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| Format: | Recurso digital |
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Zenodo
2026
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| Online Access: | https://doi.org/10.5281/zenodo.19057889 |
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Table of Contents:
- <p>The VBOHC Delphi Consensus Study is the formal scientific validation process through which the model’s core constructs its twelve proprietary digital biomarker indices, its seventy-measure Core Outcome Set, its four clinical domain specifications, and its intervention protocols are evaluated, refined, and legitimized by an independent multidisciplinary expert panel. This is not an advisory exercise. It is a structured, methodologically rigorous consensus research study designed to produce publishable, defensible, peer-reviewed validation of the VBOHC framework’s scientific foundations, measurement architecture, and clinical specifications.</p> <p>The primary objective is to develop, validate, and formally publish the VBOHC Outcome Measurement Standard (VBOHC-OMS v1.0) a consensus-derived measurement framework specifying the core outcome domains, validated measurement instruments, minimum data standards, and reporting requirements for Value-Based Outdoor Healthcare clinical programs through a three-round modified Delphi consensus process conducted with an international, multidisciplinary expert panel in accordance with CREDES reporting guidelines (Jünger et al., 2017) and COMET Initiative Core Outcome Set methodology (Williamson et al., 2012).</p> <p>Six secondary objectives collectively constitute the full scope of the VBOHC-OMS development mandate: (SO1) establish consensus condition-domain outcome sets across the four VBOHC clinical domains (chronic pain and mobility, anxiety and cardiovascular health, depression and metabolic health, neuroregeneration and brain health); (SO2) identify validated, psychometrically sound measurement instruments for each domain; (SO3) define the VBOHC Minimum Dataset specifying the mandatory data elements for every VBOHC deployment; (SO4) specify measurement cadences and the T0–T5 reporting architecture; (SO5) establish CPT code, payer contract, and quality reporting alignment; and (SO6) produce the publication-ready VBOHC-OMS standard document with DOI registration and COMET Initiative database entry.</p> <p>The study is strategically aligned with the priorities of the National Institutes of Health (outcomes measurement and translational research), the Centers for Medicare and Medicaid Services Innovation Center (value-based care demonstration evaluation), the World Health Organization (integrated care and healthy ageing agendas), and the COMET Initiative (Core Outcome Set development standards). This alignment ensures that the resulting standard has international relevance and is positioned for integration into clinical guideline development, value-based care evaluation frameworks, and outcome measurement registries.</p>