Article

OBJECTIVE: To solicit expert opinions and develop consensus around the research
that is needed to improve cancer rehabilitation for older adults. DESIGN: Delphi
methods provided a structured process to elicit and prioritize research questions
from national experts. SETTING: National, Web-based survey. PARTICIPANTS: Members
(N=32) of the American Congress of Rehabilitation Medicine completed at least 1
of 3 investigator-developed surveys. INTERVENTIONS: Not applicable. MAIN OUTCOME
MEASURES: In the first survey, participants identified up to 5 research questions
that needed to be answered to improve cancer rehabilitation for older adults. In
2 subsequent surveys, participants viewed the compilation of questions, rated the
importance of each question, and identified the 5 most important questions. This
generated priority scores for each question. Consensus scores were created to
describe the degree of agreement around the priority of each question. RESULTS:
Highest priority research concerns the epidemiology and measurement of function
and disability in older adult cancer survivors; the effects of cancer
rehabilitation interventions on falls, disability, participation, survival,
costs, quality of care, and health care utilization; and testing models of care
that facilitate referrals from oncology to rehabilitation providers as part of
coordinated, multicomponent care. CONCLUSIONS: A multipronged approach is needed
to fill these gaps, including targeted funding opportunities developed with an
advisory panel of cancer rehabilitation experts, development of a research
network to facilitate novel collaborations and grant proposals, and coordinated
efforts of clinical groups to advocate for funding, practice change, and policy change.
CI - Copyright (c) 2016 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS