Developing a core outcome set for interventions in people with mild cognitive impairment: study protocol

Victoria Grace Gabb, Sam Harding, Angus G.K. McNair, Julie Clayton, Winsome Barrett-Muir, Alan Richardson, Natalie Woodward, Sophie Alderman, Jemima Dooley, Joseph Webb, Sarah Rudd, Elizabeth Coulthard, Nicholas Turner

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction There is no standardised national guidance on clinical management for people living with mild cognitive impairment (MCI), and therapeutic interventions are limited. Understanding what outcomes are important and meaningful to people living with MCI and developing a core outcome set (COS) for research and clinical practice will improve the impact of clinical research and contribute towards developing effective care pathways for MCI. This study aims to develop a COS for adults living with MCI intended for use in interventional and clinical settings. Methods and analysis The COS will be developed using a five-stage study design: (1) systematic literature search, (2) qualitative interviews, (3) evidence synthesis from stages 1 and 2, (4) two-round Delphi survey and (5) consensus meeting(s). First, we will conduct an umbrella review of existing MCI interventional studies and extract a list of outcomes. Qualitative interviews will be held with key stakeholders including individuals living with MCI, friends and family, and relevant professionals to identify further outcomes considered important. Outcomes from the review and interviews will be synthesised into a 'long list' of outcomes for potential inclusion in the COS. Two rounds of Delphi surveys followed by a consensus meeting will be used to reach stakeholder consensus on which outcomes should be included in the final COS. Ethics and dissemination We have received ethical approval from the London - Queen Square Research Ethics Committee (23/PR/1580). Patient and public involvement and engagement are central to developing the COS. The results will be disseminated via conferences, peer-reviewed publications, briefing notes to key agencies, to the public via social media and blog posts and directly to stakeholders who participate in the project.

Original languageEnglish
Article numbere090818
JournalBMJ Open
Volume15
Issue number1
Early online date20 Jan 2025
DOIs
Publication statusPublished - 20 Jan 2025

Acknowledgements

We would like to thank our team of PPI contributors and coapplicants for their insightful contributions towards study development and refinement.

Funding

This project is funded by the National Institute for Health and Care Research (NIHR) Research for Patient Benefit (NIHR204135)

FundersFunder number
National Institute for Health and Care ResearchNIHR204135

    Keywords

    • Ageing
    • Cognition
    • Dementia
    • Methods
    • Neurology
    • Research Design

    ASJC Scopus subject areas

    • General Medicine

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