Gateway to Think Tanks
来源类型 | Report |
规范类型 | 报告 |
DOI | https://doi.org/10.7249/RR-A577-1 |
来源ID | RR-A577-1 |
Informing the Development of Standardized Clinical Definitions of Neonatal Abstinence Syndrome and Neonatal Opioid Withdrawal Syndrome: Results of Two Modified-Delphi Expert Panels | |
Laura J. Faherty; Stephanie Dellva; Emily Dao; Dmitry Khodyakov | |
发表日期 | 2021-05-03 |
出版年 | 2021 |
页码 | 46 |
语种 | 英语 |
结论 |
|
摘要 | From 2010 to 2017, the United States experienced a significant increase in maternal opioid-related diagnoses and neonatal abstinence syndrome (NAS). NAS is increasingly being referred to as neonatal opioid withdrawal syndrome (NOWS), as opioids are becoming the most common cause of neonatal withdrawal, whether alone or in the presence of other substances. A major challenge in the field is the lack of a standardized clinical definition of NAS. ,To address this challenge, the authors convened two modified-Delphi expert panels consisting of national experts on substance-exposed mother-infant dyads. Through these online panels, the authors solicited expert opinion to inform the development of clinical definitions of NAS and NOWS for use at the bedside as part of the U.S. Department of Health and Human Services initiative on NAS. To convene the panels, the authors used ExpertLensTM, a previously evaluated platform for conducting iterative online modified-Delphi panels. Participants provided initial responses to study questions about key components of the clinical definition of NAS and NOWS; reviewed how their responses compared to those of other participants; and revised their responses based on group feedback and discussion, if needed. ,Eighteen experts provided numeric ratings and free-text comments to contextualize their responses. Simple descriptive statistics, including frequency distributions, medians, interquartile ranges, as well as the RAND/UCLA Appropriateness Method Manual's approach to determining consensus in expert panels were used to analyze rating data, and the authors thematically analyzed the experts' free-text comments. |
目录 |
|
主题 | Delphi Method ; Infants ; Maternal Health ; Pregnancy ; Substance Use |
URL | https://www.rand.org/pubs/research_reports/RRA577-1.html |
来源智库 | RAND Corporation (United States) |
引用统计 | |
资源类型 | 智库出版物 |
条目标识符 | http://119.78.100.153/handle/2XGU8XDN/524435 |
推荐引用方式 GB/T 7714 | Laura J. Faherty,Stephanie Dellva,Emily Dao,et al. Informing the Development of Standardized Clinical Definitions of Neonatal Abstinence Syndrome and Neonatal Opioid Withdrawal Syndrome: Results of Two Modified-Delphi Expert Panels. 2021. |
条目包含的文件 | ||||||
文件名称/大小 | 资源类型 | 版本类型 | 开放类型 | 使用许可 | ||
RAND_RRA577-1.pdf(743KB) | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 | ||
x1641307745104.jpg.p(2KB) | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 |
除非特别说明,本系统中所有内容都受版权保护,并保留所有权利。