Preitschopf Astrid, Vaz Marisa, Holstege Marije, Pol Margriet, Buurman Bianca, Groen Wim
Department of Medicine for Older People, Amsterdam UMC, Location Vrije Universiteit Amsterdam, de Boelelaan 1109, 1081 HV, Amsterdam, The Netherlands.
Aging & Later Life, Amsterdam Public Health, Amsterdam, The Netherlands.
Eur Geriatr Med. 2025 Jun 4. doi: 10.1007/s41999-025-01241-9.
Internationally, many differences are observed regarding the practice of geriatric rehabilitation for older people living at home. To improve international collaboration and research on this topic, we aimed to reach a consensus on terminology, organisational aspects, and outcome domains to focus on.
We conducted a three-round online Delphi study among 60 (Home-based) geriatric rehabilitation experts from 14 countries. In the first round, we collected diverse perspectives and input through statements and questions. In the subsequent rounds, participants rated statements on a 5-point Likert scale. Each statement could be accompanied by written feedback. After each round, results were presented anonymously to the participants, and statements on which no consensus was reached were rephrased. Consensus was defined as 70% or more participants (fully) agreeing with a statement.
Sixty, 52, and 46 experts completed rounds 1, 2 and 3, respectively. After two rounds, we reached a consensus on ten statements and on the remaining four in the last round. A consensus was reached on the terminology used (i.e., home-based geriatric rehabilitation) and on several organisational aspects (e.g., essential aspects to consider for starting home-based geriatric rehabilitation and the importance of a knowledgeable case manager). Lastly, experts agreed that participation and activity are the most important outcome domains to focus on.
Through an international Delphi study, we reached consensus on various important aspects of home-based geriatric rehabilitation. These outcomes provide a basis for further development of this emerging field.
在国际上，对于居家老年人的老年康复实践存在诸多差异。为了加强关于这一主题的国际合作与研究，我们旨在就术语、组织方面以及需要关注的结果领域达成共识。
我们对来自14个国家的60名（居家）老年康复专家开展了三轮在线德尔菲研究。在第一轮中，我们通过陈述和问题收集了不同的观点和意见。在随后的轮次中，参与者对陈述进行5点李克特量表评分。每条陈述都可附带书面反馈。每轮之后，结果会匿名呈现给参与者，对于未达成共识的陈述会重新表述。共识被定义为70%或更多参与者（完全）同意某一陈述。
分别有60名、52名和46名专家完成了第1轮、第2轮和第3轮。两轮之后，我们就10条陈述达成了共识，最后一轮就其余4条达成了共识。在使用的术语（即居家老年康复）以及几个组织方面（例如开展居家老年康复需要考虑的基本方面以及知识渊博的个案管理员的重要性）达成了共识。最后，专家们一致认为参与和活动是需要关注的最重要的结果领域。
通过一项国际德尔菲研究，我们就居家老年康复的各个重要方面达成了共识。这些结果为这一新兴领域的进一步发展提供了基础。
