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Consensus Statement on Pediatric Disaster Medicine Research Priorities
Yae Sul Jeong1,2, Cullen Clark1,2, Charmaine Lo1
1Division of Emergency Medicine, Nationwide Children's Hospital, Columbus, Ohio.
Insights
Children in the US face disproportionate disaster impacts. A new pediatric disaster medicine research agenda prioritizes preparedness, mental health, and health equity to improve child safety during emergencies.
Area of Science:
- Disaster Medicine
- Pediatric Health
- Public Health Policy
Background:
- Children in the US are disproportionately affected by disasters.
- Pediatric-specific disaster medicine research is limited, highlighting a critical need for a focused research agenda.
- Improving outcomes and preparedness for future events requires a dedicated pediatric focus.
Purpose of the Study:
- To establish an expert consensus-driven research agenda for pediatric disaster medicine in the US.
- To guide the field of pediatric disaster medicine over the next decade.
- To address identified gaps in research for disaster preparedness and response for children.
Main Methods:
- A modified Delphi process involving 48 pediatric healthcare and disaster medicine experts was conducted.
- Data collection occurred between July 1 and July 17, 2024, involving 3 rounds of surveys, discussions, and voting.
- A deductive approach was used to analyze transcripts and refine quantitative results for consensus.
Main Results:
- A total of 261 research questions/areas were generated and categorized into 5 main topics and 20 subtopics.
- Five subtopics achieved high priority and high consensus: capacity/capability, community involvement, health equity, mental health, and technology.
- Additional high priority areas included disaster metrics, research infrastructure, methodology, infectious diseases, and natural disasters.
Conclusions:
- A national consensus research agenda for pediatric disaster medicine was established using a modified Delphi process.
- This agenda provides a roadmap for future research, enhancing evidence-based practices.
- The research agenda aims to improve the health and safety of pediatric populations during disasters.
Importance:
Children in the US are disproportionately affected by disasters. However, pediatric-specific disaster medicine research remains limited, underscoring an urgent need for a pediatric-focused disaster medicine research agenda for the US to improve outcomes and preparedness for future events.
Objective:
To describe an expert consensus-driven research agenda that will help guide the field of pediatric disaster medicine during the next decade.
Design, Setting, And Participants:
On the basis of the findings from a previously conducted scoping review of published pediatric disaster research, this consensus statement convened a panel of 48 pediatric health care and disaster medicine subject matter experts in a Delphi process conducted between July 1 and July 17, 2024, to establish a pediatric disaster research agenda. Expert input was leveraged to enable participants to refine their responses based on feedback until consensus was achieved through 3 rounds of surveys, discussions, and voting. A deductive approach to the transcripts of these Delphi sessions was performed to enhance the quantitative results from the voting rounds surrounding the high priority, uncertain consensus results. This process identified key research areas and determined a prioritized consensus research agenda for pediatric disaster medicine.
Main Outcomes And Measures:
Consensus agenda of pediatric disaster medicine research priorities.
Results:
A total of 48 subject matter experts from 28 different institutions representing 26 US states participated in the modified Delphi process. A total of 106 research questions were generated from the gaps in the literature, and the Delphi panelists contributed an additional 155 research questions or areas, resulting in a total of 261 research questions or research areas. These questions were categorized into 20 subtopics across 5 main topics: preparedness, mitigation and prevention, response, recovery, and education. The panel prioritized 5 subtopics as high priority, high consensus: capacity and capability, community involvement, health equity considerations, mental health needs, and technology. The panel identified 5 additional high priority, high consensus subtopic areas (disaster-specific metrics, disaster research infrastructure, disaster research methodology, infectious disease, and natural disasters) that did not meet the criteria for inclusion.
Conclusions And Relevance:
This consensus statement using a modified Delphi Process established a national consensus-driven research agenda for pediatric disaster medicine, providing a roadmap for future research initiatives. By addressing identified gaps in research for disaster preparedness and response for children, this US-based agenda guides future research, enhances evidence-based practices, and ultimately improves the health and safety of pediatric populations during disasters.
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