基于德尔菲法形成《控烟健康传播核心信息循证指南——吸烟对女性疾病发病率的影响》核心信息研究

Development of Evidence-based Core Information Guideline for Health Communication of Tobacco Control--the Effect of Smoking on Risks of Female Disease: a Delphi survey

目的 基于德尔菲法形成《控烟健康传播核心信息循证指南——吸烟对女性疾病发病率的影响》核心信息并达成共识,为制定具有较好的权威性、代表性及可靠性的控烟健康传播循证指南奠定基础。方法 遴选不同专业领域并且在该领域具有权威性和代表性的专家和受众代表参与德尔菲法投票。专家组成员综合研究证据、临床经验、患者价值观及偏好等因素进行利弊平衡,基于GRADE框架,通过德尔菲专家咨询法对核心信息的推荐等级进行评分,最终达成共识。使用积极系数、权威系数及变异系数对德尔菲法进行质量控制。结果 遴选30名多领域专家和2名受众代表参与德尔菲法专家咨询。经过二轮德尔菲调查后,在51条核心信息中,共有47条达成共识,共识率为92.17%,其中强推荐12条、弱推荐35条。积极系数分别为100.00%(32/32)和84.38%(27/32),专家权威系数为0.63~0.78,核心信息变异系数均<0.35。结论 基于德尔菲法形成的《控烟健康传播核心信息循证指南——吸烟对女性疾病发病率的影响》核心信息具有较好的权威性、代表性及可靠性,为开展和控烟相关的健康传播工作提供证据支持,并为循证指南研究提供方法学参考。

Objective To form Evidence-based Core Information Guideline for Health Communication of Tobacco Control--the Effect of Smoking on Risks of Female Disease and reach an agreement, lay the foundation for the development of authoritative, representative, and reliable evidence-based guideline. Methods The authoritative and representative experts in different professional fields and audience representatives were selected to participate in Delphi survey. Then the Delphi expert survey was undertaken to weight the advantages and disadvantages integrated with research evidence, clinical experience, patients’ value, and preference in order. Based on GRADE frame, Delphi method of expert consultation was used to evaluate the recommended grades of cone information to come to an agreement finally. Positive coefficient, authority coefficient, and variable coefficient were calculated to control the quality. Results Thirty multi-field experts and two audience representatives were selected. After two rounds of Delphi survey, 47 of 51 core information reached a consensus(consensus rate: 92.17%, 12 strong recommendations and 35 weak recommendations). The positive coefficients were 100%(32/32) and 84.38%(27/32), respectively. The authority coefficients of experts were from 0.63 to 0.78. The coefficient of variation(CV) of each core information was less than 0.35. Conclusion Evidence-based Core Information Guideline for Health Communication of Tobacco Control--the Effect of Smoking on Risks of Female Disease based on Delphi method has good authority, representativeness, and reliability, which provide evidence for health communication of tobacco control and methodological reference for evidence-based guideline studies.