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Zilezinski M, Ritter-Herschbach M, Jahn P. [GRAN-ONCO: "German Research Agenda for Nursing Oncology" - Development of a nursing research agenda of oncology nursing in Germany]. Pflege 2024; 37:37-47. [PMID: 36193806 DOI: 10.1024/1012-5302/a000911] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2024]
Abstract
GRAN-ONCO: "German Research Agenda for Nursing Oncology" - Development of a nursing research agenda of oncology nursing in Germany Abstract. Background: The establishment of research priorities and bundling in an agenda is an instrument to systematize the multitude of nursing research topics. In contrast to other countries, there is currently no oncological nursing research agenda in Germany. Aim: Development of a research agenda for oncological nursing as part of a discursive process, taking into account different perspectives of the groups of people involved in oncological nursing. Method: Within the framework of a mixed methods design, oncological research topics were identified on the basis of a systematic literature review and prioritized and completed by nurses in oncological nursing practice and research through a survey using a standardized online questionnaire as well as qualitative expert groups. Results: The synthesis of the literature included 29 publications from which 55 topics were extracted. Based on the results of the survey, 23 topics were identified as priorities. According to the result of the survey and the feedback of the experts (n = 15), special attention should be paid to the following topics in the future: disease and therapy-related effects and the associated needs and changes. At the same time, communication, information, counseling, and education as well as the question of quality of life and care at the end of life due to the disease should be prioritized for nursing research. Conclusion: For the first time, a research agenda for oncological nursing is available for Germany. It is an important step in professionalization and thus offers orientation for the scientific further development of oncological nursing.
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Affiliation(s)
- Max Zilezinski
- AG Versorgungsforschung | Pflege im Krankenhaus, Department für Innere Medizin, Medizinische Fakultät, Universitätsmedizin Halle (Saale), Martin-Luther-Universität Halle-Wittenberg, Deutschland
- Dorothea Erxleben Lernzentrum Halle (DELH), Medizinische Fakultät, Martin-Luther-Universität Halle-Wittenberg, Deutschland
| | - Madeleine Ritter-Herschbach
- AG Versorgungsforschung | Pflege im Krankenhaus, Department für Innere Medizin, Medizinische Fakultät, Universitätsmedizin Halle (Saale), Martin-Luther-Universität Halle-Wittenberg, Deutschland
| | - Patrick Jahn
- AG Versorgungsforschung | Pflege im Krankenhaus, Department für Innere Medizin, Medizinische Fakultät, Universitätsmedizin Halle (Saale), Martin-Luther-Universität Halle-Wittenberg, Deutschland
- Dorothea Erxleben Lernzentrum Halle (DELH), Medizinische Fakultät, Martin-Luther-Universität Halle-Wittenberg, Deutschland
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Lee PS, Sung YH. Using a Delphi technique to build a competency framework for full-time counselling teachers in Taiwan. BRITISH JOURNAL OF GUIDANCE & COUNSELLING 2022. [DOI: 10.1080/03069885.2022.2106548] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
Affiliation(s)
- Pei-Shan Lee
- Teacher Training Centre, National Chung Cheng University, Chiayi, Taiwan (R.O.C.)
| | - Yu-Hsien Sung
- College of Education, National Chengchi University, Taipei City, Taiwan (R.O.C.)
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Hsieh NC, Wu SFV, Tsai JM, Lin LJ, Sun JH. Establishing Core Competencies and a Professional Curriculum for the Care Service Department in Vocational High Schools in Taiwan. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19021009. [PMID: 35055827 PMCID: PMC8776239 DOI: 10.3390/ijerph19021009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/15/2021] [Revised: 01/07/2022] [Accepted: 01/15/2022] [Indexed: 02/01/2023]
Abstract
In response to the emergence of the aging society, the vocational high school education system in Taiwan has established a care service department since 2018. The purpose of this study was to develop core competencies and a professional curriculum for the care service department in vocational high schools. First, this study invited 20 experts and scholars to take part in a focus group to collect suggestions as the basis for the development of core competencies and a curriculum. Second, this study invited 10 experts and scholars to participate in three rounds of a Delphi survey to evaluate the planning for the development of core competencies and a curriculum that meet educational needs. In this study, we identified eight core competency constructs and 15 indicators across two dimensions relating to the care services taught in vocational high schools. We then designed 26 professional subjects according to the core competencies. We identified the core competencies for long-term care service education and devised a professional curriculum to foster the skills and knowledge among students that are required for successfully meeting the care needs of a rapidly aging society through work in the long-term care industry after graduation.
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Affiliation(s)
- Nan-Chen Hsieh
- Department of Information Management, National Taipei University of Nursing and Health Sciences, Taipei City 112, Taiwan;
- Research Center for Healthcare Industry Innovation, National Taipei University of Nursing and Health Sciences, Taipei City 112, Taiwan;
| | - Shu-Fang Vivienne Wu
- Research Center for Healthcare Industry Innovation, National Taipei University of Nursing and Health Sciences, Taipei City 112, Taiwan;
- School of Nursing, National Taipei University of Nursing and Health Sciences, Taipei City 112, Taiwan
| | - Juin-Ming Tsai
- Department of Gerontological Health Care, National Taipei University of Nursing and Health Sciences, Taipei City 112, Taiwan;
| | - Li-Ju Lin
- International and Cross-Strait Education Center, National Taipei University of Nursing and Health Sciences, Taipei City 112, Taiwan;
| | - Juo-Hsiang Sun
- Research Center for Healthcare Industry Innovation, National Taipei University of Nursing and Health Sciences, Taipei City 112, Taiwan;
- Department of Long-Term Care, National Taipei University of Nursing and Health Sciences, Taipei City 112, Taiwan
- Correspondence: ; Tel.: +886-2-2822-7101 (ext. 2381)
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Kivelitz L, Schäfer J, Kanat M, Mohr J, Glattacker M, Voigt-Radloff S, Dirmaier J. Patient-Centeredness in Older Adults With Multimorbidity: Results of an Online Expert Delphi Study. THE GERONTOLOGIST 2021; 61:1008-1018. [PMID: 33388770 DOI: 10.1093/geront/gnaa223] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2020] [Indexed: 02/04/2023] Open
Abstract
BACKGROUND AND OBJECTIVES Older adults suffering from multimorbidity represent a priority target group for patient-centeredness (PC). We aimed to investigate the transferability of an existing integrated model of PC comprising 15 dimensions on the care of older adults with multimorbidity from an expert perspective. RESEARCH DESIGN AND METHODS A total of 242 experts were invited to participate in a 2-round online Delphi study. In round 1, they were asked to (a) individually rate relevance and clarity of the dimensions, (b) add missing dimensions, and (c) prioritize the dimensions. In round 2, experts received results of round 1 and were asked to rerate their ratings. RESULTS Forty-eight experts participated in round 1 and 39 in round 2. Ten dimensions were rated as sufficiently relevant and clear, including one new dimension ("prognosis and life expectancy, burden of treatment"). Four dimensions were rated as relevant but insufficiently clear. One dimension failed to reach our validation threshold on both criteria. The 5 dimensions rated as most important were: "patient as a unique person," "clinician-patient communication," "patient involvement in care," "physical, cognitive, and emotional support," and "involvement of family and friends." DISCUSSION AND IMPLICATIONS The experts' ratings were higher regarding relevance than regarding clarity, which emphasizes the still existing conceptual uncertainty of PC. Our results give further directions regarding the operationalization of PC in older adults with multimorbidity, which is essential for its implementation in routine care. Further refined using focus groups with geriatric patients, our adapted model serves as a basis for a systematic review of assessment instruments.
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Affiliation(s)
- Laura Kivelitz
- Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, Germany
| | - Jonas Schäfer
- Section of Health Care Research and Rehabilitation Research, Institute for Medical Biometry and Statistics, Medical Center, University of Freiburg, Faculty of Medicine, Germany
| | - Manuela Kanat
- Section of Health Care Research and Rehabilitation Research, Institute for Medical Biometry and Statistics, Medical Center, University of Freiburg, Faculty of Medicine, Germany
| | - Jil Mohr
- Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, Germany
| | - Manuela Glattacker
- Section of Health Care Research and Rehabilitation Research, Institute for Medical Biometry and Statistics, Medical Center, University of Freiburg, Faculty of Medicine, Germany
| | - Sebastian Voigt-Radloff
- Center for Geriatric Medicine and Gerontology Freiburg, Medical Center, University of Freiburg, Faculty of Medicine, Germany.,Institute for Evidence in Medicine (for Cochrane Germany Foundation), Medical Center, University of Freiburg, Faculty of Medicine, Germany
| | - Jörg Dirmaier
- Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, Germany
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Richards CT, Fishe JN, Cash RE, Rivard MK, Brown KM, Martin-Gill C, Panchal AR. Priorities for Prehospital Evidence-Based Guideline Development: A Modified Delphi Analysis. PREHOSP EMERG CARE 2021; 26:286-304. [PMID: 33625309 DOI: 10.1080/10903127.2021.1894276] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
Objective: Few areas of prehospital care are supported by evidence-based guidelines (EBGs). We aimed to identify gaps in clinical and operational prehospital EBGs to prioritize future EBG development and research funding. Methods: Using modified Delphi methodology, we sought consensus among experts in prehospital care and EBG development. Five rounds of surveys were administered between October 2019 and February 2020. Round 1 asked participants to list the top three gaps in prehospital clinical guidelines and top three gaps in operational guidelines that should be prioritized for guideline development and research funding. Based on responses, 3 reviewers performed thematic analysis to develop a list of prehospital EBG gaps, with participant feedback in Round 2. In Round 3, participants rated each gap's importance using a 5-point Likert scale, and participants' responses were averaged. In Round 4, participants rank-ordered 10 gaps with the highest mean scores identified in Round 3. In Round 5, participants indicated their agreement with sets of the highest ranked gaps. Results: Of 23 invited participants, 14 completed all 5 rounds. In Rounds 1 and 2, participants submitted 65 clinical and 58 operational gaps, and thematic analysis identified 23 unique clinical gaps and 28 unique operational gaps. The final prioritized list of clinical EBG gaps was: 1) airway management in adult and pediatric patients, 2) care of the pediatric patient, and 3) management of prehospital behavioral health emergencies, with 79% of participants agreeing. The final prioritized list of operational EBG gaps was: 1) define and measure the impact of EMS care on patient outcomes, 2) practitioner wellness, and 3) practitioner safety in the out-of-hospital environment, with 86% of participants agreeing. Conclusions: This modified Delphi study identifies gaps in prehospital EBGs that, if prioritized for development and research funding, would be expected to have the greatest impact on prehospital clinical care and operations.
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Cotchett MP, Landorf KB, Munteanu SE, Raspovic AM. Consensus for Dry Needling for Plantar Heel Pain (Plantar Fasciitis): A Modified Delphi Study. Acupunct Med 2018; 29:193-202. [DOI: 10.1136/aim.2010.003145] [Citation(s) in RCA: 26] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
Abstract
Hypothesis Plantar heel pain (plantar fasciitis) is a common and disabling condition. A variety of treatment options are available to patients with plantar heel, however the evidence for these treatments is generally weak and the best way to manage plantar heel pain remains unclear. Trigger point dry needling is increasingly used as an adjunct therapy for musculoskeletal pain. In patients with plantar heel pain this technique is thought to improve muscle activation patterns, increase joint range of motion and alleviate pain. However, there have been no randomised controlled trials that have evaluated the effectiveness of dry needling for plantar heel pain. Methods In order to develop a treatment protocol to evaluate the effectiveness of dry needling for plantar heel pain we conducted a three stage modified Delphi process using a web-based survey technique. Over a series of three iterations, 30 experts (participants) worldwide indicated their level of agreement on specific issues relating to the use of dry needling for plantar heel pain including their treatment rationale, needling details and treatment regimen. Consensus for a dry needling protocol for plantar heel pain was achieved when >60% of participants (IQR ≤ 1.0 category on 5-point Likert scale) agreed the protocol was adequate. Results The response rate was 75% (n=30), 100% (n=30) and 93% (n=28) in the first, second and third rounds respectively. Round 1 helped generate a list of 10 items that were deemed important for developing a dry needling protocol for plantar heel pain. These 10 items were subsequently presented in Round 2. Of these, 5 of the 10 items met the criteria to be included in a dry needling protocol for plantar heel pain that was presented in the final round, Round 3. Items that did not meet the criteria were either removed or amended and then presented in Round 3. In the final round, 93% of participants (IQR range = 1) agreed the proposed dry needling protocol for plantar heel pain was adequate. The protocol can now be used in future research projects designed to evaluate the effectiveness of dry needling for plantar heel pain.
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Affiliation(s)
- Matthew P Cotchett
- Department of Podiatry and Musculoskeletal Research Centre, La Trobe University, Melbourne, Victoria, Australia
| | - Karl B Landorf
- Department of Podiatry and Musculoskeletal Research Centre, La Trobe University, Melbourne, Victoria, Australia
| | - Shannon E Munteanu
- Department of Podiatry and Musculoskeletal Research Centre, La Trobe University, Melbourne, Victoria, Australia
| | - Anita M Raspovic
- Department of Podiatry and Musculoskeletal Research Centre, La Trobe University, Melbourne, Victoria, Australia
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Glajchen M, Berkman C, Otis-Green S, Stein GL, Sedgwick T, Bern-Klug M, Christ G, Csikai E, Downes D, Gerbino S, Head B, Parker-Oliver D, Waldrop D, Portenoy RK. Defining Core Competencies for Generalist-Level Palliative Social Work. J Pain Symptom Manage 2018; 56:886-892. [PMID: 30201485 DOI: 10.1016/j.jpainsymman.2018.09.002] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/27/2018] [Accepted: 09/03/2018] [Indexed: 11/21/2022]
Abstract
CONTEXT Care provided to seriously ill patients by frontline social workers is a component of generalist-level palliative care. The core competencies for high-quality generalist-level palliative social work are necessary to promote training curricula and best practices but have not yet been defined in the U.S. OBJECTIVE The objective of this study was to develop consensus-derived core competencies for generalist-level palliative social work. METHODS Fifty-five proposed social work competencies were categorized by the eight domains of palliative care identified by the National Consensus Project for Quality Palliative Care. The competencies were rated by 41 regionally dispersed, Master's level social workers selected through purposive and snowball sampling using a Delphi method. Each was rated as essential for generalist-level palliative social work, acceptable with modifications, or rejected based on the judgment that it was not essential for generalist-level palliative social work or was outside the scope of practice. Consensus was defined as >70% agreement to accept or reject a competency. Three review rounds were needed to achieve consensus on all competencies. RESULTS Two competencies were added to the original list. Of the 57 proposed competencies, 41 were accepted (19 after modification) and 16 were rejected. Competencies in the social, spiritual, cultural, and ethical/legal aspects of care domains were relatively more likely to be accepted compared with those in structure and processes of care, physical care, psychological care, and care of patient at the end of life. CONCLUSION The 41 consensus-derived competencies for generalist-level palliative social work may inform the development of training curricula and standards for high-quality care.
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Affiliation(s)
- Myra Glajchen
- MJHS Institute for Innovation in Palliative Care, New York, New York.
| | - Cathy Berkman
- Fordham University Graduate School of Social Service, New York, New York
| | | | - Gary L Stein
- Wurzweiler School of Social Work at Yeshiva University, New York, New York
| | - Tom Sedgwick
- New York University Langone Medical Center, New York, New York
| | | | - Grace Christ
- Columbia University School of Social Work, New York, New York
| | - Ellen Csikai
- University of Alabama School of Social Work, Tuscaloosa, Alabama
| | | | - Susan Gerbino
- New York University Silver School of Social Work, New York, New York
| | - Barbara Head
- University of Louisville School of Medicine and Kent School of Social Work, Louisville, Kentucky
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Kaasalainen S, Zacharias R, Hill C, Wickson-Griffiths A, Hadjistavropoulos T, Herr K. Advancing the pain management in older adults agenda forward through the development of key research and education priorities: A Canadian perspective. Can J Pain 2017; 1:171-182. [PMID: 35005352 PMCID: PMC8730549 DOI: 10.1080/24740527.2017.1383139] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2017] [Revised: 09/17/2017] [Accepted: 09/18/2017] [Indexed: 11/04/2022]
Abstract
Background: The undermanagement of pain in older adults has been identified as a problem worldwide. Aims: The purpose of this research is to identify priority areas in education and research for future development with the aim of improving pain management in older persons. In addition, barriers to addressing these priorities are identified. Methods: This mixed methods study, based on a modified Delphi approach, included three distinct components: (1) a qualitative component using focus groups with key informants or experts in the field of pain management in older adults (n = 17), (2) a scoping review of the literature, and (3) a survey of ranked responses completed by the same key informants who attended the focus groups. Thematic analysis was used to identify the initial list of issues and descriptive statistics were used for ranking them. Results: A number of concerns related to both education and research were frequently endorsed by participants. For education, they identified the need for more content in both undergraduate and continuing education programs related to documenting about pain; assessing pain, and learning about the complexities of pain. Research priorities included the need to explore successful practice models; costs of untreated pain; effects of mobility on pain; and patient preferences for pain management. Key barriers to addressing these barriers included lack of staff time and resources and unfamiliarity with pain assessment tools. Conclusion: These findings highlight priority issues related to pain management in older adults from a nationwide perspective.
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Affiliation(s)
- Sharon Kaasalainen
- Department of Family Medicine, School of Nursing, McMaster University, Hamilton, Ontario, Canada
| | - Ramesh Zacharias
- Chronic Pain Management Unit, Chedoke Hospital & Village of Erin Meadows, Hamilton, Ontario, Canada
| | - Courtney Hill
- School of Nursing, McMaster University, Hamilton, Ontario, Canada
| | | | | | - Keela Herr
- College of Nursing, University of Iowa, Iowa City, Iowa, USA
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Delphi Study to Determine Rehabilitation Research Priorities for Older Adults With Cancer. Arch Phys Med Rehabil 2016; 98:904-914. [PMID: 28007446 DOI: 10.1016/j.apmr.2016.11.015] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2016] [Revised: 10/31/2016] [Accepted: 11/22/2016] [Indexed: 11/23/2022]
Abstract
OBJECTIVE To solicit expert opinions and develop consensus around the research that is needed to improve cancer rehabilitation for older adults. DESIGN Delphi methods provided a structured process to elicit and prioritize research questions from national experts. SETTING National, Web-based survey. PARTICIPANTS Members (N=32) of the American Congress of Rehabilitation Medicine completed at least 1 of 3 investigator-developed surveys. INTERVENTIONS Not applicable. MAIN OUTCOME MEASURES In the first survey, participants identified up to 5 research questions that needed to be answered to improve cancer rehabilitation for older adults. In 2 subsequent surveys, participants viewed the compilation of questions, rated the importance of each question, and identified the 5 most important questions. This generated priority scores for each question. Consensus scores were created to describe the degree of agreement around the priority of each question. RESULTS Highest priority research concerns the epidemiology and measurement of function and disability in older adult cancer survivors; the effects of cancer rehabilitation interventions on falls, disability, participation, survival, costs, quality of care, and health care utilization; and testing models of care that facilitate referrals from oncology to rehabilitation providers as part of coordinated, multicomponent care. CONCLUSIONS A multipronged approach is needed to fill these gaps, including targeted funding opportunities developed with an advisory panel of cancer rehabilitation experts, development of a research network to facilitate novel collaborations and grant proposals, and coordinated efforts of clinical groups to advocate for funding, practice change, and policy change.
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Eldredge JD, Ascher MT, Holmes HN. An innovative model of evidence-based practice for other professions. J Med Libr Assoc 2015; 103:100-2. [PMID: 25918491 PMCID: PMC4404847 DOI: 10.3163/1536-5050.103.2.009] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
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Park NS, Jang Y, Lee BS, Chiriboga DA, Molinari V. Correlates of attitudes toward personal aging in older assisted living residents. JOURNAL OF GERONTOLOGICAL SOCIAL WORK 2014; 58:232-252. [PMID: 25356884 DOI: 10.1080/01634372.2014.978926] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/01/2013] [Accepted: 10/16/2014] [Indexed: 06/04/2023]
Abstract
This study explored factors contributing to older adults' self-perceptions about their own aging in assisted living (AL) communities. Data analysis was completed based on interviews with 150 older residents from 17 AL communities. Multiple regression analyses found that functional disability and hearing impairment negatively affected attitudes toward personal aging among AL residents, and satisfaction with social support positively influenced attitudes. Health perception mediated attitudes toward personal aging. Findings suggest the importance of social workers helping older AL residents recognize social support as a means of promoting their positive self-regard.
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Affiliation(s)
- Nan Sook Park
- a School of Social Work , University of South Florida , Tampa , Florida , USA
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Needs Assessment of an Ethnic Chinese Community in Japan. SOCIAL SCIENCES 2014. [DOI: 10.3390/socsci3040628] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Carter N, Lavis JN, MacDonald-Rencz S. Use of modified Delphi to plan knowledge translation for decision makers: an application in the field of advanced practice nursing. Policy Polit Nurs Pract 2014; 15:93-101. [PMID: 25085786 DOI: 10.1177/1527154414544965] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Disseminating research to decision makers is difficult. Interaction between researchers and decision makers can identify key messages and processes for dissemination. To gain agreement on the key findings from a synthesis on the integration of advanced practice nurses, we used a modified Delphi process. Nursing decision makers contributed ideas via e-mail, discussed and clarified ideas face to face, and then prioritized statements. Sixteen (89%) participated and 14 (77%) completed the final phase. Priority key messages were around access to care and outcomes. The majority identified "NPs increase access to care" and "NPs and CNSs improve patient and system outcomes" as priority messaging statements. Participants agreed policy makers and the public were target audiences for messages. Consulting with policy makers provided the necessary context to develop tailored policy messages and is a helpful approach for research dissemination.
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Affiliation(s)
- Nancy Carter
- School of Nursing, McMaster University, Hamilton, ON, Canada
| | - John N Lavis
- Program in Policy Decision-Making, Centre for Health Economics and Policy Analysis, Department of Clinical Epidemiology and Biostatistics, Department of Political Science, McMaster Health Forum, and WHO Collaborating Centre for Evidence-Informed Policy, McMaster University, Hamilton, ON, Canada
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Schoeb V, Rau B, Nast I, Schmid S, Barbero M, Tal A, Kool J. How do patients, politicians, physiotherapists and other health professionals view physiotherapy research in Switzerland? A qualitative study. PHYSIOTHERAPY RESEARCH INTERNATIONAL 2013; 19:79-92. [PMID: 23780913 PMCID: PMC4230476 DOI: 10.1002/pri.1560] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2013] [Revised: 04/23/2013] [Accepted: 05/19/2013] [Indexed: 11/09/2022]
Abstract
Background Since 2002, the professional education for Swiss physiotherapists has been upgraded to a tertiary educational level. With this change, the need for research related to professional practice has become more salient. The elaboration of research priorities is seen as a possible way to determine the profession's needs, to help coordinate research collaborations and to address expectations regarding physiotherapy. There is still limited evidence about stakeholders' views with regard to physiotherapy research. The objective of this study was to investigate key stakeholders' opinions about research in physiotherapy in Switzerland. Methods Focus groups with patients, health professionals, researchers and representatives of public health organizations were conducted, and semi-structured interviews were conducted with politicians, health insurers and medical doctors from three linguistic regions in Switzerland. An interview guide was elaborated. Data were transcribed and analysed using inductive content analysis (Atlas-ti 6®). Results Eighteen focus groups and 23 interviews/written commentaries included 134 participants with various research experiences and from different settings. Fourteen categories were defined reflecting three themes: identity, interdisciplinarity and visibility. Stakeholders had positive views about the profession and perceived physiotherapists' important role now and in the future. Yet, they also felt that physiotherapy was not sufficiently recognized in society and not visible enough. A stronger professional identity would be key to enhancing interdisciplinary work. Conclusions Results of this qualitative study provide insights into key aspects for moving the physiotherapy profession forward. Identity is at the heart of physiotherapy, not necessarily in terms of research priorities but in the definition of domains of competence and future positioning. Identity is also tightly connected to Interdisciplinarity as this might threaten the existence of the profession. Stakeholders outside the profession insist on the importance of visibility. The results of this study can help stakeholders reflect on the future of physiotherapy and elaborate research priorities. © 2013 The Authors. Physiotherapy Research International published by John Wiley & Sons Ltd.
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Affiliation(s)
- Veronika Schoeb
- University of Applied Sciences, Western Switzerland, HESAV, Physiotherapy, Lausanne, Vaud, Switzerland
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15
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Spangenberg L, Glaesmer H, Brähler E, Strauß B. [Use of family resources in future need of care. Care preferences and expected willingness of providing care among relatives: a population-based study]. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2013; 55:954-60. [PMID: 22842889 DOI: 10.1007/s00103-012-1512-5] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
The family is an important resource in elderly care. It is of great interest if persons who might be in need of care in the future would use this resource. Our study assessed wishes and expectations regarding family care in a representative sample of the general population (≥ 45 years, N = 1,445) using questionnaires. Logistic regressions were performed to analyze the potential impact on the willingness to use or provide family care. One quarter of the participants reported experience in family care. In case of own need 62.9% of participants would prefer care provided by relatives and 56.7% would prefer professional care. Participants are more likely to use family care if they report having relatives, are experienced in care of relatives or do not associate old age with being a burden, e.g. report low values in the image of age "being a burden/demanding". Perceived willingness of the relatives to provide care is more likely if there is little regional distance to the relatives, in male participants and if participants talked about future care with their relatives. Besides structural factors, negative images of old age might have a negative influence on the willingness to use family care. Talking about care in old age seems to have a positive impact.
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Affiliation(s)
- L Spangenberg
- Abteilung für Medizinische Psychologie und Medizinische Soziologie, Universität Leipzig, Philipp-Rosenthal-Str. 55, 04103, Leipzig, Deutschland.
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Ortiz DV. Structuring mental health within senior services: a case study of an outpatient mental health clinic serving Latinos. JOURNAL OF GERONTOLOGICAL SOCIAL WORK 2012; 55:503-518. [PMID: 22852993 DOI: 10.1080/01634372.2012.673539] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
The article presents a case study of an outpatient mental health clinic serving Latino older adults. The study explored staff perceptions on the clinic development and the context within an immigrant multicultural community. The study used in-depth, semistructured interviews with support staff, clinical social workers, and administrators. Interviews were analyzed using a thematic content analysis. The mental health clinic formation was perceived by staff as an ecological process stemming from the needs of the Latino immigrant senior clients. A close knit and interdependent culture allowed the clinic to adjust to diversity and changing cultural contexts.
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Affiliation(s)
- Daniel Vélez Ortiz
- School of Social Work, Michigan State University, East Lansing, MI 48824, USA.
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Kropf NP. Increasing community capacity for older residents and their families. JOURNAL OF GERONTOLOGICAL SOCIAL WORK 2012; 55:301-303. [PMID: 22574863 DOI: 10.1080/01634372.2012.672075] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
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Dugan Day M. Interdisciplinary hospice team processes and multidimensional pain: a qualitative study. JOURNAL OF SOCIAL WORK IN END-OF-LIFE & PALLIATIVE CARE 2012; 8:53-76. [PMID: 22424384 DOI: 10.1080/15524256.2011.650673] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
Hospice teams may address multidimensional pain through the synergistic interaction of team members from various professional disciplines during regularly scheduled team meetings. However, the occurrence of that critical exchange has not been adequately described or documented. The purpose of this qualitative study was to explore two processes in team pain palliation: communication and collaboration. Data were gathered through individual interviews and a 1-year observation of team members from two hospices (physicians, nurses, aides, chaplains, social workers). Utilizing constant comparison, 14 final thematic categories were discovered. Use of biopsychosocial/spiritual terms by all team members meant that the team had the common language needed to communicate about multidimensional pain. Interviews and observation revealed a gap in translating multidisciplinary communication in team meetings into collaborative acts for pain treatment. In addition, structural influences inhibited creativity in pain palliation. There was no mutual understanding of the purpose for team meetings, no recognition of the need to reflect on team process, or common definition of leadership. Social work roles in hospice should include leadership that moves teams toward interdisciplinary care for multidimensional pain.
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Affiliation(s)
- Michele Dugan Day
- School of Social Work, Missouri State University, Springfield, Missouri 65897, USA.
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Koenig TL, Lee JH, Fields NL, Macmillan KR. The role of the gerontological social worker in assisted living. JOURNAL OF GERONTOLOGICAL SOCIAL WORK 2011; 54:494-510. [PMID: 21714617 DOI: 10.1080/01634372.2011.576424] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
This qualitative study reports on thirteen assisted living (AL) administrators' perspectives of the role and the importance of the AL social worker in addressing the unmet needs of older adults as they move and transition into AL. Participant interviews were analyzed using the constant comparative method. Administrators described 5 AL social work roles: (a) decision-making and adjustment coordinator; (b) resident advocate; (c) mental health assessor and counselor; (d) family social worker; and (e) care planner. Implications include directly examining AL social workers' views, analyzing costs and benefits of employing AL social workers, and developing social work practicum sites within AL.
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Affiliation(s)
- Terry L Koenig
- School of Social Welfare, University of Kansas, Lawrence, Kansas 66044, USA.
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20
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International identification of research priorities for postgraduate theses in musculoskeletal physiotherapy using a modified Delphi technique. ACTA ACUST UNITED AC 2010; 15:142-8. [DOI: 10.1016/j.math.2009.09.003] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2009] [Revised: 08/13/2009] [Accepted: 09/28/2009] [Indexed: 11/23/2022]
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21
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Raveis VH, Gardner DS, Berkman B, Harootyan L. Linking the NIH strategic plan to the research agenda for social workers in health and aging. JOURNAL OF GERONTOLOGICAL SOCIAL WORK 2010; 53:77-93. [PMID: 20029703 DOI: 10.1080/01634370903361953] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
Although social work has a long and distinctive tradition of practice-relevant research aimed at enhancing the health and well-being of older adults, the profession has been underrepresented among the ranks of academic researchers and the National Institutes of Health's (NIH) scientific endeavors. In this article, the inherent capacities of social workers to generate and disseminate empirical health-related knowledge are discussed and recent developments in social work's geriatric research infrastructure are described. Emerging domains for advancing the profession's contribution to practice-relevant geriatric research on the federal level are identified and the next steps toward advancing the field's research agenda are posed.
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Affiliation(s)
- Victoria H Raveis
- Center for the Psychosocial Study of Health and Illness, Mailman School of Public Health, Columbia University, New York, New York, USA.
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22
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Gallardo-Guerrero L, García-Tascón M, Burillo-Naranjo P. New sports management software: A needs analysis by a panel of Spanish experts. INTERNATIONAL JOURNAL OF INFORMATION MANAGEMENT 2008. [DOI: 10.1016/j.ijinfomgt.2007.09.005] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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23
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Ota S, Cron RQ, Schanberg LE, O'Neil K, Mellins ED, Fuhlbrigge RC, Feldman BM. Research priorities in pediatric rheumatology: The Childhood Arthritis and Rheumatology Research Alliance (CARRA) consensus. Pediatr Rheumatol Online J 2008; 6:5. [PMID: 18380905 PMCID: PMC2330140 DOI: 10.1186/1546-0096-6-5] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/28/2007] [Accepted: 04/01/2008] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND North American pediatric rheumatologists have created an investigator-initiated research network (the Childhood Arthritis and Rheumatology Research Alliance - CARRA) to facilitate multi-centre studies. One of the first projects undertaken by this network was to define, by consensus, research priorities for the group, and if possible a first group-sponsored clinical trial in which all members could participate. METHODS We determined consensus using the Delphi approach. This approach has been used extensively in health research to reach consensus in large groups. It uses several successive iterations of surveys eliciting ideas and opinions from specialists in the field. Three surveys were designed based on this method and were distributed to members of CARRA to elicit and rank-order research priorities. RESULTS A response rate of 87.6% was achieved in the final survey. The most highly ranked research suggestion was to study infliximab treatment of uveitis unresponsive to methotrexate. Other highly ranked suggestions were to study i) the treatment of systemic arthritis with anakinra and ii) the treatment of pediatric systemic lupus erythematosus with mycophenolate mofetil. CONCLUSION The Delphi approach was an effective and practical method to define research priorities in this group. Ongoing discussion and cooperation among pediatric rheumatologists in CARRA and others world-wide will help in developing further research priorities and to facilitate the execution of clinical trials in the future.
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Affiliation(s)
- Sylvia Ota
- Department of Child Health Evaluative Sciences, The Hospital for Sick Children, Toronto, Canada.
| | - Randy Q Cron
- Department of Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, USA
| | - Laura E Schanberg
- Department of Pediatrics, Duke University Medical Center, North Carolina, USA
| | - Kathleen O'Neil
- Division of Pediatric Rheumatology, University of Oklahoma Health Sciences Center, Oklahoma City, USA
| | | | | | - Brian M Feldman
- Department of Child Health Evaluative Sciences, The Hospital for Sick Children, Toronto, Canada,Department of Pediatrics, University of Toronto, Toronto, Canada,Department of Health Policy Management and Evaluation, University of Toronto, Toronto, Canada,Department of Public Health Sciences, University of Toronto, Toronto, Canada,Division of Rheumatology, The Hospital for Sick Children, Toronto, Canada
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Vélez Ortiz D, Cole SA. Culture, place of origin, and service delivery for Latino older adult immigrants: the case of Puerto Rican older adults. JOURNAL OF GERONTOLOGICAL SOCIAL WORK 2008; 51:300-314. [PMID: 19043905 DOI: 10.1080/01634370802039627] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
A conceptual model for the design and implementation of effective social services for Latino older adult immigrants in the United States is proposed in this article. Built on the stage-of-migration framework (Drachman, 1992), the model presented shows how the premigration service experience of Latino older adults can be used as a basis for service design and implementation in the country of immigration. The case of Puerto Rican older adult immigrants is used to illustrate how the model can be applied to understand present service utilization and develop future programs that are useful and culturally sensitive for Latino older adult immigrants.
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Affiliation(s)
- Daniel Vélez Ortiz
- School of Social Work, University of Illinois at Urbana-Champaign, 1207 W. Oregon Street, MC140, Urbana, IL 61801, USA.
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Berg-Weger M, Herbers S, McGillick J, Rodriguez C, Svoboda J. "Not prepared to care" and "raising the bar": case examples of building university-community partnerships in gerontological social work research. JOURNAL OF GERONTOLOGICAL SOCIAL WORK 2007; 50:21-38. [PMID: 18032297 DOI: 10.1300/j083v50n01_03] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
This paper examines university-community partnerships in gerontological social work research. Utilizing a case study approach, the process of collaboration is explored within the context of a two-phase research project conducted jointly by agency social workers, social work students and a social work faculty member. The benefits and challenges of the university-community research partnership are discussed along with the implications for gerontological social work research, education and practice.
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Affiliation(s)
- Marla Berg-Weger
- School of Social Work, St. Louis University, St. Louis, MO 63103, USA.
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McDonald L, Dergal J, Cleghorn L. Living on the margins: older homeless adults in Toronto. JOURNAL OF GERONTOLOGICAL SOCIAL WORK 2007; 49:19-46. [PMID: 17804358 DOI: 10.1300/j083v49n01_02] [Citation(s) in RCA: 29] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/17/2023]
Abstract
A handful of scholars have acknowledged that, along side the traditional homeless, there are now older people who become homeless for the first time in old age. Few researchers, however, have systematically compared the recent older homeless with the chronic or traditional homeless. In the research presented here, we compare recent older homeless with long-term older homeless adults in Toronto according to their health and wealth, their housing history, and their use of health and social services. Findings indicate that people who become homeless for the first time at older ages have needs that are different from the lifetime elderly homeless and require different approaches to intervention.
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Levine DA, Saag KG, Casebeer LL, Colon-Emeric C, Lyles KW, Shewchuk RM. Using a modified nominal group technique to elicit director of nursing input for an osteoporosis intervention. J Am Med Dir Assoc 2006; 7:420-5. [PMID: 16979085 PMCID: PMC1839832 DOI: 10.1016/j.jamda.2006.05.004] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
BACKGROUND Barriers prevent osteoporosis care in nursing homes. Successful interventions designed to circumvent these barriers benefit from target recipient input during development. OBJECTIVE To elicit suggestions for an osteoporosis quality improvement intervention designed for use by nursing home health care professionals. DESIGN Modified nominal group technique. SETTING Convenience sample of Alabama nursing home directors. PARTICIPANTS Fifteen Alabama nursing home directors of nursing were recruited by mailing. Sixty percent of respondents participated (n = 9). MEASUREMENTS In the first phase conducted via teleconference, an experienced moderator used a preformulated question and elicited 41 suggestions to improve osteoporosis care in nursing homes. Substantively similar suggestions were combined and idiosyncratic suggestions were discarded resulting in the retention of 20 suggestions. In the second phase conducted by mail, the same participants rated the 20 suggestions based on perceived practicality and helpfulness. Elements were grouped into tertiles based on the ranking of the mean ratings of the 2 attributes and then cross-tabulated. RESULTS All director of nursing (n = 9) participants completed both phases. The most practical, most helpful suggestions were information on fall prevention program implementation, osteoporosis treatment protocols, and osteoporosis medication information. CONCLUSIONS A modified nominal group technique provided useful information from nursing home directors of nursing for an osteoporosis intervention. The technique proved efficient and facile to perform.
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Affiliation(s)
- Deborah A Levine
- Deep South Center on Effectiveness Research, An HSR&D REAP, Birmingham VA Medical Center, Birmingham, AL, USA.
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Levy DT, Mumford EA, Cummings KM, Gilpin EA, Giovino GA, Hyland A, Sweanor D, Warner KE, Compton C. The potential impact of a low-nitrosamine smokeless tobacco product on cigarette smoking in the United States: estimates of a panel of experts. Addict Behav 2006; 31:1190-200. [PMID: 16256276 DOI: 10.1016/j.addbeh.2005.09.010] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2005] [Revised: 09/12/2005] [Accepted: 09/12/2005] [Indexed: 11/28/2022]
Abstract
OBJECTIVE To predict the impact on tobacco use in the US of a "harm reduction" policy that requires that the smokeless tobacco product meet low nitrosamine standards, but could be marketed with a warning label consistent with the evidence of relative health risks. METHODS Low nitrosamine smokeless tobacco (LN-SLT) and cigarette use are predicted by a panel of experts using a modified Delphi approach. We specify a thought experiment to isolate the changes that would occur after the new LN-SLT policy was implemented. RESULTS The panel predicted that the new policy would accelerate a decrease in smoking prevalence from 1.3 to 3.1 percentage points over 5 years compared to the current SLT product policy, with greater effects on males than females. Introduction of the new product was also predicted to result in modest additional use of SLT overall, with the greatest increases among males who initiated tobacco use under the new policy. CONCLUSION An overall consensus was reached that the introduction of a new LN-SLT product under strict regulations would increase SLT use, but reduce overall smoking prevalence. This reduction would likely yield substantial health benefits, but uncertainties surround the role of marketing and other tobacco control policies.
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Affiliation(s)
- David T Levy
- Pacific Institute for Research and Evaluation, Calverton, Maryland, and Department of Economics, University of Baltimore, Baltimore, MD, USA.
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Levy DT, Mumford EA, Cummings KM, Gilpin EA, Giovino G, Hyland A, Sweanor D, Warner KE. The Relative Risks of a Low-Nitrosamine Smokeless Tobacco Product Compared with Smoking Cigarettes: Estimates of a Panel of Experts. Cancer Epidemiol Biomarkers Prev 2004. [DOI: 10.1158/1055-9965.2035.13.12] [Citation(s) in RCA: 46] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Abstract
A nine-membered panel of experts was asked to determine expert opinions of mortality risks associated with use of low-nitrosamine smokeless tobacco (LN-SLT) marketed for oral use. A modified Delphi approach was employed. For total mortality, the estimated median relative risks for individual users of LN-SLT were 9% and 5% of the risk associated with smoking for those ages 35 to 49 and ≥50 years, respectively. Median mortality risks relative to smoking were estimated to be 2% to 3% for lung cancer, 10% for heart disease, and 15% to 30% for oral cancer. Although individual estimates often varied between 0% and 50%, most panel members were confident or very confident of their estimates by the last round of consultation. In comparison with smoking, experts perceive at least a 90% reduction in the relative risk of LN-SLT use. The risks of using LN-SLT products therefore should not be portrayed as comparable with those of smoking cigarettes as has been the practice of some governmental and public health authorities in the past. Importantly, the overall public health impact of LN-SLT will reflect use patterns, its marketing, and governmental regulation of tobacco products.
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Affiliation(s)
- David T. Levy
- 1Pacific Institute for Research and Evaluation, Calverton, Maryland
- 2Department of Economics, University of Baltimore, Baltimore, Maryland
| | | | - K. Michael Cummings
- 3Division of Cancer Prevention and Population Sciences, Roswell Park Cancer Institute, Buffalo, New York
| | - Elizabeth A. Gilpin
- 4Cancer Prevention and Control Program, Cancer Center, University of California-San Diego, La Jolla, California
| | - Gary Giovino
- 3Division of Cancer Prevention and Population Sciences, Roswell Park Cancer Institute, Buffalo, New York
| | - Andrew Hyland
- 3Division of Cancer Prevention and Population Sciences, Roswell Park Cancer Institute, Buffalo, New York
| | - David Sweanor
- 5Smoking and Health Action Foundation, Ottawa, Ontario, Canada; and
| | - Kenneth E. Warner
- 6Department of Health Management and Policy, School of Public Health, University of Michigan, Ann Arbor, Michigan
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