Characteristics of Delphi Processes in Orthotics and Prosthetics Research

Falbo, Kierra J; Brinkmann, John T.

doi:10.1097/jpo.0000000000000287

Cited by 3 publications

(30 citation statements)

References 33 publications

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“…Precedent for such homogeneity in orthotic and prosthetic Delphi efforts is well established. 14 Consistent with the broad trends observed by Falbo et al, we encouraged comments from survey participants, especially dissenting comments, to allow us to clarify and refine postulates to achieve consensus acceptance. 14 There is no consistent clear standard for consensus within the Delphi approach.…”

Section: Discussionmentioning

confidence: 68%

“…22 The use of Delphi consensus techniques in prosthetic and orthotic rehabilitation was recently summarized in a systematic literature review culminating in a number of recommendations of best practices within this development process. 14 The purpose of this publication is to report upon the use of a Delphi consensus effort to establish CPGs for prosthetic design and terminal device options for individuals with unilateral transradial amputation or limb deficiency. This patient population was chosen due to the relative volume of patients with this level of amputation and the ability to develop straightforward guidelines that would be immediately applicable to patient care.…”

Section: Introductionmentioning

confidence: 99%

“…When objective data from clinical trials for a given episode of care or intervention is limited, the highest available level of evidence for the creation of CPGs is through a collaborative consensus process conducted among subject matter experts. 14 , 15 Clinical practice guidelines created through consensus process are likely to become more and more prevalent within orthotics and prosthetics as additional recommendations are sought out by the field.…”

Section: Introductionmentioning

confidence: 99%

“…The aim of this process is to establish consensus among the expert participants by eventually coming to agreement on the statements that are most clinically appropriate. 14 , 16 , 17 After each round, the surveys are reviewed for comments and feedback on the individual statements by a group of moderators. 14 , 16 , 17 Each subsequent round of surveys includes new or re-stated postulates which move the process forward toward consensus.…”

Section: Introductionmentioning

confidence: 99%

“… 14 , 16 , 17 After each round, the surveys are reviewed for comments and feedback on the individual statements by a group of moderators. 14 , 16 , 17 Each subsequent round of surveys includes new or re-stated postulates which move the process forward toward consensus.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Prosthetic management of unilateral transradial amputation and limb deficiency: Consensus clinical standards of care

O’Brien

Stevens

Mandacina³

et al. 2021

Journal of Rehabilitation and Assistive Technologies Engineerin

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Introduction Upper limb research is currently lacking detailed clinical guidance on the provision of unilateral transradial prostheses. Clinical practice guidelines are meant to serve as assistance for the decision-making process, and Delphi surveys have been used with increasing frequency within orthotics and prosthetics to create these guidelines for clinical practice. Methods A three round Delphi survey was used to gain consensus on clinical statements regarding unilateral transradial prostheses. Results We achieved consensus (> 80% agreement) on a total of 40 statements by surveying 22 experts on upper limb prosthetics over three rounds of surveys. Response rate ranged from 81.8–86.4% with a total of 55 total statements under consideration throughout the duration of the survey. The 40 passing statements were arranged into nine guidelines for provision of prosthetic care in this population. Conclusions The Delphi technique allowed for the creation of a set of clinical practice guidelines for the unilateral transradial patient in the absence of conclusive empirical evidence.

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Section: Discussionmentioning

confidence: 68%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Prosthetic management of unilateral transradial amputation and limb deficiency: Consensus clinical standards of care

O’Brien

Stevens

Mandacina³

et al. 2021

Journal of Rehabilitation and Assistive Technologies Engineerin

View full text Add to dashboard Cite

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Determining educational assessment criteria for patellar-tendon-bearing impressions for transtibial prosthetic sockets: A Delphi study

Falbo

Morgan

Brinkmann

2022

Prosthetics &Amp; Orthotics International

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Background:Validated criteria to guide assessment of student performance in clinical tasks in prosthetics and orthotics education have not been established. Lack of established criteria and assessment methods presents challenges in evaluating student performance on clinical tasks, such as taking impressions for patellar-tendon-bearing (PTB) sockets.Objectives:To establish assessment criteria for the PTB impression process for use in educational settings.Study design:Delphi consensus process.Methods:Initial Delphi survey items were based on interviews with prosthetic instructors and focus groups with prosthetic students. Expert prosthetic educators were then identified by purposive sampling to complete multiple-round Internet-based Delphi surveys. The Delphi surveys asked experts to indicate their level of agreement on various assessment methods and criteria in PTB education. Consensus for survey items was reviewed after each survey round and used to determine the content of and need for subsequent rounds.Results:Fourteen experts completed two Delphi survey rounds. Items were categorized into educational materials/strategies, impression stages/materials, measurement tools, measurements taken, assessment during impression, assessment after impression, feedback, student self-assessment, and grading. In two survey rounds, 40 items guiding assessment methods and criteria for PTB impressions achieved 80% consensus.Conclusions:A high level of consensus was achieved in two survey rounds. Lower levels of consensus were reached on specific objective criteria, such as use of measurement thresholds when evaluating student impressions. Standardized assessment of student performance on PTB impression-taking instead relies primarily on qualitative assessments based on instructor expertise.

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Transfemoral interface considerations: A clinical consensus practice guideline

O’Brien

Stevens

Miro

et al. 2022

Prosthetics &Amp; Orthotics International

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Background:Although there have been a number of studies exploring the impact and efficacy of transfemoral prosthetic components such as knee and foot mechanisms, the empirical evidence surrounding transfemoral prosthetic interface considerations is limited. This constitutes a substantial void for practicing clinicians seeking to apply best practices for patients who use transfemoral prostheses. Recent years have seen increased production and availability of clinical practice guidelines germane to prosthetic rehabilitation. In those areas where empirical evidence is lacking, consensus clinical opinions may constitute the highest level of evidence.Objective:A consensus exercise was performed to generate clinical practice recommendations in the areas of transfemoral interface considerations including socket variations and critical design features, suspension and interface considerations, alignment, heat retention and dermatologic considerations, female considerations, surgical considerations, and both regulatory and ethical considerations related to osseointegration.Methods:This began with the generation of postulate items through systematic and narrative literature reviews. A Delphi consensus exercise was performed among clinical experts in government hospital and private clinical practice settings, culminating in a series of clinical practice recommendations associated with the prosthesis–limb interface for individuals with transfemoral amputation.Results:The completed recommendations include guidance statements relative to socket variations and critical design features, female considerations, suspension and interface considerations, surgical variations and prescription considerations, rehabilitation team considerations and both regulatory and ethical considerations related to osseointegration.Conclusions:The Delphi process facilitated the development of practice guidelines for transfemoral prosthetic interface considerations based on aggregated subject matter expertise.

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Characteristics of Delphi Processes in Orthotics and Prosthetics Research

Cited by 3 publications

References 33 publications

Prosthetic management of unilateral transradial amputation and limb deficiency: Consensus clinical standards of care

Prosthetic management of unilateral transradial amputation and limb deficiency: Consensus clinical standards of care

Determining educational assessment criteria for patellar-tendon-bearing impressions for transtibial prosthetic sockets: A Delphi study

Transfemoral interface considerations: A clinical consensus practice guideline

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