Evidence map›Paper›PMID 25879457›Full record

ArticleBMC health services research2015

Measuring organisational readiness for patient engagement (MORE): an international online Delphi consensus study.

Linda J M Oostendorp, Marie-Anne Durand, Amy Lloyd, Glyn Elwyn

Open access · goldAbstract read
In one paragraph

Article in BMC health services research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
11.8field-weighted citation impact, top 2% of its field
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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Schools' Readiness for Child Sexual Abuse Prevention Education: an Overview of Theoretical Models.Prevention science : the official journal of the Society for Prevention Research · 2025
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  6. Refining a capability development framework for building successful consumer and staff partnerships in healthcare quality improvement: A coproduced eDelphi study.Health expectations : an international journal of public participation in health care and health policy · 2022
    Review
  7. Article
  8. Article
  9. Organizational capacity for patient and family engagement in hospital planning and improvement: interviews with patient/family advisors, managers and clinicians.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2021
    Article
  10. Processes for evidence summarization for patient decision aids: A Delphi consensus study.Health expectations : an international journal of public participation in health care and health policy · 2021
    Article
  11. Article
  12. Approaches to optimize patient and family engagement in hospital planning and improvement: Qualitative interviews.Health expectations : an international journal of public participation in health care and health policy · 2021
    Article
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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

4 authors at 4 institutions in 2 countries.

Linda J M OostendorpDepartment of Psychology, Centre for Lifespan and Chronic Illness Research, University of Hertfordshire, Hatfield, UK. lindaoostendorp@hotmail.com.
Marie-Anne DurandDepartment of Psychology, Centre for Lifespan and Chronic Illness Research, University of Hertfordshire, Hatfield, UK. m.durand@herts.ac.uk.
Amy LloydInstitute of Primary Care and Public Health, School of Medicine, Cardiff University, Heath Park, Cardiff, UK. lloyda1@cardiff.ac.uk.
Glyn ElwynThe Dartmouth Center for Health Care Delivery Science, Dartmouth College, Hanover, USA. glynelwyn@gmail.com.
Cardiff University · GBDartmouth College · USDartmouth Institute for Health Policy and Clinical Practice · USUniversity of Hertfordshire · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWidespread implementation of patient engagement by organisations and clinical teams is not a reality yet. The aim of this study is to develop a measure of organisational readiness for patient engagement designed to monitor and facilitate a healthcare organisation's willingness and ability to effectively implement patient engagement in healthcare.

methodsThe development of the MORE (Measuring Organisational Readiness for patient Engagement) scale was guided by Weiner's theory of organisational readiness for change. Weiner postulates that an organisation's readiness is determined by both the willingness and ability to implement the change (i.e. in this context: patient engagement). A first version of the scale was developed based on a literature search and evaluation of pre-existing tools. We invited multi-disciplinary stakeholders to participate in a two-round online Delphi survey. Respondents were asked to rate the importance of each proposed item, and to comment on the proposed domains and items. Second round participants received feedback from the first round and were asked to re-rate the importance of the revised, new and unchanged items, and to provide comments.

resultsThe first version of the scale contained 51 items divided into three domains: (1) Respondents' characteristics; (2) the organisation's willingness to implement patient engagement; and (3) the organisation's ability to implement patient engagement. 131 respondents from 16 countries (health care managers, policy makers, clinicians, patients and patient representatives, researchers, and other stakeholders) completed the first survey, and 72 of them also completed the second survey. During the Delphi process, 34 items were reworded, 8 new items were added, 5 items were removed, and 18 were combined. The scale's instructions were revised. The final version of MORE totalled 38 items; 5 on stakeholders, 13 on an organisation's willingness to implement, and 20 on an organisation's ability to implement patient engagement in healthcare.

conclusionsThe Delphi technique was successfully used to refine the scale's instructions, domains and items, using input from a broad range of international stakeholders, hoping that MORE can be applied in a variety of healthcare contexts worldwide. Further assessment is needed to determine the psychometric properties of the scale.

Indexed as

AdultDelivery of Health CareDelphi TechniqueFemaleHumansInternetMaleMiddle AgedOrganizational CultureOrganizational InnovationPatient ParticipationPsychometricsSurveys and Questionnaires

Identifiers

PMID25879457
PMCPMC4334597
OpenAlexW1980470553

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.