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Research priorities to prevent and treat diabetic foot ulcers—A digital James Lind Alliance Priority Setting Partnership

Kumlien, Christine ; Acosta, Stefan LU orcid ; Björklund, Sebastian ; Lavant, Eva ; Lazer, Victoria LU ; Engblom, Johan ; Ruzgas, Tautgirdas LU and Gershater, Magdalena (2022) In Diabetic Medicine 39(11).
Abstract

Aim: To establish outcomes of a priority setting partnership between participants with diabetes mellitus and clinicians to identify the top 10 research priorities for preventing and treating diabetic foot ulcers (DFUs). Methods: Due to the COVID-19 pandemic, the James Lind Alliance Priority Setting Partnership process was adapted into a digital format which involved a pilot survey to identify understandable uncertainties with high relevance for participants tested by calculating the content validity index; a main survey answered by 53 participants living with diabetes and 49 clinicians; and a final digital workshop to process and prioritise the final top 10 research priorities. Results: The content validity index was satisfactory for 20... (More)

Aim: To establish outcomes of a priority setting partnership between participants with diabetes mellitus and clinicians to identify the top 10 research priorities for preventing and treating diabetic foot ulcers (DFUs). Methods: Due to the COVID-19 pandemic, the James Lind Alliance Priority Setting Partnership process was adapted into a digital format which involved a pilot survey to identify understandable uncertainties with high relevance for participants tested by calculating the content validity index; a main survey answered by 53 participants living with diabetes and 49 clinicians; and a final digital workshop to process and prioritise the final top 10 research priorities. Results: The content validity index was satisfactory for 20 out of 25 uncertainties followed by minor changes and one additional uncertainty. After we processed the 26 uncertainties from the main survey and seven current guidelines, a list of 28 research uncertainties remained for review and discussion in the digital workshop. The final top 10 research priorities included the organisation of diabetes care; screening of diabetes, impaired blood circulation, neuropathy, and skin properties; vascular surgical treatment; importance of self-care; help from significant others; pressure relief; and prevention of infection. Conclusion: The top 10 research priorities for preventing and treating DFUs represent consensus areas from persons living with diabetes and clinicians to guide future research. These research priorities can justify and inform strategic allocation of research funding. The digitalisation of James Lind Alliance methodology was feasible.

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author
; ; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
diabetic foot ulcer, digital platform, James Lind Alliance, prevention, priority setting partnership
in
Diabetic Medicine
volume
39
issue
11
article number
e14947
publisher
Wiley-Blackwell
external identifiers
  • scopus:85137434899
  • pmid:36054410
ISSN
0742-3071
DOI
10.1111/dme.14947
language
English
LU publication?
yes
id
49a5a6b1-a283-40c5-98e3-ecb41041d063
date added to LUP
2022-11-28 13:34:21
date last changed
2024-06-13 20:48:41
@article{49a5a6b1-a283-40c5-98e3-ecb41041d063,
  abstract     = {{<p>Aim: To establish outcomes of a priority setting partnership between participants with diabetes mellitus and clinicians to identify the top 10 research priorities for preventing and treating diabetic foot ulcers (DFUs). Methods: Due to the COVID-19 pandemic, the James Lind Alliance Priority Setting Partnership process was adapted into a digital format which involved a pilot survey to identify understandable uncertainties with high relevance for participants tested by calculating the content validity index; a main survey answered by 53 participants living with diabetes and 49 clinicians; and a final digital workshop to process and prioritise the final top 10 research priorities. Results: The content validity index was satisfactory for 20 out of 25 uncertainties followed by minor changes and one additional uncertainty. After we processed the 26 uncertainties from the main survey and seven current guidelines, a list of 28 research uncertainties remained for review and discussion in the digital workshop. The final top 10 research priorities included the organisation of diabetes care; screening of diabetes, impaired blood circulation, neuropathy, and skin properties; vascular surgical treatment; importance of self-care; help from significant others; pressure relief; and prevention of infection. Conclusion: The top 10 research priorities for preventing and treating DFUs represent consensus areas from persons living with diabetes and clinicians to guide future research. These research priorities can justify and inform strategic allocation of research funding. The digitalisation of James Lind Alliance methodology was feasible.</p>}},
  author       = {{Kumlien, Christine and Acosta, Stefan and Björklund, Sebastian and Lavant, Eva and Lazer, Victoria and Engblom, Johan and Ruzgas, Tautgirdas and Gershater, Magdalena}},
  issn         = {{0742-3071}},
  keywords     = {{diabetic foot ulcer; digital platform; James Lind Alliance; prevention; priority setting partnership}},
  language     = {{eng}},
  month        = {{11}},
  number       = {{11}},
  publisher    = {{Wiley-Blackwell}},
  series       = {{Diabetic Medicine}},
  title        = {{Research priorities to prevent and treat diabetic foot ulcers—A digital James Lind Alliance Priority Setting Partnership}},
  url          = {{http://dx.doi.org/10.1111/dme.14947}},
  doi          = {{10.1111/dme.14947}},
  volume       = {{39}},
  year         = {{2022}},
}