1 Martin House Research Centre, Department of Health Sciences, Faculty of Sciences, University of York, York, UK.
2 Social Policy Research Unit, University of York, York, UK.
Palliat Med. 2018 Dec;32(10):1552-1566. doi: 10.1177/0269216318800172.
In planning high-quality research in any aspect of care for children and young people with life-limiting conditions, it is important to prioritise resources in the most appropriate areas.
To map research priorities identified from existing research prioritisation exercises relevant to infants, children and young people with life-limiting conditions, in order to inform future research.
We undertook a systematic scoping review to identify existing research prioritisation exercises; the protocol is publicly available on the project website.
The bibliographic databases ASSIA, CINAHL, MEDLINE/MEDLINE In Process and Embase were searched from 2000. Relevant reference lists and websites were hand searched. Included were any consultations aimed at identifying research for the benefit of neonates, infants, children and/or young people (birth to age 25 years) with life-limiting, life-threatening or life-shortening conditions; their family, parents, carers; and/or the professional staff caring for them.
A total of 24 research prioritisation exercises met the inclusion criteria, from which 279 research questions or priority areas for health research were identified. The priorities were iteratively mapped onto an evolving framework, informed by World Health Organization classifications. This resulted in identification of 16 topic areas, 55 sub-topics and 12 sub-sub-topics.
There are numerous similar and overlapping research prioritisation exercises related to children and young people with life-limiting conditions. By mapping existing research priorities in the context in which they were set, we highlight areas to focus research efforts on. Further priority setting is not required at this time unless devoted to ascertaining families' perspectives.
在规划儿童和青少年生命终末期护理的各个方面的高质量研究时,重要的是将资源优先用于最合适的领域。
绘制与生命终末期的婴儿、儿童和青少年相关的现有研究优先级排序工作中确定的研究优先级,以为未来的研究提供信息。
我们进行了系统的范围审查,以确定现有的研究优先级排序工作;该方案可在项目网站上公开获取。
从 2000 年开始,在 ASSIA、CINAHL、MEDLINE/MEDLINE In Process 和 Embase 这四个文献数据库中进行了搜索。还手动搜索了相关的参考文献列表和网站。纳入标准是任何旨在确定有益于患有生命有限、危及生命或缩短生命条件的新生儿、婴儿、儿童和/或青少年(出生至 25 岁)及其家庭、父母、照顾者;以及/或照顾他们的专业人员的研究的咨询。
共有 24 项研究优先级排序工作符合纳入标准,从中确定了 279 个健康研究的研究问题或优先领域。这些优先事项被迭代映射到一个不断发展的框架中,该框架由世界卫生组织的分类法提供信息。这导致确定了 16 个主题领域、55 个子主题和 12 个子子主题。
有许多与生命终末期的儿童和青少年相关的类似和重叠的研究优先级排序工作。通过在其设定的背景下绘制现有研究优先级,我们突出了需要集中研究努力的领域。除非专门用于确定家庭的观点,否则目前不需要进一步进行优先级设置。