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).
Neuro Rehab
Trauma Rehab
Community Rehab
Outpatient Rehabilitation services
They do not have 5 years' experience in their specialist field
They do not have an understanding of various health indicators and the appropriate outcome measure instruments required to evaluate these health indicators.
They have no understanding of how demographic and socio-economic variables impact health outcomes
They have no understanding of how to evaluate clinical effectiveness and cost efficiency of inpatient rehabilitation services.
The expert panel (study participants) will include clinicians, researchers and managers from a variety of fields. These experts will be purposefully selected based on their knowledge of how best to evaluate the clinical effectiveness and cost efficiency of inpatient rehabilitation services. This knowledge will include an understanding of which outcome measure instruments are most appropriate to monitor patients' health, social and economic outcomes and what demographic and socio-economic variables are important to record. The expert panel will have experience treating the cohort of patients that the National Rehabilitation Centre (NRC) will support or have experience developing trauma / rehabilitation registries.
Other
Prospective
Not listed
To develop a Core Outcome Set (COS) for rehabilitation to be used as the foundation of the National Rehabilitation Centre Dataset.
The core outcome set (Primary outcome) will include core data Items centered on 6 key themes: 1. Demographic variables 2. Health indicators and associated outcome measures 3. Socio-economic variables (healthcare costs, salary etc.) 4. Service delivery/care pathway variables (admission, transfer and discharge dates/locations etc.) 5. Information associated with previous social function, employment and education and return to these activities following their injury/illness. 6. Injury/condition-specific data Each data item will include details regarding how this item will be measured
To develop a Core Outcome Set (COS) for rehabilitation to be used as the foundation of the National Rehabilitation Centre Dataset.
The core outcome set (Primary outcome) will include core data Items centred on 6 key themes: 1. Demographic variables 2. Health indicators and associated outcome measures 3. Socio-economic variables (healthcare costs, salary etc.) 4. Service delivery/care pathway variables (admission, transfer and discharge dates/locations etc.) 5. Information associated with previous social function, employment and education and return to these activities following their injury/illness. 6. Injury/condition-specific data
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ThomasCorbett
Lead sponsor
Nottingham University Hospitals NHS Trust
Sponsor institution
Nottingham University Hospitals NHS Trust
Collaborator
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