Dept of Respiratory Medicine, Southern Adelaide Local Health Network, Adelaide, Australia School of Medicine, Flinders University, Adelaide, Australia
Dept of Medical Psychology and Dept of Pulmonary Diseases, Radboud University Medical Center, Nijmegen, The Netherlands.
Eur Respir J. 2016 Jul;48(1):46-54. doi: 10.1183/13993003.00025-2016. Epub 2016 Apr 13.
There is an urgent need for consensus on what defines a chronic obstructive pulmonary disease (COPD) self-management intervention. We aimed to obtain consensus regarding the conceptual definition of a COPD self-management intervention by engaging an international panel of COPD self-management experts using Delphi technique features and an additional group meeting.In each consensus round the experts were asked to provide feedback on the proposed definition and to score their level of agreement (1=totally disagree; 5=totally agree). The information provided was used to modify the definition for the next consensus round. Thematic analysis was used for free text responses and descriptive statistics were used for agreement scores.In total, 28 experts participated. The consensus round response rate varied randomly over the five rounds (ranging from 48% (n=13) to 85% (n=23)), and mean definition agreement scores increased from 3.8 (round 1) to 4.8 (round 5) with an increasing percentage of experts allocating the highest score of 5 (round 1: 14% (n=3); round 5: 83% (n=19)).In this study we reached consensus regarding a conceptual definition of what should be a COPD self-management intervention, clarifying the requisites for such an intervention. Operationalisation of this conceptual definition in the near future will be an essential next step.
目前非常需要就定义慢性阻塞性肺疾病（COPD）自我管理干预达成共识。我们旨在通过采用德尔菲技术特征和另外一次小组会议，让 COPD 自我管理专家国际小组参与，从而就 COPD 自我管理干预的概念定义达成共识。在每一轮共识中，专家们被要求就提出的定义提供反馈，并对其同意程度进行评分（1=完全不同意；5=完全同意）。所提供的信息用于在下一轮共识中修改定义。对自由文本回复进行了主题分析，对同意评分进行了描述性统计。共有 28 名专家参与。五个回合的共识回合回复率随机变化（范围从 48%（n=13）到 85%（n=23）），定义同意评分的平均值从 3.8（第 1 轮）增加到 4.8（第 5 轮），给予最高分 5 的专家比例也在增加（第 1 轮：14%（n=3）；第 5 轮：83%（n=19））。在这项研究中，我们就 COPD 自我管理干预的概念定义达成了共识，阐明了此类干预的必要条件。在不久的将来，对这一概念定义的实施将是下一步的重要工作。
