Core Outcome Measures in Effectiveness Trials

Delphi procedure in core outcome set development: rating scale and consensus criteria determined outcome selection

General Information

Abstract:
Objective: The objective of this study was to compare two different rating scales within one Delphi study for defining consensus in core outcome set development and to explore the influence of consensus criteria on the outcome selection.

Study Design and Setting: Randomized controlled parallel group trial with 1:1 allocation within the first Delphi round of the Core Outcome Set in the Incontinence-Associated Dermatitis project. Outcomes were rated on a three-point or nine-point Likert scale. Decisions about which outcomes to retain were determined by commonly used consensus criteria (i.e., [combinations of] proportions with restricted ranges, central tendency within a specific range, and decrease in variance).

Results: Fifty-seven participants (group 1 5 28, group 2 5 29) rated 58 outcomes. The use of the nine-point scale resulted in almost twice as many outcomes being rated as ‘‘critical’’ compared with the three-point scale (24 vs. 13). Stricter criteria and combining criteria led to less outcomes being identified as ‘‘critical’’.

Conclusion: The format of rating scales in Delphi studies for core outcome set development and the definition of the consensus criteria influence outcome selection. The use of the nine-point scale might be recommended to inform the consensus process for a subsequent rating or face-to-face meeting. The three-point scale might be preferred when determining final consensus. 

Authors:
Dorien De Meyera, Jan Kottnera, Hilde Beelec, Jochen Schmittd, Toni Langed, Ann Van Heckea, Sofie Verhaeghea Dimitri Beeckmanan

Publication

Journal:
Journal of Clinical Epidemiology
Volume:
111
Issue:
Pages:
23 - 31
Year:
2019
DOI:
Further Study Information

Date:
Funding source(s):

Health Area

Disease Category
Skin

Disease Name
Incontinence-associated dermatitis (IAD)

Target Population

Age Range
-

Sex
Female


Nature / type of Intervention
Skin care

Method(s)

Delphi process

Stakeholders Involved

Pharmaceutical industry representatives
Researchers

Study Type

Prioritising

The site uses cookies, some may have been set already. Please refer to our privacy policy & cookie usage statement.
If you continue to use the site we'll assume you're happy to accept the cookies.