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113 Implications for health equity and lessons learned from a community-engaged modified delphi process and nominal group technique
  1. Kelsey Conrick1,2,
  2. Brianna Mills2,
  3. Frederick Rivara1,2,
  4. Monica Vavilala1,2
  1. 1University of Washington School of Social Work
  2. 2University of Washington Harborview Injury Prevention and Research Center


Statement of Purpose Achieving injury-related health equity requires community-informed research and close collaboration among diverse (in lived experience, education, geography, etc.) stakeholders. Differing priorities, knowledge, and communication styles can inhibit participation in the consensus-building process, inhibiting the progress of research and development of successful interventions. Standardized, evidence-based procedures are needed to achieve consensus among diverse groups of stakeholders.

Methods/Approach We use a novel, rigorous process involving a combined Delphi process and Nominal Group Technique (NGT) to describe the development of recommendations for the pre-hospital care of the spine-injured athlete as a framework for achieving consensus among a group of stakeholders and community members. We outline our process and discuss lessons learned and implications for health equity.

Results We used an online modified Delphi process to achieve consensus on the research questions of priority to stakeholders. After conducting an independent systematic review, we presented our findings at an in-person meeting for twenty stakeholders. We used NGT to develop and agree upon protocol recommendations. Throughout this process, we learned several lessons. Most crucial to the success of the in-person NGT process is a reputable, experienced facilitator capable of managing complex group dynamics and adhering to agreed-upon rules of engagement. Clarification of research jargon and transparency throughout the research process engages stakeholders of all levels of experiences. Finally, innovative uses of technology may expedite the otherwise cumbersome process of providing opinions and voting to achieve consensus.

Conclusions While many researchers appreciate the value of community and stakeholder input towards the achievement of injury-related health equity, concern about managing and facilitating this process may limit its efficiency, inhibiting stakeholder investment in the research process.

Significance and Contributions to Injury and Violence Prevention Science Developing and implementing a well-informed, evidence-based protocol for achieving consensus may facilitate community-engaged research aimed to achieve injury-related health equity.

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