Development of a checklist to validate the framework of a narrative medicine program based on Gagne’s instructional design model in Iran through consensus of a multidisciplinary expert panel

This expert panel study was conducted from 2018 to 2019 at Isfahan University of Medical Sciences, Iran. It included 2 phases: developing a framework in 2 steps and forming an expert panel to validate the framework in 3 rounds. We adapted a 3-stage narrative medicine model with 9 training activities from Gagne’s theory, developed a framework, and then produced a checklist to validate the framework in a multidisciplinary expert panel that consisted of 7 experts. The RAND/UCLA appropriateness method was used to assess the experts’ agreement. The first-round opinions were received by email. Consensus was achieved in the second and third rounds through face-to-face meetings to facilitate interactions and discussion among the experts

本专家小组研究于2018年至2019年在伊朗伊斯法罕医科大学（Isfahan University of Medical Sciences）开展，整体分为两个阶段：第一阶段分两步构建研究框架，第二阶段组建专家小组，通过三轮研讨对该框架进行验证。我们基于加涅（Gagne）的学习理论，改编了一套包含9项培训活动的三阶段叙事医学模型，据此构建研究框架后，编制了一份核查清单，在由7名专家组成的多学科专家小组中开展框架验证工作。本研究采用兰德-加州大学洛杉矶分校（RAND/UCLA）适宜性评价法评估专家共识程度：首轮专家意见通过电子邮件收集；为促进专家间的互动与讨论，第二轮与第三轮均通过面对面会议的形式达成共识。