Multi-Round compared to Real-Time Delphi for consensus in core outcome set (COS) development: a randomised trial.


Journal

Trials
ISSN: 1745-6215
Titre abrégé: Trials
Pays: England
ID NLM: 101263253

Informations de publication

Date de publication:
15 Feb 2021
Historique:
received: 01 09 2020
accepted: 24 01 2021
entrez: 16 2 2021
pubmed: 17 2 2021
medline: 22 6 2021
Statut: epublish

Résumé

The Delphi method is used in a wide variety of settings as a method of building consensus on important issues. Traditionally, the Delphi method uses multiple rounds of a survey to allow for feedback of other participants' survey responses in between rounds. By informing participants about how others answer a question or prioritise specific topics, it allows for diverse opinions to inform the consensus process. For this reason, the Delphi method is popular as a consensus building approach in developing core outcome sets (COS), i.e. the minimum agreed set of standardised outcomes that should be measured and reported in studies on a specific health condition. In a COS setting, participants prioritise the importance of outcomes for inclusion in a COS. This usually involves participating in multiple rounds of a survey that can span several weeks or months. Challenges with participant retention have been highlighted in previous COS. We will compare a three-round with a Real-Time Delphi approach on prioritised outcomes. This trial is embedded within the COHESION study which is developing a COS for interventions treating neonatal encephalopathy. One hundred and eighty stakeholders (parents/caregivers of infants diagnosed and treated with neonatal encephalopathy, healthcare providers and researchers) will be randomised using stratified randomisation to take part in either the Multi-Round or Real-Time Delphi. Stakeholders will rate the importance of the same set of outcomes in both arms. We will compare the prioritised outcomes at the end of both surveys as well as other parameters such as feedback, initial condition and iteration effects. This trial will provide evidence to inform decisions on the use of Multi-Round compared to Real-Time Delphi survey methods. NCT04471103 . Registered on 14 July 2020.

Sections du résumé

BACKGROUND BACKGROUND
The Delphi method is used in a wide variety of settings as a method of building consensus on important issues. Traditionally, the Delphi method uses multiple rounds of a survey to allow for feedback of other participants' survey responses in between rounds. By informing participants about how others answer a question or prioritise specific topics, it allows for diverse opinions to inform the consensus process. For this reason, the Delphi method is popular as a consensus building approach in developing core outcome sets (COS), i.e. the minimum agreed set of standardised outcomes that should be measured and reported in studies on a specific health condition. In a COS setting, participants prioritise the importance of outcomes for inclusion in a COS. This usually involves participating in multiple rounds of a survey that can span several weeks or months. Challenges with participant retention have been highlighted in previous COS. We will compare a three-round with a Real-Time Delphi approach on prioritised outcomes. This trial is embedded within the COHESION study which is developing a COS for interventions treating neonatal encephalopathy.
METHODS METHODS
One hundred and eighty stakeholders (parents/caregivers of infants diagnosed and treated with neonatal encephalopathy, healthcare providers and researchers) will be randomised using stratified randomisation to take part in either the Multi-Round or Real-Time Delphi. Stakeholders will rate the importance of the same set of outcomes in both arms. We will compare the prioritised outcomes at the end of both surveys as well as other parameters such as feedback, initial condition and iteration effects.
DISCUSSION CONCLUSIONS
This trial will provide evidence to inform decisions on the use of Multi-Round compared to Real-Time Delphi survey methods.
TRIAL REGISTRATION BACKGROUND
NCT04471103 . Registered on 14 July 2020.

Identifiants

pubmed: 33588938
doi: 10.1186/s13063-021-05074-2
pii: 10.1186/s13063-021-05074-2
pmc: PMC7885346
doi:

Banques de données

ClinicalTrials.gov
['NCT04471103']

Types de publication

Journal Article Randomized Controlled Trial

Langues

eng

Sous-ensembles de citation

IM

Pagination

142

Subventions

Organisme : Health Research Board
ID : HRB-NEPTuNE
Pays : Ireland

Références

PLoS Med. 2011 Jan 25;8(1):e1000393
pubmed: 21283604
PLoS One. 2018 Jul 30;13(7):e0201378
pubmed: 30059560
Trials. 2018 Jan 25;19(1):66
pubmed: 29370827
Eval Program Plann. 2010 May;33(2):147-54
pubmed: 19581002
Ann Intern Med. 2013 Feb 5;158(3):200-7
pubmed: 23295957
Trials. 2017 Jun 20;18(Suppl 3):280
pubmed: 28681707

Auteurs

Fiona A Quirke (FA)

Health Research Board Neonatal Encephalopathy PhD Training Network (NEPTuNE), Galway, Ireland. f.quirke1@nuigalway.ie.
Health Research Board - Trials Methodology Research Network (HRB-TMRN), Galway, Ireland. f.quirke1@nuigalway.ie.
College of Medicine, Nursing and Health Sciences, National University of Ireland Galway, Galway, Ireland. f.quirke1@nuigalway.ie.

Patricia Healy (P)

College of Medicine, Nursing and Health Sciences, National University of Ireland Galway, Galway, Ireland.
School of Nursing and Midwifery, National University of Ireland Galway, Galway, Ireland.

Elaine Ní Bhraonáin (EN)

Family Support Liaison, Irish Neonatal Health Alliance, Wicklow, Ireland.

Mandy Daly (M)

Advocacy and Policymaking, Irish Neonatal Health Alliance, Wicklow, Ireland.

Linda Biesty (L)

College of Medicine, Nursing and Health Sciences, National University of Ireland Galway, Galway, Ireland.
School of Nursing and Midwifery, National University of Ireland Galway, Galway, Ireland.
Qualitative Research in Trials Centre (QUESTS), National University of Ireland Galway, Galway, Ireland.

Tim Hurley (T)

Health Research Board Neonatal Encephalopathy PhD Training Network (NEPTuNE), Galway, Ireland.
Paediatrics and Child Health, Trinity College Dublin, Dublin, Ireland.

Karen Walker (K)

RPA Newborn Care, Sydney Local Health District, Sydney, Australia.

Shireen Meher (S)

Birmingham Women's and Children's NHS Foundation Trust, Birmingham, UK.

David M Haas (DM)

Indiana University School of Medicine Department of Obstetrics and Gynecology, Indianapolis, USA.

Frank H Bloomfield (FH)

Liggins Institute, University of Auckland, Auckland, New Zealand.

Jamie J Kirkham (JJ)

Centre for Biostatistics, University of Manchester, Manchester, UK.

Eleanor J Molloy (EJ)

Paediatrics and Child Health, Trinity College Dublin, Dublin, Ireland.
Department of Neonatology, Children's Hospital Ireland at Crumlin and Tallaght, Coombe Women and Infants University Hospital, Dublin, Ireland.

Declan Devane (D)

Health Research Board - Trials Methodology Research Network (HRB-TMRN), Galway, Ireland.
College of Medicine, Nursing and Health Sciences, National University of Ireland Galway, Galway, Ireland.
School of Nursing and Midwifery, National University of Ireland Galway, Galway, Ireland.
Evidence Synthesis Ireland, National University of Ireland Galway, Galway, Ireland.
Cochrane Ireland, National University of Ireland Galway, Galway, Ireland.

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Classifications MeSH