目的:就重要的临床,翻译,和发展行为儿科(DBP)领域的卫生服务研究问题。
方法:27位发育行为儿科医生,16位心理学家,12名家长参加了Delphi三轮调查。第一轮和第三轮的参与率为100%,第二轮的参与率为96%。在第一轮中,每位参与者在未来5年内提出了多达10个对DBP重要的研究问题.在第二轮中,参与者以9分的李克特量表对每个独特问题的重要性进行评分.如果问题的中位数为7分,并且第25百分位数至少为6或变异系数≤30(建议共识),则将其评为共识重要问题。如果问题的中位数为7,但变异系数>30或特定利益相关者组的评级表明重要性,则将其评为潜在重要问题。在向参与者提供第二轮结果后,潜在的重要问题进行了第二次评级(第III轮)。
结果:在第一轮中,确定了216个独特的研究问题。在第二轮中,其中29个问题符合共识重要问题的标准,60个问题被评为潜在重要问题。在第三轮中,另外10个问题被评为共识重要问题。在39个共识重要问题中,20个是疗效或比较有效性研究,40%与自闭症谱系障碍有关。
结论:这个德尔菲过程确定了一组高优先级的临床,翻译,以及DBP的卫生服务研究主题,可以指导研究以推进该领域并改善患有DBP疾病的儿童的护理和结果。
OBJECTIVE: To achieve
consensus regarding important clinical, translational, and health services research questions for the field of developmental-behavioral pediatrics (DBP).
METHODS: Twenty-seven developmental-behavioral pediatricians, 16 psychologists, and 12 parents participated in a 3-round Delphi survey. Participation was 100% in Rounds I and III and 96% in Round II. In Round I, each participant suggested up to 10 research questions important for DBP in the next 5 years. In Round II, participants rated the importance of each unique question on a 9-point Likert scale. Questions were rated as consensus important questions if they had a median score of 7 and the 25th percentile was at least 6 or the coefficient of variation ≤30 (suggesting
consensus). Questions were rated as potentially important if they had a median of 7, but a coefficient of variation >30 or if specific stakeholder group ratings suggested importance. After providing participants the Round II results, potentially important questions were rated a second time (Round III).
RESULTS: In Round I, 216 unique research questions were identified. In Round II, 29 of these questions met the criteria for a
consensus important question and 60 questions were rated as potentially important. In Round III, 10 additional questions were rated as
consensus important questions. Of the 39
consensus important questions, 20 were efficacy or comparative effectiveness studies and 40% related to autism spectrum disorders.
CONCLUSIONS: This Delphi process identified a set of high priority clinical, translational, and health services research topics for DBP that can guide research to advance the field and improve care and outcomes for children with DBP conditions.