Practice Guidelines For Research About Chinese Medicine Prevention Of Disease In A State Of Being Overweight

ObjectiveTo develop a " Chinese medicine prevention of disease guidelines in overweight modulation"MethodsThrough literature retrieval,literature evidence evaluation and classification,the Delphi method,expert questionnaire,writing the first draft of the guide,symposium,expert consultation,conformance testing steps,such as to develop a standardized "Chinese medicine prevention of disease guidelines,overweight status in the modulation of examination of manuscripts,specific as follows:literature research:follow the principle of evidence-based medicine,using retrieval tools,in the Chinese medical,CBM,CNKI,Chinese science and technology periodical database,ten thousand square full-text database,MEDLINE and the COCHRANE library,the U.S.national library guide(NGC),USES the manual retrieval and computer retrieval,the combination of network retrieval method to find the relevant literature,according to research purposes to determine inclusion criteria and exclusion criteria,choose the appropriate documents,choose high levels of evidence.Delphi expert questionnaire:on the basis of previous literature research,to extract the overweight status of traditional Chinese medicine disease related framework of entries,in the form of questionnaire,by letter or E-mail,consulting an expert' s opinion.Adopts the arithmetic average and coefficient of variation(CV),the coordination coefficient(W)statistical projects such as statistical analysis,concluded that active coefficient of experts,the expert opinion results such as concentration and coordination degree,and form a first draft.The expert argumentation meetings:invite relevant experts to participate in the draft amendments.Expert consultation:issued a draft and recycling,expert opinion and suggestions for modification,sorting,eventually forming the cure not ill in practice guidelines overweight modulation,"discussion paper submitted.Conformance test:according to the doctor to cases of actual intervention,education and guidance,to observe the guidelines for implementation in line with guidelines,evaluation on the result of the case of human behavior or standard consistency degree score.Results1.Literature research:the final with a total of 5 references,sort out to meet the requirements in addition to the above literature research evidence to recommend extracted,mainly adopt the way of expert opinion for overweight standard research.2.Expert questionnaire:using the Delphi method(Delphi)divided into two rounds of:(1)working group statistics literature research analysis,put forward in the first round of the consult table expert positive coefficient is 84.91%,56 items importance score full marks in the rate is 0.56,average arithmetic mean is 8.87,the variation coefficient is 0.07,the overall coordination coefficient W = 0.199,chi-square test P = 0.0000;(2)group is the first round of expert opinion summary statistics and analysis,put forward the second consult table,ask an expert judgment again and put forward modify opinions,put forward in the first round of the consult table expert positive coefficient is 100%,56 items importance score full marks in the rate is 0.51,average arithmetic mean is 8.44,the variation coefficient is 0.21,the overall coordination coefficient W = 0.103,chi-square test P = 0.0000;(3)based on the second round,experts judgment and argument again.(4)through the above two rounds of survey,the formation of expert opinion draft cure not ill overweight status.3.The expert argumentation results:combining literature research and expert opinion survey two parts content,cure not ill in the overweight status identification and intervention form a rough guide.4.The expert opinion for results:30,issued a draft reply to 22,reply and any Suggestions or comments,13 adopt Suggestions and opinions of article 15.5.Overweight people modulation state consistency test:according to the consistency test evaluation of clinical guidelines research plan,conform to the degree of consistency inspection,consistent rate was 100%,99%satisfaction investigation,with no adverse events.ConclusionIn literature research conducted on the basis of expert opinion survey,through several round expert questionnaire,in-depth step by step in the final to achieve stability,concentration,form guide examination of manuscripts.On the basis of the guidelines for overweight people TCM intervention conformance testing,test results are consistent..