Van Den Bussche, Karen, Kottner, Jan, Beele, Hilde, De Meyer, Dorien, Dunk, Ann Marie, Ersser, Steven, Lange, Toni, Petrovic, Mirko, Schoonhoven, Lisette, Smet, Steven, Van Damme, Nele, Verhaeghe, Sofie, Van Hecke, Ann and Beeckman, Dimitri (2018) Core outcome domains in incontinence‐associated dermatitis research. Journal of Advanced Nursing. (doi:10.1111/jan.13562).
Abstract
Aim
To report the development of a core set of outcome domains for clinical research involving adults with incontinence‐associated dermatitis or at risk, independently from any geographical location or skin colour.
Background
The management of incontinence‐associated dermatitis is important in caring for incontinent patients. The lack of comparability of clinical trial outcomes is a major challenge in the field of evidence‐based incontinence‐associated dermatitis prevention and treatment. Core outcome sets may therefore be helpful to improve the value of clinical incontinence‐associated dermatitis research.
Design
Systematic literature review, patient interviews and consensus study using Delphi procedure.
Methods
A list of outcome domains was generated through a systematic literature review (no date restrictions—April 2016), consultation of an international steering committee and three patient interviews. The project team reviewed and refined the outcome domains prior to starting a three‐round Delphi procedure conducted between April–September 2017. The panellists, including healthcare providers, researchers and industry were invited to rate the importance of the outcome domains.
Results
We extracted 1,852 outcomes from 244 articles. Experts proposed 56 and patients 32 outcome domains. After refinement, 57 panellists from 17 countries rated a list of 58 outcome domains. The final list of outcome domains includes erythema, erosion, maceration, IAD‐related pain and patient satisfaction.
Conclusion
Erythema, erosion, maceration, incontinence‐associated dermatitis ‐related pain and patient satisfaction are the most important outcome domains to be measured in incontinence‐associated dermatitis trials. Based on this international consensus on what to measure, the question of how to measure these domains now requires consideration.
More information
Identifiers
Catalogue record
Export record
Altmetrics
Contributors
Download statistics
Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.