scholarly journals The Care-of-the-Elderly Health Guide

2021 ◽  
Vol 12 ◽  
pp. 215013272110440
Author(s):  
Jean A.C. Triscott ◽  
Bonnie Dobbs ◽  
Lesley Charles ◽  
James Huang ◽  
David Moores ◽  
...  
Keyword(s):  
Focus Group ◽  
Delphi Technique ◽  
Online Survey ◽  
Family Physicians ◽  
The Elderly ◽  
Care Practice ◽  
Evidence Based ◽  
Modified Delphi ◽  
Elderly Health ◽  
Modified Delphi Technique

Introduction: The Evidence-Based Care of the Elderly Health Guide is a clinical guide with cross-references for care recommendations. This guide is an innovative adaptation of the Rourke Baby Record to support elderly care. In 2003, the guide was published with an endorsement from the Health Care-of-the-Elderly Committee of the College of Family Physicians of Canada. Since then, physicians have used the guide as a checklist and a monitoring tool for care to elderly patients. Objective: We will update the 2003 Care-of-the-Elderly Health Guide with current published evidence-based recommendations. Methods: This was a mixed methods study consisting of (1) the creation of a list of topics and corresponding guidelines or recommendations, (2) two focus group discussions among family physicians (n = 12) to validate the list for relevance to practice, and (3) a modified Delphi technique in a group of ten experts in Care of the Elderly and geriatrics to attain consensus on whether the guidelines/recommendations represent best practice and be included. Results: The initial list contained 43 topics relevant to family practice, citing 49 published guidelines or recommendations. The focus group participants found the list of topics and guidelines potentially useful in clinical practice and emphasized the need for user-friendliness and clinical applicability. In the first online survey of the modified Delphi technique, 93% (63/66) of the references attained consensus that these represented standards of care. The other references (3/66) attained consensus in the second online survey. The final list contained 47 topics, citing 66 references. Conclusion: The Care-of-the-Elderly Health Guide is a quick reference to geriatric care, reviewed for relevance by family physicians and a panel of experts. The Guide is intended to be used in primary care practice.

scholarly journals Adaptation of potentially preventable medication-related hospitalisation indicators for indigenous populations in Australia using a modified Delphi technique

BMJ Open ◽  
2019 ◽  
Vol 9 (11) ◽  
pp. e031369
Author(s):  
Jean Marie Spinks ◽  
Lisa M Kalisch Ellett ◽  
Geoffrey Spurling ◽  
Theo Theodoros ◽  
Daniel Williamson ◽  
...  
Keyword(s):  
Medication Review ◽  
Delphi Technique ◽  
Online Survey ◽  
Indigenous Health ◽  
Primary Outcome Measure ◽  
Trial Registration ◽  
Indigenous Populations ◽  
Clinical Indicators ◽  
Modified Delphi ◽  
Modified Delphi Technique

ObjectivesOne of the outcomes of a medication review service is to identify and manage medication-related problems (MRPs). The most serious MRPs may result in hospitalisation, which could be preventable if appropriate processes of care were adopted. The aim of this study was to update and adapt a previously published set of clinical indicators for use in assessing the effectiveness of a medication review service tailored to meet the needs of Indigenous, please note that the use of the term ‘Indigenous’ in this manuscript includes all Aboriginal and Torres Strait Islander people and acknowledges their rich traditions and heterogenous cultures, people, who experience some of the worst health outcomes of all Australians.DesignA modified Delphi technique was used to: (i) identify additional indicators for consideration, (ii) assess whether the original indicators were relevant in the context of Indigenous health and (iii) reach consensus on a final set of indicators. Three rounds of rating were used via an anonymous online survey, with 70% agreement required for indicator inclusion.SettingThe indicators were designed for use in Indigenous primary care in Australia.ParticipantsThirteen panellists participated including medical specialists, general practice doctors, pharmacists and epidemiologists experienced in working with Indigenous patients.ResultsPanellists rated 101 indicators (45 from the original set and 57 newly identified). Of these, 41 were accepted unchanged, seven were rejected and the remainder were either modified before acceptance or merged with other indicators. A final set of 81 indicators was agreed.ConclusionsThis study provides a set of clinical indicators to be used as a primary outcome measure for medication review services for Indigenous people in Australia and as a prompt for pharmacists and doctors conducting medication reviews.Trial registration numberThe trial registration for the Indigenous Medication Review Service feasibility study is ACTRN12618000188235.

scholarly journals The Use of a Modified Delphi Technique to Inform the Development of Best Practice in Interprofessional Training for Collaborative Primary Healthcare

2016 ◽  
Vol 6 (1) ◽  
Author(s):  
Michael Bentley ◽  
Rohan Kerr ◽  
Susan Powell
Keyword(s):  
Primary Healthcare ◽  
Interprofessional Education ◽  
Delphi Technique ◽  
Teaching And Learning ◽  
Online Survey ◽  
Collaborative Practice ◽  
Diverse Range ◽  
Modified Delphi ◽  
Interprofessional Training ◽  
Modified Delphi Technique

Background: Primary healthcare (PHC) education and training is directed to a diverse range of health professionals at undergraduate, postgraduate, and professional levels. Increasing emphasis is being placed on PHC professionals working together in delivering better care and improving patient outcomes. This article reports on using a modified Delphi technique to determine the level of consensus on a series of statements across four domains of interprofessional education (IPE) for collaborative practice: big picture, organization, capabilities, teaching, and learning. Methods and Findings: The modified Delphi technique used three Delphi rounds: the first round comprising workshops, interviews, or online survey; the remaining rounds used online surveys. A panel of 56 PHC medical, nursing, allied health, and workforce experts participated. There was consensus on a set of capabilities for interprofessional learning outcomes and on a range of teaching and learning strategies. Areas for further consideration included identifying interprofessional training opportunities through continuing professional development, and tailoring team-based approaches to diverse PHC settings. Conclusion: The modified Delphi technique used in this project demonstrated a successful engagement of a heterogeneous panel of PHC experts. The principles of IPE for collaborative practice and strategies for delivering interprofessional training could apply across various PHC settings.   

scholarly journals Identifying the Priority Topics for the Assessment of Competence in Care of the Elderly

2018 ◽  
Vol 21 (1) ◽  
pp. 6-13
Author(s):  
Lesley A. Charles ◽  
Chris C. Frank ◽  
Tim Allen ◽  
Tatjana Lozanovska ◽  
Marcel Arcand ◽  
...  
Keyword(s):  
Family Physicians ◽  
The Elderly ◽  
National Standards ◽  
Nominal Group ◽  
Face To Face ◽  
Modified Delphi ◽  
Senior Population ◽  
Modified Delphi Technique ◽  
Added Competence ◽  
Assessment Of Competence

BackgroundWith Canada’s senior population increasing, there is greater demand for family physicians with enhanced skills in Care of the Elderly (COE). The College of Family Physicians Canada (CFPC) has introduced Certificates of Added Competence (CACs), one being in COE. Our objective is to summarize the process used to determine the Priority Topics for the assessment of competence in COE.MethodsA modified Delphi technique was used, with online surveys and face-to-face meetings. The Working Group (WG) of six physicians acted as the nominal group, and a larger group of randomly selected practitioners from across Canada acted as the Validation Group (VG). The WG, and then the VG, completed electronic write-in surveys that asked them to identify the Priority Topics. Responses were compiled, coded, and tabulated to identify the topics and to calculate the frequencies of their selection. The WG used face-to-face meetings and iterative discussion to decide on the final topic names.ResultsThe correlation between the initial Priority Topic list identified by the VG and that identified by the WG is 0.6793. The final list has 18 Priority Topics.ConclusionDefining the required competencies is a first step to establishing national standards in COE.

scholarly journals Development of PATS: A tool to assess professionalism

2019 ◽  
Author(s):  
Humaira Fayyaz Khan ◽  
Raheela Yasmeen ◽  
Shabana Ali ◽  
Tahira Sadiq
Keyword(s):  
Factor Analysis ◽  
Medical Students ◽  
Focus Group ◽  
Content Validity ◽  
Delphi Technique ◽  
Validity Index ◽  
Medical Graduates ◽  
Modified Delphi ◽  
Confirmatory Factor ◽  
Modified Delphi Technique

Abstract Background: Professionalism has become a specific requirement for the medical graduates because of dissatisfaction regarding their preparedness to adequately deal with the challenges of the medical world. It should be assessed as a competency in the final year of medical students through a valid and reliable instrument. The purpose of the study was to develop and validate an instrument to assess the development of professionalism in final year medical students in the local context to assess the readiness off medical graduates. Method: This was a mixed method study with sequential qualitative and quantitative components.Micro scenarios for the preliminary instrument were developed after focus group. These were validated through 3 round modified Delphi technique by emails. A total of 24 participants responded for the first round, 15 for the 2nd and 3 rd rounds. After first round relevance of the item was obtained. Content validity ratio was calculated after second round. Cut off value for items was appropriated to be 0.6, 0.73 for modification and 0.8 for item retention. Second round analysis for revision of the opinions were send to participants for third round and content validity index average and universal agreement were performed. Cognitive pretesting was done. Cronbach’s Alpha for reliability and Confirmatory factor analysis was carried out after piloting. Results: Focus group resulted in 46 micro scenarios through manual qualitative analysis. Modified Delphi technique was used for content validation. First round of Delphi resulted in 35 items. After second round Content validity ratio was calculated. Twelve items were retained, 18 revised and 5 were removed. Content validity index (I-CVI) and content validity scale (S-CVI) was 0.94 and 0.64 respectively. Pre-cognitive testing resulted in modification of 4 items. Confirmatory factor analysis was 4.1. Cronbach’s Alpha was 0.96. Conclusion: The final instrument developed is a 27 item 5-point Likert scale. It has good content validity, reliability and acceptable construct validity. The strength of the instrument was in its process of development, which was focus group discussion, the iterative Delphi rounds, cognitive pre-testing and piloting. It can be used to assess the development of professionalism in the students of final year medical students.

scholarly journals Proposing a set of ethical guidelines for Iranian physiotherapists: results of a modified Delphi technique

2021 ◽  
pp. 01-11
Author(s):  
Marzieh Mohamadi, ◽  
Zahra Rojhani-Shirazi ◽  
Seyed Ali Enjoo ◽  
Ehsan Shamsi-Gooshki ◽  
Iraj Abdollahi ◽  
...  
Keyword(s):  
Focus Group ◽  
Literature Review ◽  
Delphi Technique ◽  
Code Of Ethics ◽  
Ethical Guidelines ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Second Stage ◽  
Modified Delphi ◽  
Modified Delphi Technique

The code of ethical conduct for physiotherapy services must be compatible with the local culture. The ethical guidelines proposed here were developed through a literature review, focus group discussions, and finally a modified Delphi technique to achieve consensus after the data were analysed. At first, the collection of different ethical codes yielded 132 items. In the second stage, repetitive items were discarded, some new items were added, and the various codes were categorised into three domains. Overall, 175 items were considered in the Delphi stage. Subsequently, the items were reduced to 134 in total – 59 in the treatment domain, 41 in research, and 34 in the education domain. The resulting code of ethics will support patients, researchers, students, and teachers in the field of physical therapy with sensitivity to current Iranian legislation and culture.

scholarly journals Building a neuroinfectious disease consensus curriculum

Neurology ◽  
2019 ◽  
Vol 93 (5) ◽  
pp. 208-216
Author(s):  
Arun Venkatesan ◽  
Felicia C. Chow ◽  
Allen Aksamit ◽  
Russell Bartt ◽  
Thomas P. Bleck ◽  
...  
Keyword(s):  
American Academy ◽  
Delphi Technique ◽  
Fellowship Training ◽  
Consensus Process ◽  
Diverse Range ◽  
Modified Delphi ◽  
Delphi Approach ◽  
Modified Delphi Technique ◽  
Comprehensive Curriculum ◽  
American Academy Of Neurology

ObjectiveTo delineate a comprehensive curriculum for fellowship training in neuroinfectious diseases, we conducted a modified Delphi approach to reach consensus among 11 experts in the field.MethodsThe authors invited a diverse range of experts from the American Academy of Neurology Neuro-Infectious Diseases (AAN Neuro-ID) Section to participate in a consensus process using a modified Delphi technique.ResultsA comprehensive list of topics was generated with 101 initial items. Through 3 rounds of voting and discussion, a curriculum with 83 items reached consensus.ConclusionsThe modified Delphi technique provides an efficient and rigorous means to reach consensus on topics requiring expert opinion. The AAN Neuro-ID section provided the pool of diverse experts, the infrastructure, and the community through which to accomplish the consensus project successfully. This process could be applied to other subspecialties and sections at the AAN.

scholarly journals Minimum standards of clinical practice for physiotherapists working in critical care settings in the United Kingdom: A modified Delphi technique

2018 ◽  
Vol 20 (2) ◽  
pp. 118-131 ◽  
Author(s):  
Paul Twose ◽  
Una Jones ◽  
Gareth Cornell
Keyword(s):  
Critical Care ◽  
United Kingdom ◽  
Clinical Practice ◽  
Delphi Technique ◽  
Minimum Standard ◽  
Knowledge And Skills ◽  
Critical Care Units ◽  
Modified Delphi ◽  
The United Kingdom ◽  
Modified Delphi Technique

Introduction Across the United Kingdom, physiotherapy for critical care patients is provided 24 h a day, 7 days per week. There is a national drive to standardise the knowledge and skills of physiotherapists which will support training and reduce variability in clinical practice. Methods A modified Delphi technique using a questionnaire was used. The questionnaire, originally containing 214 items, was completed over three rounds. Items with no consensus were included in later rounds along with any additional items suggested. Results In all, 114 physiotherapists from across the United Kingdom participated in the first round, with 102 and 92 completing rounds 2 and 3, respectively. In total, 224 items were included: 107 were deemed essential as a minimum standard of clinical practice; 83 were not essential and consensus was not reached for 34 items. Analysis/Conclusion This study identified 107 items of knowledge and skills that are essential as a minimum standard for clinical practice by physiotherapists working in United Kingdom critical care units.

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