背景:医疗级鞋类领域是动态的。最初,一个个体知识的领域,专业知识和技能决定了鞋类及其结果,现在成为一个更加基于证据和数据驱动的领域,有协议和系统来创建合适的鞋类。然而,关于医疗级鞋类的科学证据仍然有限。显然,所有利益相关者,从病人到步行者到康复医生,将受益于这一领域更大的证据基础。广泛支持的研究议程是推进和促进新知识的重要第一步。
方法:我们组建了一个多学科团队,并遵循了荷兰医学学会的方法,制定了医疗级鞋类研究议程。这包括七个步骤:(1)与用户和专业人员盘点相关问题;(2)分析回答;(3)分析现有知识和证据;(4)制定研究问题;(5)用户和专业人员优先考虑研究问题;(6)最终确定研究议程;(7)实施研究议程。
结果:在第一阶段,109名参与者完成了一项调查,包括50%的学童师,6%的康复医生和3%的用户。参与者提供了228个潜在的研究问题。在第2-4阶段,这些被浓缩为65个研究问题。在第5阶段,152名参与者优先考虑了这65个研究问题,包括50%的学童师,13%的康复医生和9%的用户。在第六阶段,最终研究议程已经制定,有26个研究问题,根据国际功能障碍和健康分类“过程描述辅助设备”进行分类。在第7阶段,与50多个利益攸关方(包括用户和专业人员)举行了一次执行会议,根据研究议程中的一个或多个研究问题,提出了七个研究项目申请。
结论:本研究议程构建并指导荷兰和其他地方医疗级鞋类领域的知识发展。我们希望这将有助于刺激该领域解决优先考虑的研究问题,并以此来推进该领域的科学知识。
BACKGROUND: The field of medical grade footwear is dynamic. Originally, a field where individual knowledge, expertise and skills determined the footwear and its outcomes, now becoming a more evidence-based and data-driven field with protocols and systems in place to create appropriate footwear. However, scientific evidence concerning medical grade footwear is still limited. Evidently, all stakeholders, from patients to pedorthists to rehabilitation physicians, will profit from a larger evidence-base in this field. A widely supported research agenda is an essential first step to advance and facilitate new knowledge.
METHODS: We formed a multidisciplinary team and followed the methodology from Dutch medical societies for the development of a research agenda on medical grade footwear. This consisted of seven steps: (1) inventory of relevant questions with users and professionals; (2) analyses of responses; (3) analyses of existing knowledge and evidence; (4) formulating research questions; (5) prioritising research questions by users and professionals; (6) finalising the research agenda and (7) implementing the research agenda.
RESULTS: In phase 1, 109 participants completed a survey, including 50% pedorthists, 6% rehabilitation physicians and 3% users. Participants provided 228 potential research questions. In phases 2-4, these were condensed to 65 research questions. In phase 5, 152 participants prioritised these 65 research questions, including 50% pedorthists, 13% rehabilitation physicians and 9% users. In phase 6, the final research agenda was created, with 26 research questions, categorised based on the International Classification of Functioning Disability and Health \'process description assistive devices\'. In phase 7, an implementation meeting was held with over 50 stakeholders (including users and professionals), resulting in seven applications for research projects based on one or more research questions from the research agenda.
CONCLUSIONS: This research agenda structures and guides knowledge development within the field of medical grade footwear in the
Netherlands and elsewhere. We expect that this will help to stimulate the field to tackle the research questions prioritised and with that to advance scientific knowledge in this field.