Using the nominal group technique to engage stakeholders with experience of stroke in a Cochrane systematic review of physiotherapy treatment approaches

P Campbell, G Baer, J Morris, A Forster, P L Choo, A Pollock

    Research output: Contribution to journalArticle

    Abstract

    Introduction: It has been recommended that people affected by a healthcare condition are actively involved in systematic reviews; ensuring completed reviews are clinically relevant. We aimed to engage stroke survivors, carers and physiotherapists in a Cochrane systematic review of physiotherapy treatment approaches for patients with stroke.

    Method: We convened a stakeholder group, comprising 13 purposively selected stroke survivors, carers and physiotherapists. Nominal group techniques were used to reach consensus decisions around review aims and methods, focusing on clinical relevance. The group specifically discussed the categorisation of interventions and inclusion of evidence from a number of international trials, and voted on two key statements: A. “The current categories are appropriate and clinically relevant”; B. “These international trials should be included in our review of physiotherapy treatment approaches”. The proportion agreeing with each statement was determined. Consensus decision meetings were
    audio-recorded and transcribed verbatim. Qualitative data were coded and analysed using NVivo software.

    Results: 84% of group members disagreed with statement A. 100% agreed with statement B. Two key themes, and several sub-themes, emerged from transcribed data. Key themes were: (1) current intervention categories should be amended to enable inclusion of all international evidence; (2) there are limitations with current physiotherapy taxonomies and concerns surrounding the relevance to clinical practice in the UK.

    Conclusion: Involving key stakeholders in a Cochrane systematic review of physiotherapy treatment approaches for patients with stroke has influenced decisions around the scope and format of the review, and ensured relevance and accessibility of the output.
    Original languageEnglish
    Article number023
    Pages (from-to)16
    Number of pages1
    JournalInternational Journal of Stroke : Official Journal of the International Stroke Society
    Volume8
    Issue numberSuppl. 3
    Early online date18 Nov 2013
    DOIs
    Publication statusPublished - 1 Dec 2013
    EventUK Stroke Forum 2013 Conference - International Centre, Harrogate, United Kingdom
    Duration: 3 Dec 20135 Dec 2013

    Keywords

    • Stroke
    • Health professionals
    • Consensus

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  • Research Output

    • 1 Review article

    Physical rehabilitation approaches for the recovery of function and mobility following stroke

    Pollock, A., Baer, G., Campbell, P., Choo, P. L., Forster, A., Morris, J., Pomeroy, V. M. & Langhorne, P., 22 Apr 2014, In : Cochrane Database of Systematic Reviews. 4, p. 1-443 447 p., CD001920.

    Research output: Contribution to journalReview article

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