جستجوی مقالات مرتبط با کلیدواژه « delphi method » در نشریات گروه « پزشکی »

Diabetes mellitus is a spreading disease in the world. Despite the effective role of supportive resources in diabetes management, there is currently no documented plan for the use of these resources in diabetic patients. So the research team, while designing a support resource-based care program based on qualitative study and systematic review, conducted the present study with the aim of validating the program in people with type 2 diabetes mellitus using the Delphi method.

This is a methodological study conducted to validate the Delphi care program. Panel members included 15 experts in the field of diabetes, who were selected by the snowball method. The data collection tool was a structured questionnaire with 38 questions that were designed based on different parts of the care plan. The data was analyzed using SPSS software (version 18), and the percentage of agreement with the questionnaire dialects continued until a consensus was reached.

In the first round of Delphi, the preliminary draft of the care plan was drafted and amended based on the suggestions and corrective opinions of the participants. Then the contents of the questionnaire questions were prepared. In the second round of Delphi and the consensus on the dialects of the questionnaire, the percentage of agreement of the members of the expert panel based on the questionnaire questions was obtained at 93.5.

Given that the scientific and practical acceptability of the care program based on support resources, based on the questions raised in the present study, was "very high" and "high", it is recommended that this program be used to design and complete related programs at the national level.

This study aims to identify and prioritize the educational needs of older adults in Iran as a prerequisite for developing any educational intervention for them.

In this study, the interviews and content analysis were used to identify the needs, and the Delphi method was used to prioritize them. Three target groups were experts in the fields of education and geriatrics, caregivers of older adults, and older adults. Purposive sampling was used for sampling. The final samples consisted of 45 people.

The results of content analysis by Sterberg’s method, 13 themes were extracted which were sent to the participants for prioritization using the Delphi method. Finally, after two rounds, the participants agreed by 96% on the priority of the most needs, which were: 1) Health-promoting skills, 2) Management of negative emotions and feelings, 3) Self-knowledge, 4) Sense of satisfaction, 5) Interpersonal communication skills, and 6) Self-learning.

With age, physical health and negative emotions management skills decline and with the limitation of the circle of friends and relatives due to retirement or death, social health is also at risk. Proper knowledge about old age and acquiring self-learning skills are key elements to overcome the challenges of this period. The educational centers in Iran should provide education to older adults about health-promoting skills, how to manage negative emotions, knowledge about old age and self-learning skills, and communication skills.

Limitations of foreign exchange resources have caused the medical tourism industry to gain special importance. Based on this, the current research was conducted with the aim of designing and validating a model of medical tourism in two qualitative and quantitative stages.

This research is exploratory in terms of purpose and descriptive in terms of type. The contributors in the qualitative stage were 30 doctors in Ardabil Province in 2022, who were purposively selected by chain referral sampling; and in the second stage, based on the Morgan table, 201 employees working in the University of Medical Sciences were selected. In the qualitative phase, the data collection tool was a semi-structured interview that was conducted using Delphi method, and in the quantitative stage, the redesigned questionnaire resulting from the first stage and the structural equation modeling was used.

Based on the findings, the following components were identified as the components effective on medical tourism: economic growth (β=0.433), entrepreneurial ecosystem (β=0.537), quality of laws (β=0.437), social networks (β=0.346), challenges (β=0.482), diversity of attractions and leisure opportunities (β=0.539), expert workforce (β=0.345), development of tourism policies (β=0.742), respect for opinions (β=0.339), sustainable income (β=0.407), Islamic medical services (β=0.369), effectiveness and efficiency (β=0.454), participation (β=0.608), common language (β=0.523), medical infrastructure (β=0.427), costs (β=0.384), natural capacities (β=0.375), and medical services tariff (β=0.517).

Developing tourism policies and having roadmap have significant contributions to the development of medical tourism. Increasing public participation, creating related jobs, introducing tourist attractions, economic liberalization, and improving political relations and visa regulations are effective cross-sectorial policies.

Expanding resilience and educating stress adapting abilities in police forces, particularly amid the understudy period, can act as a mental wellbeing protection calculate not as it were amid the understudy period but moreover amid the service period. Subsequently, the reason of this research was to create a multidimensional resilience protocol with a preventive approach and its effectiveness on stress, mental well-being and resilience of officer understudies.

The research in the first stage is descriptive and was conducted using the Delphi method. In the first step of the protocol validity, the content validity index (CVI) of the sessions was used quantitatively based on the experts' opinions. CVI was calculated by evaluating the opinions of 10 experts (one religious expert) in 4 phases for each step. The second step was a quasi-experimental research with a control group, and the investigated population included all the students of one of the officer and police training universities in Tehran in 1401. The resilience training protocol was actualized in the experimental group (15 individuals) in 12 sessions of 90 minutes and at the end of the study in the control group (15 individuals). The research instruments were Connor's resilience questionnaire, Riff's mental well-being, and depression, anxiety, and stress scale (DASS-21). A resilience checklist was also used for screening (cut point 110). Data were analyzed using SPSS v24 software.

The results of the content validity analysis showed that considering that the CVI value of each of the items or steps related to resilience training was not less than 0.70, the training contents are suitable for the title of each training step. Also, the results of multivariate covariance analysis showed that the resilience training protocol significantly increased (P<0.05) psychological well-being (P=0.001 and F=47.8) and resilience (P=0.003 and F=10.7), and significantly reduced stress (P=0.002 and F=11.6) in the tested group.

The multidimensional resilience training protocol, which was developed with a preventive approach, had good content validity, and it is effective in improving psychological well-being and resilience and reducing the stress of officer students, and its' booklet can be used in military medical and educational centers.

Many general indicators have been proposed to assess an organization’s safety performance. However, due to their holistic nature, these indicators may not always reflect safety-specific aspects of an organization’s performance. In other words, the nature of an organization’s activities necessitates the use of specific criteria to better reflect safety performance. This study aimed to identify and measure key safety performance indicators using the Delphi method in Alborz Province Electric Power Distribution Company.

This descriptive, survey-based study utilized the Delphi method to collect the opinions of 11 safety experts in the electric power distribution industry. Opinions were gathered in four phases, and key indicators were determined in the last phase of the study. These indicators were subsequently used to evaluate the safety performance of Alborz Electric Power Distribution Company for three months.

This study identified and documented 34 safety activities. The expert group proposed 20 indicators in the first phase of the Delphi method. In the second and third phases, four and one indicators were eliminated, respectively, because they did not receive the required score. The content validity ratio (CVR) and content validity index (CVI) were calculated for the remaining 15 indices in the fourth phase. The results revealed that the mean quarterly performance scores of Alborz Province electric power distribution districts and departments in 2016, including Nazarabad, Savojbolagh, Mehrshahr, Fardis, West, East, Taleghan, and Eshtehard, were 78.9, 54.7, 78.8, 75.9, 75.7, 80.8, 61, and 83.5 out of 100 points, respectively.

The Delphi method is useful for identifying key safety performance indicators. The indicators discovered using this technique are active indicators (pre-accident) that are crucial in determining Alborz Electric Power Distribution Company’s safety performance. These indicators are suggested for use in evaluating the safety performance of other electric power distribution companies.

Psychological well-being is one of the important concepts in positive psychology, which means optimal human performance. This issue has caused researchers around the world to pay attention to the underlying factors of well-being, especially in childhood. The present research was conducted with the aim of designing an integrated model of the underlying factors of psychological well-being in children.

This research is descriptive in terms of its purpose and is considered a survey study in terms of data collection. To conduct the research, all the factors related to the issue of psychological well-being in children were identified in the literature by relying on the theoretical foundations and the literature, and further, the validation of the factors was done based on the CVR and CVI tests. The statistical population of the research was the experts in the field of psychology, who especially had studies in the field of children. Purposeful sampling and snowball method were used to select the participants and finally 20 people were considered as a statistical sample. Data analysis was done using fuzzy Delphi method (AHP) and interpretive structural model.

The findings of the research showed that the factors underlying well-being are divided into three dimensions: personal, educational and external, which respectively include factors such as emotional intelligence, personality traits, self-regulation, responsibility, self-efficacy, emotion regulation, perceived social support, mindfulness, and communication patterns. , social stress and anxiety for the individual dimension, parent management training, academic performance, positive intelligence training, life skills training and family performance for the educational dimension and finally, parent-child relationship, family cohesion and flexibility, socio-economic status, social networks , parental employment, internet addiction and computer games can be considered as external factors affecting children's psychological well-being.

Without a doubt, paying attention to the strengthening aspects of some factors along with the inhibiting aspects of other factors can be effective in improving the psychological well-being of children.

Nowadays, responding appropriately to the stakeholders’ expectations is one of the most important factors for organizations effectiveness, especially in the health system, as the responsible of generation, propagation and promotion of health in societies. Analyzing the stakeholders’ evaluation components, this research aims to provide practical information about stakeholders’ management for the head of hospitals in Guilan University of medical science (GUMC).

This research is applied in terms of purpose and descriptive-survey in terms of implementation method. Statistical population includes heads of hospitals in GUMS and academic experts where 19 of them are participated in the research. For screening the components extracted from the literature, fuzzy Delphi method was used, while for analyzing and structuring the components, interpretive structural modeling (ISM) was used. In addition, for data gathering, snowball sampling method and questionnaire tool were used.

Conducting the fuzzy Delphi method, among the 30 components extracted from the literature, 10 factors; stakeholders’ participation, information, relationships, level of need, benefits of cooperation, motivation, planning ability, consistency with the organization goals, possibility of monitoring stakeholders and the importance of the stakeholders’ position were determined as main factors and were structured by the ISM method at three levels.

According to the MICMAC analysis, the indicators of stakeholder’ participation, stakeholder relationships and the importance of the stakeholder's position were recognized as the most important components in stakeholder’s evaluation, which indicates the necessity of managers attention to these factors in the evaluation of stakeholders and using them for achieving to hospital goals.

Cancer and in particular Breast cancer are among the diseases that have the highest mortality rate in Iran after heart disease. The accurate prognosis for Breast cancer is important, and the presence of various symptoms and features of this disease makes it difficult for doctors to diagnose. This study aimed to identify the factors affecting Breast cancer, modeling and ultimately diagnosing the risk of Breast cancer.

In the present study, first, by content analysis and library studies, the effective factors in Breast cancer were identified, then with the help of a team of experts consisting of physicians and subspecialists in Breast oncology and Breast surgery; With the help of the Delphi method, the factors were adjusted and 26 final factors that were numerically correct and string based on local and climatic conditions were approved. Then, according to the final factors and based on the medical records of 5208 patients in the Cancer Research Center of Shahid Beheshti University of medical sciences, to diagnose cancer, Decision Tree, Random Forest, and Support Vector Machine methods were used as machine learning methods.

In the first step, by content analysis method, 29 effective factors in Breast cancer were identified. Then, taking into account the indigenous and climatic conditions and using the Delphi method and also using the opinions of 18 Experts during three years, 26 factors were finalized. In the final step, using the medical records of the patients and the results obtained from the three methods mentioned, random forest, had the highest accuracy of 94.75% and precision of 97.26% in diagnosing Breast cancer. It has been noted that, compared to other similar studies, indigenous databases have been exploited, the accuracy obtained has been very close to previous studies, and in many cases much better.

Using the random forest method and taking advantage of the factors affecting Breast cancer, the ability to diagnose cancer has been provided with greatest accuracy.

Today, one of the most important concerns in the pharmaceutical industry is achieving sustainability, and the pharmaceutical industry is recognized as a leading sector in corporate sustainability reporting. The purpose of this study was to identify, extract, prioritize and analyze the social factors and corporate characteristics which are effective in the sustainability reporting of Iranian pharmaceutical companies.

This was a cross-sectional study conducted in autumm 2020. The expertise and availability principles were used for sampling, and the snowball sampling method was used for sample selection. In order to identify and extract effective social factors and corporate characteristics, the method of content analysis and the study's review of literature have been used. The survey was conducted on 40 experts in the field of research using a researcher-made questionnaire. In order to purify the effective factors, Delphi method and the Analytic Network Process method based on Fuzzy DEMATEL were used.

In terms of a strong interaction, the criterion for university-industry collaborations came first, and the criterion for sustainable innovation and cooperation with other companies came next. In this study, profitability, research and development intensity and the financial leverage were considered to be weak causal variables and sustainability reporting, an effect variable.

The results showed that Iranian pharmaceutical companies, in order to achieve the goals of sustainable development, should emphasize the continuous and regular presentation of annual sustainability reporting, and in this regard, key factors such as the criteria of university-industry collaborations, sustainable innovation and cooperation with other companies should be considered critical priorities.

In recent years, the community-oriented approach has been proposed as one of the approaches used in crisis management. Therefore, this study aimed to identify the factors affecting community-oriented crisis management in Iran.

Initially, the subject of the study was defined and initial exploratory and library studies were conducted. Subsequently, the relevant factors and components were identified through the Delphi method and a researcher-made questionnaire and were then provided to the experts to give their opinions. These factors and components underwent analysis by statistical methods after that the qualitative and quantitative corrective opinions of the experts were received. Finally, the experts' consensus was reached regarding the appropriateness of the model, components, and the combination of factors. The study population in this section consisted of 28 academics and professionals familiar with the subject selected using a judgmental sampling method. Subsequently, to test the model, a researcher-made questionnaire was distributed among 353 selected individuals of the local community of South Khorasan Province, Iran, who were selected by random clustering method. The collected data in this section were analyzed in Smart PLS software (version 3) using confirmatory factor analysis.

The research findings included the validation of the model through the Delphi method and the test of the final model through confirmatory factor analysis.

The results showed that four categories of preventive, preparatory, confronting, and reconstructive factors were effective on community-oriented crisis management, among which, preparatory factors with an impact factor of 33.5 had the greatest impact on community-oriented crisis management.

Citizenship sport is a social phenomenon that guarantees the mental health of human beings and is an important factor in improving their quality of life. The aim of this study is to determine the effective indicators of citizenship sports in metropolitan areas of Iran.

The present study has a hybrid (qualitative-quantitative) approach. In the qualitative stage, semi-structured interviews with the participation of 20 experts and analysis of contractual content and coding were used. In a quantitative stage, a researcher-made questionnaire was used in a 5-point Likert scale with the participation of 15 experts and inferential statistics in the Delphi method. The method of sampling was the selection of experts in the research in a targeted manner and by the method of snowball and with the criterion of executive and operational records or having scientific and research records and theorizing in the field of citizen sports.

By coding and analyzing the content in the qualitative section, 201 open-source codes were extracted and categorized into indicators. The indicators were shared in the form of a questionnaire by Delphi method and the consensus of experts after three rounds indicated that 20 effective indicators of citizenship sports It was determined in the metropolises of Iran. These include motivational factors, needs assessment of public participation, identification of knowledge capacities, decentralization and segmentation of social strata and financial power, managerial stability, unified and centralized urban management, comprehensive and codified planning, information, awareness and improvement of cognitive factors, qualification and Efforts to specialize, coordinate and synergize in the country, integration and macro structure, financial support, creating the right understanding and attitude, setting and changing protection and development laws, active urban transportation, easy access, cheap and safe, availability Necessary infrastructures, increasing public participation, expressing the attractions of sports and the surrounding environment, expressing the socio-cultural benefits of sports, expressing the health and well-being benefits of the community, are 20 indicators of the factors influencing the sports of Iranian metropolitan cities.

With proper urban planning and management and taking into account the 20 identified factors, citizenship sports in the metropolises of Iran will achieve sustainable development and lead to healthy communities and the growth of citizens in cultural, social, economic, political and technological dimensions.

One of the ways to increase the safety factor can be based on the analysis of system resilience. The present study aimed to develop a model for assessing safety resilience in process industries with a passive defense approach based on the Delphi method.

This cross-sectional study was conducted in phase 19 of South Pars in 2018-2020.
This Delphi study was conducted in three rounds with the participation of 18 experts in the fields of chemical and process engineering, safety, occupational health and environment.

After three rounds of Delphi study, the safety resilience assessment model was developed based on the three components of preparedness, likelihood and consequence parameters. The findings showed that experimental data, technical inspection and professional competence of individuals were among effective parameters in likelihood component, parameters of human damage, property damage, process damage, environmental damage and strategic and defense damage were among the effective parameters in the consequence component and finally the parameters of hardware preparedness, software preparedness, defense preparedness and external resources were identified as effective parameters in the preparedness component. In this Delphi study, all members of the expert panel confirmed the items in the algorithm, including resilience components, existing sub-indices with 75% acceptance level.

Based on the expert panel’s opinions, the results of this Delphi study indicated that this semi-quantitatively model has good reliability for evaluating safety resilience in process industries. Therefore, the use of this model can help to give an acceptable estimate of safety resilience in the process industry.

Objective (s):

In Persian Medicine (PM) diabetes mellitus is known as a dystempramental diseases (Su-e-mizaj) and is divided into two main types, hot and cold. Achieving agreed diagnostic criteria among PM experts for standardizing such criteria for identification of ‎two types of diabetes and its management is essential. This study aimed to examine diabetes mizaj criteria via consensus of PM physicians.

This was a cross sectional survey and conducted by the Delphy method. Diabetes mizaj symptoms was collected from PM literature, and patient and PM experts interview. Sixteen PM experts were requested to evaluate quantitative and qualitative value of these symptoms during 3 rounds of Delphi.

Based on the results of third round; thirst, touch condition of hand and kidney, impressibility of air and food and face puffing, were considered as major criteria and urine color and smell and face and eye color were considered as minor criteria for identification of diabetic children Mizaj or Su-e-mizaj

This study extracted the agreed criteria for determining the diabetic children Mizaj. These criteria, can be used to diagnose, different Su-e-mizaj of hole body and organs and so two types of diabetes (hot and cold) in diabetic children. Quantifying the intended criteria might lead to more exact diagnosis of the patients’ mizaj.

The purpose of this article is to design a sustainable human resource management model in the waste management organization of the country's municipalities using the Delphi method.

Delphi experts in the present study include all professors who have opinions in the field of sustainable human resource management, and 12 experts were selected using a targeted sampling method. Kendall's coefficient of agreement was used to measure the agreement of data among experts. Kendall's coefficient of agreement in the first round is 0.407 for effective factors, 0.424 for dimensions and 0.594 for the consequences of sustainable human resource management. In order to improve the agreement, the results of the research in the second round were presented to the experts after editing and corrections, and the agreement coefficient reached an optimal level, so that Kendall's agreement coefficient reached 0.689 in the effective factors, 0.7050 in the dimensions, and 0.7050 in the consequences of human resources management. changed to 0.735.

Organizational strategies, organizational culture, organizational learning and leadership style were recognized as effective factors in sustainable human resource management. Also, sustainable selection and employment, sustainable health and safety, sustainable service compensation, sustainable training and development, and sustainable performance evaluation as dimensions of sustainable human resources management and social, economic, organizational and environmental consequences as the results of sustainable human resources management have been considered meaningful.

In general, this research has introduced a new model for the implementation of sustainable human resource management in municipal waste management organizations in Iran.