Sepucha Karen R, Matlock Daniel D, Wills Celia E, Ropka Mary, Joseph-Williams Natalie, Stacey Dawn, Ng ChirkJenn, Levin Carrie, Lally Joanne, Borkhoff Cornelia M, Thomson Richard
General Medicine Division, Massachusetts General Hospital and Harvard Medical School, Boston, MA (KS)
University of Colorado School of Medicine, Aurora, CO (DDM)The Ohio State University, Columbus, OH (CEW)
Med Decis Making. 2014 Jul;34(5):560-6. doi: 10.1177/0272989X14528381. Epub 2014 Apr 8.
This review systematically appraises the quality of reporting of measures used in trials to evaluate the effectiveness of patient decision aids (PtDAs) and presents recommendations for minimum reporting standards.
We reviewed measures of decision quality and decision process in 86 randomized controlled trials (RCTs) from the 2011 Cochrane Collaboration systematic review of PtDAs. Data on development of the measures, reliability, validity, responsiveness, precision, interpretability, feasibility, and acceptability were independently abstracted by 2 reviewers.
Information from 178 instances of use of measures was abstracted. Very few studies reported data on the performance of measures, with reliability (21%) and validity (16%) being the most common. Studies using new measures were less likely to include information about their psychometric performance. The review was limited to reporting of measures in studies included in the Cochrane review and did not consult prior publications.
Very little is reported about the development or performance of measures used to evaluate the effectiveness of PtDAs in published trials. Minimum reporting standards are proposed to enable authors to prepare study reports, editors and reviewers to evaluate submitted papers, and readers to appraise published studies.
本综述系统评估了用于评估患者决策辅助工具(PtDAs)有效性的试验中所使用测量方法的报告质量,并提出了最低报告标准的建议。
我们回顾了2011年Cochrane协作网关于PtDAs的系统综述中86项随机对照试验(RCT)的决策质量和决策过程测量方法。两名评审员独立提取了关于测量方法的开发、信度、效度、反应度、精度、可解释性、可行性和可接受性的数据。
提取了178次测量方法使用实例的信息。很少有研究报告测量方法的性能数据,其中信度(21%)和效度(16%)是最常报告的。使用新测量方法的研究不太可能包含其心理测量性能的信息。本综述仅限于Cochrane综述中纳入研究的测量方法报告,未查阅先前的出版物。
在已发表的试验中,关于用于评估PtDAs有效性的测量方法的开发或性能的报告非常少。提出了最低报告标准,以使作者能够撰写研究报告,编辑和评审员能够评估提交的论文,读者能够评价已发表的研究。