The American Congress of Rehabilitation Medicine Diagnostic Criteria for Mild Traumatic Brain Injury

Archives of Physical Medicine and Rehabilitation, Год журнала: 2023, Номер 104(8), С. 1343 - 1355

Опубликована: Май 19, 2023

Язык: Английский

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Development and validation of the pharmacist care model and definitions

Research Square (Research Square), Год журнала: 2023, Номер unknown

Опубликована: Июль 5, 2023

Abstract Aims The aim of this study was to develop and validate the pharmacist care model definitions Methodology were developed validated based on many steps, including an extensive literature review, experts’ opinions, Delphi method. Data entered analyzed using SPSS version 21 (SPSS Statistics for Windows, 21.0, IBM Corp., USA). qualitative part manually analyzed, then summarized all transcripts. Results After discussion with experts three rounds method 70 international experts, university professors pharmacists, validated. contains following themes: preventive medicine, self-care, dispensing counselling, diseases conditions management, patient & medications safety, tele-pharmacy, training pharmacy students research. Five during interview, 1 2; however, consensus achieved only, definition one 92.42% agreement, two 86.36% agreement 80.30% agreement. Conclusion have been can be used represent actual contribution impact pharmacists patient’s health.

Язык: Английский

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ACCORD (ACcurate COnsensus Reporting Document): A reporting guideline for consensus methods in biomedicine developed via a modified Delphi

PLoS Medicine, Год журнала: 2024, Номер 21(1), С. e1004326 - e1004326

Опубликована: Янв. 23, 2024

Background In biomedical research, it is often desirable to seek consensus among individuals who have differing perspectives and experience. This important when evidence emerging, inconsistent, limited, or absent. Even research abundant, clinical recommendations, policy decisions, priority-setting may still require agreement from multiple, sometimes ideologically opposed parties. Despite their prominence influence on key methods are poorly reported. Our aim was develop the first reporting guideline dedicated applicable all used in regardless of objective process, called ACCORD (ACcurate COnsensus Reporting Document). Methods findings We followed methodology recommended by EQUATOR Network for development guidelines: a systematic review Delphi process meetings finalize checklist. The preliminary checklist drawn existing literature quality suggestions Steering Committee. A panel ( n = 72) recruited with representation 6 continents broad range experience, including clinical, policy, patient perspectives. 3 rounds were completed 58, 54, 51 panelists. 56 items refined final 35 relating article title 1), introduction 3), 21), results 5), discussion 2), other information 3). Conclusions consensus-based studies. It will support authors writing accurate, detailed manuscripts, thereby improving completeness transparency providing readers clarity regarding reach agreement. Furthermore, make rigor guide recommendations clear readers. studies greater enhance trust made panels.

Язык: Английский

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Delivering Multidisciplinary Rehabilitation Care in Parkinson’s Disease: An International Consensus Statement

Journal of Parkinson s Disease, Год журнала: 2024, Номер 14(1), С. 135 - 166

Опубликована: Янв. 23, 2024

Background: Parkinson’s disease (PD) is a complex neurodegenerative disorder impacting everyday function and quality of life. Rehabilitation plays crucial role in improving symptoms, function, life reducing disability, particularly given the lack disease-modifying agents limitations medications surgical therapies. However, rehabilitative care under-recognized under-utilized PD often only utilized later stages, despite research guidelines demonstrating its positive effects. Currently, there consensus regarding fundamental topics related to services PD. Objective: The goal international Foundation Medicine Task Force was develop statement incorporation rehabilitation care. Methods: Force, comprised multidisciplinary experts people directly affected by PD, met virtually discuss such as services, existing therapy literature gaps needs. A systematic, interactive, iterative process used consensus-based statements on core components discipline-specific interventions. Results: expert-based outlines key tenets including approach guidance for occupational therapy, physical speech language pathology/therapy, psychology/neuropsychology across all stages. Conclusions: Rehabilitative interventions should be an essential component comprehensive treatment from diagnosis advanced disease. Greater education awareness benefits with their partners, further evidence-based scientific study are encouraged.

Язык: Английский

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Delphi consensus on stereotactic ablative radiotherapy for oligometastatic and oligoprogressive renal cell carcinoma—a European Society for Radiotherapy and Oncology study endorsed by the European Association of Urology

The Lancet Oncology, Год журнала: 2024, Номер 25(5), С. e193 - e204

Опубликована: Апрель 29, 2024

Язык: Английский

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Best Practices for Point of Care Ultrasound: An Interdisciplinary Expert Consensus

POCUS Journal, Год журнала: 2024, Номер 9(1), С. 95 - 108

Опубликована: Апрель 22, 2024

Despite the growing use of point care ultrasound (POCUS) in contemporary medical practice and existence clinical guidelines addressing its specific applications, there remains a lack standardization agreement on optimal practices for several areas POCUS use. The Society Point Care Ultrasound (SPOCUS) formed working group 2022 to establish set recommended best POCUS, applicable clinicians regardless their training, specialty, resource setting, or scope practice. Using three-round modified Delphi process, multi-disciplinary panel 22 experts based United States reached consensus 57 statements domains including: (1) definition role POCUS; (2) Training pathways; (3) Credentialing; (4) Cleaning maintenance devices; (5) Consent education; (6) Security, storage, sharing studies; (7) Uploading, archiving, reviewing (8) Documenting studies. are provided here. While not intended standard supersede more targeted guidelines, this document may serve as useful baseline guide clinicians, leaders, systems considering initiation enhancement programs.

Язык: Английский

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A MINIMUM DATASET FOR DESTINATION THERAPY WITH LEFT VENTRICULAR ASSIST DEVICE: THE EVIDENCE THAT MATTERS TO DECISION MAKERS

International Journal of Technology Assessment in Health Care, Год журнала: 2025, Номер unknown, С. 1 - 23

Опубликована: Янв. 17, 2025

An abstract is not available for this content so a preview has been provided. As you have access to content, full PDF via the 'Save PDF' action button.

Язык: Английский

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Best Practices Guidelines for the Engagement of People With Lived Experience and Family Members in Mental Health and Substance Use Health Research: A Modified Delphi Consensus Study

Health Expectations, Год журнала: 2025, Номер 28(1)

Опубликована: Янв. 20, 2025

ABSTRACT Introduction People with lived experience of mental health and/or substance use conditions and their families (PWLE) are increasingly engaged in research, yet rigorous guidelines for engagement lacking. This study aims to co‐design best practice support the authentic, meaningful PWLE research. Methods A multi‐panel modified Delphi was conducted 61 expert panelists (35 family members, 26 researchers/research staff from across Canada). Participants rated 56 recommendations importance clarity. Consensus defined as ≥ 70% participants rating items at 6 or 7 on a 7‐point Likert scale (‘very important’ ‘essential’). Qualitative feedback analysed using content analysis identify new reviewed improvements item After each round, not meeting established threshold were removed. Items low clarity scores reworded. advisory panel actively involved throughout study's design, implementation, interpretation, reporting, ensuring that perspectives people integrated research process. Results Three Rounds conducted. In Round 1, ratings ranged 51.7% 96.7% ranking above (average 80.1%), ranging 39.3% 86.9% 70.7%) an average coefficient variation (CV) 0.16. Four deleted, two added fifty‐five revised. 2, 60 (98.4%) responded. Importance 57.6% 80.2%; CV = 0.20). Clarity 50.9% 93.2% 77.9%). Five deleted eleven 3, provided 66.7% 98.3% 80.8%; 0.20), 63.3% 94.9% 81.1%). nine Forty‐four final practices proposed. Conclusion These co‐developed offer By following these guidelines, teams can ensure contributions genuinely valued effectively integrated, ultimately enhancing quality impact fostering authentic collaboration. Patient public involvement project key team patient‐oriented perspective. They also co‐authors this manuscript.

Язык: Английский

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Building Consensus on the Relevant Criteria to Screen for Depressive Symptoms Among Near-Centenarians and Centenarians: Modified e-Delphi Study

JMIR Aging, Год журнала: 2025, Номер 8, С. e64352 - e64352

Опубликована: Март 5, 2025

The number of centenarians worldwide is expected to increase dramatically, reaching 3.4 million by 2050 and >25 2100. Despite these projections, depression remains a prevalent yet underdiagnosed undertreated condition among this population that carries significant health risks. This study aimed identify achieve consensus on the most representative signs symptoms in near-centenarians (aged ≥95 years) through an e-Delphi with international interdisciplinary panel experts. Ultimately, outcomes might help create screening instrument specifically designed for unique population. A modified was carried out expert depressive centenarians. 28 experts recruited. Consensus defined as 70% agreement relevance each item. Data were collected web-based questionnaire over 3 rounds. Experts rated 104 items divided into 24 dimensions 80 criteria age group. consisted from various countries, including physicians experience old psychiatry or geriatrics well nurses psychologists. response rate remained consistent rounds (20/28, 71% 21/28, 75%). In total, 4 new 8 proposed experts, reached 86% (24/28) 80% (70/88) criteria. consensual potentially relevant lack hope (21/21, 100%), loss interest (27/28, 96%), reactivity pleasant events depressed mood (26/28, 93%), previous episodes diagnosed (19/21, 90%). addition, despondency, gloom, despair (25/25, 100%); (27/27, circumstances (28/28, suicidal ideation suicide attempt(s) ruminations 96%); recurrent thoughts death feelings worthlessness (25/26, critical life (20/21, 95%); anhedonia activities 93%); pleasure sadness (24/26, 92%). Moreover, when assessing very age, duration, number, frequency, severity should also be considered, evidenced high agreement. classification elements highlights importance multidimensional approach optimal individuals age. offers first step toward improving assessment development more adapted tool could improve early detection intervention, enhancing quality mental care

Язык: Английский

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The transformative impact of integrating sustainable innovation and CSR: a Delphi study on business, market and societal change

European Journal of Innovation Management, Год журнала: 2025, Номер unknown

Опубликована: Март 7, 2025

Purpose Construction projects in developing countries frequently face criticism for engaging social and environmentally irresponsible practices. Therefore, the purpose behind this research stems from critique, requiring to formulate a comprehensive corporate responsibility (CSR) framework that integrates sustainable innovation into business processes through stakeholder engagement. Design/methodology/approach In total, 23 experts Pakistan construction industry took part Delphi study. Criteria set terms of diverse backgrounds, organization size, characteristics or experiences experts. Findings The finding reveals integration CSR with demands significant change processes, starting planning, implementing oversighting stages project management demand top commitment realize benefits deliver value all stakeholders. Originality/value socially characteristics,

Язык: Английский

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