From the Moss Rehabilitation Research Institute, Einstein Healthcare Network, Elkins Park, Pennsylvania (JW, MF); Department of Physical Medicine and Rehabilitation, Wayne State University, Detroit, Michigan (MPD); MGH Institute of Health Professions, Boston, Massachusetts (SEF, JHVS); Department of Occupational Therapy, Spaulding Rehabilitation Hospital, and Sargent College of Health and Rehabilitation Sciences, Department of Occupational Therapy, Boston University, Boston, Massachusetts (LWK); Department of Neurological Rehabilitation, Scripps Memorial Hospital, Encinitas, California (SN); Department of Physical Therapy, University of Alberta, Edmonton, AB, Canada (EP); Department of Physical Medicine and Rehabilitation, Carolinas Rehabilitation, Charlotte, North Carolina (SMP); School of Public Health and Health Professions, Department of Rehabilitation Science, University at Buffalo, Buffalo, New York (SAS); Harvard Medical School, Massachusetts General Hospital, Boston, Massachusetts (JHVS); and School of Health and Rehabilitation Sciences, Division of Occupational Therapy, The Ohio State University, Columbus, Ohio (LW).
Am J Phys Med Rehabil. 2021 Jan 1;100(1):5-16. doi: 10.1097/PHM.0000000000001581.
Clear reporting on rehabilitation treatments is critical for interpreting and replicating study results and for translating treatment research into clinical practice. This article reports the recommendations of a working group on improved reporting on rehabilitation treatments. These recommendations are intended to be combined with the efforts of other working groups, through a consensus process, to arrive at a reporting guideline for randomized controlled trials in physical medicine and rehabilitation (Randomized Controlled Trials Rehabilitation Checklist). The work group conducted a scoping review of 156 diverse guidelines for randomized controlled trial reporting, to identify themes that might be usefully applied to the field of rehabilitation. Themes were developed by identifying content that might improve or enhance existing items from the Template for Intervention Description and Replication. Guidelines addressing broad research domains tended to define reporting items generally, from the investigator's perspective of relevance, whereas those addressing more circumscribed domains provided more specific and operationalized items. Rehabilitation is a diverse field, but a clear description of the treatment's separable components, along with distinct treatment theories for each, can improve reporting of relevant information. Over time, expert consensus groups should develop more specific guideline extensions for circumscribed research domains, around coalescing bodies of treatment theory.
康复治疗的清晰报告对于解释和复制研究结果以及将治疗研究转化为临床实践至关重要。本文报告了一个关于改进康复治疗报告的工作组的建议。这些建议旨在与其他工作组通过共识过程相结合,为物理医学与康复领域的随机对照试验制定报告指南(随机对照试验康复检查表)。工作组对 156 种不同的随机对照试验报告指南进行了范围审查,以确定可能有助于康复领域的主题。通过确定可能改进或增强模板干预描述和复制中现有项目的内容来确定主题。从研究人员相关性的角度来看,针对广泛研究领域的指南往往会一般定义报告项目,而那些针对更特定领域的指南则提供更具体和可操作的项目。康复是一个多样化的领域,但是对治疗的可分离组成部分以及每个组成部分的独特治疗理论的清晰描述,可以提高相关信息的报告质量。随着时间的推移,专家共识小组应该围绕治疗理论的凝聚体,为特定的研究领域制定更具体的指南扩展。