Framework of behavioral indicators for outcome evaluation of TB health promotion: a Delphi study of TB suspects and Tb patients

Li, Ying; Ehiri, John E.; Hu, Daiyu; Zhang, Yanqi; Wang, Qingya; Zhang, Shun; Cao, Jia

doi:10.1186/1471-2334-14-268

Cited by 33 publications

(47 citation statements)

References 34 publications

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“…The Delphi method is a broadly accepted strategy for developing consensus recommendations based on expert opinion. The Delphi methodology dates back to the 1950s and was developed to create consensus in social science topics [28][29][30][31][32][33][34]. The methodology is particularly relevant when substantial experience and knowledge on a particular topic are available, but definitive experiments to prove the point are lacking.…”

Section: Discussionmentioning

confidence: 99%

“…There are no generally accepted criteria defining consensus in Delphi studies, and given the wide variety of topics investigated using the Delphi approach, it may not be possible to define generally applicable criteria [32,33,35]. Clearly the consensus represents a degree of agreement only among the experts and may be refuted in the future by rigorous studies [30,31,35].…”

Section: Discussionmentioning

confidence: 99%

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Management of repository corticotrophin injection therapy for pulmonary sarcoidosis: a Delphi study

et al. 2020

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In patients treated with repository corticotrophin injection (RCI) for pulmonary sarcoidosis, effective management of adverse events may improve adherence. However, management of adverse events may be challenging due to limitations in real-world clinical experience with RCI and available published guidelines.We surveyed 12 physicians with a modified Delphi process using three questionnaires. Questionnaire 1 consisted of open-ended questions. Panellists' answers were developed into a series of statements for Questionnaires 2 and 3. In these, physicians rated their agreement with the statements using a Likert scale.Key consensus recommendations included a starting dose of 40 units twice a week for patients with less severe disease, continued at a maintenance dose for patients who responded, particularly those with chronic refractory sarcoidosis. Panellists reached consensus that concomitant steroids should be quickly tapered in patients receiving RCI, but that concomitant use of immunosuppressive medications should be continued. Panellists developed consensus recommendations for adverse event management, and reached consensus that RCI should be down-titrated or discontinued if other interventions for the adverse effects fail or if the adverse effect is severe.In the absence of clinical evidence, our Delphi consensus opinions may provide practical guidance to physicians on the management of RCI to treat pulmonary sarcoidosis.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Management of repository corticotrophin injection therapy for pulmonary sarcoidosis: a Delphi study

et al. 2020

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“…In data processing, descriptive statistical analysis was expressed as frequency, rate, mean and standard deviation. The reliability and representation of the expert consultation were measured according to the following factors: (a) positive feedback rate: Indicated by the rate of return of expert questionnaires and the proposed rate of presentation; (b) authority coefficient: The authority coefficient (Cr) (Li et al, ) was calculated according to the following formula: Cr = (Cs + Ca)/2, where Cs is the experts' familiarity with the indicators and Ca is the judgement criteria for the indicators (Brown, ). The degree of familiarity with the content of the questionnaires and their respective assignments were categorised as follows: extremely familiar (1.00); very familiar (0.80); generally familiar (0.60); less familiar (0.40) and unfamiliar (0.20).…”

Section: Methodsmentioning

confidence: 99%

Construction of an index system for qualitative evaluation of undergraduate nursing students innovative ability: A Delphi study

Dai

Wei

Chen

et al. 2019

Journal of Clinical Nursing

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Aim and objective To establish an index system for the evaluation of undergraduate nursing student innovation ability. Background An index system for evaluation of undergraduate nursing student innovation ability has not been established. Design A three‐round Delphi survey sought opinions from experts about the index system for evaluation of undergraduate nursing student innovation ability. Methods A Delphi survey was used for the study of 19 experts from nursing education, clinical nursing and health management. The consistency of consultation results formed the basis for determining the rounds of consultation. With the importance of consulting experts in the last round, we established the judgement matrix using yaahp7.5 software and the analytic hierarchy process and determined the weight coefficient of each index. A modified recommendation for the Conducting and Reporting of Delphi studies (CREDES) was used to guide this study. Results Nineteen experts from 10 nursing colleges and nine third‐level first‐class hospitals in seven domestic provinces/municipalities were included in this study. The index system was divided into primary, secondary and tertiary levels. Consensus was reached on three primary indicators (‘spirit’, ‘ability’ and ‘achievement’), nine secondary indicators and 28 tertiary indicators. Conclusions A unified and hierarchical quality assessment index framework for nursing undergraduate creative ability was established. The framework should be further tested and improved in practice. Relevance to clinical practice Nursing students are the main force behind clinical nursing in the future. An innovative approach to skill acquisition and application could enhance the student nurse experience. The innovative ability of nursing students is important for identification of education strategies that be implemented to better support those individuals. Furthermore, the construction of the index system is helpful for evaluation of the innovation ability of nursing students that are required to better meet the needs of clinical nursing work in the future.

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“…Evaluation indicators for each of the above target populations are complex and relatively independent. In our previous report, we sought to identify an indicator framework for assessing TB health-promotion activities targeted at TB suspects and TB patients [ 33 ]. In this paper, we seek to address a gap related to the lack of indicators for assessing TB health promotion targeted at policymakers and HCWs.…”

Section: Introductionmentioning

confidence: 99%

“…In this paper, we seek to address a gap related to the lack of indicators for assessing TB health promotion targeted at policymakers and HCWs. Although our earlier study [ 33 ] and the current study followed similar Delphi methodology involving the same study population, data were collected separately for TB patients and suspects, and for TB policymakers and healthcare workers. TB patients and suspects are a unique population; thus, it is important to report separately the behavioral indicators of TB promotional activities directed at them in order to inform policy and practice with a more focused understanding and effective use of data.…”

Section: Introductionmentioning

confidence: 99%

Framework of behavioral indicators evaluating TB health promotion outcomes: a modified Delphi study of TB policymakers and health workers

Ehiri

Hu³

et al. 2015

Infect Dis Poverty

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BackgroundAlthough TB health promotion directed at policy makers and healthcare workers (HCWs) is considered important to tuberculosis (TB) control, no indicators currently assess the impact of such promotional activities. This article is the second in a series of papers that seek to establish a framework of behavioral indicators for outcome evaluation of TB health promotion, using the Delphi method. In the first article, we sought to establish a framework of behavioral indicators for outcome evaluation of TB health promotion among TB suspects and patients. The objective of this second article is to present an indicator framework that can be used to assess behavioral outcomes of TB health promotion directed at policy makers and HCWs.MethodsA two-round, modified Delphi method was used to establish the indicators. Sixteen experts who were knowledgeable and experienced in the field of TB control were consulted in Delphi surveys. A questionnaire was developed following 4 steps, and involved ranking indicators on a five-point Likert scale. The consensus level was 70 %. Median, mode, and Coefficient of variation (CV) were used to describe expert responses. An authority coefficient (Cr) was used to assess the degree of each expert’s authority.ResultsConsensus was achieved following the two survey rounds and several iterations among the experts. For TB health-promotion activities directed at policymakers, the experts reached consensus on 2 domains (“Resource inputs” and “Policymaking and monitoring behaviors”), 4 subdomains (“Human resources” among others), and 13 indicators (“Human resources per 100,000 person” among others). For TB health-promotion activities directed at HCWs, the experts reached consensus on 5 domains (“Self-protective behaviors” among others), 6 sub-domains (“Preventing infection” among others), and 15 indicators (“Average hours of daily workplace disinfection by ultraviolet radiation” among others).ConclusionsThis study identified a conceptual framework of core behavioral indicators to evaluate TB health-promotion activities directed at policymakers and HCWs involved in TB control. Validation in other parts of the world could lead to global consensus on behavioral indicators to evaluate TB health promotion targeted at policymakers and HCWs.Electronic supplementary materialThe online version of this article (doi:10.1186/s40249-015-0087-4) contains supplementary material, which is available to authorized users.

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Framework of behavioral indicators for outcome evaluation of TB health promotion: a Delphi study of TB suspects and Tb patients

Cited by 33 publications

References 34 publications

Management of repository corticotrophin injection therapy for pulmonary sarcoidosis: a Delphi study

Management of repository corticotrophin injection therapy for pulmonary sarcoidosis: a Delphi study

Construction of an index system for qualitative evaluation of undergraduate nursing students innovative ability: A Delphi study

Framework of behavioral indicators evaluating TB health promotion outcomes: a modified Delphi study of TB policymakers and health workers

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