From the Faculty of Health Sciences, Ontario Tech University, Oshawa, Ontario, Canada (DW, AT-V, PC); Centre for Disability Prevention and Rehabilitation at Ontario Tech University and CMCC, Toronto, Ontario, Canada (DW, AT-V, PC); Department of Biomedical, Surgical and Dental Sciences, University "La Statale," Milan, Italy (SN); and Istituto Ortopedico Galeazzi, Milan, Italy (SN).
Am J Phys Med Rehabil. 2021 Jan 1;100(1):17-28. doi: 10.1097/PHM.0000000000001601.
No standardized guideline for the reporting of outcomes measures in randomized controlled trials of rehabilitation interventions is currently available. This study includes four phases to identify, synthesize, and make recommendations for potential attributes of reporting criteria of outcome measures in rehabilitation randomized controlled trials. First, we surveyed the author instructions for rehabilitation journals to determine how journals require authors to report outcomes. Second, we reviewed all consolidated standards of reporting trials extensions to determine how other speciality groups require reporting of outcomes in randomized controlled trials. Third, we conducted a focused scoping review to examine the nature and variations of criteria used to evaluate the quality of outcome measures in randomized controlled trials. Finally, we synthesized the information from phases 1-3 and propose four criteria specific to the reporting of outcomes in randomized controlled trials of rehabilitation interventions: (1) clearly describe the construct to be measured as outcome(s); (2) justify the selection of outcome measures by mapping to World Health Organization International Classification of Function, Disability, and Health (International Classification of Functioning) framework; justify the psychometric properties (relevance, validity, reliability) of the selected measurement tool; (3) clearly describe the timing of outcome measurement, with consideration of the health condition, the course of disease, and hypothesized effect of intervention; and (4) complete and unselective reporting of outcome data.
目前,康复干预措施的随机对照试验结果测量指标报告尚无标准化指南。本研究包括四个阶段,旨在确定、综合并为康复随机对照试验结果测量指标报告的潜在标准属性提出建议。首先,我们调查了康复期刊的作者指南,以确定期刊要求作者报告哪些结果。其次,我们回顾了所有临床试验统一报告标准扩展内容,以确定其他专业组在随机对照试验中对结果报告的要求。第三,我们进行了一项重点范围综述,以研究用于评估随机对照试验中结果测量指标质量的标准的性质和变化。最后,我们综合了第 1-3 阶段的信息,并提出了 4 条专门针对康复干预措施随机对照试验中结果报告的标准:(1)明确描述作为结果的测量对象的结构;(2)通过映射到世界卫生组织国际功能、残疾和健康分类(国际功能分类)框架来证明对结果测量指标的选择是合理的;证明所选择测量工具的心理测量学特性(相关性、有效性、可靠性);(3)明确描述结果测量的时间,同时考虑到健康状况、疾病进程和干预措施的假设效果;以及(4)完整且无选择性地报告结果数据。