Development of an adolescent alcohol misuse intervention based on the Prototype Willingness Model

2016 ◽  
Vol 116 (3) ◽  
pp. 275-291 ◽  
Author(s):  
Emma Davies ◽  
Jilly Martin ◽  
David Foxcroft

Purpose – The purpose of this paper is to report on the use of the Delphi method to gain expert feedback on the identification of behaviour change techniques (BCTs) and development of a novel intervention to reduce adolescent alcohol misuse, based on the Prototype Willingness Model (PWM) of health risk behaviour. Design/methodology/approach – Four BCTs based on the PWM were identified and incorporated into a draft intervention that aimed to change alcohol prototypes and enable adolescents to deal with social pressure. Using the Delphi process, successive questionnaires were distributed to 20 international experts to build consensus on the theoretical validity of the intervention. Findings – In total, 15 experts completed round 1 and 11 completed round 2 of the Delphi study. A high level of consensus was achieved. Four priority areas were identified to improve the intervention: incorporating extra techniques to address social pressure; increasing intensity; providing incentives; and addressing credibility. Research limitations/implications – The sample of experts was self-selected and four participants were lost between the first and second round of the study. Practical implications – The effectiveness of the identified BCTs will be evaluated within an intervention to reduce alcohol misuse in adolescents. Further work should build towards a more unified approach to developing interventions based on the PWM. The Delphi method is likely to be particularly useful when there is no existing consensus about which BCTs to use that reflect certain theoretical constructs or that best target a specific population or behaviour. Originality/value – This paper is the first to address the identification of specific BCTs based on the PWM and thus makes an important contribution to the application of this model to interventions. This novel application of the Delphi method also makes a useful addition to the growing field of intervention development and design.

2016 ◽  
Vol 21 (2) ◽  
pp. 85-94 ◽  
Author(s):  
Tracy Flanagan ◽  
Russell Ashmore ◽  
David Banks ◽  
Doug MacInnes

Purpose – The purpose of this paper is to describe how the classic Delphi method can be adapted and structured to ensure that specific research questions are clearly addressed. Design/methodology/approach – As part of a larger mixed method project, a modified Delphi study was undertaken to explore factors influencing publication and non-publication of mental health nursing research. Findings – This paper reports brief findings from the Delphi study. However, its main focus is the methodological issues arising from the Delphi method. Research limitations/implications – The paper argues that the classic Delphi method can be adapted and structured to ensure that specific research questions are able to be clearly answered. The adaptations are pragmatic in approach and in keeping with the general principles underpinning the Delphi method, while successfully addressing the problems of attrition and previous criticism of homogenous panels. Originality/value – This paper offers some practical solutions to issue arising from undertaking research using the Delphi method.


2015 ◽  
Vol 26 (6) ◽  
pp. 852-871 ◽  
Author(s):  
Lauro Andre Ribeiro ◽  
Patricia Pereira da Silva

Purpose – Currently, experimental and theoretical work is being performed to ensure that biofuels from microalgae become a reality. However, there is a considerable number of discussions concerning in which processes should be focussed efforts of research and development. The purpose of this paper is to provide decision support not only to help build guidelines of research to be undertaken, but also to contribute to the design of more adequate policy and funding instruments. The key objective of this study is to determine the prospects of employing microalgae into the production of biofuels within a time scale extending to 2030. Design/methodology/approach – The Delphi method is a qualitative research aiming to support strategic future-oriented action, such as policy making in the areas of science and technology. It is especially appropriate in judgment and long-range forecasting (20-30 years) situations, when expert opinions are often the only source of information available, due to a lack of appropriate historical, economic or technical data. Findings – The Delphi method proved to be a successful research method when expert opinions are the main source of information available, due to a lack of appropriate historical, economic or technical data and the outcomes provided a clear outline of the main issues of microalgae biofuels’ market at present and in the future. Research limitations/implications – The outcomes might not represent the majority of the microalgae experts’ opinion due to the sample size. Originality/value – The work presented in this paper is especially original. According to the authors’ knowledge, this is the first qualitative Delphi study related to algae biofuels.


Author(s):  
Timo Gossler ◽  
Ioanna Falagara Sigala ◽  
Tina Wakolbinger ◽  
Renate Buber

Purpose The purpose of this paper is to determine best practices of aid agencies for outsourcing logistics to commercial logistics service providers (LSPs) in disaster relief. Moreover, it evaluates the application of the Delphi method for research in humanitarian logistics. Design/methodology/approach The paper is based on a two-round Delphi study with 31 experts from aid agencies and a complementary full-day focus group with 12 experts from aid agencies and LSPs. Findings The study revealed 12 best practices for outsourcing logistics in disaster relief and a compilation of more than 100 activities for putting these practices into action. Experts consider a proper balance between efficiency and compliance, a detailed contract and a detailed service request most important. Additionally, the Delphi method was found to be a promising technique for research on humanitarian logistics. Research limitations/implications By critically examining the Delphi method, this study establishes the basis for a wider application of the technique in the field of humanitarian logistics. Furthermore, it can help to prioritize future research as the ranking of practices reflects the priorities of practitioners. Practical implications The paper provides guidance to practitioners at aid agencies in charge of outsourcing logistics. Originality/value This research is one of the first in the field of humanitarian logistics to apply the Delphi method. Moreover, it addresses the lack of literature dealing with approaches for building successful cross-sectoral partnerships.


2021 ◽  
Author(s):  
Angela Pontifex ◽  
Caris Savin ◽  
Caitlin Park ◽  
Alina Filipe Nunes ◽  
K Jane Chalmers ◽  
...  

Abstract Objective Persistent pelvic pain is a complex condition often influenced by psychological factors that can alter treatment outcomes. These factors are potentially modifiable; however, currently there is no instrument to screen for them in these individuals. The purpose of this study was to determine (1) which psychological factors should be screened in individuals with persistent pelvic pain and (2) the most appropriate statements to represent these psychological factors. Methods The study used a focus group design followed by an electronic-Delphi (e-Delphi) process. A focus group consisting of 8 experts was conducted to determine the relevant psychological factors to screen. These results informed round 1 of the e-Delphi process, consisting of a panel of 14 pain/pelvic pain experts. The e-Delphi process consisted of 3 rounds of online surveys and 2 teleconference discussions to establish consensus on the most appropriate statement to screen for each of the psychological factors. Results The focus group identified 13 relevant psychological factors. During the e-Delphi process, relevant screening statements were assessed using a 100-point allocation system. Experts could reword and suggest new statements. Statements were assessed for consensus and stability and were eliminated as the rounds progressed if they met the exclusion criteria. At the termination of round 3, there were 15 statements remaining. Conclusions The final list of 15 statements will assist clinicians in screening for psychological factors and is an important step for clinicians in providing psychologically informed care to people with persistent pelvic pain. Future research should determine the psychometric properties of the statements to determine their clinical utility as a questionnaire. Impact This study has refined a list of statements to help screen for psychological factors in individuals with persistent pelvic pain. Developed robustly using an e-Delphi method, this list is an important first step forward for clinicians to provide psychologically informed care to these individuals.


2021 ◽  
Vol 7 (1) ◽  
Author(s):  
M. A. Arden ◽  
M. Hutchings ◽  
P. Whelan ◽  
S. J. Drabble ◽  
D. Beever ◽  
...  

Abstract Background Cystic fibrosis (CF) is a life-limiting genetic condition in which daily therapies to maintain lung health are critical, yet treatment adherence is low. Previous interventions to increase adherence have been largely unsuccessful and this is likely due to a lack of focus on behavioural evidence and theory alongside input from people with CF. This intervention is based on a digital platform that collects and displays objective nebuliser adherence data. The purpose of this paper is to identify the specific components of an intervention to increase and maintain adherence to nebuliser treatments in adults with CF with a focus on reducing effort and treatment burden. Methods Intervention development was informed by the Behaviour Change Wheel (BCW) and person-based approach (PBA). A multidisciplinary team conducted qualitative research to inform a needs analysis, selected, and refined intervention components and methods of delivery, mapped adherence-related barriers and facilitators, associated intervention functions and behaviour change techniques, and utilised iterative feedback to develop and refine content and processes. Results Results indicated that people with CF need to understand their treatment, be able to monitor adherence, have treatment goals and feedback and confidence in their ability to adhere, have a treatment plan to develop habits for treatment, and be able to solve problems around treatment adherence. Behaviour change techniques were selected to address each of these needs and were incorporated into the digital intervention developed iteratively, alongside a manual and training for health professionals. Feedback from people with CF and clinicians helped to refine the intervention which could be tailored to individual patient needs. Conclusions The intervention development process is underpinned by a strong theoretical framework and evidence base and was developed by a multidisciplinary team with a range of skills and expertise integrated with substantial input from patients and clinicians. This multifaceted development strategy has ensured that the intervention is usable and acceptable to people with CF and clinicians, providing the best chance of success in supporting people with CF with different needs to increase and maintain their adherence. The intervention is being tested in a randomised controlled trial across 19 UK sites.


2021 ◽  
pp. 219256822110126
Author(s):  
Yong Hai ◽  
Jingwei Liu ◽  
Yuzeng Liu ◽  
Tie Liu ◽  
Xinuo Zhang ◽  
...  

Study Design: Modified Delphi study. Objective: The objective of this study was to establish expert consensus on the application of lateral lumbar interbody fusion (LLIF) by using the modified Delphi study. Methods: From June 2019 to March 2020, Members of the Chinese Study Group for Lateral Lumbar Spine Surgery were selected to collect expert feedback using the modified Delphi method where 65 spine surgeons from all over China agreed to participate. Four rounds were performed: 1 face-to-face meeting and 3 subsequent survey rounds. The consensus was achieved with ≥a 70.0% agreement for each question. The recommendation of grade A was defined as ≥90.0% of the agreement for each question. The recommendation of grade B was defined as 80.0-89.9% of the agreement for each question. The recommendation of grade C was defined as 70.0-79.9% of the agreement for each question. Results: A total of 65 experts formed a panelist group, and the number of questionnaires collected was 63, 59, and 62 in the 3 rounds. In total, 5 sections, 71 questions, and 382 items achieved consensus after the Delphi rounds including summary; preoperative evaluation; application at the lumbar spinal stenosis, lumbar disc herniation, lumbar spondylolisthesis, adult degenerative scoliosis, postoperative adjacent segmental degeneration, and revision surgery; complications; and postoperative follow-up evaluation of LLIF. Conclusion: The modified Delphi method was utilized to ascertain an expert consensus from the Chinese Study Group for Lateral Lumbar Spine Surgery to inform clinical decision-making in the application of LLIF. The salient grade A recommendations of the survey are enumerated.


2017 ◽  
Vol 29 (7) ◽  
pp. 1873-1891 ◽  
Author(s):  
Tung-Hsuan Wan ◽  
Yun-Shu Hsu ◽  
Jehn-Yih Wong ◽  
Shin-Hao Liu

Purpose Human capital is the most important determinant of the Hospitality industry’s success. Executive chefs should be skilled in both management and culinary arts, in addition to ensuring the success of the entire hospitality division. The study aims to understand the competencies of executive chefs in international tourist hotels in Taiwan. Design/methodology/approach Literature review and behavioral event interviews were conducted with ten executive chefs and executive sous chefs. The modified Delphi method verified the results using 15 experts. Findings A competency framework was created, with four quadrants – managerial, operational, behaviors and skills – to classify executive chefs’ competencies. Each competency was further divided into sub-competencies – culinary research, emotional control, negotiation skills, job guidance and proactive thinking ability – for 25 items. Quadrants I and II are hard competencies that can be improved through education and training, whereas the third and fourth are soft competencies that require more time for development in workers. Practical implications The two-step study developed a competency framework with a practical reference value. The study results could be utilized by human resources managers during their companies’ training, recruitment, selection and promotion. Originality/value Besides the Delphi method, a deep behavioral event interview that enabled determining critical competencies was also used to collect data. The results obtained could be used to structure schools’ curricula. Collaborations between the hospitality industry and schools could help develop better curricula and training plans to maximize the availability of educational resources.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Sudhir Ambekar ◽  
Dipayan Roy ◽  
Amit Hiray ◽  
Anand Prakash ◽  
Vishal Singh Patyal

PurposeThis study attempts to identify and analyse the barriers to implementing a reverse logistics (RL) system in Indian Construction, Real estate, Infrastructure and Project (CRIP) sectors and present a structured model to identify interdependencies among them.Design/methodology/approachThe barriers to implementing RL in CRIP sectors in India were identified using a Delphi study. The interdependencies were identified using Interpretive Structural Modeling (ISM). Further, using the Matriced' Impacts Croisés Multiplication Appliquée à un Classement (MICMAC) analysis, the barriers were classified on the basis of their driving power and interdependencies.FindingsThe study has identified ten barriers that can hamper the application of an RL system in CRIP sectors. The finding of the ISM model shows that macro level barriers such as lack of awareness of reverse logistics, insufficient government policies and unavailability of standard codes stimulate each other and also drive all other barriers. The organization-specific barriers operating at the strategic/tactical level, namely, company's rigid mechanism, lack of awareness of economic profits, inadequate company’s organizational policies and lack of training, reluctance from stakeholders, scarcity of resources and finance from company are found at the intermediate level of hierarchy and they can be influenced by the barriers at the lower level and influence the barriers on the and higher levels. The operational level barrier namely “Inadequate Information Technology system” is at the top of the hierarchy and can be driven by all the barriers at the lower level.Research limitations/implicationsThe present findings are based on the opinions of experts only from Indian CRIP sectors so the results may require to be validated in other contexts.Practical implicationsThe structural model presenting the interdependencies will be a guide for the CRIP supply chain professionals in understanding and ranking the barriers they may face while implementing the RL system.Originality/valueThe study contributes to the existing literature by providing a set of barriers and their interdependencies faced during the implementation of an RL system implementation in CRIP sectors. It is one of the first studies which identifies barriers applicable to the CRIP firms in India and models their inter-dependencies. Additionally Consequently, these firms can make a move forward towards a circular economy by overcoming these interlinked barriers.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Amin Nedaei ◽  
Mirali Seyednaghavi ◽  
Marzieh Firouzfar ◽  
Nahid Zamani

Purpose In recent years, cities have been facing economic, social and environmental crises that need to be prevented and dealt with. The new subject that has been brought up to improve city resistance to crises is urban resilience. The purpose of this study is to compare the resilience of Tehran and Mashhad to identify the strengths and weaknesses of these two cities for better planning in critical situations. Design/methodology/approach The research methodology is a comparative survey. The importance of the subject was manifested through a literature review. A questionnaire is designed using “the Rockefeller Foundation and ARUP’s model” and the Delphi method for testing 21 research hypotheses to evaluate resilience in the two cities (12 Delphi questionnaires and 232 urban resilience questionnaires). The data is analyzed using independent samples t-test by SPSS software. Findings The results show that both the cities are weak in terms of resilience indicators and sub-indicators, but Mashhad is more resilient than Tehran. Originality/value This paper compares urban resilience in Iran for the first time through a comparative study between two metropolises in the country. The Delphi method also is used for the first time (in Iranian case studies) to obtain the dimensions of urban resilience. By comparing the two cities, we can better understand their strengths and weaknesses.


2021 ◽  
Vol 123 (13) ◽  
pp. 404-427
Author(s):  
Aija Liisa Laitinen ◽  
Tanja Tilles-Tirkkonen ◽  
Leila Karhunen ◽  
Sanna Talvia

PurposeThe importance of food education in primary schools has been globally recognised. However, more detailed definitions of its learning objectives are rarely found. The study aimed to define multisectoral themes and learning objectives for food education in primary education in Finland.Design/methodology/approachA descriptive three-round Delphi study was conducted with experts in food education in various organisations. In the first questionnaire, the participants were asked to define possible objectives for food education related to general objectives for basic education. Respondents of the first questionnaire formed a research panel (n = 22). These panellists were then invited to complete the second (n = 16) and third questionnaires (n = 12), where the objectives were further modified. Qualitative content analysis and Bloom's taxonomy were applied in the process of creating the learning objectives.FindingsIn the iterative process, 42 learning objectives for food education in primary schools were defined. Further, “Sustainability and ethics of food systems” was defined as the cross-cutting theme of food education. In addition, 13 subthemes were defined, which fell into three thematic categories: personal (e.g. feelings), practical (e.g. eating) and intangible (e.g. culture) issues.Originality/valueThe defined learning objectives for a holistic food education may be used in advancing primary school curriculum in Finland and perhaps other countries.


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