Delphi Technique

Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: Although a number of guidelines addressing manipulation, an important component of chiropractic professional care, exist, none to date have incorporated a broad-based consensus of chiropractic research and clinical experts representing mainstream chiropractic practice into a practical document designed to provide standardized parameters of care. The purpose of this project was to develop such a document. METHODS: Development of the document began with seed materials, from which seed statements were distilled.

Author(s): 
Globe, Gary A.
Morris, Craig E.
Whalen, Wayne M.
Farabaugh, Ronald J.
Hawk, Cheryl
Council on Chiropractic Guidelines and Practice Parameter
Publication Title: 
Journal of Alternative and Complementary Medicine (New York, N.Y.)

Assessing complementary and alternative medicine (CAM) use remains difficult due to many problems, not the least of which is defining therapies and modalities that should be considered as CAM. Members of the International Society for Complementary Medicine Research (ISCMR) participated in a Delphi process to identify a core listing of common CAM therapies presently in use in Western countries. Lists of practitioner-based and self-administered CAM were constructed based on previous population-based surveys and ranked by ISCMR researchers by perceived level of importance.

Author(s): 
Lachance, Laurie L.
Hawthorne, Victor
Brien, Sarah
Hyland, Michael E.
Lewith, George T.
Verhoef, Marja J.
Warber, Sara
Zick, Suzanna
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: There has been much discussion about the role of chiropractic care in the evaluation, management, and treatment of pediatric patients. To date, no specific guidelines have been adopted that address this issue from an evidence based perspective. Previous systematic reviews of the chiropractic literature concluded that there is not yet a substantial body of high quality evidence from which to develop standard clinical guidelines.

Author(s): 
Hawk, Cheryl
Schneider, Michael
Ferrance, Randy J.
Hewitt, Elise
Van Loon, Meghan
Tanis, Lora
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: As the chiropractic profession delineates its role in the emerging health care marketplace, it will become increasingly important that the scope of appropriate chiropractic care is clearly defined relative to overall patient case management. Therefore, the Council on Chiropractic Guidelines and Practice Parameters engaged in a multidisciplinary consensus process addressing the terminology related to "levels of care." METHODS: A formal consensus process was conducted in early 2009, following the RAND/UCLA method for rating appropriateness.

Author(s): 
Dehen, Mark D.
Whalen, Wayne M.
Farabaugh, Ronald J.
Hawk, Cheryl
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: At this time, the scientific evidence base supporting the effectiveness of chiropractic care for musculoskeletal conditions has not yet definitively addressed its appropriateness for older adults. Expert consensus, as a form of evidence, must be considered when higher levels of evidence are lacking. The purpose of this project was to develop a document with evidence-based recommendations on the best practices for chiropractic care of older adults.

Author(s): 
Hawk, Cheryl
Schneider, Michael
Dougherty, Paul
Gleberzon, Brian J.
Killinger, Lisa Z.
Publication Title: 
Journal of Alternative and Complementary Medicine (New York, N.Y.)

BACKGROUND: The diagnostic framework and clinical reasoning process in Chinese medicine emphasizes the contextual and qualitative nature of a patient's illness. Chinese medicine assessment data may help interpret clinical outcomes. OBJECTIVES: As part of a study aimed at assessing the validity and improving the inter-rater reliability of the Chinese diagnostic process, a structured assessment instrument was developed for use in clinical trials of acupuncture and other Chinese medical therapies.

Author(s): 
Schnyer, Rosa N.
Conboy, Lisa A.
Jacobson, Eric
McKnight, Patrick
Goddard, Thomas
Moscatelli, Francesca
Legedza, Anna T. R.
Kerr, Catherine
Kaptchuk, Ted J.
Wayne, Peter M.
Publication Title: 
Journal of Alternative and Complementary Medicine (New York, N.Y.)

BACKGROUND: For most complementary and alternative medicine interventions, the absence of a high-quality evidence base to define good practice presents a serious problem for clinicians, educators, and researchers. The Delphi process may offer a pragmatic way to establish good practice guidelines until more rigorous forms of assessment can be undertaken. OBJECTIVES: To use a modified Delphi to develop good practice guidelines for a feasibility study exploring the role of Chinese herbal medicine (CHM) in the treatment of endometriosis.

Author(s): 
Flower, Andrew
Lewith, George T.
Little, Paul
Publication Title: 
Journal of Alternative and Complementary Medicine (New York, N.Y.)

Assessing complementary and alternative medicine (CAM) use remains difficult due to many problems, not the least of which is defining therapies and modalities that should be considered as CAM. Members of the International Society for Complementary Medicine Research (ISCMR) participated in a Delphi process to identify a core listing of common CAM therapies presently in use in Western countries. Lists of practitioner-based and self-administered CAM were constructed based on previous population-based surveys and ranked by ISCMR researchers by perceived level of importance.

Author(s): 
Lachance, Laurie L.
Hawthorne, Victor
Brien, Sarah
Hyland, Michael E.
Lewith, George T.
Verhoef, Marja J.
Warber, Sara
Zick, Suzanna
Publication Title: 
Journal of Alternative and Complementary Medicine (New York, N.Y.)

OBJECTIVE: The goal of the present study was to obtain a standard list of traditional Chinese medicine (TCM) symptoms and signs for screening chronic low back pain (cLBP) from a group of experts and to assess agreement and consistency among their opinions on the items of a questionnaire. DESIGN, SETTINGS, AND SUBJECTS: The study design involved three rounds of modified Delphi technique, and it was carried out by 13 experts in orthopedics, massage, and acupuncture working in four hospitals affiliated with Yunnan University of Traditional Chinese Medicine, China.

Author(s): 
Guangyi, Xiong
Chongsuvivatwong, Virasakdi
Geater, Alan
Ming, Li
Yun, Zhang
Publication Title: 
Zhong Xi Yi Jie He Xue Bao = Journal of Chinese Integrative Medicine

In recent years, Delphi method has been widely applied in traditional Chinese medicine (TCM) clinical research. This article analyzed the present application situation of Delphi method in TCM clinical research, and discussed some problems presented in the choice of evaluation method, classification of observation indexes and selection of survey items. On the basis of present application of Delphi method, the author analyzed the method on questionnaire making, selection of experts, evaluation of observation indexes and selection of survey items.

Author(s): 
Bi, Ying-fei
Mao, Jing-yuan

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