Standardising personalised diabetes care across European health settings: A person‐centred outcome set agreed in a multinational Delphi study

• DOI: 10.1111/dme.15259
• Publication Date: 2023-11-29T04:54:58Z
• Authors: Ann‐Kristin Porth; Anouk Sjoukje Hub...; Alizé Rogge; Angèle Helene Mar...; Angus Forbes; Anja Strootker; Carmen Hurtado De...; Dagmar Kownatka; David Hopkins; David Nathanson; Henk‐Jan Aanstoot; Jeanette Soderberg; Katarina Eeg‐Olof...; Kathryn Hamilton; Laure Delbecque; Lyudmil Ninov; Mette Due‐Christe...; Michael Leutner; Rafael Simó; Sara Vikstrom‐Greve; Sophia Rössner; Vanesa Flores; Yuki Seidler; Yvonne Hasler; Tanja Stamm; Alexandra Kautzky...
• Keywords: Delphi Method; Snowball sampling; Delphi

Abstract Objective Standardised person‐reported outcomes (PRO) data can contextualise clinical enabling precision diabetes monitoring and care. Comprehensive outcome sets guide this process, but their implementation in routine care has remained challenging unsuccessful at international level. We aimed to address by developing a person‐centred set for Type 1 2 diabetes, using methodology with prospects increased implementability sustainability health settings. Methods used three‐round questionnaire‐based Delphi study reach consensus on the set. invited key stakeholders from 19 countries via purposive snowball sampling, namely people ( N = 94), healthcare professionals 65), industry 22) authorities 3), vote relevance measurement frequency of 64 previously identified outcomes. Subsequent meetings concluded study. Results The list preliminary was shortlisted process 46 (27 PROs). Two main collection times were recommended: (1) linked medical visit (e.g. diabetes‐specific well‐being, symptoms psychological health) (2) annually data, general well‐being self management‐related outcomes). Conclusions PROs are often considered non‐standardised way propose specifically considering psychosocial behavioural aspects, which agreed four stakeholder groups. It guides standardised meaningful scale, supporting individual population level decision making. will be implemented tested Europe as part H2O project.