Development of Clinical Questions for Guidelines on Traditional Chinese Medicine Diagnosis and Treatment of Simple Obesity in Children Based on Delphi Method
10.13422/j.cnki.syfjx.20251994
- VernacularTitle:基于德尔菲法构建《儿童单纯性肥胖症中医诊疗指南》临床问题
- Author:
Shuge CUI
1
;
Minjun ZHAO
1
;
Hong ZHENG
1
Author Information
1. The First Affiliated Hospital of Henan University of Chinese Medicine，Children's Hospital，Zhengzhou 450099，China
- Publication Type:Journal Article
- Keywords:
simple obesity in children;
diagnosis and treatment guideline;
Delphi method;
clinical questions
- From:
Chinese Journal of Experimental Traditional Medical Formulae
2026;32(4):167-174
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo identify the clinical questions for the Guidelines for TCM Diagnosis and Treatment of Simple Obesity in Children （2024） and provide a basis for subsequent evidence-based evidence retrieval， evidence grade evaluation， and formulation of recommendations. MethodsClinical questions were initially constructed through literature retrieval， expert interviews， and clinical surveys. On this basis， a questionnaire of the Delphi method was designed， and two rounds of expert surveys were conducted. Excel 2021 and SPSS Statistics 27 were used for statistical analysis of questionnaire survey results. The response rate， mean score， full score ratio， and coefficient of variation （CV） of each clinical question were calculated to evaluate the importance. The clinical questions with a mean score ≥2， full score ratio ≥50%， and CV <30% were included in the guidelines. Additionally， Cronbach's α coefficient ≥0.70 was used as the standard for quality control of the Delphi questionnaire. ResultsThe response rates for the two rounds of questionnaire surveys were 97% and 100%， respectively. The expert concordance coefficient and reliability （α=0.702/0.798） met the criteria. After discussion among experts in the research group， a total of 20 clinical questions （5 basic questions and 15 professional questions） were finally included， covering etiology， pathogenesis， diagnostic criteria， characteristic TCM therapies （e.g.， acupuncture， tuina， moxibustion， and catgut embedment in acupoint）， and preventive care. ConclusionThis study established the first clinical question list for the Guidelines for TCM Diagnosis and Treatment of Simple Obesity in Children via the Delphi method， highlighting the advantages of characteristic TCM therapies （e.g.， acupuncture and tuina）. This lays a foundation for the subsequent development of the guidelines.
