Delphi Method Research Articles

Recommendations for the management of cutaneous squamous cell carcinoma: a systematic multidisciplinary Delphi consensus approach.

There are gaps and unanswered questions in clinical guidelines regarding several aspects of the management of patients with cutaneous squamous cell carcinoma (cSCC). A scientific committee of ten cSCC specialists in Spain (dermatology, medical oncology, oral and maxillofacial surgery, plastic surgery, and radiotherapy) used ADAPTE methodology to develop recommendations by: (i) identifying clinical questions not fully answered by clinical practice guidelines; (ii) systematically reviewing the literature (published between November 2017 and July 2023 in PubMed and the Cochrane database) and grading the evidence (using Oxford levels); (iii) developing recommendations and assessing those with no consensus among the scientific committee or with evidence level 3-5 or strength of recommendation under C or D in a two-round Delphi method; and (iv) developing the final recommendations in the form of answers to key clinical questions, grading the strength of recommendation. An external group of 32 experts plus the members of the committee participated in both Delphi rounds, evaluating the appropriateness and need of the recommendations. Initially, 33 recommendations were made for 26 questions; 19 recommendations were evaluated with the Delphi method. All 19 recommendations were deemed appropriate and necessary. A total of 27 final recommendations were made, concerning initial patient management, treatment of the primary tumour, management of advanced disease, specific populations, supportive and palliative care, and follow-up. We developed 27 recommendations that answer clinical questions on the management of patients with cSCC, providing guidance on aspects that are unclear in clinical guidelines or on which guidelines differ.

The need for a unified language framework in extrinsic interpersonal emotion regulation research.

With increasing research interest in extrinsic interpersonal emotion regulation, this article aims to address the critical need for a unified language framework to strengthen and support these research efforts. Despite increasing interest and research in this area, the lack of consistent terminology poses significant challenges to conceptual clarity and scientific progress. By examining the current landscape, the authors identify the proliferation of varied terms across disciplines, which threatens to hamper effective communication and collaboration and, thus, progress. This article first argues for the necessity of a unified terminology and then proposes a possible methodological approach to achieve this. A Delphi study that provides a frame for the collaborative effort of subject matter experts is outlined. Establishing such unified language framework is expected to enhance research quality, foster innovation, and facilitate knowledge accumulation in the field. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Structured expert elicitation on disinformation, misinformation, and malign influence: Barriers, strategies, and opportunities

We used a modified Delphi method to elicit and synthesize experts’ views on disinformation, misinformation, and malign influence (DMMI). In a three-part process, experts first independently generated a range of effective strategies for combatting DMMI, identified the most impactful barriers to combatting DMMI, and proposed areas for future research. In the second stage, experts deliberated over the results of the first stage and in the final stage, experts rated and ranked the strategies, barriers, and opportunities for future research. Research into intervention effectiveness was a strategy that received the highest level of agreement, while robust platform regulation was deemed the strategy of highest priority to address. They also identified distrust in institutions, biases, political divisions, relative inattention to non-English-language DMMI, and politicians’ use of DMMI as major barriers to combatting DMMI. Vulnerability to DMMI was chosen by experts as the top priority for future study. Experts also agreed with definitions of disinformation as deliberately false/misleading information and misinformation as unintentionally so.

Challenges in Toileting Evaluation and Interventions for Children With Cerebral Palsy: A Delphi Study.

Toileting difficulties have a significant impact on the daily lives of children with cerebral palsy (CP), yet research on this issue remains inadequate. There is a critical need to better understand the challenges health care professionals face in addressing toileting difficulties. To explore challenges faced by health care professionals in toileting evaluation and interventions for children with CP ages 6-18 yr. A mixed-methods study with a two-phase exploratory sequential design and using a global Delphi consensus technique. Email communication. Fifty-two national and international allied health professionals and 16 mothers of children with CP were involved in the preparation of the Delphi questionnaire. Additionally, 162 professionals participated in the Delphi study. Challenges were identified and refined iteratively through the Delphi questionnaire. Consensus was measured using a Likert scale, considering agreement percentages and median scores. The study revealed strong consensus (94.4%), emphasizing the need for comprehensive training, particularly in working with pediatric populations. Concerns about limited research on and training in toileting function (88.9%) and challenges such as inadequate assessment environments and sanitation facilities (96.9%) underscore the need for practical and innovative educational methods to illustrate toileting procedures. Additionally, the findings highlight concerns about toileting issues and diverse commitment levels among professionals. This study pinpointed critical challenges in toileting management for children with CP. These high-consensus findings stress the urgent need for holistic strategies, comprehensive education, and interdisciplinary collaboration to improve the quality of life and independence of these children. Plain-Language Summary: Toileting difficulties have a significant impact on the daily lives of children with cerebral palsy (CP), yet research on this issue remains inadequate. This study highlights significant gaps faced by health care professionals in understanding and addressing challenges in toileting evaluation and intervention for children with CP. Insights from professionals stress the critical need for global collaboration, standardized assessments, and improved education to effectively tackle CP-related toileting issues for children.

Consensus on transition care for juvenile idiopathic arthritis: a Delphi study with youth, caregivers, and health professionals

BackgroundThe field of transitional care for chronic conditions in adolescents, notably juvenile idiopathic arthritis (JIA), is rapidly growing. Transitioning these patients to adult healthcare systems presents significant challenges in practical implementation. Consequently, it would be appropriate for each country to develop a transition program tailored to its specific infrastructure. To pursue this goal, a Delphi study was conducted to identify the key components of transitional care in JIA.MethodsThree panels and two rounds were held consisting of adolescents and young adults, parents, and clinicians (pediatric or adult rheumatologists). As a result, feedback on acceptance of the key statements of transitional care was obtained using the Delphi method.ResultsOut of 102 contacted, 88 (86.3%) participants responded to the Round 1 survey, which included 48 clinicians, 20 youths, and 20 parents. In Round 2, the number of clinicians dropped to 29, while the number of youths and parents remained constant. Based on expert opinions, 29 statements were selected for the first round. Statements that received ≥ 70% approval in the first round advanced to the next round. Sixteen statements did not achieve ≥ 70% approval. Of the remaining, 12 were reviewed in the second round, while four were excluded.ConclusionAlthough consensus has been reached on the basic transitional care issues for JIA patients, several issues still need to be agreed upon. Acceptance and applicability of the final 20-item checklist in clinical practice are critical for advancing JIA transition care in Turkey.

Physiotherapy Intervention in the Treatment of Venous Ulcers: Results from a Delphi Panel

Background/Objectives: Venous ulcers are the most common type of ulcerated wounds in the lower limbs and result from chronic venous insufficiency. The treatment of venous ulcers is multidisciplinary, with physiotherapy intervention serving as an adjuvant therapy in managing these wounds. This study investigated physiotherapeutic interventions for the management of venous ulcers. Methods: This was an exploratory and descriptive study using the Delphi method. The panel comprised 12 experts in wound care, including 25.0% physicians, 41.7% nurses, and 33.3% physiotherapists. Two rounds of analysis were conducted. A quantitative analysis was performed to assess the level of agreement in responses, while qualitative analysis was applied to the experts’ comments. Results: In the first round, consensus varied between 80% and 100%, and in the second round, it ranged from 83.3% to 100%. In the second round, all interventions obtained at least 80% consensus. The interventions included the use of compression therapy and therapeutic exercise: resistance training (2–3 sets of 10–25 repetitions, 3 times/day, for at least 12 weeks), aerobic exercise (at least 30 min, 3 times/week, for 12 weeks), stretching, balance training, and the use of a vibrating platform. Conclusions: Physiotherapy may be beneficial as an adjuvant therapy alongside specific local treatments for venous ulcers. Therapeutic exercise and compression therapy are commonly utilized interventions that could support overall treatment outcomes.

Fuzzy-based Support System for Urban Green Infrastructure Management

Dealing with the challenges of rapid urban growth while preserving ecological ecosystems and human quality of life is a hard task and a cornerstone of sustainable urban development. This study proposes a Decision Support System (DSS) for the management of Urban Green Infrastructure (UGI). The DSS was developed using fuzzy artificial intelligence to address uncertainties inherent in the integration of geospatial data within the computational environment of a Geographic Information System. The selection of variables and configuration parameters was based on a literature review and expert consultation through the Delphi method. To verify the potential of the DSS, a case study was developed in the Biological Reserve of Serra do Japi. The results indicate that the DSS serves as a promising tool for planners, policymakers, and researchers, capable of supporting data-driven recommendations through case-by-case analyses. Future research could explore the integration of additional indicators, enhance the inference mechanism, and extend the application of the DSS across diverse urban contexts to optimize its versatility and effectiveness in UGI management.

Development of a complex intervention to prevent complications in patients recovering at home after transcatheter aortic valve replacement by optimizing home-based cardiac rehabilitation processes: a Delphi study

ObjectivesThis study aimed to systematically develop a nurse-led complex intervention to enhance the quality of and adherence to home-based cardiac rehabilitation (HBCR) care for patients who have undergone transcatheter aortic valve replacement (TAVR). The intervention integrated stakeholder perspectives, expert insights, empirical evidence, and theoretical frameworks.MethodsWe initially searched for initial cardiac rehabilitation strategies based on the “Behavior Change Wheel” model and literature review. The Delphi method was used in three rounds of consultations. The guidelines for the Conducting and Reporting of Delphi studies were also followed. The Delphi panel consisted of 15 experts in rehabilitation medicine, clinical medicine, cardiovascular nursing, behavioral science, community nursing, geriatric nursing, and nursing management from various provinces and cities in China. Panelists were asked to rate the effectiveness of HBCR strategies on a 5-point Likert scale.ResultsA questionnaire was sent to the members of the expert panel via email. The consensus from 15 experts led to the development of a framework in round 3. The response rates for the three rounds were 88.23, 100.00, and 100.00%, respectively. The expert authority coefficients for all rounds were 0.95. The Kendall coefficients obtained in the three rounds were 0.09, 0.78, and 0.87, respectively.ConclusionA set of strategies was developed for a comprehensive HBCR program for patients with TAVR, which can provide practical methods for relevant government departments, healthcare professionals, and patients’ families. Future research should investigate the experiences of stakeholders and assess the cost-effectiveness of implementing these strategies.

Physical Abuse Cases at Boarding Schools: Phenomena and Its Prevention Model

This research elaborates factors that contribute to physical abuse cases at Boarding Schools, which explained with routine activity theory and power relation theory. Besides, this research also evaluates the Minister of Education and Culture Regulation Number 82 Year 2015 On Prevention and Countermeasures of Violence in Education Unit Environment, and Law No. 18 Year 2019 on Boarding schools. Physical abuse cases that occur at Boarding schools are caused by excessive discipline implementation. Therefore, this encourages and motivates senior boarders or boarding caretaker to commit violence. This research uses qualitative method, with a live interview held at a boarding school which experiencing physical abuse cases causing loss of life. Delphi method is also used to deepen the prevention model and generate education expert insights focusing on the educational development of boarding school. This research is unveiling the extraordinary causes of violence and resulting on validated prevention model by education experts in boarding schools.

What competencies does an orthodontic postgraduate need?

BackgroundCompetency frameworks are used to guide professional education and assessment. An orthodontic graduate needs various competencies. This study aimed to determine competencies and create a basic competency framework for orthodontic graduates.MethodsThis descriptive cross-sectional study used the Delphi method. A comprehensive literature review was conducted in the ISI, Scopus, PubMed, Eric, and Google Scholar; the orthodontic curriculum in Iran; and the available orthodontic curricula. The sub-competencies and learning objectives necessary for an orthodontic graduate were extracted. The list of competencies was designed as an electronic questionnaire as the first round of Delphi. Fifty-two orthodontic specialists (university staff) were asked to determine the degree of necessity of competencies for an orthodontic graduate using a five-point Likert scale. In the second round, nine competencies were transferred from the first round of Delphi, and four competencies were extracted from the experts' opinions and were included in the questionnaire.ResultsA total of 85 articles and 4 curricula were reviewed and 77 competencies were identified in 11 domains. In the first round of the Delphi, 68 competencies were accepted, for a quota of 70%, and nine were transferred to the second round of the Delphi. At this round, most of the competencies in the field of “data collection and recording”, “treatment procedures”, “patient-centered treatment”, “dental knowledge, “clinical reasoning and moral judgment”, “communication skills”, “Health Promotion”, “Attitude, legal responsibilities and ethical issues (professionalism)”, “information management”, and “Self-development” through participation were accepted. Finally, the domain of competence “the dentist's role in the health system” was removed, and ten domains (73 competencies) were accepted.ConclusionsThe competencies identified in this study can be used in designing competency-based curricula, education, and assessment in post-graduate orthodontic programs.

International Perspectives on Assistive Technologies for Autism and Intellectual Disabilities: Findings from a Delphi Study

Advancements in Assistive Technologies (ATs) have significantly improved the quality of life and autonomy for people with intellectual disabilities and autistic individuals, enhancing education, social interaction, employment, and mental health. Nevertheless, several barriers still emerge in the daily implementation of such technologies, highlighting the need to explore them in depth. Using a two-round Delphi method, we conducted a research study with an expert panel of 284 participants from 31 European countries, collecting quantitative and qualitative data. We tested ten future-oriented projections and gathered insights on participants’ backgrounds and attitudes towards ATs for this demographic. To enhance representation, experts from academia, service providers, industry, and disability organizations, as well as individuals with disabilities and their families, were included. Although the findings show strong consensus among experts on the positive impact and desirability of ATs for promoting the social inclusion of people with intellectual disabilities and autistic individuals, they also reveal differing perceptions across expert groups and identify two distinct future scenarios linked to different cultural, social, and economic hindrances. In this sense, our study provides diverse global perspectives, with the potential to help governing bodies understand the expectations, concerns, and needs related to ATs for often underrepresented groups–people with intellectual disabilities and autistic individuals in this case.

Evaluating the capacity of tertiary general hospitals in Beijing to prevent and treat respiratory infectious diseases: a delphi study

BackgroundThe capacity of tertiary general hospitals to prevent and treat respiratory infectious diseases plays a key role in effectively containing the spread of major epidemics within hospitals and ensuring early treatment for patients. This, in turn, helps control the transmission of diseases at the societal level and safeguard public health. However, there is a lack of detailed indicators for assessing hospitals’ capacity in this area, which makes it difficult to evaluate and manage practices. Therefore, this study aimed to develop a comprehensive evaluation index system to assess the capabilities of tertiary general hospitals in preventing and treating respiratory infectious diseases.MethodsThis study utilizes a three-dimensional evaluation model, “Structure-Process-Outcome” as the theoretical basis and first-level index of the indicator system for evaluating the abilities of tertiary general hospitals in preventing and treating respiratory infectious disease. A combination of literature review, semi-structured interviews, and Delphi expert consultation was employed to ensure comprehensive and reliable indicators. The hierarchical analysis method (AHP) was used to determine the weights of the indicators.ResultsThe effective response rates for the two rounds of the Delphi survey were 95.2% and 100%, respectively. The expert authority coefficients were 0.905 and 0.923, respectively. Kendall’s W for the importance of all the indicators increased from 0.274 to 0.327 (P < 0.001), and for feasibility, it increased from 0.198 to 0.240 (P < 0.001). After two rounds of expert consultation, a final evaluation indicator system was established, including 3 first-level indicators, 12 s-level indicators, and 41 third-level indicators, with assigned weights.ConclusionThis study establishes a comprehensive evaluation index system, providing a scientific basis for evaluating the capacity of tertiary general hospitals to prevent and treat respiratory infectious diseases. The system provides valuable reference for improving hospital preparedness and response strategies, and for evaluating the infectious disease prevention and treatment system in Beijing, China.

Defining harmful news reporting on community firearm violence: A modified Delphi consensus study.

Community firearm violence (CFV), including fatal and non-fatal shootings that result from interpersonal violence, disproportionately harms people from marginalized racial groups. News reporting on CFV can further exacerbate these harms. However, examining the effects of harmful news reporting on CFV on individuals, communities, and society is hindered by the lack of a consensus definition of harmful reporting on CFV. In this study, we aimed to define harmful reporting on CFV. We used a modified, three-round Delphi process to achieve consensus among diverse stakeholders. Round 1 sought to assess consensus on 12 potentially harmful news content elements for three levels of harm (individual, community, and society). Round 2 invited panelists to rate the severity of each news content element at each level of harm. Round 3 asked panelists to agree or disagree with the panel's median severity rating of each element at each level of harm. Twenty-one panelists were recruited from three expertise groups (lived experience of CFV, journalism practice, scholarship) and all panelists completed all three rounds. In Round 1, no negative consensus was achieved for any of the proposed news content elements. In Round 2, panelists assigned moderate to severe harm ratings for all but two news content elements, and median harm ratings for each element varied across the different levels of harm. In Round 3, panelists reported high levels of agreement for each harm rating at each level. This modified Delphi process yielded a definition of the 12 elements that comprise harmful news reporting on CFV and severity ratings of harm caused by each element at each level according to expert consensus. Future work will use these results to evaluate and intervene on harmful reporting on CFV. Reducing harm from reporting on CFV can help address this health disparity and support evidence-based approaches to this urgent public health issue.

Shaping the Future: A Research Agenda for U.K. Libraries

Objective – This study explored current and future trends in librarianship within the U.K. library and information profession, intending to highlight the most critical for future evidence based research. Research outcomes should resonate across the wider sector and be an indicative stepping stone to collaborative research endeavours by members of the profession at a time when funding is tight, and staff availability is in short supply. Methods – A qualitative Delphi consensus method was chosen for the research, adapted from Paul’s (2008) modified Delphi card-sorting model. Contributions from conference programs and 31 individual experts from the U.K. library and information profession contributed to the generation of current themes and trends impacting their library environments. Data were analyzed by the experts in an incremental manner following the adapted methodology, and consensus was achieved through the process. Results – The findings of the research indicated that there were five significant trends and areas of concern which are impacting our libraries at all levels. These naturally include pressing current concerns such as the impact of artificial intelligence (AI), critical librarianship, and censorship/book banning. Library spaces remain a significant issue for the wider sector. Conclusion – The adapted modified Delphi card-sorting method with three distinct sections to the research proved especially valuable in a study where there were many different approaches to librarianship. The use of conference data to seed the initial set of themes has been shown to be unusual and rarely used in this way before. The process of achieving and reaching consensus illustrated the need for the profession as a whole to work more closely together. The outcome of the consensus research should now be taken forward collaboratively by the library profession, with space and training given to staff across all sectors and grades to engage in evidence based research for the benefit of all.

Core outcome set of daily monitoring of gastrointestinal function in adult critically ill patients: a modified Delphi consensus process (COSMOGI)

PurposeGastrointestinal (GI) dysfunction is common in critically ill patients and associated with poor outcomes. There is a lack of standardised methods for daily monitoring of GI function. COSMOGI aimed to develop a Core Outcome Set (COS) for daily monitoring of GI function to improve consistency and comparability in future studies in critically ill patients.MethodsA modified Delphi consensus process engaging healthcare providers, clinical researchers, and patient representatives was performed. A systematic review identified existing parameters to monitor GI function, informing the development of potential outcomes. In Stage 1, participants rated outcomes (i.e., variables used for daily monitoring). In Stage 2, they refined and agreed on the definitions for the selected outcomes. The COS was ratified through consensus meetings.Results368 individuals registered for the Delphi process. 285 participants (77.4%) completed Stage 1, and 181 participants (63.5%) completed Stage 2. From 77 potential outcomes, 13 essential outcomes for daily monitoring of GI function in studies, each with an agreed-upon definition, were established: abdominal distension, bowel dilatation, intra-abdominal pressure, abdominal pain, stool passage, vomiting, GI bleeding (upper and lower), use of parenteral nutrition due to intolerance of enteral nutrition, prokinetics, postpyloric feeding due to gastroparesis, lower GI paralysis, gastroparesis, intolerance to enteral nutrition.ConclusionsUsing a modified Delphi consensus process, COSMOGI established a COS for monitoring GI function in critically ill patients in research. This COS and definitions provide a framework to guide future research, enabling comparability across studies and allowing for future definitions of GI dysfunction.Trial registration: This project was registered at (www.comet-initiative.org) on 27.03.2023 (number 2609) and was an ESICM-endorsed research project.

Soft tissue tumor imaging in adults: European Society of Musculoskeletal Radiology-Guidelines 2024: imaging immediately after neoadjuvant therapy in soft tissue sarcoma, soft tissue tumor surveillance, and the role of interventional radiology.

An update of the first European Society of Musculoskeletal Radiology (ESSR) consensus on soft tissue tumor imaging in 2015 became necessary due to technical advancements, further insights into specific entities, and the revised WHO classification (2020) and AJCC staging system (2017). The third part of the revised guidelines covers algorithms and techniques beyond initial imaging: (1) Imaging after neoadjuvant therapy in soft tissue sarcoma, (2) sarcoma surveillance, and (3) special aspects, including surveillance of non-malignant entities and the role of interventional radiology. A validated Delphi method based on peer-reviewed literature was used to derive consensus among a panel of 46 specialized musculoskeletal radiologists from 12 European countries. Statements that had undergone interdisciplinary revision were scored online by level of agreement (0 to 10) during two iterative rounds that could result in either 'group consensus,' 'group agreement,' or 'lack of agreement.' The three sections contain 47 statements with comments. Group consensus was reached in 91.5%, group agreement in 6.4%, lack of agreement in 2.1%. In sarcoma, imaging immediately after neoadjuvant therapy is pivotal for determining the therapy effects and for resection-planning; surveillance should include imaging at fixed grade- and type-dependent intervals. In general, MRI is the method of choice for loco-regional surveillance of soft tissue sarcomas, and chest CT to assess metastatic disease. Interventional radiology has a role, especially in oligometastatic disease, palliative tumor control and local recurrences. Strategies for standardized soft tissue tumor imaging regarding therapy control, surveillance, and useful interventional procedures are provided. Question An ESSR consensus update on soft tissue tumor imaging regarding surveillance became necessary due to technical advancements, further entity-specific insights, and revised WHO- and AJCC-classifications. Findings Imaging immediately after neoadjuvant therapy in soft tissue sarcoma is pivotal. Post-therapeutic surveillance should include imaging at regular intervals, stratified for tumor grade and type. Clinical relevance The updated ESSR soft tissue tumor imaging guidelines aim to provide best practice expert consensus for standardized imaging, to support radiologists in their decision-making, and to improve examination comparability, both in individual patients and in future studies on individualized strategies.

Development of a standard set of key work-related outcomes for use in practice for patients with cardiovascular disease: a modified Delphi study

BackgroundTo facilitate the maintenance or resumption of participation in work for patients with cardiovascular disease (CVD), there is a need for high-quality work-focused healthcare. According to the concept of value-based healthcare, quality of care can be enhanced by understanding the outcomes that matter most to patients. However, a major challenge in assessing quality of work-focused healthcare in practice is the lack of consensus on which work-related outcomes should be measured.ObjectiveThe objective of this study was to identify a standard set of key work-related outcomes for patients with CVD to be used in practice of work-focused healthcare in the Netherlands, including standardised outcome measures and associated case mix factors. This standard set is intended to assist occupational and other health professionals in delivering work-focused healthcare that meets a patient’s individual needs regarding work participation, and to enhance patients’ engagement in their own work-focused care process.MethodsA 2-round RAND-modified Delphi process was conducted. The process included literature searches, consecutive research team meetings, and several meetings and rounds of voting by a working group. The working group consisted of patients with CVD (n = 6) and health professionals representing different stakeholders (n = 11) involved in work-focused healthcare for this patient population in the Netherlands. Consensus was reached over four phases: (1) establishing the scope of the standard set and defining the population, (2) prioritising and defining the outcome domains, (3) selecting the outcome measures for the most important domains, including clinical data and patient-reported data, and (4) selecting and defining case mix factors.ResultsA 23-item patient-reported questionnaire was developed, called the Value@WORK-Q23, including questions on nine work-related outcome domains considered most important for patients with CVD: (1) work participation, (2) physical work ability, (3) mental work ability, (4) suitable work, (5) support from the work environment, (6) flexibility of the work environment, (7) communication with the patient, (8) person-centredness, and (9) interdisciplinary communication. In addition, nine case mix variables was selected, comprising demographic-, disease-, and work factors.ConclusionsThe Value@WORK-Q23 provides guidance on measuring the most important work-related outcomes for patients with CVD. Using this work-related set in practice, in addition to existing disease-specific standard sets for CVD may facilitate the provision of high-value work-focused healthcare for this patient population.

Dental Health Services Victoria health promotion messages for oral health: A modified Delphi study.

The 2022 Oral health messages for Australia were reviewed, revised and published in 2023. This study adapted these messages from a value-based communication perspective to support Dental Health Services Victoria population health programs and resources. A modified Delphi RAND/UCLA appropriateness method was adopted. An expert panel was convened, which included public oral health professionals and health promotion practitioners at Dental Health Services Victoria. The 2022 Oral health messages for Australia were reviewed and adapted to ensure consistency and relevance to consumers and health professionals. Once there was general agreement by the expert panel on the Dental Health Services Victoria health promotion messages for oral health, a follow-up anonymous survey was sent to the expert panel to rate their level of agreement. Additionally, the messages were evaluated for ease of readability with an anonymous survey of consumers. A total of 23 participants were invited on the expert panel, of which 16 agreed to participate. Considerations were made to reflect a broad perspective across disciplines in public oral health professionals encompassing expertise in policy, advocacy and health promotion. Broadly, there was agreement to adapt all of the 2022 Oral health messages for Australia. The level of agreement by the expert panel ranged from 73% to 100%. Amongst 13 consumer respondents to the survey, the level of agreement ranged from 62% to 100%. There was sufficient rationale to adapt the 2022 Oral health messages for Australia for the Victorian context by using a value-based messaging approach. SO WHAT?: This study demonstrated that adaption was necessary to the 2022 Oral health messages for Australia, potentially leading to more impactful health promotion messages for oral health in Victoria.

Recommendations for Transitioning Young People with Primary Immunodeficiency Disorders and Autoinflammatory Diseases to Adult Care

PurposeSignificant improvements in the prognosis for young patients with Primary Immunodeficiency Diseases (PID) and Autoinflammatory Disorders (AID), which together make up the majority of Inborn Errors of Immunity (IEI), have resulted in the need for optimisation of transition and transfer of care to adult services. Effective transition is crucial to improve health outcomes and treatment compliance among patients. Evaluations of existing transition programmes in European health centres identified the absence of disease-specific transition guidelines for PID and AID, as a challenge to the transition process. This research aimed to establish expert consensus statements for the transition of young patients with PID and AID to adult services.MethodsThis project used the Delphi method to establish mutual agreement for the proposed recommendations. A draft set of statements was developed following a literature review of existing transition programmes. Then the ERN RITA Transition Working Group convened to review the drafted recommendations and develop them into a survey. This survey was circulated among healthcare professionals to determine consensus using a five-point Likert scale, with the level of agreement set to 80% or greater. Statements that did not reach consensus were revised by the Working Group and recirculated among respondents.ResultsThe initial survey received 93 responses from 68 centres across 23 countries, while the following survey outlining revised recommendations received 66 responses. The respondents agreed upon recommendations detailing the structure and administration of transition programmes, collaborative working with social systems, and contraindications to transfer of care.ConclusionThis paper sets out a comprehensive set of recommendations to optimise transitional care for PID and AID.

Factors Influencing the Firm Performance of Digital Merchandising Businesses in Thailand

Thailand's national strategy focuses on making the country more competitive by helping modern entrepreneurs succeed both within the country and internationally. This research aims for development a new framework that shows how critical elements like market capabilities, IT capabilities, digitalization, and innovation contribute to the success of digital businesses in Thailand. The study uses a mixed method research, combining an integration of qualitative and quantitative techniques are utilized. Within qualitative research, we gathering insights from 20 experts, by using e-Rough Set Delphi method. In quantitative research, The research was based on a collection of 611 valid datasets, which were gathered from digital merchandising business owners in Thailand via online questionnaires. The results indicate that market capabilities, IT capabilities, digitalization, and innovation all have an influential and meaningful effect on business performance. Research also emphasizes importance of investing in IT infrastructure, adopting advanced IT strategies, and improving market capabilities to stay competitive in the fast-changing digital market. The insights from this study are valuable for strengthening the digital economy, as adopting digital technologies and innovations can help businesses grow sustainably and positively impact the overall economy and society.