制定国家创伤研究行动计划：伤害预防研究差距德尔菲调查的结果。
Developing a National Trauma Research Action Plan: Results from the injury prevention research gap Delphi survey.
机构信息
From the Center for Surgery and Public Health (Z.C., J.P.H.-E.), Brigham and Women's Hospital, Harvard Medical School and Harvard T.H. Chan School of Public Health, Boston, Massachusetts; Department of Biomedical Informatics and Medical Education (J.P.), University of Washington, Seattle, Washington; Coalition for National Trauma Research (M.A.B., M.A.P.), San Antonio, Texas; Department of Surgery (S.B.), Rutgers University, Newark, New Jersey; Department of Surgery (M.M.K.), University of California, San Francisco, California; Department of Pediatrics (F.P.R.), Department of Epidemiology (A.R.-R.), and Department of Surgery (E.M.B.), University of Washington, Seattle, Washington.
出版信息
J Trauma Acute Care Surg. 2022 Sep 1;93(3):367-375. doi: 10.1097/TA.0000000000003665. Epub 2022 May 12.
BACKGROUND
In its 2016 report on trauma care, the National Academies of Sciences, Engineering, and Medicine called for the establishment of a National Trauma Research Action Plan to strengthen and guide future trauma research. To address this recommendation, the Department of Defense funded the Coalition for National Trauma Research to generate a comprehensive research agenda spanning the continuum of trauma and burn care. We describe the gap analysis and high priority research questions generated from the National Trauma Research Action Plan panel on injury prevention.
METHODS
Experts in injury prevention research were recruited to identify current gaps in injury prevention research, generate research questions and establish the priority of these questions using a consensus-driven Delphi survey approach from December 2019 through September 2020. Participants were identified using established Delphi recruitment guidelines to ensure heterogeneity and generalizability with both military and civilian representatives. Participants were encouraged, but not required, to use a Patient/Population, Intervention, Comparison, and Outcome format to generate research questions: Patient/Population; Intervention; Compare/Control; Outcome model. On subsequent surveys, participants were asked to rank the priority of each research question on a nine-point Likert scale, categorized to represent low-, medium-, and high-priority items. Consensus was defined as 60% or greater of panelists agreeing on the priority category.
RESULTS
Twenty-eight subject matter experts generated 394 questions in 12 topic areas. By round 3 of the Delphi, 367 (93.1%) questions reached consensus, of which 169 (46.1%) were determined to be high priority, 196 (53.4%) medium priority, and 2 (0.5%) low priority. Among the 169 high priority questions, suicide (29.6%), firearm violence (20.1%), and violence prevention (18.3%) were the most prevalent topic areas.
CONCLUSION
This Delphi gap analysis of injury prevention research identified 169 high priority research questions that will help guide investigators in future injury prevention research. Funding agencies and researchers should consider these gaps when they prioritize future research.
LEVEL OF EVIDENCE
Therepeutic/Care Management; Level IV.
背景
在其 2016 年关于创伤护理的报告中，美国国家科学院、工程院和医学院呼吁建立一个国家创伤研究行动计划，以加强和指导未来的创伤研究。为了响应这一建议，美国国防部资助了“国家创伤研究联盟”，以制定涵盖创伤和烧伤护理连续体的综合研究议程。我们描述了从国家创伤研究行动计划小组关于伤害预防的差距分析和高优先级研究问题。
方法
招募伤害预防研究方面的专家，以确定伤害预防研究中的当前差距，使用共识驱动的德尔菲调查方法生成研究问题，并确定这些问题的优先级，时间为 2019 年 12 月至 2020 年 9 月。参与者是根据既定的德尔菲招聘准则确定的，以确保军事和民用代表的异质性和普遍性。鼓励但不要求参与者使用患者/人群、干预、比较和结果模型生成研究问题：患者/人群；干预；比较/对照；结果模型。在随后的调查中，参与者被要求在九点李克特量表上对每个研究问题的优先级进行排名，分为低、中、高优先级类别。共识定义为 60%或更多的小组成员同意优先级类别。
结果
28 名主题专家在 12 个主题领域生成了 394 个问题。在德尔菲的第 3 轮中，367 个（93.1%）问题达成共识，其中 169 个（46.1%）被确定为高优先级，196 个（53.4%）为中优先级，2 个（0.5%）为低优先级。在 169 个高优先级问题中，自杀（29.6%）、枪支暴力（20.1%）和暴力预防（18.3%）是最常见的主题领域。
结论
这项伤害预防研究的德尔菲差距分析确定了 169 个高优先级研究问题，这将有助于指导未来伤害预防研究的调查人员。资助机构和研究人员在优先考虑未来研究时应考虑这些差距。
证据水平
治疗/护理管理；四级。
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