Table 1.
Question type | Definition | Example questions | Consensus threshold | Agreement threshold for rephrasing the question | Agreement threshold for restating the question |
---|---|---|---|---|---|
6-Point Likert scale | Assessing agreement through options from ‘1’ (strongly disagree) to ‘6’ (strongly agree).22 Agreement was defined as a participant choosing options ‘5’ or ‘6’ whilst disagreement was defined as a choice of ‘1’ or ‘2’. 6-Point scales were used to ensure participants indicated a preference towards either agreement or disagreement17 | ‘Joint health should be regularly measured in routine comprehensive care visits by a suitably trained physiotherapist using a validated tool’ (1 = strongly disagree; 6 = strongly agree)a | ⩾70% participants agreeing/disagreeing | ⩾60% but <70% participants agreeing/disagreeing | <60% participants agreeing/disagreeing |
Ranking | Participants asked to rank multiple options in terms of importance from ‘1’ (most important) to ‘4’ (least important) in Round 1 or from ‘1’ (most important) to ‘3’ (least important) in Round 217 | ‘Please rank the following recommendations in terms of their importance when offering a further round of ITI to patients who inadequately respond to their first round of ITI at the full dose of 200 IU/kg/day (1 = most important; 3 = least important) pdFVIII alone pdFVIII and immunosuppression Immunosuppression alonea | Kendall’s W statistic (W) ⩾0.7 | 0.6 ⩽ W < 0.7 | W < 0.6 |
Single-option | Participants asked to select one answer from multiple options23,24 | ‘What annual bleed rate do you feel justifies prophylaxis in adults?’a | ⩾70% participants choosing the same option | ⩾60% but <70% participants choosing the same option | <60% participants choosing the same option |
Numerical | A free-text, open-ended question where participants were asked to provide a numerical response17 | ‘Based on your response to the previous question, what percentage reduction in joint bleeds (any severity) on prophylaxis would you then consider to be a clinically significant improvement in adults?’b | Consensus not assessedc | Responses used to inform questions in subsequent round | Responses used to inform questions in subsequent round |
Free-text questions | Optional free-text, open-ended questions both in the survey, and at the end of each questionnaire section (to allow participants to provide context to their responses)17 | ‘How should mild/moderate haemophilia A patients with inhibitors be treated to eradicate their inhibitors?’b‘If you have any additional comments related to prophylaxis, please add them to this text box’d | Consensus not assessedc | Responses used to inform questions in subsequent round | Responses used to inform questions in subsequent round |
Participants could also select DNW for any questions they did not wish to answer, and in Round 2 an IE option was also added.
Example question from the Round 2 questionnaire.
Example question from the Round 1 questionnaire.
Responses instead used to inform the questions in subsequent round.
Example question from the Round 2 questionnaire whereby participants could add additional details at the end of a questionnaire section.
DNW, do not wish to answer; IE, insufficient expertise; ITI, immune tolerance induction; IU, international units; pdFVIII, plasma-derived factor VIII.