Standardised method for reporting exercise programmes : protocol for a modified Delphi study

Introduction Exercise is integral to health across the lifespan and important for people with chronic health conditions. A systematic review of exercise trials for chronic conditions reported suboptimal descriptions of the evaluated interventions and concluded that this hinders interpretation and replication. The aim of this project is to develop a standardised method for reporting essential exercise programme details being evaluated in clinical trials. Methods and analysis A modified Delphi technique will be used to gain consensus among international exercise experts. We will use three sequential rounds of anonymous online questionnaires to refine a standardised checklist. A draft checklist of potentially relevant items was developed based on the results of a systematic review of exercise systematic reviews. An international panel of experts was identified by exercise systematic review authorship, established international profile in exercise research and practice and by peer referral. In round 1, the international panel of experts will be asked to rate the importance of each draft item and provide additional suggestions for revisions or new items. Consensus will be considered reached if at least 70% of the panel strongly agree/disagree that an item should be included or excluded. Where agreement is not reached or there are suggestions for altered or new items, these will be taken to round 2 together with an aggregated summary of round 1 responses. Following the second round, a ranking of item importance will be made to rationalise the number of items. The final template will be distributed to panel members for approval. Ethics and dissemination Ethics approval was received from The Cabrini Institute Ethics Committee, Melbourne, Australia (HREC 02-07-04-14). We plan to use a stepwise process to develop and refine a standardised and internationally agreed template for explicit reporting of exercise programmes. The template will be generalisable across all types of exercise interventions. The findings will be disseminated through peer-reviewed publications and conference presentations

Tests of Power Corrections to Event Shape Distributions from e+e- Annihilation

A study of differential event shape distributions using e+e- data at centre-of-mass energies of 35 to 183 GeV is presented. We investigated non-perturbative power corrections for the thrust, C-parameter, total and wide jet broadening observables. We observe a good description of the distributions by the combined resummed QCD calculations plus power corrections from the dispersive approach. The single non-perturbative parameter \alpha_0 is measured to be \alpha_0 (2 GeV) = 0.502 +- 0.013 (stat.) ^{+0.046)_{-0.032} (exp. syst.) ^{+0.074}_{-0.053} (theo. syst.) and is found to be universal for the observables studied within the given systematic uncertainties. Using revised calculations of the power corrections for the jet broadening variables, improved consistency of the individual fit results is obtained. Agreement is also found with results extracted from the mean values of event shape distributions.Comment: 19 pages, LaTeX2e, 8 .eps-files included, paper contributed to the EPS-HEP99 conference in Tampere, Finlan

Development of predicting model for safety behaviour based on safety psychology and working environment

The increasing trend of occupational accident due to unsafe act and unsafe condition especially in construction site suggests the need for more proactive safety assessment model. Therefore this research aimed to establish a prediction model of safety behaviour based on safety psychology and working environment factors in construction site. Theory of Planned Behaviour (TpB) was adapted to examine on the prediction model of safety behaviour among construction workers using safety psychology representing unsafe act and working environment factors representing unsafe condition. A modified perception questionnaire named Safety Psychometric Model (SPM) was proposed based on TpB questionnaire and safety attitude questionnaire (SQA). Previously, the approach has successfully applied in health care and manufacturing sector. The questionnaire has been validated by three industrial and academic experts. A total of 554 respondents among 92 construction site were selected as the subjects for analysis. Structural Equation Modelling (SEM) and Statistical Package for the Social Science (SPSS) was use for analysis purpose which involve correlation, regression and structural equation analysis. The results demonstrated that safety psychology and work environment factor was related positively with safety behaviour intention. The elements of workers’ attitude, subjective norm and perceived control that form the safety psychology context found to be significantly has the ability to predict safety behaviour. The demographics variances of personal and education background, working experiences and training background also determine as the factors of safety behaviour of the construction workers. The research also successfully established a safety behaviour prediction model that named Safety Psychometric Model. The model can be benefited by safety practitioners, organizations and researchers to explore the safety behaviour prediction. It also enhanced the knowledge in the area of employee behaviour prediction and modelling

Determining information for inclusion in a decision-support intervention for clinical trial participation : A modified Delphi approach

Peer reviewedPostprin

Expert consensus for respiratory physiotherapy management of mechanically ventilated adults with community-acquired pneumonia: A Delphi study

Rationale and aims: Patients with community‐acquired pneumonia (CAP) are frequently admitted to an intensive care unit. Physiotherapy may be provided to optimize respiratory function; however, there is significant variability in clinical practice and limited research directing best practice for this cohort. This study aimed to determine expert consensus for best physiotherapy practice for invasively ventilated adults with CAP. Method: A modified Delphi technique involved an international expert panel completing three rounds of an online questionnaire. The initial 35‐statement questionnaire, based on a systematic literature review and survey of current clinical practice, covered physiotherapy assessment and treatment of intubated patients with CAP. Quantitative data using Likert scales determined level of agreement, with qualitative data collected through open‐ended responses. Consensus threshold was set a priori at 70%. Items not achieving consensus were modified and new items added based on themes from qualitative data. Quantitative data were analysed descriptively, with thematic analysis used on qualitative data. Results: The panel comprised 29 international clinical and academic experts in critical care physiotherapy. Response rate was more than 95% for each round. Outcome achieved was 38 consensus statements covering assessment and treatment, with 28 statements (74%) providing consensus on recommended clinical practice, two consensus disagreement statements (7%) for what practice is not recommended, and eight statements (21%) indicating which treatments may be beneficial. Conclusion: Expert consensus regarding physiotherapy for intubated adults with CAP patients provides an evidence‐based approach to guide clinical practice. The consensus statements can also be used to guide research evaluating physiotherapy interventions for patients with CAP