Breaking ranks? Differentiating nominal group technique scoring approaches for consensus and prioritization

Thier, Michael; Mason, Dyana P.

doi:10.1080/1743727x.2018.1533938

Cited by 7 publications

(13 citation statements)

References 41 publications

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“…The NGT is a highly structured method used for decision making within groups of experts (pwSPMS, families, people from the public, and stakeholders) ( 15 ). It requires direct participant involvement in a nonhierarchical way, and all participants have an equal voice and all responses to the posed question have equal validity ( 16 ).…”

Section: Methodsmentioning

confidence: 99%

“…Despite these limitations, it is important to notice that we applied purposive sampling to achieve a broad range of general and clinical characteristics (EDSS scores between 2.0 and 7.0). Moreover, due to the structured and nonhierarchical approach, all participants/stakeholders were given a voice in the meeting, pointing to issues that may have been previously unidentified (16,26).…”

Section: Limitationsmentioning

confidence: 99%

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Construction of a User-Led Resource for People Transitioning to Secondary Progressive Multiple Sclerosis: Results of an International Nominal Group Study

et al. 2020

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Background: ManTra is a mixed-methods, co-production research project for developing an intervention (resource) for people with newly diagnosed secondary progressive multiple sclerosis (pwSPMS) in Italy and Germany. In previous project actions, six resources were outlined, meeting the needs prioritized by pwSPMS. Aims: This study aims to achieve multiple-stakeholder consensus on the most suitable resource and to refine the consensus resource. Methods: Two nominal group technique (NGT) meetings were held, one in Milan and one in Hamburg. Participants were pwSPMS (five in Italy/six in Germany), pwSPMS significant others (SOs, four/five), healthcare professionals (HPs, seven/four), and health service researchers/patient and citizen organizations representatives (HPCORs, five/five). Two of the four resources discussed in each meeting were the same in Italy and Germany: "Promoting the engagement of pwSPMS: a program for the patients and the HPs" and "Enriched physiotherapy program for pwSPMS." The other two were "A personalized care plan for pwSPMS" and "Roadmap for social and economic benefits" in Italy and "Metacognitive and everyday life training for pwSPMS" and "Psychological support for pwSPMS" in Germany. Each meeting consisted of two plenary sessions and a parallel group session (four stakeholder groups: pwSPMS, SOs, HPs, and HPCORs) in between. Meetings' narratives were analyzed thematically. Results: The two meetings were rich in participation and discussion. In Italy, the consensus resource was "A personalized care plan for pwSPMS." Refinements included enrichment with pwSPMS engagement, inclusion of additional HPs, improved definition of the MS nurse's role within the interdisciplinary panel, and community care integration. Giovannetti et al. Consensus on a Multiple Sclerosis Resource In Germany, the consensus resource was "Psychological support for pwSPMS." Refinements included reshaping this resource into a more comprehensive and adaptive rehabilitation intervention and training the psychologist in recognizing client's rehabilitative needs and enhancing his/her autonomy. Conclusions: The NGT eased multiple-stakeholder deliberation and resource fine-tuning in both countries.

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Section: Methodsmentioning

confidence: 99%

Section: Limitationsmentioning

confidence: 99%

Construction of a User-Led Resource for People Transitioning to Secondary Progressive Multiple Sclerosis: Results of an International Nominal Group Study

et al. 2020

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“…In the proposed study, we will use PAR to initiate a oneday priority setting exercise by bringing together service users, caregivers, health professionals/managers, and CAB members (including RPG and RAG) to generate a list of their top priority problems for research in involving service users in mental health system strengthening in Sodo district. The study will be informed by guidance from the James Lind Alliance (JLA) [135] to ensure a balanced, inclusive and transparent process for priority problems identification, and the Nominal Group Technique (NGT) to establish consensus, prioritize and rank the thematic concerns [136][137][138]. The JLA approach enables us to create an environment that encourages open discussion, respect for diversity and clarity of thought, and also has been used to identify research priorities in several areas including mental health [135,139].…”

Section: Identification and Prioritization Of Thematic Concerns (Actimentioning

confidence: 99%

“…Although JLA enables the identification of potential priority problems of interest to stakeholders; there is a need to move beyond a focus on uncertainties to the generation of shared priorities, ranking and achieve consensus on the priorities. For this, group decision making processes such as NGT are helpful, because of a wellestablished, multistep facilitated group interactive process through increased engagement of relevant stakeholders(including those otherwise excluded groups)on concerns that are important and matter to them [136,137]. The processes of silent generation of responses, round-robin listening and independent voting ensures the participation of all individuals.…”

Section: Identification and Prioritization Of Thematic Concerns (Actimentioning

confidence: 99%

“…The structure of voting and discussion allows the person to express a view, influence decisions, avoid conformity or social pressure, and individual judgments can be aggregated into group conclusions whereby anonymous individual rank-orderings are aggregated across members to determine the relative importance of all responses [136,137]. For the proposed study, we integrated NGT with stage 5 in JLA which seems ideally suited for PAR and consistent with the critical social theory, NGT will give all participants a voice, and produce priorities and practical change [137,138]. Following the NGT, the participants will generate, revise, vote on and rank priority problems of importance to their local context (See Table 1 for details).…”

Section: Identification and Prioritization Of Thematic Concerns (Actimentioning

confidence: 99%

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Participatory action research to pilot a model of mental health service user involvement in an Ethiopian rural primary healthcare setting: study protocol

2020

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Background: Involvement of service-users at all levels of the mental health system is a policy imperative in many countries internationally. However, putting policy into practice seems complex; little is known about how best to involve service users and efforts are often criticized for being tokenistic. In low-and-middle income countries, less attention has been given to the roles of service users within mental health systems. The proposed study is part of a larger project intended to develop service-user involvement in mental health system strengthening in Ethiopia. A Theory of Change (ToC) model has already been developed through a participatory approach. This study protocol aims to describe the theoretical background and methods to pilot this model using participatory action research (PAR) and explore participants' experience of involvement. Methods: The proposed study will apply a PAR approach situated in critical social theory and conduct a phenomenological case study to find out participants' experience of involvement. This will be conducted in three stages. The focus of Stage 1 will be to(i) establish a Research Advisory Group (RAG), and Research Participant Group (RPG) at district and primary healthcare facility levels, respectively, and (ii) identify and prioritize potential areas of concern for involvement in the domains of advocacy, service planning and development, monitoring and improving service quality. In Stage 2, we will work with the RPG to develop a plan of action for the selected area. Stage 3 will aim to assist the RPG to implement and evaluate the plan of action. Process indicators and observation will be combined with in-depth interviews with participants to elicit their experiences of involvement. Thematic content analysis will be used. Discussion: The participatory approach to mental health service user involvement in health system strengthening employed by this study will support the implementation of solutions through locally relevant and contextualized actions. Findings from this study will contribute to the body of knowledge towards understanding the complexity of implementation of service user involvement and refine the ToC model for transferability to similar settings.

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Co-creation of a health education program for improving the uptake of HIV self-testing among men in Rwanda: nominal group technique

Dzinamarira

Mulindabigwi

Mashamba-Thompson

2020

Heliyon

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This study sought to collaborate with key stakeholders to reach a consensus regarding the predominant barriers preventing the uptake of HIV testing services (HTS) by men and co-create an acceptable educational program to improve the knowledge of HIV self-testing (HIVST) among men in Rwanda. Methods: We employed the nominal group technique to identify a consensus regarding the predominant barriers currently impeding the male uptake of HTS. The health education program content was guided by the ranked barriers. We applied Mezirow's Transformational Learning Theory for curriculum development. Results: Eleven key barriers currently impeding the male uptake of HTS were identified in the nominal group process. The stakeholders co-created an interactive, structured curriculum containing information on the health locus of control; HIV etiology, transmission, diagnosis, status disclosure benefits, care and treatment services; and an overview of the HIVST background and test procedure to address multiple barriers. Conclusion: Key stakeholders co-created a comprehensive health education program tailored to men, which integrates education about health beliefs, HIV/AIDS and HIVST. Further studies to assess the effectiveness of the program are needed. It is anticipated that the intervention will improve the uptake of HIVST among men in Kigali, Rwanda.

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Breaking ranks? Differentiating nominal group technique scoring approaches for consensus and prioritization

Cited by 7 publications

References 41 publications

Construction of a User-Led Resource for People Transitioning to Secondary Progressive Multiple Sclerosis: Results of an International Nominal Group Study

Construction of a User-Led Resource for People Transitioning to Secondary Progressive Multiple Sclerosis: Results of an International Nominal Group Study

Participatory action research to pilot a model of mental health service user involvement in an Ethiopian rural primary healthcare setting: study protocol

Co-creation of a health education program for improving the uptake of HIV self-testing among men in Rwanda: nominal group technique

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