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共同制定神经性厌食症的研究重点:加拿大进食障碍重点制定伙伴关系。

Cocreating research priorities for anorexia nervosa: The Canadian Eating Disorder Priority Setting Partnership.

机构信息

Children's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada.

Toronto General Hospital Research Institute, University Health Network, Toronto, Ontario, Canada.

出版信息

Int J Eat Disord. 2020 May;53(5):392-402. doi: 10.1002/eat.23234. Epub 2020 Feb 3.

Abstract

OBJECTIVE

The Canadian Eating Disorder Priority Setting Partnership was established to identify and prioritize the top 10 research priorities for females, 15 years or older, with anorexia nervosa, by incorporating equal input from those with lived experience, families, and healthcare professionals.

METHOD

This project, which closely followed the James Lind Alliance guidelines, solicited research priorities from the Canadian eating disorder community by means of a five-step process including use of a survey, response collation, literature checking, interim ranking survey, and in-person prioritization workshop.

RESULTS

The initial survey elicited 897 priorities from 147 individuals, with almost equal representation from all three stakeholder groups. From this, 603 responses aligned with the project objectives and were collapsed into 71 broader indicative questions. Based on available systematic reviews, 18 indicative questions were removed as they were considered answered by existing literature while 8 indicative questions were added from the recommendations of the reviews. In total, 61 indicative questions were ranked in an interim ranking survey, where 21 questions were prioritized as important by at least 20% of respondents. As a final step, 28 individuals from across Canada attended the prioritization workshop to coestablish the top 10 research priorities.

DISCUSSION

Top priorities were related to treatment gaps and the need for more surveillance data. This systematic methodology allowed for a transparent and collaborative approach to identifying current priorities from both the service user and provider perspective. Wide dissemination is anticipated to promote work that is of high relevance to patients, families, and clinicians.

摘要

目的

加拿大饮食失调优先事项设定伙伴关系的成立,旨在通过纳入有生活经验、家庭和医疗保健专业人员的同等投入,确定和优先考虑 15 岁及以上女性神经性厌食症的前 10 项研究重点。

方法

该项目密切遵循詹姆斯·林德联盟的指导方针,通过包括使用调查、响应整理、文献检查、中期排名调查和现场优先排序研讨会在内的五个步骤,从加拿大饮食失调社区征求研究重点。

结果

最初的调查从 147 个人中征集了 897 项重点,几乎来自所有三个利益相关者群体的代表人数相等。从这一点出发,603 项回应与项目目标一致,并被合并成 71 个更广泛的指示性问题。根据现有的系统评价,18 个指示性问题被删除,因为它们被认为是现有文献回答的问题,而另外 8 个指示性问题是根据综述的建议增加的。总共,61 个指示性问题在中期排名调查中进行了排名,其中 21 个问题被至少 20%的受访者认为是重要的。作为最后一步,来自加拿大各地的 28 人参加了优先排序研讨会,共同确定了前 10 项研究重点。

讨论

优先事项与治疗差距和需要更多监测数据有关。这种系统的方法允许从服务用户和提供者的角度,对当前的重点进行透明和协作式的识别。广泛的传播预计将促进对患者、家庭和临床医生具有高度相关性的工作。

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