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Setting priorities in clinical and health services research: Properties of an adapted and updated method

Objectives: The objectives of this study is to review the set of criteria of the Institute of Medicine (IOM) for priority-setting in research with addition of new criteria if necessary, and to develop and evaluate the reliability and validity of the final priority score. Methods: Based on the evaluation of 199 research topics, forty-five experts identified additional criteria for priority-setting, rated their relevance, and ranked and weighted them in a three-round modified Delphi technique. A final priority score was developed and evaluated. Internal consistency, test–retest and inter-rater reliability were assessed. Correlation with experts’ overall qualitative topic ratings were assessed as an approximation to validity. Results: All seven original IOM criteria were considered relevant and two new criteria were added (“potential for translation into practice”, and “need for knowledge”). Final ranks and relative weights differed from those of the original IOM criteria: “research impact on health outcomes” was considered the most important criterion (4.23), as opposed to “burden of disease” (3.92). Cronbach’s alpha (0.75) and test–retest stability (interclass correlation coefficient = 0.66) for the final set of criteria were acceptable. The area under the receiver operating characteristic curve for overall assessment of priority was 0.66. Conclusions: A reliable instrument for prioritizing topics in clinical and health services research has been developed. Further evaluation of its validity and impact on selecting research topics is required

© International Journal of Technology Assessment in Health Care, 2010, vol. 26, núm. 2, p. 217-224

Cambridge University Press

Autor: Berra, Silvina
Sánchez, Emília
Pons, Joan M.V.
Tebé, Cristian
Alonso Caballero, Jordi
Aymerich, Marta
Data: 2010
Resum: Objectives: The objectives of this study is to review the set of criteria of the Institute of Medicine (IOM) for priority-setting in research with addition of new criteria if necessary, and to develop and evaluate the reliability and validity of the final priority score. Methods: Based on the evaluation of 199 research topics, forty-five experts identified additional criteria for priority-setting, rated their relevance, and ranked and weighted them in a three-round modified Delphi technique. A final priority score was developed and evaluated. Internal consistency, test–retest and inter-rater reliability were assessed. Correlation with experts’ overall qualitative topic ratings were assessed as an approximation to validity. Results: All seven original IOM criteria were considered relevant and two new criteria were added (“potential for translation into practice”, and “need for knowledge”). Final ranks and relative weights differed from those of the original IOM criteria: “research impact on health outcomes” was considered the most important criterion (4.23), as opposed to “burden of disease” (3.92). Cronbach’s alpha (0.75) and test–retest stability (interclass correlation coefficient = 0.66) for the final set of criteria were acceptable. The area under the receiver operating characteristic curve for overall assessment of priority was 0.66. Conclusions: A reliable instrument for prioritizing topics in clinical and health services research has been developed. Further evaluation of its validity and impact on selecting research topics is required
Format: application/pdf
ISSN: 0266-4623 (versió paper)
1471-6348 (versió electrònica)
Accés al document: http://hdl.handle.net/10256/7495
Llenguatge: eng
Editor: Cambridge University Press
Col·lecció: Reproducció digital del document publicat a: http://dx.doi.org/10.1017/S0266462310000012
Articles publicats (D-CM)
És part de: © International Journal of Technology Assessment in Health Care, 2010, vol. 26, núm. 2, p. 217-224
Drets: Tots els drets reservats. The published version is available at: http://journals.cambridge.org/action/displayAbstract?fromPage=online&aid=7527608
Matèria: Serveis sanitaris-- Investigació
Health services research
Títol: Setting priorities in clinical and health services research: Properties of an adapted and updated method
Tipus: info:eu-repo/semantics/article
Repositori: DUGiDocs

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