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Evaluating the design and reporting of pragmatic trials in osteoarthritis research

Ali, SA, Kloseck, M, Lee, K, Walsh, KE, MacDermid, JC and Fitzsimmons, DA (2017) Evaluating the design and reporting of pragmatic trials in osteoarthritis research. Rheumatology. ISSN 1462-0324

Rheum revision submitted Dec 16 2016.pdf - Accepted Version

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Objectives. Among the challenges in health research is translating interventions from controlled experimental settings to clinical and community settings where chronic disease is managed daily. Pragmatic trials offer a method for testing interventions in real-world settings but are seldom used in OA research. The aim of this study was to evaluate the literature on pragmatic trials in OA research up to August 2016 in order to identify strengths and weaknesses in the design and reporting of these trials.
Methods. We used established guidelines to assess the degree to which 61 OA studies complied with pragmatic trial design and reporting. We assessed design according to the pragmatic–explanatory continuum indicator summary and reporting according to the pragmatic trials extension of the CONsolidated Standards of Reporting Trials guidelines.
Results. None of the pragmatic trials met all 11 criteria evaluated and most of the trials met between 5 and 8 of the criteria. Criteria most often unmet pertained to practitioner expertise (by requiring specialists) and criteria most often met pertained to primary outcome analysis (by using intention-to-treat analysis).
Conclusion. Our results suggest a lack of highly pragmatic trials in OA research. We identify this as a point of opportunity to improve research translation, since optimizing the design and reporting of pragmatic trials can facilitate implementation of evidence-based interventions for OA care.

Item Type: Article
Additional Information: This is a pre-copyedited, author-produced version of an article accepted for publication in Rheumatology following peer review. The version of record Shabana Amanda Ali, Marita Kloseck, Karen Lee, Kathleen Ellen Walsh, Joy C. MacDermid, Deborah Fitzsimmons; Evaluating the design and reporting of pragmatic trials in osteoarthritis research. Rheumatology (Oxford) 2017 kex050 is available online at: http://dx.doi.org/10.1093/rheumatology/kex050
Uncontrolled Keywords: 1103 Clinical Sciences, 1107 Immunology, 1117 Public Health And Health Services
Subjects: R Medicine > R Medicine (General)
R Medicine > RT Nursing
Divisions: Nursing & Allied Health
Publisher: Oxford University Press
Date Deposited: 28 Mar 2017 09:41
Last Modified: 04 Sep 2021 11:46
DOI or ID number: 10.1093/rheumatology/kex050
URI: https://researchonline.ljmu.ac.uk/id/eprint/6132
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