Use of consensus development to establish national research priorities in critical care

Vella, Keryn

doi:10.1136/bmj.320.7240.976

Cited by 176 publications

(133 citation statements)

References 11 publications

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“…The NGT has been previously used successfully with groups of two to nine people with aphasia (Garcia, Laroche, & Barrette, 2002;Lomas, Pickard, & Mohide, 1987). Studies using the NGT have reported increased difficulty in prioritisation as group numbers increase (Aspinal, Hughes, Dunckley, & Addington-Hall, 2006;Vella, Goldfrad, Rowan, Bion, & Black, 2000), accordingly group size was capped at a maximum of six people.…”

Section: Methodsmentioning

confidence: 99%

Which outcomes are most important to people with aphasia and their families? an international nominal group technique study framed within the ICF

Wallace

Worrall

Rose

et al. 2016

Disability and Rehabilitation

192

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This is the accepted version of the paper.This version of the publication may differ from the final published version. Permanent repository link:http://openaccess.city.ac.uk/15003/ Link to published version: http://dx.doi.org/10. 1080/09638288.2016.1194899 Copyright and reuse: City Research Online aims to make research outputs of City, University of London available to a wider audience. Copyright and Moral Rights remain with the author(s) and/or copyright holders. URLs from City Research Online may be freely distributed and linked to. City Research Online: http://openaccess.city.ac.uk/ publications@city.ac.uk City Research OnlineAbstract Purpose: To identify important treatment outcomes from the perspective of people with aphasia and their families using the ICF as a frame of reference. Methods:The nominal group technique was used with people with aphasia and their family members in seven countries to identify and rank important treatment outcomes from aphasia rehabilitation. People with aphasia identified outcomes for themselves; and family members identified outcomes for themselves and for the person with aphasia. Outcomes were analysed using qualitative content analysis and ICF linking.Results: A total of 39 people with aphasia and 29 family members participated in one of 16 nominal groups. Inductive qualitative content analysis revealed the following six themes: (1) Improved communication; (2) Increased life participation; (3) Changed attitudes through increased awareness and education about aphasia; (4) Recovered normality; (5) Improved physical and emotional well-being; and (6) Improved health (and support) services.Prioritised outcomes for both participant groups linked to all ICF components; primarily Activity/Participation (39%) and Body Functions (36%) for people with aphasia, and Activity/Participation (49%) and Environmental Factors (28%) for family members.Outcomes prioritised by family members relating to the person with aphasia, primarily linked to Body Functions (60%). Conclusions:People with aphasia and their families identified treatment outcomes which span all components of the ICF. This has implications for research outcome measurement and clinical service provision which currently focuses on the measurement of Body Function outcomes. The wide range of desired outcomes generated by both people with aphasia and their family members, highlights the importance of collaborative goal setting within a familycentred approach to rehabilitation. These results will be combined with other stakeholder perspectives to establish a core outcome set for aphasia treatment research. Achieving outcomes that are important to consumers is a key factor in maximising the value of healthcare (Porter & Lee, 2013). This conceptualisation of value reflects a broader shift in health care towards person-centred services which seek to meet individual needs in holistic ways (World Health Organization., 2007). In aphasia rehabilitation, the value of measuring consumer-important outcomes has steadily gained momentum in ...

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Section: Methodsmentioning

confidence: 99%

Which outcomes are most important to people with aphasia and their families? an international nominal group technique study framed within the ICF

Wallace

Worrall

Rose

et al. 2016

Disability and Rehabilitation

192

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“…Grenzen der Intensivmedizin Vella et al 2000): Die Liste der Ergebnisse zeigt, dass viele der Fragen, die für Angebotsplanungen und für Strukturentscheidungen relevant sind, eine hohe Priorität haben und offensichtlich der Beantwortung harren. Die Skala der Bewertungen in der folgenden Tabelle reicht von 1 (gering) bis 9 (hoch).…”

Section: Entwicklung Von Entscheidungskriterien Trotz Großen Fortschrunclassified

Evidenzbasierte Bedarfsplanung f�r Intensivbetten

Wilhelm¹,

Narath²,

Wild³

2012

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“…As a surrogate measure of the extent of agreement, and one that has been used elsewhere (14), we calculated the concentration of ratings for each component using the average absolute deviation from the median. To compare the changes between the first and second round ratings of components rated twice, we used the Wilcoxon Signed Ranks Test for paired data.…”

Section: Discussionmentioning

confidence: 99%

Acupuncture as a complex intervention for depression: A consensus method to develop a standardised treatment protocol for a randomised controlled trial

MacPherson

Schroer

2007

Complementary Therapies in Medicine

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Use of consensus development to establish national research priorities in critical care

Abstract: Objectives To test the feasibility of using a nominal group technique to establish clinical and health services research priorities in critical care and to test the representativeness of the group's views.

Cited by 176 publications

References 11 publications

Which outcomes are most important to people with aphasia and their families? an international nominal group technique study framed within the ICF

Which outcomes are most important to people with aphasia and their families? an international nominal group technique study framed within the ICF

Evidenzbasierte Bedarfsplanung f�r Intensivbetten

Acupuncture as a complex intervention for depression: A consensus method to develop a standardised treatment protocol for a randomised controlled trial

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