Creation and validation of a new tool for the monitoring efficacy of neurogenic bowel dysfunction treatment on response: the MENTOR tool.
Adult
Aged
Aged, 80 and over
Clinical Decision-Making
Decision Support Techniques
Delphi Technique
Female
Humans
Male
Middle Aged
Neurogenic Bowel
/ diagnosis
Outcome Assessment, Health Care
/ methods
Prospective Studies
Psychometrics
/ standards
Reproducibility of Results
Self Report
Severity of Illness Index
Spinal Cord Injuries
/ complications
Young Adult
Journal
Spinal cord
ISSN: 1476-5624
Titre abrégé: Spinal Cord
Pays: England
ID NLM: 9609749
Informations de publication
Date de publication:
Jul 2020
Jul 2020
Historique:
received:
21
09
2019
accepted:
16
01
2020
revised:
13
01
2020
pubmed:
29
1
2020
medline:
28
5
2021
entrez:
29
1
2020
Statut:
ppublish
Résumé
Prospective observational study. A tool to help decision-making tool for Neurogenic Bowel Dysfunction (NBD) in individuals with SCI is needed. We present a project to create and validate a new tool, the Monitoring Efficacy of NBD Treatment On Response (MENTOR), and to determine its level of concordance with decisions made by experienced clinicians in the field. UK, Denmark, USA, Italy, The Netherlands, Germany. The first phase was creation of the tool through a modified Delphi process. The second phase was the validation, wherein individuals with spinal cord injury with NBD were asked to complete the MENTOR tool immediately prior to clinic consultation. From the responses to the questionnaire of the tool, each participant was allocated into one of three categories reflecting the possible therapeutic recommendations ("recommend change", "further discussion" and "monitoring"). An expert clinician then assessed the participant, blinded to MENTOR results, and made an independent treatment decision. A total of 248 MENTOR forms were completed. Strong agreement was found when the MENTOR tool recommended monitoring (92%) or treatment change (83%); the lowest concordance when the decision was for the "further discussion" option (59%). Patient acceptability was reported by 97% of individuals. MENTOR is an easy to use tool to monitor the treatment of NBD and determinate progression through the clinical pathway. This validation study shows good correspondence between expert clinician opinion and MENTOR result. The tool has potential to be used in other patient groups, following further studies.
Identifiants
pubmed: 31988365
doi: 10.1038/s41393-020-0424-8
pii: 10.1038/s41393-020-0424-8
pmc: PMC7340621
doi:
Types de publication
Journal Article
Multicenter Study
Observational Study
Validation Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
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