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DougManuel committed Jan 3, 2024
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7 changes: 4 additions & 3 deletions qmd/delphi.qmd
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Consensus for each item is defined as ≥ 70% of the panelist votes falling within the same grouping of three categories within a 7-point Likert scale:

1. Core Item: Highly or moderately relevant
2. Further Discussion: Slightly relevant, neutral, slightly irrelevant
3. Excluded Item: Moderately or highly irrelevant
1. *Core Item:* Highly or moderately relevant
2. *Further Discussion:* Slightly relevant, neutral, slightly irrelevant
3. *Excluded Item:* Moderately or highly irrelevant

The survey will include a free-text box for panellist to provide comments or suggest new items. Newly suggested items, as well as non-consensus items, will be listed in the second round.

![](images/delphi_consensus_process.svg){fig-align="center"}

[**Figure 2.** E-Delphi onsensus process for the Public Health Environmental Surveillance Evaluation Framework (PHES-EF)]{.caption}

## References
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10 changes: 5 additions & 5 deletions qmd/faq.qmd
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bibliography: references.bib
---

## Why is PHES-EF Needed?
## Why is PHES-EF needed?
Public health environmental surveillance has evolved, especially during the coronavirus disease (COVID-19) pandemic, with wastewater surveillance being a prominent example. As surveillance methods diversify and expand, there is a need to evaluate these systems to improve the evidence of wastewater surveillance effectiveness, return-on-investment, accountability, transparency, sustainablity and trust.

There is also a need for such an evaluation framework as the recent and abrupt adoption of wastewater-based monitoring has resulted in poor standardization of analytic techniques, with ideal methods for reporting testing data still remaining unclear @manuel2021. Ultimately, *PHES-EF* aims to address this issue as well, as the framework is intended to be adopted by researchers to determine surveillance system performance and create analogous results for comparison within the field.
There is also a need for such an evaluation framework as the recent adoption of wastewater-based monitoring has resulted in a lack standard analytic techniques, with perferred methods for reporting testing data still remaining unclear [@manuel2021]. *PHES-EF* aims to address this issue as well, as the framework is intended to be adopted by researchers to determine surveillance system performance and create analogous results for comparison within the field.

## What is a Delphi?
The Delphi method is an iterative multi-round approach that uses a series of sequential surveys, interspersed by controlled feedback, to elicit consensus among a group of individuals while maintaining anonymity @tricco2018 @nasa2021. An electronic Delphi (e-Delphi) method will be used to overcome geographic barriers and allow us to engage panellists internationally across various time zones. Delphi surveys relating to health sciences have typically been conducted over a period of 2-3 rounds [@spranger2022; @shang2023; @junger2017]. Therefore, a two-round e-Delphi survey paired with a subsequent consensus meeting will be conducted to balance feasibility with rigour. Each round will be active for approximately 4-6 weeks to allow panellists sufficient time to participate in the survey, while balancing study timeline constraints @niederberger2020.
## What is a Delphi consensus study?
The Delphi method is an iterative multi-round approach that uses a series of sequential surveys, interspersed by controlled feedback, to elicit consensus among a group of individuals while maintaining anonymity [@tricco2018; @nasa2021]. An electronic Delphi (e-Delphi) method will be used to overcome geographic barriers and allow us to engage panellists internationally across various time zones. Delphi surveys relating to health sciences have typically been conducted over a period of 2-3 rounds [@spranger2022; @shang2023; @junger2017]. Therefore, a two-round e-Delphi survey paired with a subsequent consensus meeting will be conducted to balance feasibility with rigour. Each round will be active for approximately 4-6 weeks to allow panellists sufficient time to participate in the survey, while balancing study timeline constraints [@niederberger2020].

## Who is Eligible to Participate in the Study?
## Who is eligible to participate in the study?
The eligibiligy criteria for e-Delphi survey panellists can be found [here.](delphi.qmd)

## References
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