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. 2022 Jul 22;57(Suppl 2):291–303. doi: 10.1111/1475-6773.14031

TABLE 2.

Delphi panel feedback on principles, by round

Modified Delphi round Combined key points from survey and meeting Suggestions Modifications
Round 1
  • Recognize diverse and divergent community voices

  • Shared language is important

  • Data and measurement can cause harm

  • Accountability is critical and relevant across principles

  • Be explicit about what is meant by “those who have experienced inequities”

  • More clearly define “harm”

  • Reframe as asset based

  • Need principles on community investment and data ownership

  • Tease apart concepts (overlap) and adjust language around “systems” and “communities”

  • Combined the draft principle on centering the needs, values, and priorities of community members with the principle on co‐creation

  • Combined draft principle on not harming communities with the draft principle on addressing root causes

  • Added two new principles on data ownership and investment in community

Round 2
  • Need to name shared power and shared decision making as important

  • Language should encourage collaboration and a dynamic process

  • Importance of a shared learning environment

  • Need to frame principles with intention and clarity

  • Level setting around key concepts is important

  • Concerns and questions about implementation

  • Several concepts need further definition (e.g., community, authentic engagement, whole person)

  • Address redundancy across principles

  • Include a preamble to accompany the principles

  • Include a list of key terms and definitions

  • No new principles recommended

  • Drafted a preamble to contextualize the principles that included a list of key terms and definitions

  • Consolidated to five principles

  • Added questions about implementation to Survey 3

Round 3
  • Support for preamble and definitions

  • Need to apply a process lens to this work; it is iterative

  • Key steps to building buy‐in

  • Communication is important

  • Power must be shared

  • Implementation requires time and resources

  • Equity must be integrated into systems and power structures

  • Some suggestions for reorganizing parts of preamble and revising definitions; moving definitions to an appendix​

  • Suggested revisions to language or order across the five draft principles (e.g., community investment first)

  • Revised language in preamble/introduction to address concerns regarding tone

  • Added sections and headers to break up language in the introduction

  • Included project's shared measurement framework as an appendix; integrated new key terms and definitions into framework glossary

  • Reordered principles to present the upfront investment in communities principle first

  • Integrated example practices that reflect principles from use cases

  • For co‐creation principle, moved shared power up to the first concept and integrated “equitable, sustained partnership” into this section

  • For accountability principle, created two categories: one on accountability for addressing root causes of inequities and one addressing the need to repair harm when it occurs

  • For trust principle, added language addressing sustainability focus and the need to engineer trust into systems and not just focus on the interpersonal aspect of trust

  • Added appendices with a list of stakeholder experts and a brief overview of methods