Development of a longlist of healthcare quality indicators for physical activity of patients during hospital stay: a modified RAND Delphi study

ObjectiveTo develop a longlist of healthcare quality indicators for the care of hospitalised adults of all ages with (or at risk of) low physical activity during the hospital stay.DesignA modified RAND/UCLA Appropriateness Method Delphi study.Setting and participantsParticipants were physical therapists, nurses and managers working in Dutch university medical centres.MethodsThe current study consisted of three phases. Phase I was a systematic literature search for quality indicators and relevant domains. Phase II was a survey among healthcare professionals to collect additional data. Phase III consisted of three consensus rounds. In round 1, experts rated the relevance of the potential indicators online (Delphi). The second round was a face-to-face expert panel meeting managed by an experienced moderator. Acceptability, feasibility and validity of the quality indicators were discussed by the panel members. In round 3, the panel members rated the relevance of the potential indicators that were still under discussion.ResultsThe search retrieved 1556 studies of which 53 studies were assessed full text. Data from 17 studies were included in a first draft longlist of indicators. Eighteen nurses and one physical therapist responded to the survey and added data for a second draft of the longlist. Experts constructed the final longlist of 23 indicators in three consensus rounds. Seven domains were identified: ‘Policy’, ‘Attitude and education’, ‘Equipment and support’, ‘Evaluation’, ‘Information’, ‘Patient-tailored physical activity plan’ and ‘Outcome measure’.Conclusion and implicationsThe healthcare quality indicators developed in this study could help to grade, monitor and improve healthcare for hospitalised adults of all ages with (or at risk of) low physical activity during the hospital stay. Future research will focus on the psychometric quality of the indicators and selection of key performance indicators.

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Healthcare Quality Indicators for Physiotherapy Management in Hip and Knee Osteoarthritis and Rheumatoid Arthritis: A Delphi Study

Musculoskeletal Care ◽

10.1002/msc.1133 ◽

2016 ◽

Vol 14 (4) ◽

pp. 219-232 ◽

Cited By ~ 7

Author(s):

W. F. Peter ◽

E. J. Hurkmans ◽

P. J. van der Wees ◽

E. J. M. Hendriks ◽

L. van Bodegom-Vos ◽

...

Keyword(s):

Rheumatoid Arthritis ◽

Knee Osteoarthritis ◽

Quality Indicators ◽

Delphi Study ◽

Healthcare Quality ◽

Healthcare Quality Indicators

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Team-based musculoskeletal assessment and healthcare quality indicators: A systematic review

Journal of Interprofessional Care ◽

10.1080/13561820.2019.1569603 ◽

2019 ◽

Vol 33 (6) ◽

pp. 774-781

Author(s):

Michelle Chan ◽

Christina Y. Le ◽

Elizabeth Dennett ◽

Terry Defreitas ◽

Jackie L. Whittaker

Keyword(s):

Systematic Review ◽

Quality Indicators ◽

Healthcare Quality ◽

Healthcare Quality Indicators

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Hospital accreditation impact on healthcare quality dimensions: a systematic review

International Journal for Quality in Health Care ◽

10.1093/intqhc/mzaa090 ◽

2020 ◽

Vol 32 (8) ◽

pp. 531-544 ◽

Cited By ~ 1

Author(s):

Claudia A S Araujo ◽

Marina Martins Siqueira ◽

Ana Maria Malik

Keyword(s):

Quality Indicators ◽

Quantitative Methods ◽

Positive Impact ◽

Healthcare Quality ◽

Patient Centeredness ◽

Hospital Accreditation ◽

Eligibility Criteria ◽

Healthcare Quality Indicators ◽

Quality Dimensions ◽

The Impact

Abstract Purpose To systematically review the impact of hospital accreditation on healthcare quality indicators, as classified into seven healthcare quality dimensions. Data source We searched eight databases in June 2020: EBSCO, PubMed, Web of Science, Emerald, ProQuest, Science Direct, Scopus and Virtual Health Library. Search terms were conceptualized into three groups: hospitals, accreditation and terms relating to healthcare quality. The eligibility criteria included academic articles that applied quantitative methods to examine the impact of hospital accreditation on healthcare quality indicators. Study selection We applied the PICO framework to select the articles according to the following criteria: Population—all types of hospitals; Intervention—hospital accreditation; Comparison—quantitative method applied to compare accredited vs. nonaccredited hospitals, or hospitals before vs. after accreditation; Outcomes—regarding the seven healthcare quality dimensions. After a critical appraisal of the 943 citations initially retrieved, 36 studies were included in this review. Results of data synthesis Overall results suggest that accreditation may have a positive impact on efficiency, safety, effectiveness, timeliness and patient-centeredness. In turn, only one study analyzes the impact on access, and no study has investigated the impact on equity dimension yet. Conclusion Mainly due to the methodological shortcomings, the positive impact of accreditation on healthcare dimensions should be interpreted with caution. This study provides an up-to-date overview of the main themes examined in the literature, highlighting critical knowledge-gaps and methodological flaws. The findings may provide value to healthcare stakeholders in terms of improving their ability to assess the relevance of accreditation processes.

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Strategies for Developing and Delivering a Parental Physical Activity Intervention: Answers to the What and How

Journal of Physical Activity and Health ◽

10.1123/jpah.2011-0190 ◽

2014 ◽

Vol 11 (1) ◽

pp. 152-164 ◽

Cited By ~ 4

Author(s):

Kyra Hamilton ◽

Katherine M. White

Keyword(s):

Physical Activity ◽

At Risk ◽

Intervention Program ◽

Physical Activity Intervention ◽

Target Population ◽

Future Research ◽

Group Discussions ◽

Individualized Approach ◽

Information Problem Solving ◽

Parental Physical Activity

Background:Parents are at risk for physical inactivity; however, few studies have designed physical activity (PA) interventions specifically applied to individuals with young children. To ensure the effectiveness of interventions, it may be useful to first elicit the needs from the target population and incorporate salient strategies identified to the design and delivery of a resultant intervention. We aimed to explore strategies for what to include in and how to best deliver a program designed to increase parental PA.Methods:Twelve parents (6 mothers, 6 fathers) of children younger than 5 years participated in focus group discussions exploring strategies for an intervention program designed to increase parental PA.Results:A range of themes such as Focus on the Children and Flexible Life/Family Plans imbedded in strategies such as persuasion and information, problem-solving, skill building, and environmental approaches were identified. In addition, a range of strategies for how to best deliver a parental PA intervention evidenced in emerging themes such as Diverse and Brief and Individualized Approach was discussed.Conclusions:Future research should continue to adopt a ground up, community-based approach to the development and implementation of interventions for this at-risk group to ensure sustained involvement in regular PA.

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Using and Reporting the Delphi Method for Selecting Healthcare Quality Indicators: A Systematic Review

PLoS ONE ◽

10.1371/journal.pone.0020476 ◽

2011 ◽

Vol 6 (6) ◽

pp. e20476 ◽

Cited By ~ 600

Author(s):

Rym Boulkedid ◽

Hendy Abdoul ◽

Marine Loustau ◽

Olivier Sibony ◽

Corinne Alberti

Keyword(s):

Systematic Review ◽

Quality Indicators ◽

Delphi Method ◽

Healthcare Quality ◽

Healthcare Quality Indicators

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Developing a training programme in physical activity counselling for undergraduate medical curricula: a nationwide Delphi study

BMJ Open ◽

10.1136/bmjopen-2019-030425 ◽

2019 ◽

Vol 9 (8) ◽

pp. e030425 ◽

Cited By ~ 1

Author(s):

Apichai Wattanapisit ◽

Prachyapan Petchuay ◽

Sanhapan Wattanapisit ◽

Titiporn Tuangratananon

Keyword(s):

Physical Activity ◽

Medical Education ◽

Medical Students ◽

Delphi Study ◽

Academic Staff ◽

Medical Schools ◽

Training Programme ◽

Teaching Hospitals ◽

Future Research ◽

Medical Curricula

ObjectivesTo identify the essential content and approaches for developing a training programme in physical activity (PA) counselling for undergraduate medical curricula.DesignA three-round Delphi survey was conducted to investigate four key topics: (1) contents of PA counselling in medical education; (2) teaching and learning methods; (3) medical school collaboration and (4) educational policy implementation. Round 1 collected opinions from the participants. Round 2 focused on scoring the opinions. Round 3 summarised the expert opinions. A mean score of 4 or above identified as an important item.SettingAll 23 medical schools in Thailand.ParticipantsAcademic staff who were experts or in charge of medical schools in the fields of PA, health promotion or medical education.ResultsA total of 20 representatives from 18 of the 23 Thai medical schools participated in the study (for a response rate of 78.2%). The top three most important indicators of knowledge were (1) the definition and types of PA (4.75±0.55), (2) the FITT principle (frequency, intensity, time and type) (4.75±0.55) and (3) the benefits of PA (4.65±0.67). The most important component of the training involved general communication skills (4.55±0.60). An extracurricular module (4.05±0.76) was preferable to an intracurricular module (3.95±0.94). Collaborations with medical education centres and teaching hospitals (4.45±0.78) and supporting policies to increase medical students’ PA (4.40±0.73) were considered to be important.ConclusionKnowledge and counselling skills are important for PA counselling. Building collaborations between medical education and health institutions, as well as implementing effective educational policies, are key approaches to the integration of PA counselling into medical education. Future research should focus on investigating the effects of training in PA counselling on the learning outcomes of medical students and the clinical outcomes of patients.

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