scholarly journals Measuring Severity of Downtime Influence Factors to Naval Ship Operational Availability: A Delphi Study

2018 ◽  
Vol 7 (2.29) ◽  
pp. 940
Author(s):  
Al-Shafiq Bin Abdul Wahid ◽  
Mohd Zamani Bin Ahmad ◽  
Sunarsih . ◽  
Mohd Najib Bin Abdul Ghani Yolhamid ◽  
Mohamad Abu Ubaidah Amir Abu Zarim ◽  
...  
Keyword(s):  
Delphi Study ◽  
Rapid Development ◽  
Influence Factors ◽  
Assessment Method ◽  
Service Support ◽  
Modified Delphi ◽  
Delphi Approach ◽  
Marine Industry ◽  
Naval Ship ◽  
Ship Maintenance

Rapid development of shipbuilding and ship repair industry in recent years has been increasingly transforming the way organizations apply the long term strategic thinking of “cradle to grave” maintenance approach in order to maximize their growth in a dynamic marine industry. With increased ship complexity, size and revolutionary design, organizations strive to balance ideal maintenance philosophies against on-going efforts of cost reduction whilst maintaining high availability of vessels. Despite aspiration and efforts to improve the ship availability, the Royal Malaysian Navy [RMN] vessels which are currently maintained under the In Service Support [ISS] Contracts are hardly tackling the human and equipment related aspects due to limited knowledge and available data on ship Downtime Influence Factors [DIFs]. The current research carried out an explorative study across various engineering disciplines to generate RMN ship maintenance DIFs and their severity measures via a 3-Stage Modified Delphi approach. 30 Experts experienced in daily implementation of naval ship maintenance contracts were involved. In the first stage, Focus Group Discussions [FGDs] amongst Experts were conducted to produce the DIFs, followed by questionnaire distribution to measure the severity of the DIFs in the second stage. In the third stage, the Severe DIFs were confirmed and ranked based on a Risk Assessment method. The study revealed 50 DIFs to RMN ship availability and deduced the top 15 Severe DIFs pinpointing the key problem areas to prioritize efforts in improving RMN ship availability.  

scholarly journals Investigating the Implementation of SMS and Mobile Messaging in Population Screening (the SIPS Study): Protocol for a Delphi Study (Preprint)

2021 ◽  
Author(s):  
Amish Acharya ◽  
Gaby Judah ◽  
Hutan Ashrafian ◽  
Viknesh Sounderajah ◽  
Nick Johnstone-Waddell ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Delphi Study ◽  
Evidence Synthesis ◽  
Population Screening ◽  
Free Text ◽  
Screening Programs ◽  
Modified Delphi ◽  
Delphi Approach ◽  
Screening Services

BACKGROUND The use of mobile messaging, including SMS, and web-based messaging in health care has grown significantly. Using messaging to facilitate patient communication has been advocated in several circumstances, including population screening. These programs, however, pose unique challenges to mobile communication, as messaging is often sent from a central hub to a diverse population with differing needs. Despite this, there is a paucity of robust frameworks to guide implementation. OBJECTIVE The aim of this protocol is to describe the methods that will be used to develop a guide for the principles of use of mobile messaging for population screening programs in England. METHODS This modified Delphi study will be conducted in two parts: evidence synthesis and consensus generation. The former will include a review of literature published from January 1, 2000, to October 1, 2021. This will elicit key themes to inform an online scoping questionnaire posed to a group of experts from academia, clinical medicine, industry, and public health. Thematic analysis of free-text responses by two independent authors will elicit items to be used during consensus generation. Patient and Public Involvement and Engagement groups will be convened to ensure that a comprehensive item list is generated that represents the public’s perspective. Each item will then be anonymously voted on by experts as to its importance and feasibility of implementation in screening during three rounds of a Delphi process. Consensus will be defined a priori at 70%, with items considered important and feasible being eligible for inclusion in the final recommendation. A list of desirable items (ie, important but not currently feasible) will be developed to guide future work. RESULTS The Institutional Review Board at Imperial College London has granted ethical approval for this study (reference 20IC6088). Results are expected to involve a list of recommendations to screening services, with findings being made available to screening services through Public Health England. This study will, thus, provide a formal guideline for the use of mobile messaging in screening services and will provide future directions in this field. CONCLUSIONS The use of mobile messaging has grown significantly across health care services, especially given the COVID-19 pandemic, but its implementation in screening programs remains challenging. This modified Delphi approach with leading experts will provide invaluable insights into facilitating the incorporation of messaging into these programs and will create awareness of future developments in this area. INTERNATIONAL REGISTERED REPORT PRR1-10.2196/32660

scholarly journals Investigating the Implementation of SMS and Mobile Messaging in Population Screening (the SIPS Study): Protocol for a Delphi Study

10.2196/32660 ◽  
2021 ◽  
Vol 10 (12) ◽  
pp. e32660
Author(s):  
Amish Acharya ◽  
Gaby Judah ◽  
Hutan Ashrafian ◽  
Viknesh Sounderajah ◽  
Nick Johnstone-Waddell ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Delphi Study ◽  
Evidence Synthesis ◽  
Population Screening ◽  
Free Text ◽  
Screening Programs ◽  
Modified Delphi ◽  
Delphi Approach ◽  
Screening Services

Background The use of mobile messaging, including SMS, and web-based messaging in health care has grown significantly. Using messaging to facilitate patient communication has been advocated in several circumstances, including population screening. These programs, however, pose unique challenges to mobile communication, as messaging is often sent from a central hub to a diverse population with differing needs. Despite this, there is a paucity of robust frameworks to guide implementation. Objective The aim of this protocol is to describe the methods that will be used to develop a guide for the principles of use of mobile messaging for population screening programs in England. Methods This modified Delphi study will be conducted in two parts: evidence synthesis and consensus generation. The former will include a review of literature published from January 1, 2000, to October 1, 2021. This will elicit key themes to inform an online scoping questionnaire posed to a group of experts from academia, clinical medicine, industry, and public health. Thematic analysis of free-text responses by two independent authors will elicit items to be used during consensus generation. Patient and Public Involvement and Engagement groups will be convened to ensure that a comprehensive item list is generated that represents the public’s perspective. Each item will then be anonymously voted on by experts as to its importance and feasibility of implementation in screening during three rounds of a Delphi process. Consensus will be defined a priori at 70%, with items considered important and feasible being eligible for inclusion in the final recommendation. A list of desirable items (ie, important but not currently feasible) will be developed to guide future work. Results The Institutional Review Board at Imperial College London has granted ethical approval for this study (reference 20IC6088). Results are expected to involve a list of recommendations to screening services, with findings being made available to screening services through Public Health England. This study will, thus, provide a formal guideline for the use of mobile messaging in screening services and will provide future directions in this field. Conclusions The use of mobile messaging has grown significantly across health care services, especially given the COVID-19 pandemic, but its implementation in screening programs remains challenging. This modified Delphi approach with leading experts will provide invaluable insights into facilitating the incorporation of messaging into these programs and will create awareness of future developments in this area. International Registered Report Identifier (IRRID) PRR1-10.2196/32660

Determining Highly Desirable Traits of an Effective Emotional Freedom Techniques Practitioner: A Delphi Study

2017 ◽  
Vol 9 (2) ◽  
pp. 13-25
Author(s):  
Peta Stapleton ◽  
Hannah Chatwin
Keyword(s):  
Content Analysis ◽  
Delphi Study ◽  
Delphi Technique ◽  
Structured Interviews ◽  
Modified Delphi ◽  
Delphi Approach ◽  
Core Elements ◽  
Modified Delphi Technique ◽  
Emotional Freedom Techniques ◽  
Many Core

Due to the distinct lack of definition surrounding the desirable attributes of an effective Emotional Freedom Techniques (EFT) practitioner, this study utilized a modified Delphi technique to explore this. This method is designed to achieve a consensus amongst skilled panelists when an accepted body of literature is lacking. A three-round modified Delphi approach was used and participants were skilled in delivering EFT as a practitioner (N = 22). The first round was an open-ended series of questions derived from the literature, and responses to these initial questions were analyzed using content analysis (nVivo), with common themes identified and grouped together. These themes were then utilized to develop more specific quantitative questions (Likert format) to be used in the subsequent rounds. Consensus was set at 75% agreement on an item and was reached for 11 out of the 15 traits of an effective EFT practitioner identified in round 1. Consensus was also reached for seven out of the eight traits of an ineffective EFT practitioner, but was not reached for many core elements in training. These included adequate training, knowledge of other energy techniques, and the use of structured interviews, among other issues. Consensus was also not reached for the use of screening processes prior to training. These results are discussed in terms of standardization in EFT

Checklist for the Systemic Treatment of Psoriasis Using Biologics: A Delphi Study

2019 ◽  
Vol 23 (3) ◽  
pp. 282-288 ◽  
Author(s):  
Christine Fahim ◽  
Ben Whan Kim ◽  
Marc Bourcier ◽  
Steven Glassman ◽  
Melinda Gooderham ◽  
...  
Keyword(s):  
Delphi Study ◽  
Biologic Therapy ◽  
Systemic Treatment ◽  
Psoriasis Treatment ◽  
Modified Delphi ◽  
Delphi Approach ◽  
Standardized Documentation ◽  
Item Checklist ◽  
History Of ◽  
Synoptic Reporting

Background: Despite the complexity of psoriasis treatment using biologic therapy, there does not exist a standardized synoptic reporting form for the initiation of this population. The purpose of this study was to use a modified Delphi approach to develop a standard checklist for the standardized documentation of patients receiving systemic biologic therapy for psoriasis. Methods: A modified Delphi survey was conducted over 3 rounds (February 2017 through January 2018). An expert panel generated a 51-item checklist that was proposed to participants. Items were rated on an anchored 1-7 Likert scale. Consensus was defined apriori as ≥ 70% agreement by respondents. Results: A total of 58, 17, and 18 dermatologists participated in 3 consecutive Delphi rounds, respectively. Only half of the dermatologists surveyed reported using a checklist for the management of psoriasis. The final checklist comprised 19, 5, 6, and 9 items pertaining to patient history; physical exam and history of systemic therapy; vaccinations; and lab investigations and bloodwork, respectively. Conclusions: Given the increasing availability and complexity of biologic agents for psoriasis treatment, there is a need to promote standardized documentation for this population. The Checklist for the Systemic Treatment of Psoriasis presents 38 items that should be considered when initiating patients with psoriasis on biologic therapy.

scholarly journals A Mixed-Method Modified Delphi Study toward Identifying Key Elements of Psychotherapy in Iran

2020 ◽  
Vol 17 (7) ◽  
pp. 2514 ◽  
Author(s):  
Leeba Rezaie ◽  
Shima Heydari ◽  
Ethan Paschall ◽  
Habibolah Khazaie ◽  
Dena Sadeghi Bahmani ◽  
...  
Keyword(s):  
Effective Treatment ◽  
Thematic Analysis ◽  
Mixed Method ◽  
Delphi Study ◽  
Modified Delphi ◽  
Delphi Approach ◽  
Societal Needs ◽  
Delphi Round ◽  
Systematic Education ◽  
And Training

Purpose: In Iran, psychotherapy is regarded as an effective treatment for psychiatric disorders. However, no previous research has identified the key elements of psychotherapy that may be specific to Iranian society. The current study was conducted in an attempt to identify these elements. Methods: A mixed-method modified Delphi approach was used, taking place over several stages during 2017–2018. The first stage involved interviewing 12 experts in psychotherapy to identify key elements of psychotherapy in Iran by thematic analysis. Then, successive Delphi rounds were conducted to obtain consensus (75% agreement) from 70 psychotherapy experts on these key elements. Results: Key elements of psychotherapy were grouped into the following themes: (1) systematic education/training; (2) psychotherapist competency; (3) psychotherapy reflective of Iranian societal needs; and (4) the substrate (scientific/ethical principles) of psychotherapy. Consensus was reached during two Delphi rounds. In Delphi round 1, 52.8% of the statements reached consensus, and all remaining statements reached consensus in round 2. Conclusions: The key elements of psychotherapy in Iran are a set of conditions for the education and training of competent psychotherapists who can perform psychiatric interventions appropriate to Iranian society under supervised rules. These should serve as a framework for improving the current delivery of psychotherapy in Iran.

Ascertaining top evidence in emergency medicine: A modified Delphi study

CJEM ◽  
2018 ◽  
Vol 21 (2) ◽  
pp. 291-295 ◽  
Author(s):  
Stephanie J. Bazak ◽  
Jonathan Sherbino ◽  
Suneel Upadhye ◽  
Teresa Chan
Keyword(s):  
Emergency Medicine ◽  
Delphi Study ◽  
Expert Consensus ◽  
Junior Resident ◽  
Modified Delphi ◽  
Delphi Approach ◽  
Quality Of Patient Care ◽  
Transition Into Practice ◽  
Junior Residents

AbstractObjectivesThe application of evidence-informed practice in emergency medicine (EM) is critical to improve the quality of patient care. EM is a specialty with a broad knowledge base making it daunting for a junior resident to know where to begin the acquisition of evidence-based knowledge. Our study’s objective was to formulate a list of “top papers” in the field of EM using a Delphi approach to achieve an expert consensus.MethodsParticipants were recruited from all 14 specialty EM programs across Canada by a nomination process by the program directors. The modified Delphi survey consisted of three study rounds, each round sent out via email. The study tool was piloted first with McMaster University’s specialty EM residents. During the first round, participants individually listed top papers relevant to EM. During the two subsequent rounds, participants ranked the papers listed in the first round, with a chance to adjust ranking based on group responses.ResultsA total of eight EM specialty programs responded with 30 responses across the three rounds. There were 119 studies suggested in the first round, and, by the third round, a consensus of>70% agreement was reached to generate the final list of 29 studies.ConclusionsWe produced, via an expert consensus, a list of top studies relevant for Canadian EM physicians in training. It can be used as an educational resource for junior residents as they transition into practice.

scholarly journals A European Research Agenda for Geriatric Emergency Medicine: a modified Delphi study

2020 ◽  
Author(s):  
Simon P. Mooijaart ◽  
Christian H. Nickel ◽  
Simon P. Conroy ◽  
Jacinta A. Lucke ◽  
Lisa S. van Tol ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Delphi Study ◽  
Research Agenda ◽  
Online Survey ◽  
Future Research ◽  
European Research ◽  
Modified Delphi ◽  
Delphi Approach ◽  
Research Questions ◽  
Geriatric Emergency Medicine

Abstract Purpose Geriatric Emergency Medicine (GEM) focuses on delivering optimal care to (sub)acutely ill older people. This involves a multidisciplinary approach throughout the whole healthcare chain. However, the underpinning evidence base is weak and it is unclear which research questions have the highest priority. The aim of this study was to provide an inventory and prioritisation of research questions among GEM professionals throughout Europe. Methods A two-stage modified Delphi approach was used. In stage 1, an online survey was administered to various professionals working in GEM both in the Emergency Department (ED) and other healthcare settings throughout Europe to make an inventory of potential research questions. In the processing phase, research questions were screened, categorised, and validated by an expert panel. Subsequently, in stage 2, remaining research questions were ranked based on relevance using a second online survey administered to the same target population, to identify the top 10 prioritised research questions. Results In response to the first survey, 145 respondents submitted 233 potential research questions. A total of 61 research questions were included in the second stage, which was completed by 176 respondents. The question with the highest priority was: Is implementation of elements of CGA (comprehensive geriatric assessment), such as screening for frailty and geriatric interventions, effective in improving outcomes for older patients in the ED? Conclusion This study presents a top 10 of high-priority research questions for a European Research Agenda for Geriatric Emergency Medicine. The list of research questions may serve as guidance for researchers, policymakers and funding bodies in prioritising future research projects.

Sign in / Sign up

Export Citation Format

Share Document