Reporting and replicating trials of exercise-based cardiac rehabilitation: do we know what the researchers actually did?

Abell, Bridget, Glasziou, Paul and Hoffmann, Tammy (2015) Reporting and replicating trials of exercise-based cardiac rehabilitation: do we know what the researchers actually did?. Circulation: Cardiovascular Quality and Outcomes, 8 2: 187-194. doi:10.1161/CIRCOUTCOMES.114.001381


Author Abell, Bridget
Glasziou, Paul
Hoffmann, Tammy
Title Reporting and replicating trials of exercise-based cardiac rehabilitation: do we know what the researchers actually did?
Journal name Circulation: Cardiovascular Quality and Outcomes   Check publisher's open access policy
ISSN 1941-7705
Publication date 2015
Year available 2015
Sub-type Article (original research)
DOI 10.1161/CIRCOUTCOMES.114.001381
Open Access Status Not Open Access
Volume 8
Issue 2
Start page 187
End page 194
Total pages 8
Place of publication Lippincott Williams & Wilkins
Publisher Philadelphia, PA United States
Collection year 2016
Language eng
Formatted abstract
Background—Complete reporting of all components of complex interventions is essential for translation of research evidence into clinical practice. Previous work has highlighted deficiencies in the reporting of nonpharmacological interventions; however, the reporting quality of exercise-based interventions for coronary heart disease has not been examined.

Methods and Results—A systematic search strategy was used to identify randomized controlled trials of exercise-based cardiac rehabilitation published until December 2013. Fifty-seven trials were included, reporting on 74 interventions. Intervention description completeness was assessed using the Template for Intervention Description and Replication checklist. Missing intervention details were then sought from additional published material and also by emailing corresponding authors. Only 6 interventions (8%) sufficiently described all required items within the main publication; this increased to 11 (15%) after searching for additional published material and 32 (43%) after contacting trial authors. Although location/setting and duration were consistently well reported in publications, complete descriptions of the exercise schedule, as well as details about its tailoring and progression, were missing for over half of interventions (complete for 42% and 36% of interventions, respectively). Although some authors (25/61) were able to provide missing intervention details when contacted, others could not be located (20) or did not respond (16).

Conclusions—Inadequate reporting of cardiac rehabilitation interventions is a substantial problem, with essential information frequently missing, and for almost half of all interventions, unobtainable after publication. A conscientious effort to address this problem could facilitate an improvement in the quality of cardiac rehabilitation delivered in clinical practice.
Keyword Exercise
Heart disease
Rehabilitation
Trials
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Health and Rehabilitation Sciences Publications
 
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