Exploring International Views on Key Concepts for Mass-gathering Health through a Delphi Process

Malinda Steenkamp, Alison Hutton, Jamie RANSE, Adam Lund, Sheila Turris, Ron Bowles, Katherine Arbuthnott, Paul Arbon

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Abstract

The science underpinning mass-gathering health (MGH) is developing rapidly. However, MGH terminology and concepts are not yet well defined or used consistently. These variations can complicate comparisons across settings. There is, therefore, a need to develop consensus and standardize concepts and data points to support the development of a robust MGH evidence-base for governments, event planners, responders, and researchers. This project explored the views and sought consensus of international MGH experts on previously published concepts around MGH to inform the development of a transnational minimum data set (MDS) with an accompanying data dictionary (DD). Report A two-round Delphi process was undertaken involving volunteers from the World Health Organization (WHO) Virtual Interdisciplinary Advisory Group (VIAG) on Mass Gatherings (MGs) and the MG section of the World Association for Disaster and Emergency Medicine (WADEM). The first online survey tested agreement on six key concepts: (1) using the term MG HEALTH; (2) purposes of the proposed MDS and DD; (3) event phases; (4) two MG population models; (5) a MGH conceptual diagram; and (6) a data matrix for organizing MGH data elements. Consensus was defined as =80% agreement. Round 2 presented five refined MGH principles based on Round 1 input that was analyzed using descriptive statistics and content analysis. Thirty-eight participants started Round 1 with 36 completing the survey and 24 (65% of 36) completing Round 2. Agreement was reached on: the term MGH (n=35/38; 92%); the stated purposes for the MDS (n=38/38; 100%); the two MG population models (n=31/36; 86% and n=30/36; 83%, respectively); and the event phases (n=34/36; 94%). Consensus was not achieved on the overall conceptual MGH diagram (n=25/37; 67%) and the proposed matrix to organize data elements (n=28/37; 77%). In Round 2, agreement was reached on all the proposed principles and revisions, except on the MGH diagram (n=18/24; 75%). Discussion/Conclusions Event health stakeholders require sound data upon which to build a robust MGH evidence-base. The move towards standardization of data points and/or reporting items of interest will strengthen the development of such an evidence-base from which governments, researchers, clinicians, and event planners could benefit. There is substantial agreement on some broad concepts underlying MGH amongst an international group of MG experts. Refinement is needed regarding an overall conceptual diagram and proposed matrix for organizing data elements. Steenkamp M, Hutton AE, Ranse JC, Lund A, Turris SA, Bowles R, Arbuthnott K, Arbon PA.
Original languageEnglish
Pages (from-to)443-453
Number of pages11
JournalPrehospital and Disaster Medicine
Volume31
Issue number4
DOIs
Publication statusPublished - 2016

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Steenkamp, M., Hutton, A., RANSE, J., Lund, A., Turris, S., Bowles, R., ... Arbon, P. (2016). Exploring International Views on Key Concepts for Mass-gathering Health through a Delphi Process. Prehospital and Disaster Medicine, 31(4), 443-453. https://doi.org/10.1017/S1049023X1600042X
Steenkamp, Malinda ; Hutton, Alison ; RANSE, Jamie ; Lund, Adam ; Turris, Sheila ; Bowles, Ron ; Arbuthnott, Katherine ; Arbon, Paul. / Exploring International Views on Key Concepts for Mass-gathering Health through a Delphi Process. In: Prehospital and Disaster Medicine. 2016 ; Vol. 31, No. 4. pp. 443-453.
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Steenkamp, M, Hutton, A, RANSE, J, Lund, A, Turris, S, Bowles, R, Arbuthnott, K & Arbon, P 2016, 'Exploring International Views on Key Concepts for Mass-gathering Health through a Delphi Process', Prehospital and Disaster Medicine, vol. 31, no. 4, pp. 443-453. https://doi.org/10.1017/S1049023X1600042X

Exploring International Views on Key Concepts for Mass-gathering Health through a Delphi Process. / Steenkamp, Malinda; Hutton, Alison; RANSE, Jamie; Lund, Adam; Turris, Sheila; Bowles, Ron; Arbuthnott, Katherine; Arbon, Paul.

In: Prehospital and Disaster Medicine, Vol. 31, No. 4, 2016, p. 443-453.

Research output: Contribution to journalArticle

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T1 - Exploring International Views on Key Concepts for Mass-gathering Health through a Delphi Process

AU - Steenkamp, Malinda

AU - Hutton, Alison

AU - RANSE, Jamie

AU - Lund, Adam

AU - Turris, Sheila

AU - Bowles, Ron

AU - Arbuthnott, Katherine

AU - Arbon, Paul

PY - 2016

Y1 - 2016

N2 - The science underpinning mass-gathering health (MGH) is developing rapidly. However, MGH terminology and concepts are not yet well defined or used consistently. These variations can complicate comparisons across settings. There is, therefore, a need to develop consensus and standardize concepts and data points to support the development of a robust MGH evidence-base for governments, event planners, responders, and researchers. This project explored the views and sought consensus of international MGH experts on previously published concepts around MGH to inform the development of a transnational minimum data set (MDS) with an accompanying data dictionary (DD). Report A two-round Delphi process was undertaken involving volunteers from the World Health Organization (WHO) Virtual Interdisciplinary Advisory Group (VIAG) on Mass Gatherings (MGs) and the MG section of the World Association for Disaster and Emergency Medicine (WADEM). The first online survey tested agreement on six key concepts: (1) using the term MG HEALTH; (2) purposes of the proposed MDS and DD; (3) event phases; (4) two MG population models; (5) a MGH conceptual diagram; and (6) a data matrix for organizing MGH data elements. Consensus was defined as =80% agreement. Round 2 presented five refined MGH principles based on Round 1 input that was analyzed using descriptive statistics and content analysis. Thirty-eight participants started Round 1 with 36 completing the survey and 24 (65% of 36) completing Round 2. Agreement was reached on: the term MGH (n=35/38; 92%); the stated purposes for the MDS (n=38/38; 100%); the two MG population models (n=31/36; 86% and n=30/36; 83%, respectively); and the event phases (n=34/36; 94%). Consensus was not achieved on the overall conceptual MGH diagram (n=25/37; 67%) and the proposed matrix to organize data elements (n=28/37; 77%). In Round 2, agreement was reached on all the proposed principles and revisions, except on the MGH diagram (n=18/24; 75%). Discussion/Conclusions Event health stakeholders require sound data upon which to build a robust MGH evidence-base. The move towards standardization of data points and/or reporting items of interest will strengthen the development of such an evidence-base from which governments, researchers, clinicians, and event planners could benefit. There is substantial agreement on some broad concepts underlying MGH amongst an international group of MG experts. Refinement is needed regarding an overall conceptual diagram and proposed matrix for organizing data elements. Steenkamp M, Hutton AE, Ranse JC, Lund A, Turris SA, Bowles R, Arbuthnott K, Arbon PA.

AB - The science underpinning mass-gathering health (MGH) is developing rapidly. However, MGH terminology and concepts are not yet well defined or used consistently. These variations can complicate comparisons across settings. There is, therefore, a need to develop consensus and standardize concepts and data points to support the development of a robust MGH evidence-base for governments, event planners, responders, and researchers. This project explored the views and sought consensus of international MGH experts on previously published concepts around MGH to inform the development of a transnational minimum data set (MDS) with an accompanying data dictionary (DD). Report A two-round Delphi process was undertaken involving volunteers from the World Health Organization (WHO) Virtual Interdisciplinary Advisory Group (VIAG) on Mass Gatherings (MGs) and the MG section of the World Association for Disaster and Emergency Medicine (WADEM). The first online survey tested agreement on six key concepts: (1) using the term MG HEALTH; (2) purposes of the proposed MDS and DD; (3) event phases; (4) two MG population models; (5) a MGH conceptual diagram; and (6) a data matrix for organizing MGH data elements. Consensus was defined as =80% agreement. Round 2 presented five refined MGH principles based on Round 1 input that was analyzed using descriptive statistics and content analysis. Thirty-eight participants started Round 1 with 36 completing the survey and 24 (65% of 36) completing Round 2. Agreement was reached on: the term MGH (n=35/38; 92%); the stated purposes for the MDS (n=38/38; 100%); the two MG population models (n=31/36; 86% and n=30/36; 83%, respectively); and the event phases (n=34/36; 94%). Consensus was not achieved on the overall conceptual MGH diagram (n=25/37; 67%) and the proposed matrix to organize data elements (n=28/37; 77%). In Round 2, agreement was reached on all the proposed principles and revisions, except on the MGH diagram (n=18/24; 75%). Discussion/Conclusions Event health stakeholders require sound data upon which to build a robust MGH evidence-base. The move towards standardization of data points and/or reporting items of interest will strengthen the development of such an evidence-base from which governments, researchers, clinicians, and event planners could benefit. There is substantial agreement on some broad concepts underlying MGH amongst an international group of MG experts. Refinement is needed regarding an overall conceptual diagram and proposed matrix for organizing data elements. Steenkamp M, Hutton AE, Ranse JC, Lund A, Turris SA, Bowles R, Arbuthnott K, Arbon PA.

KW - Delphi technique

KW - mass-gathering health

KW - mass-gathering medicine

KW - minimum data set

KW - public health

U2 - 10.1017/S1049023X1600042X

DO - 10.1017/S1049023X1600042X

M3 - Article

VL - 31

SP - 443

EP - 453

JO - Prehospital and Disaster Medicine

JF - Prehospital and Disaster Medicine

SN - 1049-023X

IS - 4

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