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Prioritising target behaviours for research in diabetes: Using the nominal group technique to achieve consensus from key stakeholders

机译:为糖尿病研究确定目标行为的优先级:使用名义小组技术获得主要利益相关者的共识

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Plain english summaryThe behaviour of people with diabetes (e.g. taking medication) and the behaviour of doctors and other healthcare professionals (e.g. checking patients’ blood sugar) are important. Our research group wanted to select one patient behaviour and one healthcare professional behaviour as topics to research in Ireland. Patients and healthcare professionals are not usually asked to help decide on research topics. In this study, we wanted to bring together patients, healthcare professionals and policy makers to help us decide on the most important target behaviours for research in diabetes in Ireland.We worked with 24 participants, including people with diabetes, diabetes healthcare professionals and policy makers. First, participants suggested behaviours they thought were important to target for research in diabetes. Participants then attended a meeting and ranked which of the behaviours were the most important and discussed the results of the rankings as a group. We identified the most highly ranked patient and healthcare professional behaviours. The top ranked behaviour for people with Type 1 diabetes was to ‘take insulin as required’ and for people with Type 2 diabetes was to ‘attend and engage with structured education programmes’. ‘Engage in collaborative goal setting with patients’ was the top ranked behaviour for healthcare professionals.Our study shows it is possible for researchers to work with people with diabetes, healthcare professionals and policy makers to decide on research topics. The top ranked behaviours will now be researched by our group in Ireland. Background Working with patients, healthcare providers, and policy makers to prioritise research topics may enhance the relevance of research and increase the likelihood of translating research findings into practice. The aim of the present study was to work with key stakeholders to identify, and achieve consensus on, the most important target behaviours for research in diabetes in Ireland. Methods Twenty-four participants, including people with diabetes, diabetes healthcare professionals and policy makers, took part in a nominal group technique consensus process. Through an online survey, participants generated lists of important target behaviours in three areas: managing Type 1 diabetes, managing Type 2 diabetes and preventing Type 2 diabetes. Participants then attended a research prioritisation meeting and ranked target behaviours in two rounds, with group discussion between ranking rounds. For each of the three key areas, the six top ranked behaviours relevant to people with diabetes and healthcare professionals were identified. Results In most cases, the most highly ranked behaviour was the same for Ranking 1 and Ranking 2 and consensus increased in relation to endorsement of top ranked behaviours. However, some behaviours did change position between rankings. The top behaviour relevant to people with Type 1 diabetes was ‘taking insulin as required’ and for people with Type 2 diabetes was ‘attending and engaging with structured education programmes’. ‘Engage in collaborative goal setting with patients’ was the top ranked behaviour relevant to healthcare professionals for managing both Type 1 and Type 2 diabetes. For preventing Type 2 diabetes, 'engage in healthy behaviours as a family' was the highest ranked population behaviour and ‘attend and engage with behaviour change training’ was the highest ranked professional behaviour. Conclusions It is possible to work with a diverse group of stakeholders to inform the diabetes research agenda. The priorities identified were co-produced by key stakeholders, including patients, healthcare professionals and policy makers, and will inform the development of a programme of behavioural research in diabetes in Ireland. The study also provides a worked example of a research prioritisation process using the nominal group technique, and identified limitations, which may be useful for other researchers.
机译:简单的英语摘要糖尿病患者的行为(例如服药)以及医生和其他医疗保健专业人员的行为(例如检查患者的血糖)非常重要。我们的研究小组希望选择一种患者行为和一种医疗保健专业行为作为在爱尔兰进行研究的主题。通常不要求患者和保健专业人员决定研究主题。在这项研究中,我们希望将患者,医疗保健专业人员和决策者召集在一起,以帮助我们确定爱尔兰糖尿病研究中最重要的目标行为。我们与24名参与者合作,其中包括糖尿病患者,糖尿病医疗保健专业人员和决策者。首先,参与者建议他们认为对糖尿病研究重要的行为。然后,参与者参加了会议,并对最重要的行为进行了排名,并讨论了排名的结果。我们确定了排名最高的患者和医疗保健专业行为。对于1型糖尿病患者,最重要的行为是“按需服用胰岛素”,而对于2型糖尿病患者则是“参加并参与结构化教育计划”。 “参与与患者的协作目标设定”是医疗保健专业人员的头等大事。我们的研究表明,研究人员可以与糖尿病患者,医疗保健专业人员和政策制定者一起决定研究主题。现在,排名最高的行为将由我们在爱尔兰的小组进行研究。背景技术与患者,医疗保健提供者和政策制定者一起确定研究主题的优先级可能会增强研究的相关性,并增加将研究结果转化为实践的可能性。本研究的目的是与主要利益相关者合作,以识别并就爱尔兰糖尿病研究中最重要的目标行为达成共识。方法24名参与者(包括糖尿病患者,糖尿病保健专业人员和决策者)参加了名义上的小组技术共识过程。通过在线调查,参与者在三个领域生成了重要的目标行为列表:管理1型糖尿病,管理2型糖尿病和预防2型糖尿病。然后,参与者参加研究优先级会议,并在两轮中对目标行为进行排名,并在排名轮之间进行小组讨论。对于这三个关键领域中的每一个,确定了与糖尿病患者和医疗保健专业人员相关的排名最高的六种行为。结果在大多数情况下,排名最高的行为与排名第一和排名第二的行为相同,并且就最高行为的认可而言,共识增加了。但是,某些行为确实改变了排名之间的位置。与1型糖尿病患者相关的最高行为是“按需服用胰岛素”,而与2型糖尿病患者相关的行为是“参加并参与结构化教育计划”。 “参与与患者的协作目标设定”是与医护人员管理1型和2型糖尿病相关的最高行为。对于预防2型糖尿病,“参与家庭健康行为”是排名最高的人群行为,“参加并参与行为改变培训”是排名最高的职业行为。结论可以与各种各样的利益相关者合作,为糖尿病研究议程提供信息。所确定的优先事项由包括患者,医疗保健专业人员和政策制定者在内的主要利益相关者共同制定,并将为爱尔兰糖尿病行为研究计划的制定提供依据。这项研究还提供了使用名义小组技术进行研究优先排序过程的实际示例,并确定了局限性,这可能对其他研究人员有用。

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