Exploring the acceptability of a ‘limited patient consent procedure’ for a proposed blood-borne virus screening programme: a Delphi consensus building technique

Crane, Denise; Henderson, Emily; Chadwick, David

doi:10.1136/bmjopen-2016-015373

Cited by 19 publications

(17 citation statements)

References 21 publications

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“…In Delphi exercises, a minimum of 12 respondents is generally considered to be sufficient to enable consensus to be achieved, larger sample sizes can provide diminishing returns regarding the validity of the findings [34–39]. Nevertheless, Delphi sample sizes depend more on group dynamics in reaching consensus than their statistical power [40, 41].…”

Section: Methodsmentioning

confidence: 99%

A Delphi study to build consensus on the definition and use of big data in obesity research

et al. 2019

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Background‘Big data’ has great potential to help address the global health challenge of obesity. However, lack of clarity with regard to the definition of big data and frameworks for effectively using big data in the context of obesity research may be hindering progress. The aim of this study was to establish agreed approaches for the use of big data in obesity-related research.MethodsA Delphi method of consensus development was used, comprising three survey rounds. In Round 1, participants were asked to rate agreement/disagreement with 77 statements across seven domains relating to definitions of, and approaches to, using big data in the context of obesity research. Participants were also asked to contribute further ideas in relation to these topics, which were incorporated as new statements (n = 8) in Round 2. In Rounds 2 and 3 participants re-appraised their ratings in view of the group consensus.ResultsNinety-six experts active in obesity-related research were invited to participate. Of these, 36/96 completed Round 1 (37.5% response rate), 29/36 completed Round 2 (80.6% response rate) and 26/29 completed Round 3 (89.7% response rate). Consensus (defined as > 70% agreement) was achieved for 90.6% (n = 77) of statements, with 100% consensus achieved for the Definition of Big Data, Data Governance, and Quality and Inference domains.ConclusionsExperts agreed that big data was more nuanced than the oft-cited definition of ‘volume, variety and velocity’, and includes quantitative, qualitative, observational or intervention data from a range of sources that have been collected for research or other purposes. Experts repeatedly called for third party action, for example to develop frameworks for reporting and ethics, to clarify data governance requirements, to support training and skill development and to facilitate sharing of big data. Further advocacy will be required to encourage organisations to adopt these roles.

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Section: Methodsmentioning

confidence: 99%

A Delphi study to build consensus on the definition and use of big data in obesity research

et al. 2019

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“…At the ED, most patients are registering for the first time, thus they are suitable candidates for HIV screening in order to bring HIV-infected persons into care, to offer opportunities for prevention of the secondary spread of infection, and to provide the opportunity for counseling non-infected persons to reduce the risk of virus acquisition [11,12,20]. In this study, laboratory tests were not often utilized at the ED, and the anti-HIV Ab test was also not often ordered at the ED (Figure 1).…”

Section: Discussionmentioning

confidence: 99%

“…Recent reports show that the levels of undiagnosed infections for these virus infections are unsatisfactorily declined. Globally, many people that have these viruses are undiagnosed and unaware that they are infected [12–16]. Failure of timely diagnoses of these blood-borne viruses leads to continued transmission of infections and worse clinical outcomes [12].…”

Section: Introductionmentioning

confidence: 99%

“…Globally, many people that have these viruses are undiagnosed and unaware that they are infected [12–16]. Failure of timely diagnoses of these blood-borne viruses leads to continued transmission of infections and worse clinical outcomes [12]. The Centers for Disease Control and Prevention (CDC) recommended that HIV testing become a routine procedure and that all adults be screened for the presence of antibody to HIV [17].…”

Section: Introductionmentioning

confidence: 99%

“…The Centers for Disease Control and Prevention (CDC) recommended that HIV testing become a routine procedure and that all adults be screened for the presence of antibody to HIV [17]. Screening for HIV infection was suggested in some clinical settings, particularly emergency departments [12]. Moreover, a previous report [18] suggested that preoperative screening for these blood-borne viral infections be done in patients undergoing orthopedic surgery to prevent transmission to healthcare workers.…”

Section: Introductionmentioning

confidence: 99%

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Experiences of Screening for Human Immunodeficiency Virus, Viral Hepatitis B, and Viral Hepatitis C Infections at a Hospital in Thailand: Test Utilization and Outcomes

Lekskulchai

2019

Med Sci Monit Basic Res

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Departmental sources Background: To prevent the transmission of HIV and hepatitis B and C viruses, early detection is necessary; however, in the early stage, most infected people are symptomless. Screening for these infections should be targeted to certain clinical settings to increase the early detection rate. Material/Methods: This retrospective study was conducted by analyzing data from patients' medical records to determine how the screening tests for these viral infections were utilized and what the clinical outcomes from the test utilization were. Results: From 11 676 collected records, the screening tests for HIV, HBV, and HCV infections were utilized in 871, 556, and 236 cases, respectively. The tests for HIV and HCV were utilized the most in people with chronic non-infectious diseases, while the test for HBV infection was utilized the most in pregnant women. The positive results of these tests were highly found in the group of patients with acute non-infectious diseases. HIV infection was newly detected in 1.38% of patients, and HBV and HCV infections were newly detected in 5.58% and 2.12%, respectively. Conclusions: Screening for HIV and HBV infections was performed according to the guidelines of the national HIV and HBV programs. The Outpatient Department (OPD) and medical ward may be the most appropriate clinical settings for HIV screening because most patients are there and blood tests are often ordered there, too. The national programs helped slow the rates of HIV and HBV infections in this community.

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Critical network factors for eco‐innovation in manufacturing: A Delphi study from a triple helix perspective

2022

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Managing networks for eco‐innovation remains a top priority in manufacturing due to industrial collaborations being the de facto mode of functioning for modern manufacturing firms. Accordingly, an awareness of critical network factors is imperative for strategies that lead to successful sustainability‐focused partnerships and profitable collaborations. This study applies a group‐based multi‐criterion decision‐making technique—the Delphi methodology—to evaluate critical network factors for eco‐innovation in manufacturing from the viewpoint of 116 experts within the triple helix, that is, university, industry and government experts. The study uniquely frames the eco‐innovation strategy challenge for manufacturing from a network perspective. Review of literature and an online survey identifies 63 network motivational, configurational and transformational factors. Subsequent polled results show heterogeneity during Delphi selection (Cochran's Q: p < 0.001) and prioritisation (Friedman's Q: p < 0.001) rounds with ‘environmental concern by top management’, ‘innovative organisational strategies’, and ‘integrity norms of signed contract’ as the top motivational, configurational and transformational factors. The study also discusses the theoretical and managerial implications of the study for triadic orientations and triple helix framing of eco‐innovation networks and concludes by identifying research limitations and potential future research areas.

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Exploring the acceptability of a ‘limited patient consent procedure’ for a proposed blood-borne virus screening programme: a Delphi consensus building technique

Cited by 19 publications

References 21 publications

A Delphi study to build consensus on the definition and use of big data in obesity research

A Delphi study to build consensus on the definition and use of big data in obesity research

Experiences of Screening for Human Immunodeficiency Virus, Viral Hepatitis B, and Viral Hepatitis C Infections at a Hospital in Thailand: Test Utilization and Outcomes

Critical network factors for eco‐innovation in manufacturing: A Delphi study from a triple helix perspective

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