{Reference Type}: Journal Article
{Title}: Delphi consensus on core criteria set selecting among health-related outcome measures (HROM) in primary health care.
{Author}: Santaguida PL;Oliver D;Gilsing A;Lamarche L;Griffith LE;Mangin D;Richardson J;Kastner M;Raina P;Dolovich L;
{Journal}: J Clin Epidemiol
{Volume}: 127
{Issue}: 0
{Year}: 11 2020
{Factor}: 7.407
{DOI}: 10.1016/j.jclinepi.2020.04.028
{Abstract}: There has been a lack of consensus on which criteria are important when selecting health-related outcome measures (HROM), especially in primary health care A Delphi consensus was undertaken to identify core criteria for selecting among different HROM and contextual factors affecting decision-making.<BR>A Delphi survey using standard methodology (consensus set as 75% agreement) was sent to primary care practitioners, administrators, policymakers, researchers and experts in HROM development. Criteria (n = 35) were selected from a targeted literature search; questions probed contextual factors that may influence selection of core criteria including the following: 1) weighting, 2) clinical contexts, and 3) core areas.<BR>Participants (n = 45) achieved consensus on 17 items in round 1 (plus four new criteria), with one more item in round 2. Unequal weighting of criteria was favored, and the type of clinical scenario did not influence selection of HROM.<BR>Eighteen core criteria from 39 were identified for inclusion in a core set, reflected predominately aspects of feasibility and acceptability. This is the first study providing evidence that contextual factors affect selection of HROM in a core criteria set. Care in primary health care is complex, and therefore, the items not reaching consensus may reflect this heterogeneity.