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首页> 外文期刊>Patient Preference and Adherence >Delphi poll to assess consensus on issues influencing long-term adherence to treatments in cystic fibrosis among Italian health care professionals
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Delphi poll to assess consensus on issues influencing long-term adherence to treatments in cystic fibrosis among Italian health care professionals

机译：Delphi民意测验评估在意大利医护专业人员中就影响长期坚持治疗囊性纤维化的问题达成共识

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Purpose: The aim of this study was to determine the level of consensus among Italian health care professionals (HCPs) regarding factors that influence adherence to cystic fibrosis (CF) treatments. Methods: A Delphi questionnaire with 94 statements of potential factors influencing adherence was developed based on a literature review and in consultation with a board of experts (n=4). This was distributed to a multidisciplinary expert panel of HCPs (n=110) from Italian CF centers. A Likert scale was used to indicate the level of agreement (1= no agreement to 9= maximum agreement) with each statement. Three rounds were distributed to establish a consensus (≥80% of participant ratings within one 3-point region) and, at the third round, assign a ranking to each statement with a high level of agreement (consensus in the 7–9 range) only. Results: Of 110 HCPs (from 31 Italian CF centers who were surveyed), responses were obtained from 85 (77%) in the first, 78 (71%) in the second, and 72 (65%) in the third round. The highest degree of agreement (95.8%) was reached with the statement that the HCP needs to build a relationship with the patient to influence adherence. A high level of agreement was not reached for statements that morbidity and mortality are influenced by the level of adherence to therapy, and no consensus was reached on the statement that age of the patient influences adherence to treatment. Conclusion: We found that Italian HCPs endorsed a strong relationship with the patient as being a key driver in improving adherence. There were several areas, such as the influence of adherence on morbidity and mortality, where the consensus of Italian HCPs differed from the published literature. These areas require investigation to determine why these discrepancies exist.
机译：目的：本研究的目的是确定意大利医疗保健专业人员（HCP）关于影响对囊性纤维化（CF）治疗依从性的因素的共识水平。方法：在文献复习的基础上，并与专家委员会协商，开发了包含94个影响依从性的潜在因素陈述的Delphi调查表（n = 4）。这已分发给来自意大利CF中心的HCP（n = 110）的多学科专家小组。使用李克特量表来表示每个语句的一致程度（1 =不一致，9 =最大一致）。分发了三轮以建立共识（在一个3分区域内，≥80％的参与者评分），在第三轮中，为每个具有较高协议水平的陈述分配一个等级（共识范围为7-9）只要。结果：在110个HCP（来自31个接受调查的意大利CF中心）中，第一轮获得85位（77％），第二轮获得78位（71％），第三轮获得72位（65％）。关于HCP需要与患者建立关系以影响依从性的陈述达到了最高的认同度（95.8％）。对于发病率和死亡率受治疗依从性水平影响的陈述未达成高度共识，对于患者年龄影响对治疗依从性的陈述未达成共识。结论：我们发现，意大利的HCP与患者保持着牢固的关系，是改善依从性的关键驱动力。在几个方面，例如依从性对发病率和死亡率的影响，意大利HCP的共识与已发表的文献有所不同。这些领域需要调查以确定为什么存在这些差异。

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