SEARCH · PubMed Health

Results for “Delphi”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 181 records · Page 10Linked to original sources

PubMed1998

[Prevention priorities in mental health in Geneva: a study using the Delphi technic].

A Delphi technique was used to determine priorities for mental health prevention in Geneva. The study comprised two rounds of postal questionnaires targeted at 58 participants concerned and/or interested by mental health through their association or their work. From the responses given in the first round mental health problems were listed, essentially health problems (65%) and service problems (11%) and less frequently resources problems (< 1%). Consensus produced in the second round indicated that 3 problems were priorities for the development of preventive measures: depression, alcohol abuse, maltraitance and sexual abuse. Using the Delphi technique, a qualitative method corresponding to a subjective consensus issued from a group of experts, priorities for mental health prevention were identified in Geneva, in 1995.

Adolescent↗

PubMed1977

Complete primary structure of the major component myoglobin of Pacific common dolphin (Delphinus delphis).

The complete amino acid sequence of the major component myoglobin from Pacific common dolphin, Delphinus delphis, was determined by the automatic Edman degradation of several large peptides obtained by specific cleavages of the protein. More than 80% of the covalent structure was established by the degradation of the apomyoglobin and five peptides from: (1) cyanogen bromide cleavage at the two methionine residues, (2) trypsin cleavage of the acetimidated apomyoglobin at the three arginine residues, and (3) 2-p-nitrophenylsulfenyl-3-methyl-3'-bromoindolenine cleavage at the two tryptophan residues. The rest of the sequence was determined by use of the peptides prepared from further digestion of the central cyanogen bromide peptide with staphylococcal protease and trypsin. The primary structure of this myoglobin proved identical with that from the Atlantic bottlenosed dolphin, Tursiops truncatus, but showed four substitutions with respect to the sequence reported for the Black Sea dolphin which has also been given the designation Delphinus delphis.

Amino Acid Sequence↗

PubMed1997

Development of a tool to rate the quality assessment of randomized controlled trials using a Delphi technique.

The aim of this study was to develop a quality of study tool rate the methodological quality of individual primary randomized controlled trials (RCTs) to be included in a meta-analysis. A Delphi-technique using several rounds of questions to seek consensus, among trialists, on criteria important in a RCT was used. Eight trialists formed the Delphi panel. The developed quality of study tool consisted of 53 items in 15 dimensions. The tool was tested for reliability and validity. Unlike many other quality assessment tools, the developed tool may be used to rate numerically each primary study. This is important in reviews or in meta-analyses where one objective may be to ascertain whether those studies of a higher quality exhibit different results to reviewing studies of lower quality. The tool needs further testing.

Clinical Nursing Research↗

PubMed2004

Development of the European Colposcopy Core Curriculum: use of the Delphi technique.

The objective of this study was to develop a European competence-based colposcopy core curriculum using the Delphi technique. Thirty expert colposcopists from 21 countries participated. A four-round iterative questionnaire was used. Competencies were rated using a five-point Likert scale. Competences rated as 4 or more by at least 90% of the respondents were regarded as necessary for the core curriculum. Eighteen participants took part in all four rounds, and 27 were active in each of the last three rounds. Fifty-one core competences were selected from a list of 76 competences collated by the group as a whole. The majority (n = 44) of the selected core competences received a score of 4 or greater in each round. Overall, there was some evidence of increasing consensus but the individual shift in opinion was slight. The Delphi technique was an effective tool for obtaining an expert consensus and enabled group "ownership" of the identified core curriculum.

Clinical Competence↗

PubMed1979

Using Delphi to achieve congruent objectives and activities in a pediatrics department.

This study demonstrated the use of the Delphi technique in conjunction with activity analysis to obtain consensus on and clarity of objectives and activities of full-time members of an academic medical department. The results indicated that the Delphi technique is an effective method not only for obtaining a consensus on objectives but also for elucidating areas where there is no apparent consensus. The results also revealed which activities contributed to the objectives of the department and in which areas there was a divergence of objectives from the actual activities being carried out.

British Columbia↗

PubMed1981

The Delphi predictions of pathology chairmen: a six-year retrospective view.

A retrospective review is reported of progress in academic pathology since 1974, when the Association of Pathology Chairmen undertook a Delphi study of pathology chairmen's expectations and desires for the future. In the authors' view, the Delphi study was useful in alerting academic pathologists to some important opportunities and in coalescing activities toward achievement of important goals. A second study to involve a broader community of pathologists is suggested.

Education, Medical, Continuing↗

PubMed1994

Delphi Study: HIV/AIDS and the Athletic Population.

Recent announcements in the news of HIV/AIDS contraction by famous sports figures have focused world attention on the fact that athletes are not immune to this deadly virus. In view of this, we reviewed the literature to examine what studies have been directed specifically at the athletic population and HIV/AIDS. Unfortunately, because of the relatively new nature of this problem, little data exists for examination. A panel of experts was assembled to participate in a Delphi methodology project. This educational study was designed to examine three issues surrounding the athletic community and HIV/AIDS. The three questions examined in this study were: 1) should medical testing be undertaken within the athletic community to determine exposure to the virus; 2) if testing is undertaken, what privacy/confidentiality measures should be incorporated to protect the individual and the results of the test; and 3) what educational interventions should be developed and implemented to help the athlete understand the disease and prevent the spread. The responses from the Delphi participants indicate that the HIV/AIDS dilemma is a societal issue and should not single out a segment of the population-in this case the athletic community. The panel also indicated that privacy and confidentiality are crucial in protecting the individual athlete and test results. The development and implementation of educational interventions is the most important component in the entire issue of HIV/AIDS and the athletic community.

Journal Article↗

PubMed2000

Contributors to initial success on the national athletic trainers' association board of certification examination as perceived by candidate sponsors: a delphi study.

OBJECTIVE: To determine the factors that are perceived to contribute to first-time success on the National Athletic Trainers' Association (NATA) Board of Certification Examination. DESIGN AND SETTING: We surveyed a panel of athletic training educators who sponsor candidates for the examination by means of the Delphi technique. The Delphi technique is a method of structuring the collective judgments of a group of experts, conducted through a series of sequential questionnaires, each containing summarized information from earlier responses. SUBJECTS: A total of 29 athletic training program directors whose programs are accredited by the Commission on Accreditation of Allied Health Education Programs or approved by the NATA. MEASUREMENTS: We used 3 questionnaires to solicit the opinions of experts and ultimately reach consensus. Each questionnaire was generated from the results of the previous questionnaire. The initial questionnaire asked respondents to list items that they perceived as contributing to first-time success. The second was generated from the results of the first and asked respondents to rate items using a Likert scale. The third questionnaire allowed respondents to change their answers based on the information presented. The study concluded with a consensus confirmation report that asked respondents to concur with the results of the study. RESULTS: The panel reached consensus on items that reflected clinical experiences, teaching qualities and practices of the clinical instructors, student knowledge, test-taking skills, and student characteristics. Of these consensus items, the items contributing significantly to initial examination success were "ability to interpret the question," "knowledge of theories and techniques in rehabilitation and modalities," "clinical assessment skills," "clinical settings that allow students to take an active role," and "instructors committed to providing a positive learning environment." CONCLUSIONS: We noted 5 different areas perceived as contributing to a student's passing the examination on the first trial. These results can be used by program directors to enhance their curricular, didactic, and clinical structures to better prepare students for the examination. The results can also be used by the NATA Education Council in the development of educational programs for certified athletic trainers to become effective clinical instructors.

Journal Article↗

PubMed2026

Delphi study robot consenso: Strategies for the implementation of robotic surgery in general surgery in the Spanish hospital network.

INTRODUCTION: The implementation of robotic surgery in public hospitals presents multiple logistical, educational, and organizational challenges. In the absence of unified guidelines, a national consensus is required to optimize its safe and efficient adoption. This study aimed to establish a set of consensus-based and measurable recommendations for the implementation of robotic surgery programs in hospitals within the Spanish National Health System, based on the experience of centres with established robotic programs and intended to serve as guidance for hospitals that are initiating or planning their implementation. METHODS: A national Delphi study was conducted with the participation of robotic surgery experts from 26 public hospitals. The expert panel was composed exclusively of digestive surgeons with experience in robotic surgery. Three iterative rounds of expert panel evaluation were conducted between March 2024 and March 2025. The questions were grouped into five thematic blocks. Consensus was defined as an agreement level of ≥66.7%. Kendall's W coefficient was used to assess concordance. RESULTS: High levels of consensus were achieved on key aspects related to infrastructure, structured training, cost evaluation, and quality assurance mechanisms. Areas of disagreement were also identified, such as the need for a dedicated anaesthesiologist, purchase of accessory instruments during the initial phase, and official accreditation pathways. CONCLUSIONS: This study provides a guideline for developing a national robotic surgery strategy focused on patient safety, program sustainability, and standardized training of surgical teams. These recommendations can guide hospitals at different stages of robotic technology adoption. Given that the consensus was reached from an exclusively surgical perspective, the recommendations focus on patient safety, program sustainability, and standardized training of the surgical team, and should be interpreted in an adaptable manner according to each centre's context, case volume, and available resources.

Cirugía Asistida por Robot↗

PubMed2004

A Delphi study on research priorities for emergency nurses in Western Australia.

INTRODUCTION: The Delphi Study on Research Priorities for Emergency Nurses in Western Australia Project was designed to allow emergency nurses to design research questions and then rank them in order of priority. METHODS: A qualitative methodology allowed the researchers to determine expert opinions from the membership of the Emergency Nurses Association of Western Australia to reach a general consensus related to research questions. RESULTS: The results placed nurse-initiated analgesia as the top research priority, with ED staffing issues in second place and ED violence issues in third place. In all, 25 research questions were developed and ranked according to priority. DISCUSSION: Development of these ranked research questions enables researchers not only to pick a research question "off the shelf" but also to be assured that the research question is clinically relevant and is a priority for practicing emergency nurses. These attributes will encourage potential researchers to conduct studies, but they also underscore the importance of the topics for the benefit of those who fund studies.

Adult↗

PubMed2026

The musculoskeletal pain literacy questionnaire (MSK-PLq) - Part 1: Development of a preliminary version through a systematic review and Delphi consensus.

OBJECTIVE: Chronic musculoskeletal (MSK) pain is a leading cause of disability worldwide, and self-management is a first-line approach recommended by international clinical guidelines. Access to evidence-based information that enhances health literacy may support patients' engagement in their self-management and treatment decision-making, potentially reducing disease burden and pain. However, no tool currently exists to assess health literacy specifically in MSK pain. This study aimed to develop and describe the preliminary version of a knowledge-based questionnaire to evaluate MSK pain literacy, the Musculoskeletal Pain-Literacy questionnaire (MSK-PLq). METHODS: A systematic literature review identified existing health literacy instruments and generated a preliminary list of domains. A two-round Delphi study with 22 panellists (19 experts and three people living with chronic MSK pain), followed by consensus meetings, was used to refine domains and items (≥70% agreement). Readability was assessed using the Flesch Reading Ease (FRE) score and three stakeholders were consulted to review the questionnaire for comprehensibility, clarity, and face validity. RESULTS: Six domains were retained (Understand, Access, Appraise, Apply, Digital, Beliefs), comprising 20 items in the preliminary version of MSK-PLq. Readability was acceptable (mean FRE 74, indicating fairly easy reading), and subject feedback supported the questionnaire's clarity and face validity. CONCLUSIONS: The preliminary version of the MSK-PLq is proposed as the first knowledge-based tool to assess functional, interactive, and critical aspects of MSK pain literacy. It may have applications in clinical practice, research, education, and digital health, by informing tailored patient education and supporting self-management strategies, although further psychometric validation is required.

Humans↗

PubMedDate not supplied

A Delphi evaluation of the factors influencing length of stay in Australian hospitals.

Using a modified Delphi method, the factors influencing length of inpatient stay (LOS) were explored. Row/column effects loglinear modelling was used to compare ratings between the first and second rounds, and between the clinical and non-clinical groups. Rating scale modelling was used to classify and determine the relative importance of each factor. Six important and 48 significant determinants of LOS were found, and four unimportant factors were identified. The relationship among these factors and the implications of this study are explored.

Comorbidity↗

PubMed2005

Contents of a core library in continuing medical education: a Delphi study.

INTRODUCTION: In developing their professional competence, those who are interested in the practice of continuing medical education (CME) should recognize the knowledge base that defines their field. This study systematically identifies and organizes a list of books and journals comprising a core library (100 books/15 journals) for CME professionals. METHODS: The Delphi method was applied to elicit and combine the judgments of a fifty member panel considered knowledgeable about the CME field. The panelists participated in three iterations of the survey to first identify and then rank order nominated works. Separate ranked lists were created for books and journals. RESULTS: Forty-four participants completed the study (88% response rate). 268 books and 34 journals were identified. Mean ratings ranged from 4.78 (high) to 1.50 (low). DISCUSSION: The results of the study reflect the panel's judgment. The list is not definitive; instead, it describes what a select group of individuals knowledgeable about the CME field considered important. The list should therefore be seen as a general guide and a resource to facilitate decision-making, not as a prescription for creating a library.

Delphi Technique↗

PubMed2004

Health care for childhood cancer survivors: insights and perspectives from a Delphi panel of young adult survivors of childhood cancer..

BACKGROUND: Most children diagnosed with cancer are surviving into adulthood but are not receiving adequate or appropriate follow-up health care. However, to the authors' knowledge, there is little literature published to date exploring potential barriers to long-term risk-based follow-up care for young adult survivors of childhood cancer. METHODS: In the current study, using a modified Delphi technique, young adult cancer survivors identified barriers to utilizing appropriate follow-up care and offered suggestions for ways to enhance health care in this young adult population. RESULTS: Major barriers to health care were found to be a lack of knowledge on the part of both physicians and survivors regarding long-term health issues related to cancer. Suggestions to enhance care included self-advocacy training for survivors and advanced training for primary care physicians who may treat childhood cancer survivors as they transition into adulthood. CONCLUSIONS: The results of the current study are consistent with reports that young adult survivors of childhood cancer need or desire information regarding their medical histories, psychosocial support, and social advocacy.

Adolescent↗

PubMed2002

Abulia: a delphi survey of British neurologists and psychiatrists.

Abulia is the relatively uncommon yet debilitating lack of spontaneous, goal-directed behaviour that is seen predominantly with lesions of the basal ganglia and the frontal lobes. We sought to confirm the existence of abulia as an entity recognized by clinicians, to generate a set of items characteristic of the condition, and to see how clinicians differentiate between overlapping disorders. The Delphi technique was used to survey consultant neurologists and psychiatrists at three hospitals in London. The study consisted of two phases: semi- structured interviews of a small group of neurologists and psychiatrists, followed by a survey of a larger group of consultants using postal questionnaires. Both neurologists and psychiatrists recognized abulia to be a distinct clinical entity but its status as a syndrome was unclear. Features such as difficulty in initiating and sustaining spontaneous movements and reduction in emotional responsiveness, spontaneous speech, and social interaction were identified as being characteristic of abulia. The information generated by this study may help to develop a working classification for disorders of diminished drive and motivation, and instruments for clinical assessment and decision making.

Basal Ganglia↗

PubMed1983

Productivity-based relative value units for radiology procedures. A Delphi approach.

This paper presents a methodology to develop relative value units (RVUs) for radiology procedures. The RVUs were developed to measure and to monitor the productivity of radiologists and technologists in a large HMO. In all, 13 radiologists and 33 technologists participated in a Delphi process to develop relative weights for 595 procedures in eight different radiology modalities, including CAT scanner and ultrasound. The RVUs generated were readily accepted by the users and are currently being implemented in the computerized information system at the HMO.

Delphi Technique↗

PubMed1998

[National reference centers for surveillance of infectious diseases in Switzerland: results of a delphi study].

The national reference laboratories are one of the tools used by public health authorities to control infectious diseases. The Swiss Confederation supports 9 national reference centers (NC), each dealing with a limited number of infectious agents. The purpose of this study was to evaluate if this network meets present day needs, whether it has to be redefined, and how it can be improved. Using the Delphi technique, 34 experts in the field of infectious diseases were questioned to establish a concept for NC in Switzerland. The main result of this study is that official reference laboratories are considered necessary. However, depending on the type of infectious agent, the following types of laboratories should be used: national reference centers, specialized laboratories and laboratories abroad. The study also defined criteria for the designation of NC, their field of action (general objectives, tasks, duration of the mandate, infectious agent to be monitored), evaluation criteria, and the type of funding. Furthermore, possible improvements in the present system were identified and the establishment of good collaborations with reference centers abroad was proposed.

Communicable Diseases↗

PubMed2005

General practitioners prefer prescribing indicators based on detailed information on individual patients: a Delphi study.

OBJECTIVE: To assess the face validity of both simple and advanced quality indicators for prescribing in general practice. METHODS: In a three-round Delphi study, 100 randomly selected general practitioners (GPs) in Denmark rated 18 indicators for prescribing of non-steroidal anti-inflammatory drugs. All indicators were based on prescription register data and focused on different prescribing aspects. Advanced indicators contained information at the patient level, viz. age, sex and history of drug use, while simple indicators only used drug statistics at practice level. Indicators were rated on a nine-point Likert scale. Consensus among GPs was defined as interquartile ranges of three or less. A median rating of 7-9 was interpreted as face validity and a median rating of 1-3 as no face validity. RESULTS: Participation in the study was accepted by 44 GPs and 37 completed all three rounds. Three indicators based on patient level data and focusing on adverse effects were assessed to have face value. One indicator focusing on costs and based on practice level data was considered unsuitable for evaluating the quality of prescribing. Consensus was not reached for the remaining indicators. CONCLUSIONS: GPs do not regard simple indicators based on aggregated data at practice level as suitable for evaluating the prescribing quality in general practice, but prefer indicators that rest on clinical data at the patient level.

Anti-Inflammatory Agents, Non-Steroidal↗