1 |
Developing, monitoring, and reporting of fidelity in aphasia trials: Core recommendations from the Collaboration of Aphasia Trialists (CATs) Trials for Aphasia Panel
|
|
Behn, N.; Harrison, M.; Brady, M. C.; Breitenstein, C.; Carragher, M.; Fridriksson, J.; Godecke, E.; Hillis, A.; Kelly, H.; Palmer, R.; Rose, M. L.; Thomas, S.; Tippett, D.; Worrall, L.; Becker, F.; Hilari, K.. - : Routledge, 2022
|
|
Abstract:
Background: Developing, monitoring, and reporting of fidelity are essential and integral components to the design of randomised controlled trials (RCTs) in stroke and aphasia. Treatment fidelity refers to the degree to which an intervention is delivered as intended and is directly related to the quality of the evidence generated by RCTs. Clear documentation of treatment fidelity in trials assists in the evaluation of the clinical implications of potential benefits attributed to the intervention. Consideration of the implementation requirements of a research-based intervention as intended in a clinical context is necessary to achieve similar outcomes for a clinical population. Despite this, treatment fidelity is rarely reported in RCTs of aphasia intervention. Aim: To describe fidelity strategies and develop core recommendations for developing, monitoring and reporting of fidelity in aphasia intervention RCTs. Scope: Relevant conceptual frameworks were considered. The Behaviour Change Consortium comprehensive framework of fidelity was adopted. It includes five areas: study design, training providers, delivery of treatment, treatment receipt, and treatment enactment. We explored fidelity in RCTs with a range of complex aphasia interventions (e.g., ASK, Big CACTUS, COMPARE, FCET2EC, POLAR, SUPERB, VERSE) and described how different trial design factors (e.g., phase of trial, explanatory vs. pragmatic, number and location of sites, number and type of treatment providers) influenced the fidelity strategies chosen. Strategies were mapped onto the five areas of the fidelity framework with a detailed exploration of how fidelity criteria were developed, measured, and monitored throughout each trial. This information was synthesised into a set of core recommendations to guide aphasia researchers towards the adequate measurement, capture, and reporting of fidelity within future aphasia intervention studies. Conclusions/Recommendations: Treatment fidelity should be a core consideration in planning an intervention trial, a concept that goes beyond treatment adherence alone. A range of strategies should be selected depending on the phase and design of the trial being undertaken and appropriate investment of time and costs should be considered.
|
|
Keyword:
RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
|
|
URL: https://openaccess.city.ac.uk/id/eprint/27556/1/Fidelity%20in%20aphasia%20trials%20R1%20CLEAN.pdf https://doi.org/10.1080/02687038.2022.2037502 https://openaccess.city.ac.uk/id/eprint/27556/8/Developing%20monitoring%20and%20reporting%20of%20fidelity%20in%20aphasia%20trials%20core%20recommendations%20from%20the%20collaboration%20of%20aphasia%20trialists%20CATs%20trials%20for.pdf https://openaccess.city.ac.uk/id/eprint/27556/
|
|
BASE
|
|
Hide details
|
|
2 |
Dosage, intensity, and frequency of language therapy for aphasia: a systematic review–based, individual participant data network meta-analysis
|
|
|
|
BASE
|
|
Show details
|
|
3 |
Utilising a systematic review-based approach to create a database of individual participant data for meta- and network meta-analyses: the RELEASE database of aphasia after stroke
|
|
|
|
BASE
|
|
Show details
|
|
4 |
Dosage, Intensity, and Frequency of Language Therapy for Aphasia: A Systematic Review-Based, Individual Participant Data Network Meta-Analysis
|
|
|
|
BASE
|
|
Show details
|
|
6 |
Utilising a systematic review-based approach to create a database of individual participant data for meta- and network meta-analyses: the RELEASE database of aphasia after stroke
|
|
|
|
BASE
|
|
Show details
|
|
7 |
Predictors of poststroke aphasia recovery: a systematic review-informed individual participant data meta-analysis
|
|
|
|
BASE
|
|
Show details
|
|
8 |
Establishing consensus on a definition of aphasia: an e-Delphi study of international aphasia researchers
|
|
|
|
BASE
|
|
Show details
|
|
9 |
Communicating simply, but not too simply: Reporting of participants and speech and language interventions for aphasia after stroke
|
|
|
|
BASE
|
|
Show details
|
|
10 |
RELEASE: A protocol for a systematic review based, individual participant data, meta- and network meta-analysis, of complex speech-language therapy interventions for stroke-related aphasia
|
|
|
|
BASE
|
|
Show details
|
|
11 |
Increasing the intensity and comprehensiveness of aphasia services: identification of key factors influencing implementation across six countries
|
|
|
|
BASE
|
|
Show details
|
|
12 |
RELEASE : a protocol for a systematic review based, individual participant data, meta- and network meta-analysis, of complex speech-language therapy interventions for stroke-related aphasia
|
|
|
|
BASE
|
|
Show details
|
|
13 |
A core outcome set for aphasia treatment research: The ROMA consensus statement
|
|
|
|
BASE
|
|
Show details
|
|
14 |
RELEASE: a protocol for a systematic review based, individual participant data, meta- and network meta-analysis, of complex speech-language therapy interventions for stroke-related aphasia
|
|
|
|
In: Aphasiology, 2019 (2019)
|
|
BASE
|
|
Show details
|
|
15 |
Tidier descriptions of speech and language therapy interventions for people with aphasia; consensus from the release collaboration
|
|
|
|
BASE
|
|
Show details
|
|
16 |
A core outcome set for aphasia treatment research: the ROMA consensus statement
|
|
|
|
BASE
|
|
Show details
|
|
17 |
Tidier descriptions of speech and language therapy interventions for people with aphasia; consensus from the RELEASE collaboration
|
|
|
|
BASE
|
|
Show details
|
|
18 |
ASK (Action Success Knowledge), a psychosocial intervention to prevent depression in people with post stroke aphasia - treatment fidelity
|
|
|
|
BASE
|
|
Show details
|
|
19 |
Which outcomes are most important to people with aphasia and their families? an international nominal group technique study framed within the ICF
|
|
|
|
BASE
|
|
Show details
|
|
20 |
Preliminary Psychometric Analyses of Two Assessment Measures Quantifying Communicative and Social Activities: the COMACT and SOCACT
|
|
|
|
BASE
|
|
Show details
|
|
|
|