Shepherd Victoria, Wood Fiona, Hood Kerenza
South East Wales Trials Unit, Centre for Trials Research, Cardiff University, Cardiff, UK.
Division of Population Medicine, School of Medicine, Cardiff University, Cardiff, UK.
Age Ageing. 2017 Mar 1;46(2):284-290. doi: 10.1093/ageing/afw204.
currently, there is little evidence base for much of the care provided for older people in care homes. Given the wide range of topics that require further investigation, and limited resources, one solution is to identify the priorities for future research.
a modified Delphi technique was used to identify research topics and develop consensus among care home staff participants. The survey was conducted across three rounds. Firstly to elicit topics that were considered by participants to require further research, secondly to prioritise the long list of research questions, followed by a third round to reach a consensus on the highest ranked 15 questions.
eighty-three participants responded to the initial survey, providing 144 questions. Following analysis and review against existing evidence, 76 research questions remained. Of note, 40/83 participants responded to the interim prioritisation round and 43/83 participants responded to the final round, which ranked the top 15 research questions by importance. Two other groups of health and social care professionals also participated in the final ranking. The results from these groups had a similar ordering to those of the original cohort of participants.
this is the first study to establish a set of research priorities for older people in the UK care homes. It is hoped that sharing these results with clinicians, researchers and funding bodies will help to begin the process of ensuring that the future research agenda can be focused on the areas of greatest need. Further work to identify the priorities of other key stakeholders is required.
目前，针对养老院老年人提供的大部分护理工作，几乎没有证据基础。鉴于需要进一步调查的主题范围广泛且资源有限，一种解决方案是确定未来研究的重点。
采用改良的德尔菲技术来确定研究主题并在养老院工作人员参与者中达成共识。该调查分三轮进行。首先，引出参与者认为需要进一步研究的主题；其次，对一长串研究问题进行优先级排序；接着，进行第三轮，就排名最高的15个问题达成共识。
83名参与者回复了初始调查，提出了144个问题。根据现有证据进行分析和审查后，剩下76个研究问题。值得注意的是，83名参与者中有40名回复了中期优先级排序轮，83名参与者中有43名回复了最终轮，最终轮按重要性对前15个研究问题进行了排名。另外两组卫生和社会护理专业人员也参与了最终排名。这些组的结果与最初参与者队列的结果排序相似。
这是第一项为英国养老院老年人确定一系列研究重点的研究。希望与临床医生、研究人员和资助机构分享这些结果，将有助于启动确保未来研究议程能够聚焦于最迫切需求领域的进程。还需要开展进一步工作，以确定其他关键利益相关者的重点。
