脑震荡后非药物干预的随机对照试验报告的完整性如何?系统的回顾。

IF 9.7 1区 医学 Q1 HOSPITALITY, LEISURE, SPORT & TOURISM Journal of Sport and Health Science Pub Date : 2024-07-01 Epub Date: 2023-08-22 DOI:10.1016/j.jshs.2023.08.003
Jacqueline Josee van Ierssel, Olivia Galea, Kirsten Holte, Caroline Luszawski, Elizabeth Jenkins, Jennifer O'Neil, Carolyn A Emery, Rebekah Mannix, Kathryn Schneider, Keith Owen Yeates, Roger Zemek
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引用次数: 0

摘要

目的:检查脑震荡后非药物干预的随机对照试验(RCT)的报告完整性。方法:截至2022年5月,我们搜索了MEDLINE、Embase、PsycInfo、CINAHL和Web of Science。两名评审员使用干预描述和复制模板(TIDieR)、运动报告模板共识(CERT)和国际治疗性运动训练共识(i-CONTENT)检查表独立筛选研究并评估报告的完整性。在报告不完整的地方,我的研究作者寻求了更多信息。使用Cochrane ROB-2工具评估偏倚风险(ROB)。随机对照试验检查脑震荡后的非药物干预。结果:纳入89例随机对照试验(n = 53高ROB)检查了11种不同的脑震荡干预措施:亚症状阈值有氧运动、颈淋巴管治疗、身体/认知休息、视觉治疗、教育、心理治疗、高压氧治疗、经颅磁刺激、蓝光治疗、整骨手法和头颈部冷却。中位得分为:TIDieR 9/12(75%;四分位间距(IQR) = 5.范围:5-12),CERT 17/19(89%;IQR = 2.范围:10-19),i-CONTENT 6/7(86%;IQR = 1.范围:5-7)。完全报告所有项目的研究百分比为TIDieR 35%(31/89)、CERT 24%(5/21)和i-CONTENT 10%(2/21)。TIDieR发表后,研究报告更加完整(t87 = 2.08;p = 0.04)和CERT(t19 = 2.72;p = 0.01)。报告的完整性与期刊影响因素没有强烈的相关性(TIDieR:rs = 0.27;p = 0.01;CERT:rs = -0.44;p = 0.06;i-CONTENT:rs = -0.17;p = 0.48)或ROB(TIDieR:rs = 0.11;p = 0.31;CERT:rs = 0.04;p = 0.86;i-CONTENT:rs = 0.12;p = 0.60)。结论:脑震荡后非药物干预的随机对照试验显示出中等至良好的报告完整性,但往往缺少关键组成部分,特别是修改、动机策略和合格的监督。TIDieR和CERT发表后,报告的完整性有所改善,但在高引用期刊上发表和低ROB并不能保证报告的完整。
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How completely are randomized controlled trials of non-pharmacological interventions following concussion reported? A systematic review.

Purpose: The study aimed to examine the reporting completeness of randomized controlled trials (RCTs) of non-pharmacological interventions following concussion.

Methods: We searched MEDLINE, Embase, PsycInfo, CINAHL, and Web of Science up to May 2022. Two reviewers independently screened studies and assessed reporting completeness using the Template for Intervention Description and Replication (TIDieR), Consensus on Exercise Reporting Template (CERT), and international Consensus on Therapeutic Exercise aNd Training (i-CONTENT) checklists. Additional information was sought my study authors where reporting was incomplete. Risk of bias (ROB) was assessed with the Cochrane ROB-2 Tool. RCTs examining non-pharmacological interventions following concussion.

Results: We included 89 RCTs (n = 53 high ROB) examining 11 different interventions for concussion: sub-symptom threshold aerobic exercise, cervicovestibular therapy, physical/cognitive rest, vision therapy, education, psychotherapy, hyperbaric oxygen therapy, transcranial magnetic stimulation, blue light therapy, osteopathic manipulation, and head/neck cooling. Median scores were: TIDieR 9/12 (75%; interquartile range (IQR) = 5; range: 5-12), CERT 17/19 (89%; IQR = 2; range: 10-19), and i-CONTENT 6/7 (86%; IQR = 1; range: 5-7). Percentage of studies completely reporting all items was TIDieR 35% (31/89), CERT 24% (5/21), and i-CONTENT 10% (2/21). Studies were more completely reported after publication of TIDieR (t87 = 2.08; p = 0.04) and CERT (t19 = 2.72; p = 0.01). Reporting completeness was not strongly associated with journal impact factor (TIDieR: rs = 0.27; p = 0.01; CERT: rs = -0.44; p = 0.06; i-CONTENT: rs = -0.17; p = 0.48) or ROB (TIDieR: rs = 0.11; p = 0.31; CERT: rs = 0.04; p = 0.86; i-CONTENT: rs = 0.12; p = 0.60).

Conclusion: RCTs of non-pharmacological interventions following concussion demonstrate moderate to good reporting completeness, but are often missing key components, particularly modifications, motivational strategies, and qualified supervisor. Reporting completeness improved after TIDieR and CERT publication, but publication in highly cited journals and low ROB do not guarantee reporting completeness.

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来源期刊
CiteScore
18.30
自引率
1.70%
发文量
101
审稿时长
22 weeks
期刊介绍: The Journal of Sport and Health Science (JSHS) is an international, multidisciplinary journal that aims to advance the fields of sport, exercise, physical activity, and health sciences. Published by Elsevier B.V. on behalf of Shanghai University of Sport, JSHS is dedicated to promoting original and impactful research, as well as topical reviews, editorials, opinions, and commentary papers. With a focus on physical and mental health, injury and disease prevention, traditional Chinese exercise, and human performance, JSHS offers a platform for scholars and researchers to share their findings and contribute to the advancement of these fields. Our journal is peer-reviewed, ensuring that all published works meet the highest academic standards. Supported by a carefully selected international editorial board, JSHS upholds impeccable integrity and provides an efficient publication platform. We invite submissions from scholars and researchers worldwide, and we are committed to disseminating insightful and influential research in the field of sport and health science.
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