Developing adolescent health-risk behavior instrument using Delphi method
Journal Title: Asian Pacific Journal of Health Sciences - Year 2017, Vol 4, Issue 4
Abstract
Background: There are a number of challenges in developing a reliable and valid instrument on health risk behaviour of adolescents because adolescents are reluctant to disclose negative health behaviour. This research used the Delphi method, supplemented by literature review and grounded theory, to understand health risk behaviour and its determinants. Method: Qualitative questionnaires were sent to experts in round I. In round II, an online questionnaire with major determinants in five point Likert scale was sent to experts. In round III, a group of experts met, revised and developed consensus on adolescents’ health risk behaviour and their major determinants. Results: Round I identified 117 major determinants. Altogether, 86 determinants were selected from round I. In round II, this was reduced to 52 determinants with more than 70 percent consensus. Altogether 12 determinants, which scored more than 50 percent that were supported by literature and grounded theory, were added after consensus development with experts in round III. Conclusion: Low response rate, identification and selection of experts, experts’ time constraints were major methodological challenges whereas logistic management and time consuming nature of the method were major non-methodological challenges in the Delphi process. These challenges, however, can be overcome or minimized.
Authors and Affiliations
Babita Thapa
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