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Titre : | Core Domains for Research on Hospital Inactivity in Acutely Ill Older Adults: A Delphi Consensus Study (2021) |
Auteurs : | Claire E. Baldwin ; Anna C. Phillips ; Sarah M. Edney ; Lucy K. Lewis |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 102, n° 4, 2021) |
Article en page(s) : | p. 664-674 |
Note générale : | https://doi.org/10.1016/j.apmr.2020.10.136 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Consensus ; Évaluation des résultats des patients ; Exercice physique ; Hospitalisation ; Maladie aigüe ; Mesures des résultats rapportés par les patients (PROM) ; Mode de vie sédentaire ; Personne âgée fragile |
Résumé : |
Objective
To identify core domains for research studies of physical activity and sedentary behavior during hospitalization for older adults with an acute medical illness. Design A 4-Round Delphi consensus process. Round 1 invited responses to open-ended questions to generate items for the core domains research. In rounds 2-4, participants were invited to use a Likert scale (1-9) to rate the importance of each core domain for research studies of physical activity and/or sedentary behavior in hospitalized older adults with an acute medical illness. Setting Online surveys. Participants A total of 49 participants were invited to each round (international researchers, clinicians, policy makers and patients). Response rates across rounds 1-4 were 94%, 88%, 83% and 81%, respectively. Interventions None. Main Outcome Measures Consensus was defined a priori as ≥70% of respondents rating an item as critical (score≥7) and ≤15% of respondents rating an item as not important (score≤3). Results In round 2, a total of 9 of 25 core domains reached consensus agreement (physical functioning, general, role functioning, emotional functioning, global quality of life, hospital, psychiatric, cognitive functioning, carer burden). In round 3, an additional 8 reached consensus (adverse events, perceived health status, musculoskeletal, social functioning, vascular, cardiac, mortality, economic). Round 4 participants provided further review and a final rating of all 17 core domains that met consensus in previous rounds. Four core domains were rated as critically important to evaluate: physical functioning, social functioning, emotional functioning, and hospital outcomes. Conclusions This preliminary work provides international and expert consensus-based core domains for development toward a core-outcome set for research, with the ultimate goal of fostering consistency in outcomes and reporting to accelerate research on effective strategies to address physical activity and/or sedentary behavior in older adults while hospitalized. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999320312582#! |