Unit of Periodontology, UCL Eastman Dental Institute, London, UK.
University Complutense of Madrid, ETEP Research Group, Madrid, Spain.
Clin Oral Implants Res. 2023 May;34 Suppl 25:97-107. doi: 10.1111/clr.14079.
The aims of this project were to establish the outcomes for dental implant research that are important to people with lived experience (PWLE) and to achieve consensus with those developed by dental professionals (DPs) for a core outcome set (COS). This paper reports the process, outcomes and experiences of involving PWLE in developing a COS for dental implant research: the Implant Dentistry Core Outcome Sets and Measures project.
Overall methods were guided by the Core Outcome Set Measures in Effectiveness Trials (COMET) initiative. Initial outcome identification was achieved from focus groups with PWLE employing calibrated methods across two low-middle-income countries (China and Malaysia) and two high-income countries (Spain and the United Kingdom). Following consolidation of the results, the outcomes were incorporated into a three-stage Delphi process with PWLE participation. Finally, consensus between PWLE and DPs was achieved using a mixed live and recorded platform. The experiences of PWLE involvement in the process was also evaluated.
Thirty-one PWLE participated in four focus groups. Thirty-four outcomes were suggested across the focus groups. Evaluation of the focus groups revealed a high level of satisfaction with the engagement process and some new learning. Seventeen PWLE contributed to the first 2 Delphi rounds and 7 to the third round. The final consensus included 17 PWLE (47%) and 19 DPs (53%). Out of the total of 11 final consensus outcomes considered essential by both PWLE and health professionals, 7 (64%) outcomes mapped across to ones that PWLE initially identified, broadening their definition. One outcome (PWLE effort required for treatment and maintenance) was entirely novel.
We conclude that engaging PWLE in COS development can be achieved across widely different communities. Furthermore, the process both broadened and enriched overall outcome consensus, yielding important and novel perspectives for health-related research.
本项目旨在确定对有生活经验的人（PWLE）重要的牙科植入物研究结果，并就核心结局集（COS）与牙科专业人员（DPs）达成共识。本文报告了让 PWLE 参与制定牙科植入物研究核心结局集（COS）的过程、结果和经验：种植牙核心结局集和措施项目。
总体方法由核心结局测量在有效性试验（COMET）倡议指导。初步结果识别是通过在中国和马来西亚两个中低收入国家以及西班牙和英国两个高收入国家的 PWLE 焦点小组使用校准方法实现的。在结果整合后，将结果纳入包含 PWLE 参与的三阶段 Delphi 流程。最后，通过混合现场和记录平台达成了 PWLE 和 DP 之间的共识。还评估了 PWLE 参与该过程的经验。
31 名 PWLE 参加了 4 个焦点小组。在焦点小组中提出了 34 个结果。对焦点小组的评估显示，参与过程的满意度很高，并且有了一些新的学习。17 名 PWLE 为前两轮 Delphi 做出了贡献，7 名 PWLE 为第三轮做出了贡献。最终共识包括 17 名 PWLE（47%）和 19 名 DP（53%）。在 PWLE 和卫生专业人员都认为至关重要的总共 11 个最终共识结果中，有 7 个（64%）结果与 PWLE 最初确定的结果相匹配，扩大了其定义。一个结果（治疗和维护所需的 PWLE 努力）是全新的。
我们得出结论，在不同的社区中都可以让 PWLE 参与 COS 的制定。此外，该过程不仅拓宽了总体结果共识，还丰富了总体结果共识，为健康相关研究提供了重要而新颖的观点。
