Evidence map›Paper›PMID 27142835›Full record

ArticleTrials2016

The use of qualitative methods to inform Delphi surveys in core outcome set development.

T Keeley, P Williamson, P Callery, L L Jones, J Mathers, J Jones, B Young, M Calvert

Abstract read
In one paragraph

Article in Trials, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 99 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
99citing papers in PubMed, 7 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

99 citing papers in PubMed, 7 syntheses or guidelines pooled it.

  1. Pooled it
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  5. NETSArchives of disease in childhood · 2017
    Pooled it
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  8. Article
  9. Outcomes That Matter in Gastrointestinal Cancer Care: A Focus Group Study of Patient-Centred Outcomes Identified by Patients and Care Partners.Health expectations : an international journal of public participation in health care and health policy · 2026
    Article
  10. Article
  11. Article
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  14. Building the future of public health in Canada: A modified Delphi survey for updated core competencies.Canadian journal of public health = Revue canadienne de sante publique · 2026
    Article
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  16. Article
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  18. Article
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39 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

8 authors.

T KeeleyCentre for Patient Reported Outcomes Research, Institute of Applied Health Research, University of Birmingham, Birmingham, England. t.j.h.keeley@bham.ac.uk.
P WilliamsonDepartment of Biostatistics, MRC North West Hub for Trials Methodology Research, University of Liverpool, Liverpool, England.
P CalleryMidwifery and Social Work, School of Nursing, University of Manchester, Manchester, England.
L L JonesCentre for Patient Reported Outcomes Research, Institute of Applied Health Research, University of Birmingham, Birmingham, England.
J MathersCentre for Patient Reported Outcomes Research, Institute of Applied Health Research, University of Birmingham, Birmingham, England.
J JonesCentre for Patient Reported Outcomes Research, Institute of Applied Health Research, University of Birmingham, Birmingham, England.
B YoungDepartment of Psychological Sciences and MRC North West Hub for Trials Methodology Research, University of Liverpool, Liverpool, England.
M CalvertCentre for Patient Reported Outcomes Research, Institute of Applied Health Research, University of Birmingham, Birmingham, England.

Funding

Medical Research Council G0800792
6 · The paper itself

Abstract

backgroundCore outcome sets (COS) help to minimise bias in trials and facilitate evidence synthesis. Delphi surveys are increasingly being used as part of a wider process to reach consensus about what outcomes should be included in a COS. Qualitative research can be used to inform the development of Delphi surveys. This is an advance in the field of COS development and one which is potentially valuable; however, little guidance exists for COS developers on how best to use qualitative methods and what the challenges are. This paper aims to provide early guidance on the potential role and contribution of qualitative research in this area. We hope the ideas we present will be challenged, critiqued and built upon by others exploring the role of qualitative research in COS development. This paper draws upon the experiences of using qualitative methods in the pre-Delphi stage of the development of three different COS. Using these studies as examples, we identify some of the ways that qualitative research might contribute to COS development, the challenges in using such methods and areas where future research is required.

resultsQualitative research can help to identify what outcomes are important to stakeholders; facilitate understanding of why some outcomes may be more important than others, determine the scope of outcomes; identify appropriate language for use in the Delphi survey and inform comparisons between stakeholder data and other sources, such as systematic reviews. Developers need to consider a number of methodological points when using qualitative research: specifically, which stakeholders to involve, how to sample participants, which data collection methods are most appropriate, how to consider outcomes with stakeholders and how to analyse these data. A number of areas for future research are identified.

conclusionsQualitative research has the potential to increase the research community's confidence in COS, although this will be dependent upon using rigorous and appropriate methodology. We have begun to identify some issues for COS developers to consider in using qualitative methods to inform the development of Delphi surveys in this article.

Indexed as

Delphi TechniqueEndpoint DeterminationResearch DesignClinical Trials as TopicConsensusHumansTreatment OutcomeClinical trialCore outcome setsDelphiMethodologyQualitative research

Identifiers

PMID27142835
PMCPMC4855446

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.