Quality and reporting of cluster randomised controlled trials evaluating occupational therapy interventions: A systematic review

Journal article

Ema Tokolahi, Clare Hocking, Paula Kersten and Alain C. Vandal 2015. Quality and reporting of cluster randomised controlled trials evaluating occupational therapy interventions: A systematic review. OTJR: Occupation, Participation and Health. 36 (1), pp. 14-24. https://doi.org/10.1177/1539449215618625
AuthorsEma Tokolahi, Clare Hocking, Paula Kersten and Alain C. Vandal
Abstract

Growing use of cluster randomized control trials (RCTs) in health care research requires careful attention to study designs, with implications for the development of an evidence base for practice. The objective of this study is to investigate the characteristics, quality, and reporting of cluster RCTs evaluating occupational therapy interventions to inform future research design. An extensive search of cluster RCTs evaluating occupational therapy was conducted in several databases. Fourteen studies met our inclusion criteria; four were protocols. Eleven (79%) justified the use of a cluster RCT and accounted for clustering in the sample size and analysis. All full studies reported the number of clusters randomized, and five reported intercluster correlation coefficients (50%): Protocols had higher compliance. Risk of bias was most evident in unblinding of participants. Statistician involvement was associated with improved trial quality and reporting. Quality of cluster RCTs of occupational therapy interventions is comparable with those from other areas of health research and needs improvement.

KeywordsCluster randomized controlled trials; Methods; Occupational therapy; Research design; Systematic review
Year2015
JournalOTJR: Occupation, Participation and Health
Journal citation36 (1), pp. 14-24
PublisherSAGE
ISSN1539-4492
1938-2383
Digital Object Identifier (DOI)https://doi.org/10.1177/1539449215618625
Official URLhttps://journals.sagepub.com/doi/10.1177/1539449215618625
Publication dates
Online23 Dec 2015
Print01 Jan 2016
Publication process dates
Deposited11 Jul 2022
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