Identification of self-management indicators for chronic hepatitis B patients with antiviral therapy

• 作 者: Ling-Na Kong Bo Qin Ying-qing Zhou Shao-yu Mou Hui-Ming Gao
• 机 构: Department of Infectious Diseases,the First Affiliated Hospital of Chongqing Medical University,Chon
• 出 处: 第二十三次全国中西医结合肝病学术会议
• 发表日期: 2014年5期
• 关键词: Delphi technique self-management chronic hepatitis B antiviral therapy correspon

　　Objective: The objective of this study was to establish consensus about which indicators best characterize self-management for chronic hepatitis B (CHB) patients with antiviral therapy.Methods: A 2-round Delphi survey via email correspondence was conducted,with a group of 33 Chinese experts in the field of CHB.The survey consisted of 58 items under four major domains: treatment management,daily life management,psychosocial management and information management,identified from a literature review and the findings of interviews with CHB patients.Participants rated and scored the importance of indicators on a five-point Likert scale ranging from very important to very unimportant.Items with 70% or above of participants rating a statement as important or very important after Round 2 would be included.The average authority coefficients and Kendalls Coefficient of Concordance were also analyzed.Results: The response rates for the first and second rounds were 90.9% (n=30) and 86.7% (n=26),respectively.Following the two rounds,an expert consensus was reached on 47 of the original 58 indicators.All included indicators had a median of 4 or above,and 44 indicators (93.6%) had an IQR of 1 or below.The strength of agreement between expert raters for the four domains was moderate and the average authority coefficients ranged from 0.84 to 0.96 in Round 2.Conclusion: 47 self-management indicators for CHB patients with antiviral therapy have been identified.These indicators constitute the first step in contributing to the development and validation of a self-management instrument for CHB patients with antiviral therapy.