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英国和爱尔兰儿童健康研究的优先事项。

Priorities for child health research across the UK and Ireland.

作者信息

Cathie Katrina, Sutcliffe Alastair G, Bandi Srini, Coghlan David, Turner Stephen W, Powell Colin

机构信息

NIHR Southampton Clinical Research Facility, University Hospital Southampton NHS Foundation Trust, Southampton, UK

Clinical and Experimental Sciences, University of Southampton Faculty of Medicine Health and Life Sciences, Southampton, UK.

出版信息

Arch Dis Child. 2022 May;107(5):474-478. doi: 10.1136/archdischild-2021-322636. Epub 2021 Oct 29.

DOI:10.1136/archdischild-2021-322636
PMID:34716174
Abstract

BACKGROUND

The General and Adolescent Paediatric Research Network in the UK and Ireland (GAPRUKI) was established in 2016. The aims of GAPRUKI are to unite general paediatricians around the UK and Ireland, to develop research ideas and protocols, and facilitate delivery of multicentre research.

OBJECTIVES

To undertake a research prioritisation exercise among UK and Ireland general paediatricians.

METHODS

This was a four-phase study using a modified Delphi survey. The first phase asked for suggested research priorities. The second phase developed ideas and ranked them in priority. In the third phase, priorities were refined; and the final stage used the Hanlon Prioritisation Process to agree on the highest priorities.

RESULTS

In phase one, there were 250 questions submitted by 61 GAPRUKI members (66% of the whole membership). For phase two, 92 priorities were scored by 62 members and the mean Likert scale (1-7) scores ranged from 3.13 to 5.77. In a face-to-face meeting (phases three and four), 17 research questions were identified and ultimately 14 priorities were identified and ranked. The four priorities with the highest ranking focused on these three respiratory conditions: asthma, bronchiolitis and acute wheeze. Other priorities were in the diagnosis or management of constipation, urinary tract infection, fever, gastro-oesophageal reflux and also new models of care for scheduled general paediatric clinics.

CONCLUSION

Research priorities for child health in the UK and Ireland have been identified using a robust methodology. The next steps are for studies to be designed and funded to address these priorities.

摘要

背景

英国和爱尔兰的普通及青少年儿科研究网络(GAPRUKI)于2016年成立。GAPRUKI的目标是团结英国和爱尔兰的普通儿科医生,提出研究思路和方案,并促进多中心研究的开展。

目的

在英国和爱尔兰的普通儿科医生中开展一项研究优先级排序活动。

方法

这是一项采用改良德尔菲调查的四阶段研究。第一阶段征集建议的研究优先级。第二阶段提出思路并对其进行优先级排序。第三阶段完善优先级;最后阶段使用汉隆优先级排序流程确定最高优先级。

结果

在第一阶段,GAPRUKI的61名成员(占全体成员的66%)提交了250个问题。在第二阶段,62名成员对92个优先级进行了评分,李克特量表(1 - 7)的平均得分在3.13至5.77之间。在一次面对面会议(第三和第四阶段)上,确定了17个研究问题,最终确定并排列了14个优先级。排名最高的四个优先级集中在以下三种呼吸道疾病:哮喘、细支气管炎和急性喘息。其他优先级涉及便秘、尿路感染、发热、胃食管反流的诊断或管理,以及定期普通儿科门诊的新护理模式。

结论

已采用一种可靠的方法确定了英国和爱尔兰儿童健康的研究优先级。接下来的步骤是设计并资助相关研究以解决这些优先级问题。

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