Healthcare transitions for adolescents with chronic life-threatening conditions using a Delphi method to identify research priorities for clinicians and academics in Canada
Healthcare transitions for adolescents with chronic life-threatening conditions using a Delphi method to identify research priorities for clinicians and academics in Canada
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DOI：
10.1111/j.1365-2214.2011.01318.x
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发表时间：
2011-11-01
影响因子：
1.9
通讯作者：
Straatman, L.
中科院分区：
文献类型：
--
作者：
Fletcher-Johnston, M.;Marshall, S. K.;Straatman, L.
目的研究才刚刚开始检查疾病条件下向成年过渡的复杂性。一个德尔菲法可以利用青少年医疗保健的转变，并通过一个全面的招聘战略在加拿大各地，114名临床医生和学者被邀请参加这项国家研究的一个正在进行的方案的优先框架，以确定相关的研究重点。三个阶段进行，直到达成共识，可以为五个最紧迫的研究priority.Results的受访者完成了至少一个三个阶段的过程。所有的答复进行了分析，并在第3阶段的五个问题，达到了64-80%的共识水平被确定为前五名的研究重点。这些问题包括：技能和知识的青少年需要的过渡过程中，如何衡量成功的因素，影响一个成功的过渡和良好的过渡是否改善健康outcomes.Conclusions的结果，这项研究可以告知和优先考虑的框架正在进行的研究计划在加拿大。临床医生和学者的参与确保了研究议程纳入了为这一人群提供护理的个人的一线工作的观点，以及来自学术界的具有与研究方法和方法相关的重要知识和技能的个人的观点。
Purpose Research has only begun to examine the complexity of transition to adulthood under illness conditions. A Delphi method may be utilized to identify pertinent research priorities for academics and clinicians in adolescent healthcare transitions and prioritize a framework for an ongoing programme of research.Methods Through a comprehensive recruitment strategy throughout Canada, 114 clinicians and academics were invited to participate in this national study. Three phases were conducted until consensus could be achieved for the five most pressing research priorities.Results Thirty-eight respondents completed at least one of the three phases of the process. All responses were analysed, and five questions in phase 3 achieving a level of consensus ranging 64-80% were identified as the top five research priorities. These questions included: skills and knowledge adolescents require for the transition process, how to measure success, the factors that influence a successful transition and whether good transitions improve health outcomes.Conclusions The results of this study can inform and prioritize a framework for an ongoing programme of research in Canada. The inclusion of clinicians and academics ensures that the research agenda incorporates perspectives from the front-line work of individuals providing care to this population as well as individuals from the academic community with important knowledge and skills related to research approaches and methods.