Coming to consensus: the Delphi technique

Niederberger, Marlen; Köberich, Stefan

doi:10.1093/eurjcn/zvab059

Cited by 64 publications

(70 citation statements)

References 30 publications

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“…We adapted the data collection tool from WHO's COVID-19 Strategic Preparedness and Response (SPRP), Monitoring and Evaluation Framework ( 22 ), interim guidelines for Critical preparedness, readiness and response actions for COVID-19 ( 23 ), and a strategic framework for emergency preparedness ( 24 ), which was later finalized using modified Delphi technique ( 25 ). It was administered using an online Google form.…”

Section: Methodsmentioning

confidence: 99%

Perception of Global Participants of ITEC Nations on Country's Preparedness and Response to COVID-19 Pandemic

Upadhyay

Goel

Kathirvel

2022

Front. Public Health

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BackgroundThe Coronavirus disease 2019 (COVID-19) pandemic has exposed the public health preparedness and response system across the world. The current study was conducted to gauge the perception of public health professionals of Indian Technical and Economic Cooperation (ITEC) countries regarding the preparedness and responses of their countries in mitigating the COVID-19 pandemic.MethodologyThree capacity-building programs, namely “Managing COVID-19 Pandemic–Experience and Best practices of India” were conducted by PGIMER, Chandigarh, for public health professionals from ITEC countries from April to May 2021 in which 97 participants from 13 countries have participated. The tools used in the study were adapted from WHO's COVID-19 Strategic Preparedness and Response (SPRP), Monitoring and Evaluation Framework, interim guidelines for Critical preparedness, readiness and response actions for COVID-19, and a strategic framework for emergency preparedness, and finalized using Delphi technique. The overall preparedness of managing COVID-19 was rated using five-point Likert scale, whereas the overall score for the country in combating the COVID-19 pandemic was assessed using 10 point scale.ResultsWe found that the perception of public health professionals to government response regarding COVID-19 for fostering improvement on COVID-19 situation was “moderate” with respect to transmission and surveillance mechanism, uniform reporting mechanism, and availability of adequate personal protective equipment (PPE) for health workers. However, the participants rated government response as “poor” in the availability of multisectoral national operational plan, human resource capacity, availability of trained rapid response team (RRT), preparedness in prevention and clinical management, training of healthcare workers, communication and community engagement strategies, facilities to test samples of patients, and transparent governance and administration.ConclusionA poor level of preparedness of countries in diverse domains of managing the COVID-19 pandemic was observed. As the global threat of COVID-19 is still looming, great efforts on building a robust preparedness and response system for COVID-19 and similar pandemics are urgently required.

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Section: Methodsmentioning

confidence: 99%

Perception of Global Participants of ITEC Nations on Country's Preparedness and Response to COVID-19 Pandemic

Upadhyay

Goel

Kathirvel

2022

Front. Public Health

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“…At the first Delphi round, agreement was high, with a median value of >4.6 (for all standards). Due to the high agreement (defined as quartile deviation [Q3-Q1/2] ≤0.6), 16 no major changes to the draft standards were made. Based on substantial initial agreement, a draft document was developed by the expert panel.…”

Section: Methodsmentioning

confidence: 99%

Clinical standards for the dosing and management of TB drugs

Alffenaar

Stocker

Forsman

et al. 2022

int j tuberc lung dis

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BACKGROUND: Optimal drug dosing is important to ensure adequate response to treatment, prevent development of drug resistance and reduce drug toxicity. The aim of these clinical standards is to provide guidance on ‘best practice´ for dosing and management of TB drugs.METHODS: A panel of 57 global experts in the fields of microbiology, pharmacology and TB care were identified; 51 participated in a Delphi process. A 5-point Likert scale was used to score draft standards. The final document represents the broad consensus and was approved by all participants.RESULTS: Six clinical standards were defined: Standard 1, defining the most appropriate initial dose for TB treatment; Standard 2, identifying patients who may be at risk of sub-optimal drug exposure; Standard 3, identifying patients at risk of developing drug-related toxicity and how best to manage this risk; Standard 4, identifying patients who can benefit from therapeutic drug monitoring (TDM); Standard 5, highlighting education and counselling that should be provided to people initiating TB treatment; and Standard 6, providing essential education for healthcare professionals. In addition, consensus research priorities were identified.CONCLUSION: This is the first consensus-based Clinical Standards for the dosing and management of TB drugs to guide clinicians and programme managers in planning and implementation of locally appropriate measures for optimal person-centred treatment to improve patient care.

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“…Delphi techniques are group discussion procedures in which complex issues about which uncertain and incomplete knowledge exists are assessed by experts in an iterative and structured process [1][2][3][4]. They are conducted in different subfields of health science (e.g., clinical patient care, public health and health promotion, health service research, medical education), particularly to identify consensus [5][6][7].…”

Section: Introductionmentioning

confidence: 99%

“…The goal is to develop consensual guidelines or standards that are then used to support decision-making and action in the health sector. The methodological literature describes five characteristics of Delphi techniques [4,8,9]:…”

Section: Introductionmentioning

confidence: 99%