Nominal group technique to establish the core components of home-based rehabilitation for survivors of stroke with severe disability

In the UK, over 20% of patients leaving hospital after a stroke will be severely disabled. Despite this, limited clinical guidance is available to teams tasked with providing support for this complex population at home. Additionally, many areas across the UK are not commissioned to treat this patient cohort, leaving them with no specialist support on discharge.ObjectivesTo establish core components of home-based rehabilitation for survivors of stroke with severe disability, based on expert panel consensus.SettingVirtual nominal group technique (vNGT) across the UK.ParticipantsExperts in the field of stroke rehabilitation (n=14) including researchers, clinicians and those with lived experience.MethodsTwo vNGT were completed using a freely available online platform, Microsoft Teams. The technique’s five stages were completed virtually; introduction, silent idea generation, round robin, clarifications and scoring. Statements were analysed for consensus, those achieving consensus underwent content analysis to form rich overarching consensus statements.ResultsA combined total of 421 statements achieved positive consensus (>75% in agreement), which formed 11 overarching consensus statements. These outline key components of home-based rehabilitation for survivors of stroke with severe disability including the structure and members of the team, as well as the skills and knowledge required.ConclusionThe consensus statements highlight the complexity of managing patients with severe stroke disability following discharge from hospital. This study has the potential to support the provision of services for this patient group, providing a benchmark for commissioners and clinicians as well as setting expectations for stroke survivors and their carers. What remains unknown is how many services currently offer this service to patients with severe disability.

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Identifying research priorities for occupational therapy in the UK: A James Lind Alliance Priority Setting Partnership

British Journal of Occupational Therapy ◽

10.1177/03080226211026557 ◽

2021 ◽

pp. 030802262110265

Author(s):

Jo Watson ◽

Katherine Cowan ◽

Hannah Spring ◽

Jenny Mac Donnell ◽

Ruth Unstead-Joss

Keyword(s):

Lived Experience ◽

Nominal Group Technique ◽

Research Priorities ◽

Occupational Therapists ◽

Evidence Base ◽

Nominal Group ◽

Future Research ◽

Health And Social Care ◽

James Lind Alliance ◽

The Uk

Introduction As the scope and nature of practice evolves in an ever-changing health and social care landscape, it is imperative the profession continues to expand the evidence base underpinning interventions. The Royal College of Occupational Therapists partnered with the James Lind Alliance to bring together people with lived experience, occupational therapists and other people working in the health and care sector to identify contemporary research priorities for the profession in the United Kingdom. Method The JLA’s well-established methodology was adopted. An opening consultation survey gathered unanswered questions. Analysis of responses and evidence checking preceded an initial prioritisation survey. The final prioritisation workshop drew on nominal group technique. Findings 927 respondents submitted 2193 questions. Those within the project’s scope were captured in 66 overarching summary questions using thematic analysis. These were initially ranked by 1140 respondents. 18 questions comprising the 10 most highly ranked by people with lived experience and by those with professional experience were considered by 19 participants in the final workshop. Together, they reached consensus on the Top 10 priorities. Conclusion These research priorities provide a contemporary framework influencing and guiding future research, ensuring it addresses the issues of greatest importance to people accessing and delivering services.

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Stakeholder Generated Ideas for Alternative School Food Provision Models in Australia Using the Nominal Group Technique

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17217935 ◽

2020 ◽

Vol 17 (21) ◽

pp. 7935

Author(s):

Brittany J. Johnson ◽

Dorota Zarnowiecki ◽

Claire L. Hutchinson ◽

Rebecca K. Golley

Keyword(s):

Food System ◽

Nominal Group Technique ◽

Idea Generation ◽

Government Support ◽

Nominal Group ◽

School Food ◽

Diverse Range ◽

Potential Barriers ◽

Food Provision ◽

Group Technique

Good nutrition is important for children’s learning, growth, and development, yet food intake during school hours does not align with recommendations. In Australia, most school children currently bring a packed lunch from home, but what if there was a different way? This project aimed to engage a diverse range of stakeholders to (1) generate, refine and prioritize ideas for novel models of food provision to Australian children within school hours, and (2) to determine and rank the potential barriers and facilitators to changing the school food provision system. This study used nominal group technique virtual workshops—three idea generation workshops (n = 21 participants) and one consensus workshop (n = 11 participants). School lunch prepared onsite was the top ranked food provision model option based on impact and achievability. Potential barriers (n = 26) and facilitators (n = 28) to changing the school food system were generated. The top ranked barrier and facilitator related to government support. This study highlights that there is an opportunity to explore partnerships and utilize existing skills and infrastructure to introduce a universal school-provided lunch model in Australia. The next steps should focus on building the business case capturing the social value of investing in school lunches, including considering parent-paid and subsidized options.

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Diagnosis and Treatment of Deep Vein Thrombosis in the Emergency Department: Results of an Italian Nominal Group Technique Study

Clinical and Applied Thrombosis/Hemostasis ◽

10.1177/1076029620959720 ◽

2020 ◽

Vol 26 ◽

pp. 107602962095972

Author(s):

Aldo Salvi ◽

Cinzia Nitti ◽

Andrea Fabbri ◽

Paolo Groff ◽

Enrico Giuseppe Ruggiero ◽

...

Keyword(s):

Deep Vein Thrombosis ◽

Early Diagnosis ◽

Clinical Experience ◽

Nominal Group Technique ◽

Diagnosis And Treatment ◽

Nominal Group ◽

Vein Thrombosis ◽

Consensus Statements ◽

Deep Vein ◽

Group Technique

Early diagnosis and treatment of deep vein thrombosis (DVT) is a main issue in the Emergency setting. With the aim of assisting clinicians in the diagnosis and the subsequent management of DVT in the Emergency Departments, a Nominal Group Technique (NGT) study was conducted. A panel of 5 Italian experts developed 21 consensus statements based on available evidence and their clinical experience. The agreed consensus statements may assist clinicians in applying the results of clinical studies and clinical experience to routine care settings, providing guidance on all aspects of the risk assessment, prophylaxis, early diagnosis and appropriate treatment of DVT in the EDs.

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Prioritization Of Research Under National Aids Control Programme In India Using Nominal Group Technique

SAARC Journal of Tuberculosis Lung Diseases and HIV/AIDS ◽

10.3126/saarctb.v8i1.5888 ◽

1970 ◽

Vol 8 (1) ◽

pp. 20-30

Author(s):

R Sogarwal ◽

D Bachani

Keyword(s):

Nominal Group Technique ◽

Research Priorities ◽

Control Programme ◽

Pediatric Hiv ◽

Nominal Group ◽

Phase Iii ◽

Hiv Care ◽

Policy Makers ◽

Research Questions ◽

Group Technique

Introduction: During the fi rst 2 years of the fi ve year plan of India’s National AIDS Control Programme Phase-III (NACP-III; 2007-12), various interactive consultative workshops were organized in collaboration with development partners with the objective of identifying priority areas for operational research and further development of research protocols adopting mentorship approach. Methodology: This article is an attempt to present the Nominal Group Technique (NGT) which was used to identify a set of fundable and practically feasible research priorities under NACP-III specifi cally focusing on Prevention of Parent to Child Transmission (PPTCT) and Pediatric HIV Care in India. The activity was undertaken with support of UNICEF in the year 2010. A total of 110 persons participated in the consultation clustering into 37, 36 and 37 members in Group A, B and C, respectively. The participants refl ected the mix of policy makers / decision makers (8), programme managers (12), implementers (36), subject experts / researchers (28), other stakeholders (16). Results: A total of nine highest priority research questions were identifi ed by all the groups in the assigned themes. The value of Kendall’s W coeffi cient of concordance was 0.68, which shows signifi cant agreement among raters on priority research questions (chi-square=16.35; p=0.03). Conclusion: Based on our experience, we can conclude that NGT was found to be an important tool for setting research priorities that is more democratic and transparent than the traditional methods. By applying various stages of the group sessions, participants can experience the rethinking process with reference information to enhance their judgment. The results of our experience may help programme managers / policy makers to plan similar and more improved method in other element of NACP as well as other health programmes. DOI: http://dx.doi.org/10.3126/saarctb.v8i1.5888 SAARCTB 2011; 8(1): 20-30

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Psychographic segmentation of the self-employed: An exploratory study

New England Journal of Entrepreneurship ◽

10.1108/neje-13-02-2010-b004 ◽

2010 ◽

Vol 13 (2) ◽

pp. 47-56 ◽

Cited By ~ 3

Author(s):

Matthew G. Kenney ◽

Art Weinstein

Keyword(s):

Small Business ◽

Personality Traits ◽

Exploratory Study ◽

Nominal Group Technique ◽

The Self ◽

Nominal Group ◽

Academic Literature ◽

Self Employment ◽

Group Technique

Although it is well established in the academic literature that entrepreneurs share common traits, there has been limited research dedicated to evaluating psychographic profiles of the self-employed. Using the Nominal Group Technique, the authors gleaned insight from a panel of experts in an effort to segment the self-employed based on personality traits and the benefits they receive from an entrepreneurial career. The findings show that self-employed individuals can be classified into four distinct segments: Exemplars, Generals, Moms and Dads, and Altruists. Each group derives different benefits from self-employment. Understanding these benefits can greatly assist entrepreneurship educators and marketers of small business oriented products and services.

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Using the nominal group technique effectively

National Productivity Review ◽

10.1002/npr.4040020209 ◽

1983 ◽

Vol 2 (2) ◽

pp. 173-184 ◽

Cited By ~ 24

Author(s):

D. Scott Sink

Keyword(s):

Nominal Group Technique ◽

Nominal Group ◽

Group Technique

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Application of the nominal group technique to inform a co-design project on power assisted exercise equipment for people with stroke

Physiotherapy ◽

10.1016/j.physio.2021.10.049 ◽

2021 ◽

Vol 113 ◽

pp. e80-e81

Author(s):

R. Young ◽

C. Smith ◽

K. Sage ◽

D. Broom

Keyword(s):

Nominal Group Technique ◽

Nominal Group ◽

Design Project ◽

Exercise Equipment ◽

Group Technique

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Abstract 12173: Out-of-Hospital Cardiac Arrest and Community First Response: Identifying Data Collection and Analysis Priorities via the Nominal Group Technique

Circulation ◽

10.1161/circ.144.suppl_2.12173 ◽

2021 ◽

Vol 144 (Suppl_2) ◽

Author(s):

Eithne Heffernan ◽

Dylan Keegan ◽

Jenny Mc Sharry ◽

Tomas Barry ◽

Andrew Murphy ◽

...

Keyword(s):

Cardiac Arrest ◽

Data Collection ◽

Online Survey ◽

Nominal Group Technique ◽

Nominal Group ◽

First Response ◽

Key Stakeholders ◽

Virtual Meeting ◽

Hospital Cardiac Arrest ◽

Group Technique

Introduction: Community First Response (CFR) is an important intervention for out-of-hospital cardiac arrest (OHCA) in many countries. CFR entails the mobilization of volunteers by the Emergency Medical Services (EMS) to respond to OHCAs in their vicinity. These volunteers include lay-people and professionals (e.g. physicians, fire-fighters). CFR can increase rates of cardiopulmonary resuscitation (CPR) or defibrillation performed prior to EMS arrival. However, its impact on additional outcomes (e.g. survival, cognitive function) requires further study. This research aimed to identify the most important CFR data to collect and analyze, as well as the most important uses of CFR data. Methods: This study used the Nominal Group Technique: a structured consensus process where key stakeholders develop a set of prioritized recommendations. There were 16 participants, including CFR volunteers, an OHCA survivor, researchers, clinicians, EMS personnel, and policy-makers. They completed an online survey to generate lists of the most important (1) CFR data to collect and analyze and (2) uses of CFR data. They then attended a virtual meeting where they discussed the survey results in groups before voting for their top ten priorities from each list. They also identified barriers to CFR data collection. Results: The top ten CFR data to collect and analyze included volunteer response time, interventions performed by volunteers, time of emergency, time of CPR initiation, individuals who performed CPR, and the mental and physical effects of being a volunteer. The top ten uses of CFR data included providing feedback to volunteers, increasing bystander participation in resuscitation, improving volunteer training, measuring CFR effectiveness, and encouraging inter-operability with the EMS. Barriers to data collection included time constraints, prioritization of patient care, and limited training. Conclusions: This study established priorities for the collection, analysis, and use of CFR data in consultation with key stakeholders. These findings have important implications for both CFR research and practice. In particular, they can be used to improve the efficiency, consistency, and utility of CFR data collection and to build evidence for this intervention.

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