应用德尔菲法筛选提高儿童ADHD服药依从性的核心信息的研究

Application of Delphi method in core information selection for improving medication adherence among children with attention deficit hyperactivity disorder

目的通过分析和筛选最有助于提高儿童ADHD服药依从性的核心信息,为进一步提高服药依从性及今后此类疾病的健康教育干预提供相关理论依据。方法应用德尔菲法,通过详细考察及精心挑选,邀请来自北京、上海、广州、成都的29名儿科、儿童精神科、儿童心理科等科室的资深专家,开展2轮专家咨询,筛选核心信息。结果对2轮德尔菲咨询专家的积极程度、权威程度系数、变异系数、协调系数等数据进行统计分析。其中,专家的积极程度为:第一轮:100%,第二轮:96.56%。专家的权威程度系数分别为:第一轮:0.75,第二轮:0.75。变异系数均小于0.25。评价指标重要性的专家协调系数分别为:第一轮:0.11,第二轮:0.20。通过2轮专家咨询,确定4项一级指标,16项二级指标。结论所筛选的核心信息合理,能全面、客观地衡量影响服药依从性的相关因素,为今后开展此类疾病的健康教育奠定了坚实基础。

Objective To analyze core information for improving medication adherence among children with atten-tion deficit hyperactivity disorder,and find theoretical basis for further improvement and health education intervention. Methods With detailed investigation and careful selection,29 experts from Beijing,Shanghai,Guangzhou and Chengdu in pediatrics,child psychiatry and psychology of general practice were invited for two-round Delphi questionnaire consulta-tion.Results According to statistical analysis,the expert levels of positive coefficient were 100% and 96.56%.The au-thority coefficient were 0.75 and 0.75.And then,the variation coefficient of two-round consultation was less than 0.25.The coordination coefficients for the importance of the indicators were 0.11 and 0.20.Finally,the indicator system was estab-lished,which consisted of 4 first-level and 16 second-level indicators.Conclusion The selection was reasonable,which can systematically and objectively evaluate related factors of medication adherence.Moreover,it will be a solid foundation for health education of ADHD.