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Reporting Rigor of Cancer Rehabilitation Interventions: Application of the CReDECI-2 Guidelines
Rachelle Brick1, Lauren Voss, Sasha Arbid
1From the Division of Cancer Control and Population Sciences, Behavioral Research Program, Basic Biobehavioral and Psychological Sciences Research Branch, National Cancer Institute, Bethesda, Maryland (RB); University of Toronto, Faculty of Kinesiology and Physical Education, Toronto, Canada (LV); University Health Network, Princess Margaret Cancer Centre, Cancer Rehabilitation and Survivorship Program, Toronto, Canada (SA, YJ, GAT, DEH, AL, JMJ); Department of Physical Medicine and Rehabilitation, Cedars-Sinai Medical Center, Los Angeles, California (AGS); Mrs T.H. Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, California (CK); West Virginia School of Osteopathic Medicine, Lewisburg, West Virginia (AS); Department of Occupational Therapy, Institute of Health Professions, Boston, Massachusetts (SW, KDL); Duquesne University, School of Nursing, Pittsburg, Pennsylvania; Department of Obstetrics, Gynecology, and Reproductive Sciences, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania (GC); Department of Physical Therapy, University of British Columbia, Vancouver, Canada (KLC); and Veterans Affairs, Office of Research and Development, Health Systems Research, Washington, District of Columbia (LP).
Cancer rehabilitation intervention reporting is often incomplete, hindering clinical practice translation. Future research must use reporting checklists for detailed descriptions of these vital interventions.
Area of Science:
- Oncology
- Rehabilitation Medicine
- Clinical Trial Methodology
Background:
- Effective cancer rehabilitation interventions are crucial for improving patient outcomes and quality of life.
- Clear reporting of these interventions is essential for accurate interpretation and clinical application of research findings.
- Existing literature often lacks sufficient detail regarding the components and delivery of cancer rehabilitation.
Purpose of the Study:
- To assess the completeness of intervention reporting in cancer rehabilitation studies addressing disability.
- To identify specific elements of cancer rehabilitation interventions that are frequently underreported.
- To provide recommendations for improving the quality of intervention reporting in future research.
Main Methods:
- Secondary analysis of randomized controlled trials from two systematic reviews on cancer rehabilitation interventions.
- Utilized the Criteria for Reporting the Development and Evaluation of Complex Interventions in Healthcare 2 (CReDECI 2) checklist to evaluate reporting rigor.
- Systematic review of intervention descriptions within eligible trials focusing on disability and functional outcomes.
Main Results:
- Cancer rehabilitation intervention descriptions were generally incomplete, with 85% of trials reporting less than 50% of CReDECI 2 checklist items.
- Key underreported elements included theoretical basis, intervention fidelity, process evaluation, external influencing factors, and resource requirements.
- Significant gaps in reporting were identified across the evaluated literature.
Conclusions:
- The current body of literature on cancer rehabilitation interventions lacks the necessary detail for effective translation to clinical practice.
- Incomplete reporting hinders the reproducibility and scalability of cancer rehabilitation programs.
- Adoption of intervention reporting checklists is recommended to enhance study design and reporting quality for future research and practice.
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