Development of Self-Management Indicators for Chronic Hepatitis B Patients on Antiviral Therapy: Results of a Chinese Delphi Panel Survey.
OBJECTIVE
This study aimed to develop a set of indicators that could be used to measure and monitor the self-management performance for chronic hepatitis B (CHB) patients on antiviral therapy in China.


METHODS
A two-round Delphi study via e-mail correspondence was conducted, with a group of 30 Chinese experts. The Delphi questionnaire consisted of 53 indicators identified from a literature review. Experts rated and scored the importance of indicators on a five-point Likert scale. Consensus was considered to be reached if a median score in the top tertile (4-5) and ≥ 80% of panel ratings in the top tertile (4-5) after Round 2. The included indicators were validated with a group of 106 CHB patients.


RESULTS
The response rates for the first and second rounds were 90.9% (n=30) and 86.7% (n=26), respectively. Three new indicators were suggested in the first round. 55 indicators were included in the second round after modified. 45 (81.8%) indicators achieved on the level of consensus, all of which had an inter-quartile range of 1 or below. The final set included 4 domains and 45 indicators which were well accepted and understandable by CHB patients.


CONCLUSIONS
This Delphi study produced a set of 45 self-management indicators for CHB patients on antiviral therapy in China. These indicators could be used to measure and monitor the patients' self-management performance, with the goal of improving the quality of life in this population.
Department of Infectious Diseases, the First Affiliated Hospital of Chongqing Medical University, Chongqing, PR China.
Ling-Na
LN
Kong
Department of Internal Medicine, Outpatient Department, the Second Affiliated Hospital of Harbin Medical University, Harbin, PR China.
Ying
Y
Guo
Department of Infectious Diseases, the First Affiliated Hospital of Chongqing Medical, University, Chongqing, PR China.
Bo
B
Qin
School of Nursing, Jilin University, Changchun, PR China.
Xin
X
Peng
The Nursing College of Chongqing Medical University, Chongqing, PR China.
Wen-Fen
WF
Zhu
D000223:Adaptation, Psychological; D000328:Adult; D000998:Antiviral Agents / Q000627:therapeutic use*; D002681:China; D003697:Delphi Technique; D005260:Female; D019694:Hepatitis B, Chronic / Q000188:drug therapy*; D006801:Humans; D008297:Male; D055118:Medication Adherence; D008875:Middle Aged; D019984:Quality Indicators, Health Care / Q000592:standards; D012648:Self Care / Q000379:methods / Q000592:standards*; D011795:Surveys and Questionnaires
D000998:Antiviral Agents