intervention reporting

  • 文章类型: Journal Article
    在文献中彻底和一致地报告干预措施允许研究再现性或将干预措施付诸实践。尽管目前在已发表的文献中没有描述委员会认证的精神病学药剂师(BCPP)干预措施的标准,有多个清单或指南已开发用于报告临床干预措施,包括干预描述和复制的模板以及药剂师患者护理干预报告(PaCIR)清单,旨在提高文献中报告干预措施的质量。本文的目的是通过扩展PaCIR清单来描述在文献中报告BCPP干预措施的拟议指南。作者使用美国精神病学药剂师协会开发的逻辑模型,以确保该过程的所有要素在扩展指南中得到解决。
    Reporting interventions thoroughly and consistently in the literature allows for study reproducibility or implementation of the intervention into practice. Although there is currently no standard for describing Board-Certified Psychiatric Pharmacist (BCPP) interventions in the published literature, there are multiple checklists or guides that have been developed for reporting clinical interventions, including the template for intervention description and replication and the pharmacist patient care intervention reporting (PaCIR) checklist, that seek to improve the quality of reporting interventions in the literature. The purpose of this paper is to describe a proposed guide for reporting BCPP interventions in the literature by expanding the PaCIR checklist. Authors use a logic model developed by the American Association of Psychiatric Pharmacists to ensure all elements of the process are addressed in the expanded guide.
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  • 文章类型: Journal Article
    行为改变干预本体论(BCIO)旨在提高清晰度,干预描述和证据综合中报告的完整性和一致性。然而,目前不存在使用BCIO透明注释干预评估报告的推荐方法.本研究旨在开发使用BCIO进行注释的数据提取模板。
    BCIO数据提取模板的开发分为四个阶段:i)在BCIO内引用组件本体的论文范围审查,ii)开发模板草案,iii)试行和修订模板,和iv)模板的传播和维护。
    基于来自14篇论文的BCIO注释,开发了使用MicrosoftExcel的原型数据提取模板。“BCIO数据提取模板v1”是在试用和修订后生成的,整合了一个用于用户反馈的工具。
    此数据提取模板提供了单个,可访问的资源,以提取行为改变干预场景的所有必要特征。它可用于注释BCIO实体的存在以进行证据合成,包括系统评价。在未来,我们将根据社区的反馈更新此模板,在BCIO中添加了新发布的本体,以及对现有本体的修订。
    在研究报告中,行为改变干预措施经常以不一致和不完整的方式报告。这使得很难建立知识和预测结果。需要一种共同的语言来描述行为改变干预措施。这种需求是用“本体论”来满足的,它们是以标准化方式表示知识的分类系统。行为改变干预本体论(BCIO)已经被开发出来,以一种足够精确的方式描述干预的不同方面,以便计算机和人类“阅读”研究结果。BCIO可用于从研究报告中提取信息以进行证据综合,如系统的文献综述。为了满足BCIO对注释(编码)研究报告的资源的需求,我们开发了一个数据提取模板。该模板分四个阶段开发:i)使用BCIO审查现有论文,ii)开发模板草案,iii)试行和修订模板,和iv)模板的传播和维护。生成的资源是一个可访问的,易于使用的模板,以帮助指定报告干预措施及其评估的已发表论文的内容。该模板将根据用户反馈和未来对BCIO的修订进行更新。
    UNASSIGNED: The Behaviour Change Intervention Ontology (BCIO) aims to improve the clarity, completeness and consistency of reporting within intervention descriptions and evidence synthesis. However, a recommended method for transparently annotating intervention evaluation reports using the BCIO does not currently exist. This study aimed to develop a data extraction template for annotating using the BCIO.
    UNASSIGNED: The BCIO data extraction template was developed in four stages: i) scoping review of papers citing component ontologies within the BCIO, ii) development of a draft template, iii) piloting and revising the template, and iv) dissemination and maintenance of the template.
    UNASSIGNED: A prototype data extraction template using Microsoft Excel was developed based on BCIO annotations from 14 papers. The \'BCIO data extraction template v1\' was produced following piloting and revision, incorporating a facility for user feedback.
    UNASSIGNED: This data extraction template provides a single, accessible resource to extract all necessary characteristics of behaviour change intervention scenarios. It can be used to annotate the presence of BCIO entities for evidence synthesis, including systematic reviews. In the future, we will update this template based on feedback from the community, additions of newly published ontologies within the BCIO, and revisions to existing ontologies.
    Behaviour change interventions are often reported in an inconsistent and incomplete manner in study reports. This makes it difficult to build knowledge and predict outcomes. There is a need for a shared language to describe behaviour change interventions. This need was met using ‘ontologies’, which are classification systems that represent knowledge in a standardised way. The Behaviour Change Intervention Ontology (BCIO) has been developed to describe the different aspects of interventions in a way that is precise enough for computers as well as humans to ‘read’ study findings. The BCIO can be used to extract information from study reports for evidence synthesis, such as systematic literature reviews. To meet the need for a resource for annotating (coding) study reports according to the BCIO, we developed a data extraction template. The template was developed in four stages: i) reviewing existing papers using the BCIO, ii) development of a draft template, iii) piloting and revising the template, and iv) dissemination and maintenance of the template. The resulting resource is an accessible, easy-to-use template to assist with specifying the content of published papers reporting interventions and their evaluation. The template will be updated based on user feedback and future revisions to the BCIO.
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  • 文章类型: Journal Article
    诸如挑战之类的干预参数,金额,和剂量(挑战×量)有可能改变卒中后康复干预的疗效。本系统综述调查了挑战干预参数的影响,金额,和剂量对脑卒中患者在跑步机训练(TT)和比较干预措施后步行结局改善的影响。包括以下随机对照试验:(i)调查TT或体重支持TT(BWSTT)的干预措施;(ii)与其他物理治疗干预措施进行比较,其他类型的TT,或无干预;(iii)研究中风患者;(iv)报告了有关挑战和数量参数的足够数据;(v)测量的步行速度或耐力。使用TIDieR-Rehab检查表评估报告的完整性,并使用修订的Cochrane偏差风险工具评估偏差风险。该综述包括26项研究;15项研究比较了TT或BWSTT与其他物理治疗干预措施,11项研究比较了不同类型的TT。荟萃分析提供了低至中等确定性的证据,表明跑步机和比较物理治疗干预措施之间的挑战和剂量差异更大,对步行耐力产生更大的影响(p<0.01)。然而,挑战和剂量不影响步行速度结局.由于缺乏操纵干预量的研究,因此对干预量的分析受到限制。总的来说,研究结果表明,中风后,TT对步行耐力的一些功效可以通过训练期间的挑战水平来解释。这支持在中风康复实践中以更高的挑战水平实施TT。
    Intervention parameters such as the challenge, amount, and dosage (challenge × amount) have the potential to alter the efficacy of rehabilitation interventions after stroke. This systematic review investigated the effect of intervention parameters of challenge, amount, and dosage on improvements in walking outcomes following treadmill training (TT) and comparison interventions in people with stroke. Randomized controlled trials were included if they: (i) investigated interventions of TT or bodyweight-supported TT (BWSTT); (ii) made comparisons with other physiotherapy interventions, other types of TT, or no intervention; (iii) studied people with stroke; (iv) reported sufficient data on challenge and amount parameters; and (v) measured walking speed or endurance. Completeness of reporting was evaluated using the TIDieR-Rehab checklist and risk of bias was assessed using the revised Cochrane risk-of-bias tool. The review included 26 studies; 15 studies compared TT or BWSTT with other physiotherapy interventions and 11 studies compared different types of TT. Meta-analyses provided evidence with low to moderate certainty that greater differences in challenge and dosage between treadmill and comparison physiotherapy interventions produced greater effects on walking endurance (p < 0.01). However, challenge and dosage did not influence walking speed outcomes. The analysis of intervention amount was limited by the lack of studies that manipulated the amount of intervention. Overall, the findings indicate that, after stroke, some of the efficacy of TT on walking endurance can be explained by the challenge level during training. This supports the implementation of TT at higher challenge levels in stroke rehabilitation practice.
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  • 文章类型: Journal Article
    背景:为了积累关于行为改变干预措施有效的累积证据,已经努力开发分类系统,以指定干预措施的内容。行为改变技术(BCT)分类v1(BCTTv1)是各种行为中使用最广泛的行为改变技术分类之一。BCTTv1被故意命名为版本1,以允许对分类法进行进一步修订。本研究旨在收集数据以改进BCTTv1,并为将其发展成更详细的知识结构提供建议。一种本体论。方法:通过BCT网站收集BCTTv1用户关于局限性和建议改进的反馈,用户调查,参与人类行为改变项目的研究人员和专家,和咨询。此外,分析了相关已发表的研究报告和其他BCT分类系统。综合这些数据以产生建议,以告知BCT本体的发展。结果:对来自六个来源的282条评论进行了审查,并综合分为四类建议:其他BCT,对特定BCT的标签和定义的修订,对集团的修正案,和一般的改进。反馈表明,在理解和识别标签技术方面缺乏清晰度,定义,和例子;BCT之间的区别和关系;知道它们在实践中会是什么样子。这项分析得出了三项改进BCTTv1的建议:审查每个BCT的标签和定义,BCT的16组,以及说明BCT的示例。结论:这篇关于BCTTv1的反馈综述确定了需要提高当前分类法的精度和知识结构。BCT本体将能够规范BCT之间的关系,更精确的定义,并允许与其他本体更好的互操作性。该本体将作为人类行为改变项目的一部分进行开发。
    Background: To build cumulative evidence about what works in behaviour change interventions, efforts have been made to develop classification systems for specifying the content of interventions. The Behaviour Change Techniques (BCT) Taxonomy v1 (BCTTv1) is one of the most widely used classifications of behaviour change techniques across a variety of behaviours. The BCTTv1 was intentionally named version 1 to allow for further revisions to the taxonomy. This study aimed to gather data to improve the BCTTv1 and provide recommendations for developing it into a more elaborated knowledge structure, an ontology.  Methods: Feedback from users of BCTTv1 about limitations and proposed improvements was collected through the BCT website, user survey, researchers and experts involved in the Human Behaviour-Change Project, and a consultation. In addition, relevant published research reports and other classification systems of BCTs were analysed. These data were synthesised to produce recommendations to inform the development of an ontology of BCTs. Results: A total of 282 comments from six sources were reviewed and synthesised into four categories of suggestions: additional BCTs, amendments to labels and definitions of specific BCTs, amendments to the groupings, and general improvements. Feedback suggested some lack of clarity regarding understanding and identifying techniques from labels, definitions, and examples; distinctions and relations between BCTs; and knowing what they would look like in practice. Three recommendations to improve the BCTTv1 resulted from this analysis: to review the label and definition of each BCT, the 16 groupings of BCTs, and the examples illustrating BCTs. Conclusions : This review of feedback about BCTTv1 identified the need to improve the precision and knowledge structure of the current taxonomy. A BCT ontology would enable the specification of relationships between BCTs, more precise definitions, and allow better interoperability with other ontologies. This ontology will be developed as part of the Human Behaviour-Change Project.
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  • 文章类型: Journal Article
    背景:行为改变技术分类v1(BCTTv1)指定了行为改变干预措施的潜在活跃内容。对BCTTv1的评估表明需要将其扩展为正式本体,改进其标签和定义,添加BCT并细分现有BCT。我们旨在开发一种能够满足这些需求的行为改变技术本体论(BCTO)。方法:BCTO是通过以下方式开发的:(1)整理和综合来自多个来源的反馈;(2)从已发表的研究和分类系统中提取信息;(3)审查和提炼实体的多次迭代,和他们的标签,定义和关系;(4)通过专家利益相关者审查其全面性和清晰度来完善本体;(5)测试研究人员是否可以可靠地应用本体来识别干预报告中的BCT;(6)使其在线可用并创建机器可读的版本。结果:最初对BCTTv1有282个建议的改变。在第一轮审查之后,19个BCT分为两个或更多BCT,添加了27个新的BCT,并将26个BCT转移到另一组中,将161个BCT分层组织成12个逻辑定义的更高级别的组,最多可分为5个层次。在专家利益相关者审查之后,精炼的本体将247个BCT分层组织成20个更高级别的组。熟悉和不熟悉本体论的研究人员对干预评估报告的独立注释导致了较好的评估者间可靠性水平(分别为0.82和0.79)。在根据本练习进行修订后,增加了34个BCT,导致BCTO的最终版本包含281个BCTs,分为五个层次的20个更高级别的组。讨论:BCT本体为行为改变干预措施的内容提供了标准术语和综合分类系统,可以可靠地用于描述干预措施。
    UNASSIGNED: The Behaviour Change Technique Taxonomy v1 (BCTTv1) specifies the potentially active content of behaviour change interventions. Evaluation of BCTTv1 showed the need to extend it into a formal ontology, improve its labels and definitions, add BCTs and subdivide existing BCTs. We aimed to develop a Behaviour Change Technique Ontology (BCTO) that would meet these needs.
    UNASSIGNED: The BCTO was developed by: (1) collating and synthesising feedback from multiple sources; (2) extracting information from published studies and classification systems; (3) multiple iterations of reviewing and refining entities, and their labels, definitions and relationships; (4) refining the ontology via expert stakeholder review of its comprehensiveness and clarity; (5) testing whether researchers could reliably apply the ontology to identify BCTs in intervention reports; and (6) making it available online and creating a computer-readable version.
    UNASSIGNED: Initially there were 282 proposed changes to BCTTv1. Following first-round review, 19 BCTs were split into two or more BCTs, 27 new BCTs were added and 26 BCTs were moved into a different group, giving 161 BCTs hierarchically organised into 12 logically defined higher-level groups in up to five hierarchical levels. Following expert stakeholder review, the refined ontology had 247 BCTs hierarchically organised into 20 higher-level groups. Independent annotations of intervention evaluation reports by researchers familiar and unfamiliar with the ontology resulted in good levels of inter-rater reliability (0.82 and 0.79, respectively). Following revision informed by this exercise, 34 BCTs were added, resulting in the first published version of the BCTO containing 281 BCTs organised into 20 higher-level groups over five hierarchical levels.
    UNASSIGNED: The BCTO provides a standard terminology and comprehensive classification system for the content of behaviour change interventions that can be reliably used to describe interventions. The development and maintenance of an ontology is an iterative and ongoing process; no ontology is ever \'finished\'. The BCTO will continue to evolve and grow (e.g. new BCTs or improved definitions) as a result of user feedback and new available evidence.
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  • 文章类型: Journal Article
    OBJECTIVE: (1) Describe which strength training exercise descriptors are reported in anterior cruciate ligament reconstruction (ACLR) rehabilitation research and (2) compare the current standards of reporting ACLR strength training exercise descriptors to international best practice strength training guidelines.
    METHODS: Scoping review.
    METHODS: We searched the Medline, PsycINFO, CINAHL, SPORTDiscus, Academic Search, ERIC, Health Source Nursing, Health Source Consumer, MasterFILE, and African Wide Information databases.
    UNASSIGNED: We included level I-IV studies of ACLR rehabilitation programs with one or more reported strength training exercise descriptor. We used a predefined list of 19 exercise descriptors based on the American College of Sports Medicine (ACSM) exercise recommendations, the Consensus on Exercise Reporting Template (CERT), and Toigo and Boutelliers\' exercise descriptor framework.
    RESULTS: Completeness and standard of reporting exercise descriptors in ACLR rehabilitation programs were assessed by means of best practice strength training international standards.
    RESULTS: We extracted data on 117 exercises from 41 studies. A median of 7 of the 19 possible exercise descriptors were reported (range 3-16). Reporting of specific exercise descriptors varied across studies from 93% (name of the strength training exercise) to 5% (exercise aim). On average, 46%, 35%, and 43% of the exercise descriptors included in the ACSM, CERT, and Toigo and Boutellier guidelines were reported, respectively.
    CONCLUSIONS: Key exercise descriptors for muscle strength gains are not reported in studies on ACLR rehabilitation. Only the exercise name, number of exercises and the experimental period were reported in most of the studies. J Orthop Sports Phys Ther, Epub 16 Nov 2021. doi:10.2519/jospt.2022.10651.
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    求助全文

  • 文章类型: Journal Article
    背景:确定行为改变干预措施是如何交付的,包括谁,是理解干预效果的关键。然而,关于谁提供干预的信息在干预评估中报告不一致,限制交流和知识积累。本文报告了一种一致性报告方法:干预源本体。这构成了行为改变干预本体论的一部分,旨在涵盖行为改变干预措施的所有方面。方法:干预源本体是按照人类行为改变项目中使用的本体开发和维护方法开发的,有七个关键步骤:1)定义本体的范围,2)通过审查现有分类系统(自上而下)和审查100份行为改变干预报告(自下而上),确定关键实体并制定其初步定义;3)通过在100份报告上试点初步本体来完善本体,4)34位行为科学和公共卫生专家的利益相关者审查,5)使用本体对注释干预报告进行评估者间可靠性测试,6)指定实体之间的本体论关系,以及7)传播和维护干预源本体论。结果:干预源本体由140个实体组成。本体论的关键领域包括来源的职业角色,人源与目标人群的关联性,社会人口统计学属性和专业知识。对于熟悉本体论的人,评分者间的可靠性为0.60,对于不熟悉本体论的人,评分者间的可靠性为0.59,协议级别被认为是“可接受的”。结论:可以使用干预源本体可靠地指定有关谁提供行为改变干预措施的信息。对于人为干预,本体可用于对现有行为变化报告中的源特征进行分类,并在报告中更清晰地说明干预源。
    Background:  Identifying how behaviour change interventions are delivered, including by whom, is key to understanding intervention effectiveness. However, information about who delivers interventions is reported inconsistently in intervention evaluations, limiting communication and knowledge accumulation. This paper reports a method for consistent reporting: The Intervention Source Ontology. This forms one part of the Behaviour Change Intervention Ontology, which aims to cover all aspects of behaviour change interventions . Methods: The Intervention Source Ontology was developed following methods for ontology development and maintenance used in the Human Behaviour-Change Project, with seven key steps: 1) define the scope of the ontology, 2) identify key entities and develop their preliminary definitions by reviewing existing classification systems (top-down) and reviewing 100 behaviour change intervention reports (bottom-up), 3) refine the ontology by piloting the preliminary ontology on 100 reports, 4) stakeholder review by 34 behavioural science and public health experts, 5) inter-rater reliability testing of annotating intervention reports using the ontology, 6) specify ontological relationships between entities and 7) disseminate and maintain the Intervention Source Ontology. Results: The Intervention Source Ontology consists of 140 entities. Key areas of the ontology include Occupational Role of Source, Relatedness between Person Source and the Target Population, Sociodemographic attributes and Expertise. Inter-rater reliability was found to be 0.60 for those familiar with the ontology and 0.59 for those unfamiliar with it, levels of agreement considered \'acceptable\'. Conclusions: Information about who delivers behaviour change interventions can be reliably specified using the Intervention Source Ontology. For human-delivered interventions, the ontology can be used to classify source characteristics in existing behaviour change reports and enable clearer specification of intervention sources in reporting.
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  • 文章类型: Journal Article
    The literature on self-management interventions (SMIs) is growing exponentially, but it is characterized by heterogeneous reporting that limits comparability across studies and interventions. Building an SMI taxonomy is the first step towards creating a common language for stakeholders to drive research in this area and promote patient self-management and empowerment.
    To develop and validate the content of a comprehensive taxonomy of SMIs for long-term conditions that will help identify key characteristics and facilitate design, reporting and comparisons of SMIs.
    We employed a mixed-methods approach incorporating a literature review, an iterative consultation process and mapping of key domains, concepts and elements to develop an initial SMI taxonomy that was subsequently reviewed in a two-round online Delphi survey with a purposive sample of international experts.
    The final SMI taxonomy has 132 components classified into four domains: intervention characteristics, expected patient/caregiver self-management behaviours, outcomes for measuring SMIs and target population characteristics. The two-round Delphi exercise involving 27 international experts demonstrated overall high agreement with the proposed items, with a mean score (on a scale of 1-9) per component of 8.0 (range 6.1-8.8) in round 1 and 8.1 (range 7.0-8.9) in round 2.
    The SMI taxonomy contributes to building a common framework for the patient self-management field and can help implement and improve patient empowerment and facilitate comparative effectiveness research of SMIs. Patient or public contribution. Patients\' representatives contributed as experts in the Delphi process and as partners of the consortium.
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  • 文章类型: Journal Article
    UNASSIGNED: To evaluate the quality of the reporting of exercise interventions with Pilates method for the treatment of lower back pain (LBP) in adults.
    UNASSIGNED: Two independent evaluators selected randomized controlled trials (RCTs) of moderate and high methodological quality included in a Cochrane Systematic Review (SR) and from an additional updated search in the following databases: CENTRAL, MEDLINE, EMBASE, CINAHL, PEDro and SPORTDiscus. Three assessment tools (Consensus on Therapeutic Exercise Training (CONTENT) scale, Template for Intervention Description and Replication (TIDieR) checklist and Consensus on Exercise Reporting Template (CERT) checklist) were utilized by three pairs of two independent researchers trained. The scales\' concordance was measured using the Kappa coefficient.
    UNASSIGNED: Ten RCTs were included. The CONTENT scale score was 5.3 (± 1.33) out of 9 points; the TIDieR checklist was 8.5 (± 1.71) out of 12 points and the CERT checklist was 9.5 (± 3.62) out of 19 points. The CONTENT and CERT had moderate concordance, while there was fair concordance between the other tools.
    UNASSIGNED: The overall reporting quality for the Pilates exercises in ten moderate-to-high quality RTCs for the management of LBP was low according to CONTENT scale and CERT checklist and high according to TIDieR checklist.Implications for RehabilitationReporting of Pilates exercise program in moderate-to-high quality RCTs for the management of lower back pain remains incomplete.Pilates exercise program should be personalized and contextualized to individual participants.There may be a need to consider adding to or combining the information available from various trials.
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  • 文章类型: Journal Article
    To (1) describe which resistance exercises are used in the first 8 weeks of treatment for acute Achilles tendon rupture and (2) assess the completeness of reporting of the exercise descriptions.
    Scoping review.
    We searched the MEDLINE, Embase, CINAHL, Cochrane Library, and Physiotherapy Evidence Database (PEDro) databases.
    Randomized controlled trials, cohort studies, and case series (10 or more participants) that reported using resistance exercise in the immobilization period in the first 8 weeks of treatment for acute Achilles tendon rupture were included.
    Completeness of exercise description was assessed with the Consensus on Exercise Reporting Template (CERT) and the Toigo and Boutellier exercise descriptor framework.
    Thirty-eight studies were included. Fifty-one resistance exercises were extracted and categorized as isometric exercises (n = 20), heel raises (n = 6), strengthening with external resistance (n = 13), or unspecified (n = 12). A median of 8 (interquartile range, 6-10) of a possible 19 CERT items was reported. The amount of items described of the 13 Toigo and and Boutellier exercise descriptors ranged from 0 to 11.
    A variety of resistance exercises targeted at the ankle plantar flexors were used as part of early functional rehabilitation after Achilles tendon rupture. However, most studies provided inadequate description of resistance exercise interventions. J Orthop Sports Phys Ther 2020;50(12):681-691. Epub 23 Oct 2020. doi:10.2519/jospt.2020.9463.
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