scholarly journals Development of a Generic Critical Appraisal Tool by Consensus: Presentation of First Round Delphi Survey Results

2005 ◽  
Author(s):  
Jeannie Burnett ◽  
Karen Grimmer ◽  
Saravana Kumar
Keyword(s):  
Health Professionals ◽  
Quantitative Research ◽  
Allied Health ◽  
Critical Appraisal ◽  
The Body ◽  
Allied Health Professionals ◽  
Modified Delphi ◽  
Research Designs ◽  
Critical Appraisal Tool ◽  
Appraisal Tool

The growing importance of evidence based practice is necessitating academics and clinicians to be able to make judgments about the quality of the body of research evidence pertaining to clinical questions. There are numerous critical appraisal tools to assist this process. These are mostly designed for specific research designs, and tend not to reflect the particular concerns of allied health professionals, such as accuracy of diagnosis, adequate description of intervention, and sensitivity and utility of outcome measures. This paper reports the findings of a study which sought expert opinion on the essential criteria for critical appraisal, and whether a generic critical appraisal tool could be developed for allied health use. A modified Delphi technique was used to identify experts, and determine key criteria. Fifteen Australian allied health professionals participated, and identified key criteria as clinical relevance, methodological robustness, statistical robustness, aims that are clearly stated and conclusions that are reasonable considering the results. In terms of the development of a generic critical appraisal tool for all research designs, the opinion was that to adequately deal with critical appraisal of qualitative and quantitative research designs within a generic tool would be challenging.

scholarly journals Quali-Quantitative Analysis (QQA): Why It Could Open New Frontiers for Holistic Health Practice

2006 ◽  
Vol 6 ◽  
pp. 2285-2295
Author(s):  
Erica Bell
Keyword(s):  
Health Professionals ◽  
Health Research ◽  
Quantitative Research ◽  
Allied Health ◽  
Social Science Research ◽  
Science Research ◽  
Holistic Health ◽  
Health Practice ◽  
Remote Communities ◽  
Allied Health Professionals

Holistic health practice is often described as being about understanding the larger contexts of patients, their health services, and their communities. Yet do traditional quantitative and qualitative health research methods produce the best possible evidence for the holistic practices of doctors, nurses, and allied health professionals? This paper argues ““no”, and examines the potential of a cutting-edge, social science research method — Quali-Quantitative Research (QQA) — for providing better evidence for holistic practice, particularly in small-N populations, such as rural and remote communities. It does so with reference to the international literature on holistic medicine, as well as three holistic health projects conducted in Tasmania: about prevention of falls in older people, adolescent substance abuse, and interventions for children aged 0–5 exposed to domestic violence. The findings suggest that much health research fails to capture rigorously the contextual complexity of holistic health challenges: the multiple different needs of individual patients, and the interprofessional approaches needed to deliver multidisciplinary and multiservice health interventions tailored to meet those needs in particular community contexts. QQA offers a “configurational”, case-based, diversity-oriented approach to analysing data that combines qualitative and quantitative techniques to overcome the limitations of both research traditions. The author concludes that QQA could open new frontiers for holistic health by helping doctors, nurses, and allied health professionals answer a fundamental question presented by complex health challenges: “Given this set of whole-of-patient needs, what elements of which interventions in what services would work best in this particular community?””

scholarly journals Development of the MiNDToolkit for management of cognitive and behavioral impairment in motor neuron disease

2020 ◽  
Vol 10 (1) ◽  
pp. 15-25
Author(s):  
Ratko Radakovic ◽  
Helen Copsey ◽  
Carmel Moore ◽  
Eneida Mioshi
Keyword(s):  
Motor Neuron ◽  
Motor Neuron Disease ◽  
Health Professionals ◽  
Allied Health ◽  
General Structure ◽  
Behavioral Impairment ◽  
Allied Health Professionals ◽  
Face To Face ◽  
Modified Delphi ◽  
Behavioral Impairments

Aim: To develop structured guidance, recommendations and techniques for nonpharmacological management of cognitive and behavioral impairments in motor neuron disease, called the MiNDToolkit. Methods: A four-round-modified Delphi method was utilized (online and face-to-face meeting), supplemented by recent research, recommendations, expertise from allied health professionals, clinicians, researchers and clients. Results: Round 1 (N = 47) identified allied health professionals techniques. Round 2 (N = 23) and 3 (N = 19) used expert consensus, refining general focus, specific elements and techniques. Round 4 (N = 8) applied personal, lived and occupational experience, finalizing the general structure and content of specific techniques. Conclusion: The MiNDToolkit is composed of multiple tools to structure decision-making through flowcharts, decision trees and checklists, provide information about impairments, assessment recommendations and techniques or strategies for nonpharmacological management cognitive or behavioral impairments in motor neuron disease.

scholarly journals Strengthening the Quality of Clinical Pharmacokinetic studies: Development and Validation of a Critical Appraisal Tool for Clinical Pharmacokinetic Research

2020 ◽  
Author(s):  
Alaa Soliman ◽  
Shane Pawluk ◽  
Kyle Wilby ◽  
Ousama Rachid
Keyword(s):  
Clinical Pharmacokinetic ◽  
Critical Appraisal ◽  
Delphi Process ◽  
Interquartile Range ◽  
Population Pharmacokinetic ◽  
Pharmacokinetic Studies ◽  
Modified Delphi ◽  
Quality Markers ◽  
Critical Appraisal Tool ◽  
Appraisal Tool

Background: Robust critical appraisal tools for pharmacokinetic studies are lacking. The aim of this study is to develop a valid and reliable critical appraisal tool for clinical pharmacokinetic studies. Methodology: A systematic review was conducted through Embase and Pubmed to identify quality markers of clinical pharmacokinetic studies. Quality-related questions were formulated to help in appraising pharmacokinetic studies. Experts were approached to participate in a modified Delphi process to achieve their consensus regarding the formulated questions based on percentage of agreement between panelists, median and interquartile range. Content and face validity of the tool were assessed twice and by a psychometric expert. Four raters were selected to apply the tool on 30 clinical pharmacokinetic articles to calculate Kappa values to determine interrater and intra-rater reliability. Results: Quality markers of clinical pharmacokinetic studies were identified from fifteen articles. Sixty-four quality-related questions were formulated, but 42 were assessed by twenty-five panelists, who consented to participate in the modified Delphi process rounds. In round 1, 12 out of 42 items reached ≥80 % of agreement, median ≥ 4, and interquartile range ≤ 1. In round 2, 6 out of 28 items met ≥80% of agreement, a median ≥ 4, and interquartile range < 1. In round 3, 3 out of 3 items achieved ≥80% of agreement, a median ≥ 4, and interquartile range < 1. This tool proved to be valid and reliable in appraising retrospective and prospective clinical pharmacokinetic, bioequivalence, and population pharmacokinetic studies. Conclusion: A valid and reliable clinical pharmacokinetic critical appraisal tool containing twenty-one questions was developed

scholarly journals B-AB05-03 A SAME DAY DISCHARGE STRATEGY AFTER ATRIAL FIBRILLATION ABLATION THAT IS OVERSEEN BY ALLIED HEALTH PROFESSIONALS CAN BE INITIATED SAFELY AND EFFECTIVELY

Heart Rhythm ◽  
2021 ◽  
Vol 18 (8) ◽  
pp. S8
Author(s):  
Lauren Ashley Rousseau ◽  
Nicole M. Bourque ◽  
Tiffany Andrade ◽  
Megan E.B. Antonellis ◽  
Patrice Hoskins ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Health Professionals ◽  
Allied Health ◽  
Atrial Fibrillation Ablation ◽  
Allied Health Professionals ◽  
Same Day Discharge

scholarly journals Sustainable healthcare – Time for ‘Green Podiatry’

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Angela Margaret Evans
Keyword(s):  
Climate Change ◽  
Carbon Dioxide ◽  
Greenhouse Gases ◽  
Health Professionals ◽  
Carbon Dioxide Emissions ◽  
Allied Health ◽  
World Health ◽  
Main Body ◽  
Allied Health Professionals ◽  
Foot Health

Abstract Background Healthcare aims to promote good health and yet demonstrably contributes to climate change, which is purported to be ‘the biggest global health threat of the 21st century’. This is happening now, with healthcare as an industry representing 4.4% of global carbon dioxide emissions. Main body Climate change promotes health deficits from many angles; however, primarily it is the use of fossil fuels which increases atmospheric carbon dioxide (also nitrous oxide, and methane). These greenhouse gases prevent the earth from cooling, resulting in the higher temperatures and rising sea levels, which then cause ‘wild weather’ patterns, including floods, storms, and droughts. Particular vulnerability is afforded to those already health compromised (older people, pregnant women, children, wider health co-morbidities) as well as populations closer to equatorial zones, which encompasses many low-and-middle-income-countries. The paradox here, is that poorer nations by spending less on healthcare, have lower carbon emissions from health-related activity, and yet will suffer most from global warming effects, with scant resources to off-set the increasing health care needs. Global recognition has forged the Paris agreement, the United Nations sustainable developments goals, and the World Health Organisation climate change action plan. It is agreed that most healthcare impact comes from consumption of energy and resources, and the production of greenhouse gases into the environment. Many professional associations of medicine and allied health professionals are advocating for their members to lead on environmental sustainability; the Australian Podiatry Association is incorporating climate change into its strategic direction. Conclusion Podiatrists, as allied health professionals, have wide community engagement, and hence, can model positive environmental practices, which may be effective in changing wider community behaviours, as occurred last century when doctors stopped smoking. As foot health consumers, our patients are increasingly likely to expect more sustainable practices and products, including ‘green footwear’ options. Green Podiatry, as a part of sustainable healthcare, directs us to be responsible energy and product consumers, and reduce our workplace emissions.

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