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| Name | Class |
|---|---|
| Health Research Board, Ireland | OTHER |
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A two-group parallel randomised trial of Delphi survey methods.
Aim:
The aim of this trial is to compare a multi-round Delphi survey method with a Real-Time Delphi method on prioritised outcomes included in a core outcome set (COS). This trial is embedded within the COHESION study which is developing a COS for interventions for the treatment of neonatal encephalopathy.
Methods:
Stakeholders (parents/ caregivers of infants diagnosed and treated with neonatal encephalopathy, healthcare providers and researchers) will be randomised using stratified randomisation to take part in either a multi-round or Real-Time Delphi. Stakeholders will rate the importance of the same set of outcomes in both arms. We will compare the prioritised outcomes at the end of both surveys as well as other parameters such as feedback, initial condition and iteration effects.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Real-Time Delphi Method | Experimental | The Real-Time Delphi Method involves a single-round Delphi survey rating the importance of outcomes for neonatal encephalopathy. Feedback on each outcome (participant's own rating score, rating of the outcome by stakeholder group and overall consensus results for that outcome) will be provided to the participant once they have rated an outcome. They can then modify how they rated the outcome based on this feedback if they wish. Participants can also re-visit and re-rate outcomes as many times as they wish when the survey is live. Duration will span approximately 5 weeks. |
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| Multi-round Delphi Method | Active Comparator | The Multi-Round Delphi Method involves a three-round Delphi survey rating the importance of outcomes for neonatal encephalopathy. Feedback on each outcome (participant's own rating score, rating of the outcome by stakeholder group and overall consensus results for that outcome) will be provided to the participant at the end of Round 1 and the end of Round 2. Participants can then modify how they rated the outcome based on feedback, in Rounds 2 and 3, if they wish. Each survey Round will run for 3 weeks approximately. In between survey Rounds, there will be a downtime of approximately 10 days before providing feedback and a further 7 days before starting the next round. Duration will span approximately 14 weeks. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Participation in a Delphi survey | Other | Participants will be asked to participate in an online Delphi survey (using one of two randomly allocated methods) to rate the importance of outcomes that should be measured to determine the effect of treatment for neonatal encephalopathy. Outcomes will be prioritised on their importance in a consensus-driven manner. |
| Measure | Description | Time Frame |
|---|---|---|
| Comparison of outcomes prioritised within each survey arm | Comparison of outcomes prioritised by respondents at the end of (i) the Real-time and (ii) multi-round Delphi processes. An outcome is judged 'prioritised' based on the proportion of respondents rating the outcome a 7-9 (inclusive) on a 9-point Likert scale (higher scores = higher importance for inclusion in the COS) | End of both surveys (i.e. when the Multi-Round Delphi round 3 has finished and when the Real-Time Delphi has finished at the end of week 5). |
| Measure | Description | Time Frame |
|---|---|---|
| Feedback Effect | The feedback effect will tell if the feedback provided to participants resulted in them amending the rating they have to each outcome on the 9-point scale (higher scores= higher importance for inclusion in the COS) | Through study completion, an average of 14 weeks. |
| Initial Condition Effect |
| Measure | Description | Time Frame |
|---|---|---|
| Attrition rates | Comparison of attrition rates between multi-round and Real-Time Delphi arms. | Attrition rates will be recorded at the end of round 1 (week 3) and round 2 (week 9) in the Multi-Round Delphi and at weeks 2 and 4 in the Real-Time Delphi arm. |
| Frequency of re-visiting the Real-Time Delphi arm |
Inclusion Criteria:
parents or caregivers of infants that have been diagnosed with and received treatment for neonatal encephalopathy
healthcare providers including:
researchers/ academics with expertise in neonatal encephalopathy treatment.
Exclusion Criteria:
• participants not meeting the inclusion criteria
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Fiona A Quirke, BSc | Contact | +353 91 495 481 | f.quirke1@nuigalway.ie | |
| Declan Devane, PhD | Contact | +353 91 495 828 | declan.devane@nuigalway.ie |
| Name | Affiliation | Role |
|---|---|---|
| Declan Devane, PhD | Health Research Board - Trials Methodology Research Network | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| HRB-TMRN | Recruiting | Galway | H91 W6P8 | Ireland |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37468987 | Derived | Quirke FA, Battin MR, Bernard C, Biesty L, Bloomfield FH, Daly M, Finucane E, Haas DM, Healy P, Hurley T, Koskei S, Meher S, Molloy EJ, Niaz M, Bhraonain EN, Okaronon CO, Tabassum F, Walker K, Webbe JRH, Parkes MJ, Kirkham JJ, Devane D. Multi-Round versus Real-Time Delphi survey approach for achieving consensus in the COHESION core outcome set: a randomised trial. Trials. 2023 Jul 19;24(1):461. doi: 10.1186/s13063-023-07388-9. | |
| 33588938 |
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A two-group parallel randomised trial
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The initial condition effect will capture if early participant's rating for each outcome on the 9-point scale ( higher scores= higher importance for inclusion in the COS) differs to rating given by later participants. |
| During the Real-Time Delphi intervention (5 weeks). |
| Iteration Effect | The iteration effect will determine if there is a difference in how consensus is achieved on prioritising each outcome or not, between the Multi-Round and the Real-Time Delphi survey arms | Through study completion, an average of 14 weeks. |
| Comparison of outcomes prioritised within each survey arm with the final Core Outcome Set | Comparison of the of outcome headings prioritised at the end of both the Real-Time and Multi-Round Delphi processes with the outcome headings in the final Core Outcome Set. | Through study completion, an average of 1 year. |
Monitoring how often the Real-Time Delphi was re-visited by participants |
| This will be measured when a participant visits the Real-Time Delphi survey and rates the outcomes fully for a second time (between the start of week 1 and the end of week 5). |
| Usefulness, Satisfaction and Ease of Use of each survey arm | Participants will be asked in a short questionnaire how they found answering each survey using a modified Usefulness, Satisfaction and Ease of use questionnaire on a 7-point Likert Scale where 1= Strongly Disagree and 7=Strongly Agree. | End of both surveys (i.e. when the Multi-Round Delphi round 3 (week 14) has finished and when the Real-Time Delphi has finished at the end of week 5) |
| Derived |
| Quirke FA, Healy P, Bhraonain EN, Daly M, Biesty L, Hurley T, Walker K, Meher S, Haas DM, Bloomfield FH, Kirkham JJ, Molloy EJ, Devane D. Multi-Round compared to Real-Time Delphi for consensus in core outcome set (COS) development: a randomised trial. Trials. 2021 Feb 15;22(1):142. doi: 10.1186/s13063-021-05074-2. |