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确定情境因素研究和基于力的操作中的优先差距。一项国际跨学科德尔菲研究。

Identifying priority gaps in contextual factors research and force-based manipulation. An international and interdisciplinary Delphi study.

机构信息

Department of Graduate Studies in Health and Rehabilitation Sciences, Youngstown State University, Youngstown, OH, USA.

School of Physiotherapy, University of Verona, Verona, Italy.

出版信息

J Man Manip Ther. 2024 Feb;32(1):118-126. doi: 10.1080/10669817.2023.2255820. Epub 2023 Sep 12.


DOI:10.1080/10669817.2023.2255820
PMID:37697816
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10795597/
Abstract

OBJECTIVE: To establish priority gaps related to contextual factors (CFs) research and force-based manipulation (FBM). METHODS: A three-round Delphi following recommended guidelines for conducting and reporting Delphi studies (CREDES) involving international and interdisciplinary panelists with expertise in CFs and FBM. Round 1 was structured around two prompting questions created by the workgroup. Ranking of each priority gap was done by calculating composite scores for each theme generated. Consensus threshold was set with an agreement ≥75% among panelists. Median and interquartile range were calculated for each priority gap to provide the central tendency of responses. Wilcoxon rank-sum test was used to evaluate the consistency and stability of responses between rounds 2 and 3. RESULTS: Forty-six panelists participated in all three rounds of the Delphi. Consensus was reached for 16 of 19 generated themes for priority gaps in CFs research and FBM. The ranking of each identified gap was computed and presented. Wilcoxon rank-sum test was non-significant ( > .05), demonstrating consistency and stability of results between rounds. CONCLUSION: The result of this Delphi provides international and interdisciplinary consensus-based priority gaps in CFs research and FBM. The gaps identified can be used to generate future research inquiries involving CFs research and FBM.

摘要

目的:确定与情境因素(CFs)研究和强制操纵(FBM)相关的优先差距。

方法:遵循开展和报告 Delphi 研究的建议指南(CREDES),采用具有 CFs 和 FBM 专业知识的国际和跨学科专家小组进行了三轮 Delphi 研究。第一轮围绕工作组提出的两个提示问题进行。通过计算每个主题生成的综合得分来对每个优先差距进行排名。通过专家小组成员之间达成的协议 ≥75%,确定了共识阈值。为每个优先差距计算了中位数和四分位距,以提供响应的集中趋势。Wilcoxon 秩和检验用于评估第二轮和第三轮之间响应的一致性和稳定性。

结果:46 名专家参加了所有三轮 Delphi 研究。就 CFs 研究和 FBM 中的 19 个生成主题中的 16 个达成了共识。计算并提出了每个确定差距的排名。Wilcoxon 秩和检验不显著( > .05),表明两轮之间结果具有一致性和稳定性。

结论:这项 Delphi 的结果提供了 CFs 研究和 FBM 中基于国际和跨学科共识的优先差距。确定的差距可用于生成涉及 CFs 研究和 FBM 的未来研究探究。

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本文引用的文献

[1]
An international consensus definition for contextual factors: findings from a nominal group technique.

Front Psychol. 2023-7-3

[2]
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BMJ. 2023-5-25

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Chiropr Man Therap. 2022-4-21

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J Man Manip Ther. 2022-4

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Delphi methodology in healthcare research: How to decide its appropriateness.

World J Methodol. 2021-7-20

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Pain Med. 2022-5-4

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Disentangling contextual effects from musculoskeletal treatments.

Osteoarthritis Cartilage. 2021-3

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Arch Physiother. 2020-6-11

[10]
Potential treatment effect modifiers for manipulative therapy for children complaining of spinal pain.Secondary analyses of a randomised controlled trial.

Chiropr Man Therap. 2019-12-10

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