Developing and Implementing a Modern Slavery Core Outcome Set (MS-COS)

这项研究旨在帮助现代奴隶制的幸存者从他们的经历中恢复过来，通过改进我们如何收集和分析来自支持幸存者的方案的数据。我们知道，现代奴隶制的幸存者经历了严重和长期的健康，社会和经济后果。我们对帮助幸存者从经历中恢复的方法知之甚少。这阻碍了为现代奴隶制幸存者改善服务的努力。这对幸存者、提供服务的专业人员以及决定委托和支付哪些服务的决策者来说都是一个重要问题。如果我们想了解什么有助于支持现代奴隶制幸存者的恢复，我们首先需要就恢复的含义以及如何衡量恢复达成一致-即恢复的核心成果和指标是什么？然后，我们需要研究人员和专业人员同意收集关于相同结果和指标的数据。这样做意味着我们可以比较不同方案和服务的有效性。这就是我们将在本项目中通过开发现代奴隶制核心成果集（MS-COS）所做的工作。MS-COS将制定一套最低标准的成果，在评估支持幸存者的方案的有效性时应予以衡量和报告。MS-COS中包含的项目将被确定为对现代奴隶制幸存者的康复具有重要意义。这一项目以COMET倡议制定的方法为基础，该倡议汇集了对制定和应用商定的标准化成果集（称为“核心成果集”）感兴趣的人。该项目分为两个阶段：（1）在第一阶段，我们将确定可能的恢复成果和指标。我们将通过三种方式做到这一点。首先，我们将检查以前的研究，以确定他们测量的结果。其次，我们将采访现代奴隶制的幸存者，了解他们最重要的恢复结果。特别是，我们将希望与那些在以前的研究中代表性不足的幸存者交谈。第三，我们将与幸存者、专业人士、学者和政策制定者举行研讨会，共同讨论感兴趣的成果。(2)在第二阶段，我们将优先考虑纳入MS-COS的成果和指标。首先，我们将使用e-Delphi来要求人们对结果和指标的重要性进行评级。在一项德尔菲研究中，多轮调查问卷被发送给专家小组。匿名的回答被合并，并在每一轮之后与小组共享。小组成员被允许在每一轮之后根据他们对小组反应的看法改变他们的答案。本研究将采用两轮、三面板的在线德尔菲法。我们的三个小组将由幸存者、专业人士和政策制定者以及学术研究人员组成。第二，我们将召集幸存者、专业人士、学者和政策制定者参加一个共识研讨会，讨论、投票并就最终的MS-COS达成一致。与此同时，我们将努力提高对MS-COS的认识，并将其纳入研究和实践中，包括通过我们与学者，从业者和政策制定者的国家和国际联系，以及一个名为“实践社区”的新团体。该项目由伦敦国王学院的Sian Oram博士领导，他在与幸存者、专业人士、政策制定者和其他学者合作开展现代奴隶制研究方面有十多年的经验。研究小组成员（来自Uni。诺丁汉大学东伦敦，海伦班伯基金会和幸存者联盟）在研究，实践和临床护理方面的专业知识，与现代奴隶制幸存者的恢复;幸存者的领导和参与;和核心成果集发展的专业知识。

This research aims to help survivors of modern slavery to recover from their experiences, by improving how we collect and analyse data from programmes that work to support survivors. We know that survivors of modern slavery experience serious and long-term health, social, and economic consequences. We know much less about what works to help survivors recover from their experiences. This holds back efforts to improve services for survivors of modern slavery. This is an important problem for survivors, as well as for the professionals delivering the services and the policymakers deciding what services to commission and pay for. If we want to understand what works to support the recovery of survivors of modern slavery, we first need to agree on what recovery means and how it should be measured - i.e. what are the core outcomes and indicators of recovery? We then need researchers and professionals to agree to collect data on the same outcomes and indicators. Doing this means that we can compare the effectiveness of different programmes and services. This is what we will do during this project, by developing a Modern Slavery Core Outcome Set (MS-COS). The MS-COS will set out a minimum standard set of outcomes that should be measured and reported when assessing the effectiveness of programmes that support survivors. Items included in the MS-COS will have been identified as important to the recovery of survivors of modern slavery. They will also have been prioritized for inclusion by survivors, service providers, researchers, and policymakers.This project builds on methods developed by the COMET initiative, which brings together people interested in the development and application of agreed and standardized sets of outcomes, known as "core outcome sets". The project is divided into two phases:(1) In phase one, we will identify possible recovery outcomes and indicators. We will do this in three ways. First, we will examine previous research, to identify the outcomes that they measured. Second, we will interview survivors of modern slavery about what recovery outcomes are most important to them. In particular, we will want to speak to survivors who have been under-represented in previous research. Third, we will hold a workshop with survivors, professionals, academics, and policymakers, to discuss outcomes of interest together.(2) In phase two, we will prioritize outcomes and indicators for inclusion in the MS-COS. First, we will use an e-Delphi to ask people to rate the importance of outcomes and indicators. In a Delphi study, multiple rounds of questionnaires are sent to panels of experts. The anonymous responses are combined, and shared with the panels after each round. Panelists are allowed to change their answers after each round, based on what they think about the group responses. This study will use a two-round, three-panel online Delphi. Our three panels will be made up of survivors, professionals and policymakers, and academic researchers. Second, we will bring together survivors, professionals, academics, and policymakers in a consensus workshop to discuss, vote, and agree on the final MS-COS. Alongside this, we will be doing work to raise awareness of the MS-COS and embed it into research and practice, including through our national and international links with academics, practitioners, and policymakers, and a new group, called a "community of practice". The project is led by Dr Sian Oram, at King's College London, who has over ten years' experience of collaborating with survivors, professionals, policymakers and other academics to conduct modern slavery research. Members of the research team (from Uni. Nottingham, Uni. East London, Helen Bamber Foundation, and Survivor Alliance) have expertise in research, practice, and clinical care in relation to the recovery of survivors of modern slavery; survivor leadership and engagement; and expertise in core outcome set development.