Using the Delphi expert consensus method in mental health research

Jorm, Anthony F.

doi:10.1177/0004867415600891

Cited by 496 publications

(687 citation statements)

References 54 publications

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“…To evaluate the quality of patient-physician communication related to the decision to undergo chemotherapy, participants were queried about their level of agreement (1 = very strongly agree to 6 = very strongly disagree) with seven face-valid items that evaluated whether or not the patient believed that she was given sufficient information to make her chemotherapy treatment decision, whether or not the risks and benefits of chemotherapy were fully explained, and the degree of patient involvement in the chemotherapy treatment decision [26]. …”

Section: Methodsmentioning

confidence: 99%

A prospective cohort study of early discontinuation of adjuvant chemotherapy in women with breast cancer: the breast cancer quality of care study (BQUAL)

Neugut

Hillyer

Kushi

et al. 2016

Breast Cancer Res Treat

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For many women with non-metastatic breast cancer, adjuvant chemotherapy prevents recurrence and extends survival. Women who discontinue chemotherapy early may reduce those benefits, but little is known about what predicts early discontinuation. We sought to determine prospectively the rate and reasons for early discontinuation of adjuvant chemotherapy in women with breast cancer. We conducted a prospective cohort study among three U.S. health care organizations. Of 1158 women with newly diagnosed non-metastatic breast cancer, 2006–2010, we analyzed 445 (38.4 %) patients who initiated standard adjuvant chemotherapy as defined by accepted guidelines. We interviewed patients at baseline and twice during treatment regarding sociodemographic/psychosocial factors and treatment decision-making and collected clinical data. They were categorized according to the number of cycles required by the chemotherapy regimen they had initiated. The outcome was early discontinuation (<80 % of planned cycles). Of patients analyzed, 392 (88.1 %) completed the prescribed therapy. The strongest predictor was receipt of a regimen entailing >4 cycles of therapy (18.1 % for longer regimens, 7.4 % for 4 cycles) (odds ratio [OR] 2.59, 95 % CI 1.32–5.08), controlling for race, age, stage, hormone receptor status, social support, optimism, spirituality, stress, and physical symptoms. Higher levels of psychological symptoms on the Memorial symptom assessment scale also increased the odds of early discontinuation (OR 1.92, 95 % CI 0.998–3.68). The large majority of patients who initiated adjuvant chemotherapy for breast cancer completed their prescribed regimens, but early discontinuation was associated with lengthier regimens and, with borderline statistical significance, for those with psychological side effects.

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Section: Methodsmentioning

confidence: 99%

A prospective cohort study of early discontinuation of adjuvant chemotherapy in women with breast cancer: the breast cancer quality of care study (BQUAL)

Neugut

Hillyer

Kushi

et al. 2016

Breast Cancer Res Treat

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“…This method is relatively inexpensive and, as Delphi group members do not need to meet, the study can be done using the internet [24–26]. The Delphi method has been widely used in health research, [27, 28] and has been used to develop suicide first aid guidelines for English-speaking countries [29, 30]. This method has also been used to develop suicide first aid guidelines for Asian countries such as India, Japan and the Philippines and for people from immigrant and refugee background [31–34].…”

Section: Introductionmentioning

confidence: 99%

Suicide first aid guidelines for Sri Lanka: a Delphi consensus study

Silva

Colucci

Mendis

et al. 2016

Int J Ment Health Syst

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BackgroundSri Lanka has one of the highest suicide rates in the world. Gatekeeper programs aimed at specific target groups could be a promising suicide prevention strategy in the country. The aim of this study was to develop guidelines that help members of the public to provide first aid to persons in Sri Lanka who are at risk of suicide.MethodsThe Delphi method was used to elicit consensus on potential helping statements to include in the guidelines. These statements describe information members of the public should have and actions they can take to help a person who is experiencing suicidal thoughts. An expert panel, comprised of mental health and suicide experts in Sri Lanka, rated each statement. The panellists were encouraged to suggest any additional action that was not included in the original questionnaire and, in particular, to include items that were culturally appropriate or gender specific. Responses to open-ended questions were used to generate new items. These items were included in the subsequent Delphi rounds. Three Delphi rounds were carried out. Statements were accepted for inclusion in the guidelines if they were endorsed (rated as essential or important) by at least 80 % of the panel. Statements endorsed by 70–79 % of the panel were re-rated in the following round. Statements with less than 70 % endorsement, or re-rated items that did not receive 80 % or higher endorsement were rejected.ResultsThe output from the Delphi process was a set of endorsed statements. In the first round questionnaire 473 statements were presented to the panel and 58 new items were generated from responses to the open-ended questions. Of the total 531 statements presented, 304 were endorsed. These statements were used to develop the suicide first aid guidelines for Sri Lanka.ConclusionBy engaging Sri Lankans who are experts in the field of mental health or suicide this research developed culturally appropriate guidelines for providing mental health first aid to a person at risk of suicide in Sri Lanka. The guidelines may serve as a basis for developing training for members of the public to provide mental health first aid to persons at risk of suicide as part of Sri Lanka’s suicide prevention strategy.Electronic supplementary materialThe online version of this article (doi:10.1186/s13033-016-0085-3) contains supplementary material, which is available to authorized users.

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“…This type of consensus study has been used widely in mental health research [22] and has also served in the development of additional guidelines on provision of culturally-specific mental health first aid for minorities in Australia [23, 24]. Minas and Jorm argue that ‘The development of a locally relevant evidence base is a valuable approach where other evidence is unavailable’ and that expert consensus methods are a way of achieving this (p. 2) [25].…”

Section: Introductionmentioning

confidence: 99%

Important considerations when providing mental health first aid to Iraqi refugees in Australia: a Delphi study

Guajardo

Slewa‐Younan

Santalucia

et al. 2016

Int J Ment Health Syst

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BackgroundRefugees are one of the most vulnerable groups in Australian society, presenting high levels of exposure to traumatic events and consequently high levels of severe psychological distress. While there is a need for professional help, only a small percentage will receive appropriate care for their mental health concerns. This study aimed to determine cultural considerations required when providing mental health first aid to Iraqi refugees experiencing mental health problems or crises.MethodUsing a Delphi method, 16 experts were presented with statements about possible culturally-appropriate first aid actions via questionnaires and were encouraged to suggest additional actions not covered by the questionnaire content. Statements were accepted for inclusion in a guideline if they were endorsed by ≥90 % of panellists as ‘Essential’ or ‘Important’.ResultsFrom a total of 65 statements, 38 were endorsed (17 for cultural awareness, 12 for cross-cultural communication, 7 for stigma associated with mental health problems, and 2 for barriers to seeking professional help).ConclusionExperts were able to reach consensus about how to provide culturally-appropriate first aid for mental health problems to Iraqi refugees, demonstrating the suitability of this methodology in developing cultural considerations guidelines. This specific refugee study provided potentially valuable cultural knowledge required to better equip members of the Australian public on how to respond to and assist Iraqi refugees experiencing mental health problems or crises.Electronic supplementary materialThe online version of this article (doi:10.1186/s13033-016-0087-1) contains supplementary material, which is available to authorized users.

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Using the Delphi expert consensus method in mental health research

Cited by 496 publications

References 54 publications

A prospective cohort study of early discontinuation of adjuvant chemotherapy in women with breast cancer: the breast cancer quality of care study (BQUAL)

A prospective cohort study of early discontinuation of adjuvant chemotherapy in women with breast cancer: the breast cancer quality of care study (BQUAL)

Suicide first aid guidelines for Sri Lanka: a Delphi consensus study

Important considerations when providing mental health first aid to Iraqi refugees in Australia: a Delphi study

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