTICE
Training programs may be developed for geriatric case managers based on the results of this study to further promote the quality of provided geriatric care.
Topics: Aged; Case Managers; Clinical Competence; Consensus; Delphi Technique; Humans; Taiwan
PubMed: 35079998
DOI: 10.6224/JN.202202_69(1).08 -
Bulletin of the World Health... Jun 2021
Topics: Delphi Technique; Global Health; Humans; Nurses; Public Health
PubMed: 34108748
DOI: 10.2471/BLT.21.010621 -
Bulletin of the World Health... Mar 2021
Topics: Delphi Technique; Global Health; Humans; Public Health
PubMed: 33716337
DOI: 10.2471/BLT.21.010321