A core outcome set for neonatal abstinence syndrome: study protocol for a systematic review, parent interviews and a Delphi survey



Kelly, Lauren E, Jansson, Lauren M, Moulsdale, Wendy, Pereira, Jodi, Simpson, Sarah, Guttman, Astrid, Allegaert, Karel, Askie, Lisa, Roukema, Henry, Lacaze, Thierry
et al (show 4 more authors) (2016) A core outcome set for neonatal abstinence syndrome: study protocol for a systematic review, parent interviews and a Delphi survey. TRIALS, 17 (1). 536-.

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Abstract

<h4>Background</h4>The prevalence of neonatal abstinence syndrome (NAS) is increasing globally resulting in an increased incidence of adverse neonatal outcomes and health system costs. Evidence regarding the effectiveness of NAS prevention and management strategies is very weak and further research initiatives are critically needed to support meta-analysis and clinical practice guidelines. In NAS research, the choice of outcomes and the use of valid, responsive and feasible measurement instruments are crucial. There is currently no consensus and evidence-based core outcome set (COS) for NAS.<h4>Methods/design</h4>The development of the NAS-COS will include five stages led by an international Multidisciplinary Steering Committee: (1) qualitative interviews with parents/families and a systematic review (SR) to identify items for inclusion in a COS. The SR will also identify participants for the Delphi survey, (2) a three-round Delphi survey to gain expert opinion on the importance of health outcomes influencing NAS management decisions, (3), a consensus meeting to finalize the items and definitions with experts and COS users, (4) feasibility and pilot testing, development of the COS and explanatory document and (5) implementation planning.<h4>Discussion</h4>Since standardized outcome measurement and reporting will improve NAS clinical research consistency, efficacy and impact, this COS will reflect the minimum set of health outcomes which should be measured in trials evaluating interventions for preventing or treating NAS.

Item Type: Article
Uncontrolled Keywords: Humans, Neonatal Abstinence Syndrome, Clinical Protocols, Delphi Technique, Infant, Newborn, Systematic Reviews as Topic, Outcome Assessment, Health Care
Depositing User: Symplectic Admin
Date Deposited: 30 May 2017 06:40
Last Modified: 19 Jan 2023 07:03
DOI: 10.1186/s13063-016-1666-9
Open Access URL: https://trialsjournal.biomedcentral.com/articles/1...
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URI: https://livrepository.liverpool.ac.uk/id/eprint/3007680