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The NRC Dataset. Developing a Minimum Dataset for Multidisciplinary Rehabilitation: a Modified E-Delphi Study
The NRC Dataset. Developing a Minimum Dataset for Multidisciplinary Rehabilitation: a Modified E-Delphi Study

NCT06726135

Not Yet RecruitingN/A

Sponsor: ThomasCorbett

Conditions: Pain, Traumatic Brain Injury, Major Trauma, Multiple Sclerosis, Amputees / Rehabilitation

Several rehabilitation datasets are presently in use for specific patient groups in England. The 'National Clinical Audit of Specialist Rehabilitation for patients with complex needs following major injury' (NCASRI) evaluated outcomes within a cohort of Major Trauma patients between 2015 and 2018 using data from two of these datasets. The NCASRI project outlined some of the shortcomings of the pre-existing datasets and highlighted the need for a single National Rehabilitation Dataset to provide long term evaluation of a variety of patient presentations. The proposed study will seek to develop such a dataset by means of an E-delphi study. This study will seek consensus from a panel of experts on the data items required to measure the effectiveness and socio-economic impact of multidisciplinary inpatient rehabilitation. Providing commissioners, researchers and clinicians with the data required to improve patient care, conduct research and develop rehabilitation services. There are three potential phases to this study: * Phase one involves the establishment of a core domain set, outlining what information (data) should be included in the NRC core dataset. * Phase one will consist of at least 2 rounds of voting, with successive rounds of voting undertaken until an a-priori consensus of 70% is reached for all core data items marked as mandatory/critical data in fitting OMERACT guidelines. * After 2 rounds, any data item that have reached consensus will be included in the final dataset. These core domain (data items) will then be excluded from subsequent rounds of voting. * A maximum of 4 rounds will be allowed in Phase 1. At which point the highest-ranking data items remaining with a consensus above 60% from each of the pre-identified categories will be included in the final dataset. * Phase two will explore what tools should be used to collect the core domains (outcome measure instruments) for each category outlined in phase 1. * Phase 2 will follow the same protocol for including outcome measure instruments into the core outcome set as were required to include core data items from phase 1. * If a consensus of equal or greater than 60% cannot be reached using an E-Delphi method in either phase 1 or phase 2 then a virtual meeting will be held amongst all expert panel members to reach consensus using a nominal group technique (phase 3).

Eligibility overview

Sex: ALL

Healthy volunteers: Yes

Study type: OBSERVATIONAL

Eligibility criteria
Inclusion Criteria:

The panel will aim to include clinicians with a minimum of 5 years' experience from a variety of professional backgrounds within the following specialist areas:

* Neuro Rehab
* Trauma Rehab
* Community Rehab
* Outpatient Rehabilitation services
* Defence medical services
* Psychology services
* Amputee Rehab
* Speech and Language therapy
* Emergency department
* Critical Care
* Trauma and Orthopaedics
* Rehabilitation Medicine

It is expected that the expert panel will include:

* Medical Doctors
* Dietitians
* Physiotherapists
* Psychologists
* Prosthetists
* Occupational therapists
* Speech and Language therapists
* Data-base managers
* Researchers/Academics
* Commissioners
* Local service managers
* A department of work and pensions representative
* An epidemiologist/data-scientist with healthcare financial modelling experience

Exclusion Criteria:

Individuals will be excluded from the expert panel for any of the following reasons:

1. They do not have 5 years' experience in their specialist field
2. They do not have an understanding of various health indicators and the appropriate outcome measure instruments required to evaluate these health indicators.
3. They have no understanding of how demographic and socio-economic variables impact health outcomes
4. They have no understanding of how to evaluate clinical effectiveness and cost efficiency of inpatient rehabilitation services.
5. Their professional background is not represented in the above noted specialist areas