OtherAmerican journal of physical medicine & rehabilitation2023

Reporting Rigor of Cancer Rehabilitation Interventions: Application of the CReDECI-2 Guidelines.

Rachelle Brick, Lauren Voss, Sasha Arbid and 13 others

PMID 37594223

WHAT IT FOUND

Cancer rehabilitation trials rarely report enough detail to be replicated.

Only 18% described the theory behind the intervention, and just 12% reported whether the treatment was delivered as planned. Most trials omitted costs, resources, and process evaluations, leaving clinicians unable to judge feasibility.

Key findings

01On average, included trials reported only 3.48 of the 13 required CReDECI-2 checklist items.

02Only 18% of studies reported the intervention's underlying theoretical basis, and only 12% reported fidelity to the treatment protocol.

03Items related to piloting, feasibility, and program evaluation were reported in less than 30% of articles.

STILL TO COME

How it was doneWhat they found

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What it does not show

The sample was drawn from two specific systematic reviews, so findings may not apply to cancer rehabilitation trials published after 2019. Trials focused exclusively on symptom management, distress, or psychological outcomes were excluded, so the reporting quality in those common areas is unknown. The analysis did not distinguish between telehealth and in-person interventions, despite telehealth being a growing part of rehabilitation practice. The study did not evaluate trial registration or open science practices, which are separate indicators of research transparency.

Declared interests

One author prepared the article as part of official duties for Veterans Affairs. The findings do not necessarily represent the official position of the National Institutes of Health or Veterans Affairs. No other financial benefits were reported.

The easy way to misread this

Do not interpret the low reporting scores as evidence that the interventions themselves were ineffective or poorly designed. This study assessed only how completely the authors described their methods, not the clinical outcomes of the trials.

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The study

Participants
184 studies
Certainty of evidence
Low

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    Cite

    Rachelle Brick, Lauren Voss, Sasha Arbid, et al. Reporting Rigor of Cancer Rehabilitation Interventions: Application of the CReDECI-2 Guidelines. American journal of physical medicine & rehabilitation. 2023.

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