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评分方法和评估共识的标准的描述性比较在修改后的Delphi方法
Marlo Salum1, Kara Schick-Makaroff1, Richard Sawatzky1,2,3,4
1Faculty of Nursing, College of Health Sciences, University of Alberta, Edmonton, Alberta, Canada.
概括
在修改后的Delphi研究中,共识分析根据参与者群体和利克特比例表的响应如何处理,产生了不同的结果. 仔细考虑分析方法对于准确的解释和应用在医疗保健途径开发中至关重要.
科学领域:
- 医疗保健研究方法的方法.
- 患者和公众参与研究.
背景情况:
- 修改后的Delphi方法是开发医疗保健途径的常见方法.
- 来自有生活经验 (PWLE) 和临床医生的投入至关重要.
- 对于这些研究中的共识分析,存在有限的指导.
研究的目的:
- 通过使用不同的评分方法和标准来检查共识结果.
- 为了比较结果,当参与者被分组在一起,而不是单独.
- 在修改后的Delphi研究中提供共识分析的最佳实践信息.
主要方法:
- 第1轮Delphi数据的二次分析 (PWLE N=8,临床医生/其他人 N=51).
- 对68个陈述的百分比一致性应用了三个评分方法,对"不确定"的答案进行了不同的处理.
- 使用≥70%,≥80%,≥90%的协议截止值比较共识率.
主要成果:
- 根据参与者分组,评分方法和截止标准,共识结果有所不同.
- 一个组合组提供了简化的共识概述.
- 单独的小组提供了更细致的发现.
结论:
- 数据分析方法显著影响研究结论和实际影响.
- 研究人员必须将他们选择的分析方法与研究目标保持一致.
- 选择正确的方法对于为医疗保健实践提供信息至关重要.
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