PDF(Pubmed)
Abstract：
OBJECTIVE: Despite rising prevalence rates, no standard tool is available to identify individuals at risk of developing contractures. This study aimed to gain expert consensus on items for the development of the Observational Risk Assessment Tool for Contractures: Longitudinal Evaluation (ORACLE) for care home residents.
METHODS: A two-round, online modified Delphi study.
METHODS: Panellists were qualified healthcare professionals with a background in physiotherapy, occupational therapy, nursing, and rehabilitation medicine.
METHODS: In the first round, the experts were asked to rate the predesigned list of items on a Likert scale while in the second round, consensus was sought in the areas of disagreement identified in the previous round.
RESULTS: The two rounds of the Delphi survey included 30 and 25 panellists, respectively. The average clinical and academic experience of the panellists was 22.2 years and 10.5 years, respectively. The panel demonstrated a high level of consensus regarding the clinical factors (10 out of 15 items); preventive care approaches (9 out of 10 items), and contextual factors (12 out of 13 items) ranging from 70% to 100%.
CONCLUSIONS: This Delphi study determined expert consensus on items to be included in a contracture risk assessment tool (ORACLE). The items were related to factors associated with joint contractures, appropriate preventive care interventions, and potentially relevant contextual factors associated with care home settings. The promise of a risk assessment tool that includes these items has the capacity to reduce the risk of contracture development or progression and to trigger timely and appropriate referrals to help prevent further loss of function and independence.
METHODS: A two-round, online modified Delphi study.
METHODS: Panellists were qualified healthcare professionals with a background in physiotherapy, occupational therapy, nursing, and rehabilitation medicine.
METHODS: In the first round, the experts were asked to rate the predesigned list of items on a Likert scale while in the second round, consensus was sought in the areas of disagreement identified in the previous round.
RESULTS: The two rounds of the Delphi survey included 30 and 25 panellists, respectively. The average clinical and academic experience of the panellists was 22.2 years and 10.5 years, respectively. The panel demonstrated a high level of consensus regarding the clinical factors (10 out of 15 items); preventive care approaches (9 out of 10 items), and contextual factors (12 out of 13 items) ranging from 70% to 100%.
CONCLUSIONS: This Delphi study determined expert consensus on items to be included in a contracture risk assessment tool (ORACLE). The items were related to factors associated with joint contractures, appropriate preventive care interventions, and potentially relevant contextual factors associated with care home settings. The promise of a risk assessment tool that includes these items has the capacity to reduce the risk of contracture development or progression and to trigger timely and appropriate referrals to help prevent further loss of function and independence.
摘要：
目标：尽管患病率上升，目前尚无标准工具可用于识别有发生挛缩风险的个体.这项研究旨在就以下项目达成专家共识：为养老院居民开发挛缩观察性风险评估工具：纵向评估（ORACLE）。
方法：两轮，在线修改Delphi研究。
方法：小组成员是具有物理治疗背景的合格医疗保健专业人员，职业治疗,护理,和康复医学。
方法：在第一轮中，在第二轮中，专家们被要求在李克特量表上对预先设计的项目清单进行评级，在上一轮确定的分歧领域寻求共识。
结果：两轮德尔菲调查包括30名和25名小组成员，分别。小组成员的平均临床和学术经验为22.2年和10.5年,分别。小组在临床因素（15个项目中的10个）；预防性护理方法（10个项目中的9个），和上下文因素(13个项目中有12个)，范围从70%到100%。
结论：本Delphi研究确定了将包含在挛缩风险评估工具（ORACLE）中的项目的专家共识。这些项目与关节挛缩相关的因素有关，适当的预防性护理干预措施，以及与养老院设置相关的潜在相关情境因素。包括这些项目的风险评估工具的承诺有能力降低挛缩发展或进展的风险，并触发及时和适当的转诊，以帮助防止功能和独立性的进一步丧失。
方法：两轮，在线修改Delphi研究。
方法：小组成员是具有物理治疗背景的合格医疗保健专业人员，职业治疗,护理,和康复医学。
方法：在第一轮中，在第二轮中，专家们被要求在李克特量表上对预先设计的项目清单进行评级，在上一轮确定的分歧领域寻求共识。
结果：两轮德尔菲调查包括30名和25名小组成员，分别。小组成员的平均临床和学术经验为22.2年和10.5年,分别。小组在临床因素（15个项目中的10个）；预防性护理方法（10个项目中的9个），和上下文因素(13个项目中有12个)，范围从70%到100%。
结论：本Delphi研究确定了将包含在挛缩风险评估工具（ORACLE）中的项目的专家共识。这些项目与关节挛缩相关的因素有关，适当的预防性护理干预措施，以及与养老院设置相关的潜在相关情境因素。包括这些项目的风险评估工具的承诺有能力降低挛缩发展或进展的风险，并触发及时和适当的转诊，以帮助防止功能和独立性的进一步丧失。
