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Consensus building in bipolar disorder: A scoping review of consensus methods.

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Τίτλος: Consensus building in bipolar disorder: A scoping review of consensus methods.
Συγγραφείς: O'Donnell L; School of Social Work, Wayne State University, Detroit, MI, United States of America., Johal PK; Canadian Institute for Substance Use Research, University of Victoria, Victoria, BC, Canada., Mauer-Vakil D; School of Public Health Sciences, University of Waterloo, Waterloo, ON, Canada., Ziegler C; Collaborative RESearch Team to study psychosocial issues in Bipolar Disorder (CREST.BD), Department of Psychiatry, University of British Columbia, Vancouver, BC, Canada., Morton E; School of Psychological Sciences, Monash University, VIC, Australia., Banner D; School of Nursing, University of Northern British Columbia, Prince George, BC, Canada., Barnes SJ; Department of Psychology, University of British Columbia, Vancouver, BC, Canada., Michalak EE; Department of Psychiatry, University of British Columbia, Vancouver, BC, Canada. Electronic address: erin.michalak@ubc.ca.
Πηγή: Journal of affective disorders [J Affect Disord] 2025 Sep 15; Vol. 385, pp. 119339. Date of Electronic Publication: 2025 May 01.
Τύπος έκδοσης: Journal Article; Scoping Review
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: Elsevier/North-Holland Biomedical Press Country of Publication: Netherlands NLM ID: 7906073 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1573-2517 (Electronic) Linking ISSN: 01650327 NLM ISO Abbreviation: J Affect Disord Subsets: MEDLINE
Imprint Name(s): Original Publication: Amsterdam, Elsevier/North-Holland Biomedical Press.
Ιατρικοί όροι (MeSH): Bipolar Disorder*/therapy , Bipolar Disorder*/psychology , Consensus Statements as Topic*, Humans ; Caregivers ; Consensus ; Delphi Technique
Περίληψη: Background: Less than 50 % of people with bipolar disorder (BD) receive best-practice care. Consensus methods can address this gap by including BD knowledge-users in setting priorities and creating actionable solutions. The objective of this scoping review is to identify, map and synthesize the evidence on consensus methods used for advancing care for people with BD.
Methods: We conducted a scoping review according to JBI methodologies. Systematic searches were performed using MEDLINE, EMBASE, PsycInfo, and CINAHL, for studies published in English, from 2000 to 2023. Only primary peer-reviewed articles that used evidence-informed consensus or prioritization methods that involved adults with BD and/or caregivers or family members were included. Articles were analyzed for: type-of-consensus methods; study characteristics; and methodological limitations.
Results: Nine studies met our inclusion criteria. Participants of those studies included people with lived experience of BD, caregivers, healthcare providers, researchers and mental-health-advocates with lived experience. Five studies utilized Delphi as their consensus method; additional consensus methods included online surveys, focus groups, panels and prioritization rankings. The key methodological limitations that were identified were: participant diversity, lack of a co-design approach, low retention rates, and lack of guidelines for the approaches used.
Limitations: Studies were published in English only, did not include non-BD mood disorders and excluded BD youth.
Conclusions: Studies utilizing consensus methods for persons living with BD have highlighted their utility for informing strategic research investment, and developing healthcare systems and guidelines. We provide recommendations for future applications of these methods in BD populations.
(Copyright © 2025. Published by Elsevier B.V.)
Competing Interests: Declaration of competing interest None.
Contributed Indexing: Keywords: Bipolar care; Bipolar disorder; Consensus methods; Delphi; Scoping review
Entry Date(s): Date Created: 20250503 Date Completed: 20250606 Latest Revision: 20260320
Update Code: 20260321
DOI: 10.1016/j.jad.2025.04.170
PMID: 40318794
Βάση Δεδομένων: MEDLINE
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  Data: Consensus building in bipolar disorder: A scoping review of consensus methods.
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  Data: <searchLink fieldCode="AU" term="%22O'Donnell+L%22">O'Donnell L</searchLink>; School of Social Work, Wayne State University, Detroit, MI, United States of America.<br /><searchLink fieldCode="AU" term="%22Johal+PK%22">Johal PK</searchLink>; Canadian Institute for Substance Use Research, University of Victoria, Victoria, BC, Canada.<br /><searchLink fieldCode="AU" term="%22Mauer-Vakil+D%22">Mauer-Vakil D</searchLink>; School of Public Health Sciences, University of Waterloo, Waterloo, ON, Canada.<br /><searchLink fieldCode="AU" term="%22Ziegler+C%22">Ziegler C</searchLink>; Collaborative RESearch Team to study psychosocial issues in Bipolar Disorder (CREST.BD), Department of Psychiatry, University of British Columbia, Vancouver, BC, Canada.<br /><searchLink fieldCode="AU" term="%22Morton+E%22">Morton E</searchLink>; School of Psychological Sciences, Monash University, VIC, Australia.<br /><searchLink fieldCode="AU" term="%22Banner+D%22">Banner D</searchLink>; School of Nursing, University of Northern British Columbia, Prince George, BC, Canada.<br /><searchLink fieldCode="AU" term="%22Barnes+SJ%22">Barnes SJ</searchLink>; Department of Psychology, University of British Columbia, Vancouver, BC, Canada.<br /><searchLink fieldCode="AU" term="%22Michalak+EE%22">Michalak EE</searchLink>; Department of Psychiatry, University of British Columbia, Vancouver, BC, Canada. Electronic address: erin.michalak@ubc.ca.
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  Data: <searchLink fieldCode="JN" term="%227906073%22">Journal of affective disorders</searchLink> [J Affect Disord] 2025 Sep 15; Vol. 385, pp. 119339. <i>Date of Electronic Publication: </i>2025 May 01.
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  Data: <searchLink fieldCode="MM" term="%22Bipolar+Disorder%22">Bipolar Disorder*</searchLink>/<searchLink fieldCode="MM" term="%22Bipolar+Disorder+therapy%22">therapy</searchLink> <br /><searchLink fieldCode="MM" term="%22Bipolar+Disorder%22">Bipolar Disorder*</searchLink>/<searchLink fieldCode="MM" term="%22Bipolar+Disorder+psychology%22">psychology</searchLink> <br /><searchLink fieldCode="MM" term="%22Consensus+Statements+as+Topic%22">Consensus Statements as Topic*</searchLink><br /><searchLink fieldCode="MH" term="%22Humans%22">Humans</searchLink> ; <searchLink fieldCode="MH" term="%22Caregivers%22">Caregivers</searchLink> ; <searchLink fieldCode="MH" term="%22Consensus%22">Consensus</searchLink> ; <searchLink fieldCode="MH" term="%22Delphi+Technique%22">Delphi Technique</searchLink>
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  Label: Abstract
  Group: Ab
  Data: Background: Less than 50 % of people with bipolar disorder (BD) receive best-practice care. Consensus methods can address this gap by including BD knowledge-users in setting priorities and creating actionable solutions. The objective of this scoping review is to identify, map and synthesize the evidence on consensus methods used for advancing care for people with BD.<br />Methods: We conducted a scoping review according to JBI methodologies. Systematic searches were performed using MEDLINE, EMBASE, PsycInfo, and CINAHL, for studies published in English, from 2000 to 2023. Only primary peer-reviewed articles that used evidence-informed consensus or prioritization methods that involved adults with BD and/or caregivers or family members were included. Articles were analyzed for: type-of-consensus methods; study characteristics; and methodological limitations.<br />Results: Nine studies met our inclusion criteria. Participants of those studies included people with lived experience of BD, caregivers, healthcare providers, researchers and mental-health-advocates with lived experience. Five studies utilized Delphi as their consensus method; additional consensus methods included online surveys, focus groups, panels and prioritization rankings. The key methodological limitations that were identified were: participant diversity, lack of a co-design approach, low retention rates, and lack of guidelines for the approaches used.<br />Limitations: Studies were published in English only, did not include non-BD mood disorders and excluded BD youth.<br />Conclusions: Studies utilizing consensus methods for persons living with BD have highlighted their utility for informing strategic research investment, and developing healthcare systems and guidelines. We provide recommendations for future applications of these methods in BD populations.<br /> (Copyright © 2025. Published by Elsevier B.V.)
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  Data: Declaration of competing interest None.
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  Data: <i>Keywords: </i>Bipolar care; Bipolar disorder; Consensus methods; Delphi; Scoping review
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