An international, multi-disciplinary Delphi study regarding statements for the definition of spinal osteoarthritis

2021 ◽  
Vol 29 ◽  
pp. S270-S271
Author(s):  
K. de Luca ◽  
A. Chiarotto ◽  
F. Cicuttini ◽  
L. Creemers ◽  
E. de Schepper ◽  
...  
Keyword(s):  
Delphi Study ◽  
Spinal Osteoarthritis ◽  
Definition Of

Consensus for statements regarding a definition for spinal osteoarthritis for use in research and clinical practice: A Delphi study

2021 ◽  
Author(s):  
Katie Luca ◽  
Alessandro Chiarotto ◽  
Flavia Cicuttini ◽  
Laura Creemers ◽  
Evelien Schepper ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Delphi Study ◽  
Spinal Osteoarthritis

Defining Social Business Process Management

2019 ◽  
Vol 11 (1) ◽  
pp. 68-82
Author(s):  
Dalia Suša Vugec
Keyword(s):  
Organizational Performance ◽  
Business Process ◽  
Delphi Study ◽  
Business Process Management ◽  
Process Management ◽  
Business Processes ◽  
Traditional Approach ◽  
Social Software ◽  
The Social ◽  
Definition Of

Business process management (BPM) is a holistic discipline which is focused on improving organizational performance by managing the business processes of the organization. In recent decades, it has been widely accepted and implemented across many different organizations with some success. However, there were some issues regarding the traditional approach to BPM, like the reality-model divide, etc. As a response, a new discipline, called social BPM has emerged which is based on the principles of social software. For the purpose of this article, a Delphi study has been conducted with the aim of defining the social BPM as well as to identify its main characteristics. The results are presented in this article, proposing a single definition of social BPM and the list of its characteristics.

scholarly journals Stroke secondary prevention, a non-surgical and non-pharmacological consensus definition: results of a Delphi study

2019 ◽  
Vol 12 (1) ◽  
Author(s):  
Maggie Lawrence ◽  
Eric Asaba ◽  
Elaine Duncan ◽  
Marie Elf ◽  
Gunilla Eriksson ◽  
...  
Keyword(s):  
Risk Factors ◽  
Secondary Prevention ◽  
Delphi Study ◽  
Lifestyle Modification ◽  
Well Being ◽  
Evidence Base ◽  
Consensus Definition ◽  
Lifestyle Risk Factors ◽  
Lifestyle Risk ◽  
Definition Of

Abstract Objective Evidence supporting lifestyle modification in vascular risk reduction is limited, drawn largely from primary prevention studies. To advance the evidence base for non-pharmacological and non-surgical stroke secondary prevention (SSP), empirical research is needed, informed by a consensus-derived definition of SSP. To date, no such definition has been published. We used Delphi methods to generate an evidence-based definition of non-pharmacological and non-surgical SSP. Results The 16 participants were members of INSsPiRE (International Network of Stroke Secondary Prevention Researchers), a multidisciplinary group of trialists, academics and clinicians. The Elicitation stage identified 49 key elements, grouped into 3 overarching domains: Risk factors, Education, and Theory before being subjected to iterative stages of elicitation, ranking, discussion, and anonymous voting. In the Action stage, following an experience-based engagement with key stakeholders, a consensus-derived definition, complementing current pharmacological and surgical SSP pathways, was finalised: Non-pharmacological and non-surgical stroke secondary prevention supports and improves long-term health and well-being in everyday life and reduces the risk of another stroke, by drawing from a spectrum of theoretically informed interventions and educational strategies. Interventions to self-manage modifiable lifestyle risk factors are contextualized and individualized to the capacities, needs, and personally meaningful priorities of individuals with stroke and their families.

Achieving consensus on the definition of conversion to laparotomy: a Delphi study among general surgeons, gynecologists, and urologists

2013 ◽  
Vol 27 (12) ◽  
pp. 4631-4639 ◽  
Author(s):  
Mathijs D. Blikkendaal ◽  
Andries R. H. Twijnstra ◽  
Anne M. Stiggelbout ◽  
Harrie P. Beerlage ◽  
Willem A. Bemelman ◽  
...  
Keyword(s):  
Delphi Study ◽  
General Surgeons ◽  
Definition Of

scholarly journals Developing a Framework for Ankle Function: A Delphi Study

2014 ◽  
Vol 49 (6) ◽  
pp. 747-757 ◽  
Author(s):  
Kelli R. Snyder ◽  
Todd A. Evans ◽  
Peter J. Neibert
Keyword(s):  
Delphi Study ◽  
Ankle Instability ◽  
Ankle Injuries ◽  
Ankle Sprains ◽  
Functional Characteristics ◽  
Repetitive Nature ◽  
Ankle Research ◽  
Assessment Techniques ◽  
Definition Of ◽  
Ankle Function

Context: Addressing clinical outcomes is paramount to providing effective health care, yet there is no consensus regarding the appropriate outcomes to address after ankle injuries. Compounding the problem is the repetitive nature of lateral ankle sprains, referred to as functional (FAI) or chronic (CAI) ankle instability. Although they are commonly used terms in practice and research, FAI and CAI are inconsistently defined and assessed. Objective: To establish definitions of a healthy/normal/noninjured ankle, FAI, and CAI, as well as their characteristics and assessment techniques. Design: Delphi study. Setting: Telephone interviews and electronic surveys. Patients or Other Participants: Sixteen experts representing the fields of ankle function and treatment, ankle research, and outcomes assessment and research were selected as panelists. Data Collection and Analysis: A telephone interview produced feedback regarding the definition of, functional characteristics of, and assessment techniques for a healthy/normal/noninjured ankle, an unhealthy/acutely injured ankle, and FAI/CAI. Those data were compiled, reduced, and returned through electronic surveys and were either included by reaching consensus (80% agreement) or excluded. Results: The definitions of a healthy/normal/noninjured ankle and FAI reached consensus. Experts did not agree on a definition of CAI. Eleven functional characteristics of a healthy/normal/noninjured ankle, 32 functional characteristics of an unhealthy/acutely injured ankle, and 13 characteristics of FAI were agreed upon. Conclusions: Although a consensus was reached regarding the definitions and functional characteristics of a healthy/normal/noninjured ankle and FAI, the experts could only agree on 1 characteristic to include in the FAI definition. Several experts did, however, provide additional comments that reinforced the differences in the interpretation of those concepts. Although the experts could not agree on the definition of CAI, its characteristics, or the preferred use of the terms FAI and CAI, our findings provide progress toward establishing consistency in those concepts.

scholarly journals Consensus Definition of Sport Specialization in Youth Athletes Using a Delphi Approach

2021 ◽  
Author(s):  
David R. Bell ◽  
Traci Snedden ◽  
Kevin Biese ◽  
Evan Nelson ◽  
Andrew Watson ◽  
...  
Keyword(s):  
Delphi Study ◽  
Sports Medicine ◽  
Youth Sport ◽  
Delphi Consensus ◽  
Consensus Definition ◽  
Youth Athletes ◽  
Delphi Approach ◽  
Study Team ◽  
Six Elements ◽  
Definition Of

Context: A single, widely accepted definition of sport specialization does not exist. A consensus definition is necessary to guide youth sport stakeholders on issues associated with sport specialization. Objective: The aim of this study was to develop a consensus definition of youth sport specialization and to identify elements that support the construct of specialization. Design: Delphi Study Setting: Directed Surveys Patients or Other Participants: A consensus panel of 17 experts was created to provide a broad multidisciplinary perspective on sport specialization in youth athletes. Data Collection and Analysis: The final definition was developed per an iterative process that involved four rounds of review. A comprehensive review of literature and expert input supported our initial proposed umbrella definition that included six additional elements. The study team reviewed the results after each round and changes were made to the definition based on panel feedback. Main Outcome Measure(s): Panel members were provided with the definition and six elements and then asked to rate each specific to importance, relevance, and clarity using a 4-point Likert scale. Results: In four Delphi consensus rounds, 17 experts reviewed the umbrella definition and six elements before consensus was reached. The umbrella definition and three of the initial six elements achieved >80% agreement for importance, relevance, and clarity after the fourth round of review. The remaining 3 components did not reach >80% agreement even after iterative edits and were removed. The process resulted in a final consensus definition: Sport specialization is intentional and focused participation in a single sport for a majority of the year that restricts opportunities for engagement in other sports and activities. Conclusions: A consensus-based conceptual definition for sport specialization has been developed using a Delphi method. This definition has important implications for clinicians and sports medicine professionals who support youth athletes.

scholarly journals A Multidisciplinary Delphi Consensus Study of Communicative Participation in Young Children With Language Disorders

2020 ◽  
Vol 63 (6) ◽  
pp. 1793-1806
Author(s):  
Ingrid Singer ◽  
Inge S. Klatte ◽  
Marlies Welbie ◽  
Ingrid C. Cnossen ◽  
Ellen Gerrits
Keyword(s):  
Young Children ◽  
Delphi Study ◽  
Language Disorders ◽  
Likert Scale ◽  
Delphi Panel ◽  
Delphi Consensus ◽  
Speech Language Pathologists ◽  
Communication Problems ◽  
Communicative Participation ◽  
Definition Of

Purpose Our aim was to develop consensus on the definition and operationalization of communicative participation (CP) in 2- to 8-year-old children with language disorders (LDs). A clear definition and operationalization can facilitate the discussion about children's communication problems in daily life between parents and professionals. Method In an online Delphi study, anonymized thoughts and opinions were collected on the definition and operationalization of CP in young children with LD. The 47 Delphi panel members were Dutch parents, young adults with LDs, teachers and assistants, speech-language pathologists, clinical linguists, and clinical researchers. Thematic content analysis was used to develop a concept definition and items operationalizing CP. The Delphi panel rated the suitability of concept definitions using a 7-point Likert scale. Concept definitions were revised with feedback from the Delphi panel until consensus was achieved. The Delphi panel rated items on how well they operationalize CP, using the same Likert scale. Results The majority (79%) of the Delphi panel indicated that the essence of CP was captured by the definition: “CP is understanding and being understood in a social context, by applying verbal and non-verbal communication skills.” In addition, 33 behavioral items were developed. Conclusion This study resulted in strong consensus on the definition of CP between Dutch parents and professionals. Items were developed that can inform speech-language pathologists on the type of questions to ask a child's parents or teacher when discussing CP. Further research is needed on how the items can best be used in clinical practice.

scholarly journals Establishing consensus on a definition of aphasia: an e-Delphi study of international aphasia researchers

Aphasiology ◽  
2020 ◽  
pp. 1-16
Author(s):  
Karianne Berg ◽  
Jytte Isaksen ◽  
Sarah J. Wallace ◽  
Madeline Cruice ◽  
Nina Simmons-Mackie ◽  
...  
Keyword(s):  
Delphi Study ◽  
Definition Of

scholarly journals Consensus on the Definition of Advanced Parkinson’s Disease: A Neurologists-Based Delphi Study (CEPA Study)

2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Maria-Rosario Luquin ◽  
Jaime Kulisevsky ◽  
Pablo Martinez-Martin ◽  
Pablo Mir ◽  
Eduardo S. Tolosa
Keyword(s):  
Activities Of Daily Living ◽  
Movement Disorders ◽  
Delphi Study ◽  
Daily Living ◽  
Ad Hoc ◽  
Motor Fluctuations ◽  
Key Factors ◽  
Advanced Parkinson’S Disease ◽  
Definition Of

To date, no consensus exists on the key factors for diagnosing advanced Parkinson disease (APD). To obtain consensus on the definition of APD, we performed a prospective, multicenter, Spanish nationwide, 3-round Delphi study (CEPA study). An ad hoc questionnaire was designed with 33 questions concerning the relevance of several clinical features for APD diagnosis. In the first-round, 240 neurologists of the Spanish Movement Disorders Group participated in the study. The results obtained were incorporated into the questionnaire and both, results and questionnaire, were sent out to and fulfilled by 26 experts in Movement Disorders. Review of results from the second-round led to a classification of symptoms as indicative of “definitive,” “probable,” and “possible” APD. This classification was confirmed by 149 previous participating neurologists in a third-round, where 92% completely or very much agreed with the classification. Definitive symptoms of APD included disability requiring help for the activities of daily living, presence of motor fluctuations with limitations to perform basic activities of daily living without help, severe dysphagia, recurrent falls, and dementia. These results will help neurologists to identify some key factors in APD diagnosis, thus allowing users to categorize the patients for a homogeneous recognition of this condition.

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