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制定 TIDieR-Rehab 清单:改良 Delphi 法拓展康复干预报告模板(TIDieR)

Developing the TIDieR-Rehab checklist: a modified Delphi process to extend the Template for Intervention Description and Replication (TIDieR) for rehabilitation intervention reporting.

机构信息

Health and Rehabilitation Research Institute, Auckland University of Technology, Auckland, New Zealand

Health and Rehabilitation Research Institute, Auckland University of Technology, Auckland, New Zealand.

出版信息

BMJ Open. 2024 Nov 27;14(11):e084319. doi: 10.1136/bmjopen-2024-084319.

Abstract

OBJECTIVES

Rehabilitation is essential for supporting the recovery from, and management of, a range of health conditions. However, interventions are often poorly reported in rehabilitation research, hindering advancement of the field. The Template for Intervention Description and Replication (TIDieR) checklist was developed to enhance the reporting of interventions, but does not specifically address the complexities and multifaceted nature of rehabilitation interventions. This study aimed to develop an extension of the TIDieR checklist to support better reporting of rehabilitation interventions.

DESIGN

A modified Delphi study overseen by a Steering Committee.

SETTING

Online.

PARTICIPANTS

Rehabilitation experts were purposively sampled for diversity in discipline, practice setting, area of expertise and geographical location.

METHODS

Participants (n=35) provided both quantitative and qualitative feedback on drafts of the TIDieR-Rehab through online surveys. Quantitative data was descriptively analysed by percentage of agreement, while qualitative data was analysed using conventional content analysis. Quantitative and qualitative findings were subsequently triangulated to facilitate iterative refinement of the TIDieR-Rehab.

RESULTS

Consensus was achieved after two rounds of the modified Delphi process. The TIDieR-Rehab checklist comprises seven original, three adapted and 12 new reporting items, and is supported by a supplementary manual. Specific enhancements include more detailed descriptions of the study population () and timing of the intervention (), the planned intervention dosage (, and ), person-centred care () and negative undesired effects () which were considered critical for the comprehensive reporting of rehabilitation interventions.

CONCLUSION

The TIDieR-Rehab checklist marks a significant advancement in enhancing and standardising the reporting of rehabilitation interventions. By offering a structured format for detailing complex rehabilitation interventions, the TIDieR-Rehab supports improvements in reporting quality to promote research replication and support the translation of research findings into clinical practice. Future research should validate the TIDieR-Rehab checklist across a variety of intervention types and clinical contexts.

摘要

目的

康复对于支持各种健康状况的恢复和管理至关重要。然而,康复研究中的干预措施往往报道不足,阻碍了该领域的发展。模板干预描述和复制(TIDieR)清单的制定是为了提高干预措施的报告质量,但并没有专门针对康复干预措施的复杂性和多面性。本研究旨在开发 TIDieR 清单的扩展版本,以支持更好地报告康复干预措施。

设计

由指导委员会监督的修改后的德尔菲研究。

地点

在线。

参与者

康复专家根据学科、实践环境、专业领域和地理位置的多样性进行有针对性的抽样。

方法

参与者(n=35)通过在线调查对 TIDieR-Rehab 的草案提供了定量和定性反馈。使用百分比协议对定量数据进行描述性分析,同时使用常规内容分析对定性数据进行分析。随后对定量和定性结果进行三角剖分,以促进 TIDieR-Rehab 的迭代改进。

结果

经过两轮修改后的德尔菲流程,达成了共识。TIDieR-Rehab 清单包括七个原始、三个改编和 12 个新的报告项目,并附有补充手册。具体增强包括更详细的研究人群描述()和干预时间()、计划的干预剂量(、和)、以患者为中心的护理()和不良副作用(),这些被认为对康复干预措施的全面报告至关重要。

结论

TIDieR-Rehab 清单标志着在增强和标准化康复干预措施报告方面取得了重大进展。通过提供详细复杂康复干预措施的结构化格式,TIDieR-Rehab 支持提高报告质量,促进研究复制,并支持将研究结果转化为临床实践。未来的研究应在各种干预类型和临床环境中验证 TIDieR-Rehab 清单。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47ba/11603707/e320390c913b/bmjopen-14-11-g001.jpg

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