Evidence map›Paper›PMID 16321161›Full record

ArticleBMC medical research methodology2005

Stability of response characteristics of a Delphi panel: application of bootstrap data expansion.

Ralitsa B Akins, Homer Tolson, Bryan R Cole

Abstract readValidation Study
In one paragraph

Article in BMC medical research methodology, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 386 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
386citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

386 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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  13. Constructing the scale to measure financial toxicity in cancer patients for Low-middle income countries (FT-LM) by using the modified Delphi method.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  14. Developing Language and Image Use Guidance for Communicating About Suicide, Mental Health Concerns and Alcohol and Other Drug Concerns: An Australian Delphi Study.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2026
    Article
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  16. International consensus on dose reduction of biologics for patients with psoriasis: The DR. Delphi study.Journal of the European Academy of Dermatology and Venereology : JEADV · 2026
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326 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Ralitsa B AkinsQuality and Patient Safety Initiatives, Rural and Community Health Institute, The Texas A&M University System Health Science Center, College Station, Texas, USA. ralitsa_akins@yahoo.com
Homer Tolson
Bryan R Cole

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDelphi surveys with panels of experts in a particular area of interest have been widely utilized in the fields of clinical medicine, nursing practice, medical education and healthcare services. Despite this wide applicability of the Delphi methodology, there is no clear identification of what constitutes a sufficient number of Delphi survey participants to ensure stability of results.

methodsThe study analyzed the response characteristics from the first round of a Delphi survey conducted with 23 experts in healthcare quality and patient safety. The panel members had similar training and subject matter understanding of the Malcolm Baldrige Criteria for Performance Excellence in Healthcare. The raw data from the first round sampling, which usually contains the largest diversity of responses, were augmented via bootstrap sampling to obtain computer-generated results for two larger samples obtained by sampling with replacement. Response characteristics (mean, trimmed mean, standard deviation and 95% confidence intervals) for 54 survey items were compared for the responses of the 23 actual study participants and two computer-generated samples of 1000 and 2000 resampling iterations.

resultsThe results from this study indicate that the response characteristics of a small expert panel in a well-defined knowledge area are stable in light of augmented sampling.

conclusionPanels of similarly trained experts (who possess a general understanding in the field of interest) provide effective and reliable utilization of a small sample from a limited number of experts in a field of study to develop reliable criteria that inform judgment and support effective decision-making.

Indexed as

Consensus Statements as TopicDelphi TechniqueResearch PersonnelSampling StudiesTotal Quality ManagementData Interpretation, StatisticalHumansMedical ErrorsPsychometricsQuality Indicators, Health CareReproducibility of ResultsSafety ManagementSample SizeSurveys and Questionnaires

Identifiers

PMID16321161
PMCPMC1318466

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.