一项针对多发性硬化症患者记忆康复随机对照试验中治疗完整性的评估。
An evaluation of treatment integrity in a randomised controlled trial of memory rehabilitation for people with multiple sclerosis.
作者信息
Smale Kathryn J, Carr Sara E, Schwartz Annette F, das Nair Roshan, Lincoln Nadina B
机构信息
Division of Rehabilitation and Ageing, University of Nottingham, UK
Central Surrey Health, Surrey, UK.
出版信息
Clin Rehabil. 2015 May;29(5):493-9. doi: 10.1177/0269215514548733. Epub 2014 Sep 19.
OBJECTIVE
To assess the treatment integrity of a memory rehabilitation programme for people with multiple sclerosis.
SUBJECTS
Data were drawn from the intervention group of a randomised controlled trial of memory rehabilitation. This comprised 24 participants with multiple sclerosis.
MEASURES
Four core session components were identified from the treatment manual: recap, activities, take-home activity and other. One video-recording of each of ten intervention sessions was transcribed and amount of time spent on components recorded.
RESULTS
There were no significant differences between early and late stages of the programme in time spent on the core components (recap Z= -0.87, P=0.49; activities Z = -0.29, P=0.89; take-home activity Z = -0.59, P=0.69; other Z = -0.58, P=0.69). Thus, adherence to the manual was good with no evidence of programme drift.
CONCLUSIONS
Good adherence indicates the intervention was delivered as described in the manual and strengthens confidence in the findings of the randomised controlled trial.
目的
评估针对多发性硬化症患者的记忆康复计划的治疗完整性。
对象
数据取自记忆康复随机对照试验的干预组。该组包括24名多发性硬化症患者。
措施
从治疗手册中确定了四个核心课程组成部分：回顾、活动、家庭作业活动和其他。对十个干预课程中的每个课程的一个视频记录进行了转录，并记录了在各组成部分上花费的时间。
结果
该计划的早期和后期在核心组成部分上花费的时间没有显著差异（回顾：Z = -0.87，P = 0.49；活动：Z = -0.29，P = 0.89；家庭作业活动：Z = -0.59，P = 0.69；其他：Z = -0.58，P = 0.69）。因此，对手册的依从性良好，没有计划偏差的迹象。
结论
良好的依从性表明干预是按照手册中所述进行的，并增强了对随机对照试验结果的信心。
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