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Journal article

Monitoring, implementation and reporting of interventions in a selection of trials assessing exercise therapy for the management of shoulder subacromial pain: a cross-sectional investigation

Abstract:
ObjectivesTo review the reporting of monitoring and implementation of interventions in a selection of trials that assessed the effectiveness of manual therapy and exercise in the management of shoulder subacromial pain.DesignA review of trials assessing the effectiveness of manual therapy and exercise in the management of patients with shoulder subacromial pain.MethodsWe included in our review a selection of 10 trials that were included in a Cochrane review and compared manual therapy and exercise intervention with another intervention. Trials were assessed independently by two reviewers using two checklists: the Template for Intervention Description and Replication (TIDieR) and the Health Behavior Change Consortium treatment fidelity (National Institutes of Health Behaviour Change Consortium/NIHBCC).ResultsTIDieR overall scores for individual trials ranged from 11.1% to 45% and fidelity scores ranged from 7% to 50%. On average, trials scored the following within each domain of NIHBCC: study design 51%; training of providers 8%; treatment delivery 15%; treatment receipt 14% and treatment enactment 2.5%.ConclusionsLittle information about the monitoring, implementation and reporting of interventions was provided by trials and that is a barrier for implementing or replicating these interventions. The lack of information regarding the implementation of interventions needs to be taken into account when assessing whether effectiveness of interventions was impacted by their design or due to deviations from the protocol within trials.
Publication status:
Published
Peer review status:
Peer reviewed

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Publisher copy:
10.1136/bmjopen-2020-044462

Authors

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Role:
Author
ORCID:
0000-0001-9287-9187
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Role:
Author
ORCID:
0009-0003-8400-1309


Publisher:
BMJ Publishing Group
Journal:
BMJ Open More from this journal
Volume:
11
Issue:
2
Pages:
e044462-e044462
Publication date:
2021-02-16
DOI:
EISSN:
2044-6055
ISSN:
2044-6055


Language:
English
Keywords:
Pubs id:
1168652
Local pid:
pubs:1168652
Source identifiers:
W3131567532
Deposit date:
2026-02-14
ARK identifier:
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