Open AccessProtocol Development, Treatment Fidelity, Adherence to Treatment, and Quality Control
Author(s) -
Andrew Persch,
Stephen J. Page
Publication year - 2013
Publication title -
american journal of occupational therapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.646
H-Index - 82
eISSN - 1943-7676
pISSN - 0272-9490
DOI - 10.5014/ajot.2013.006213
Subject(s) - protocol (science) , fidelity , consolidated standards of reporting trials , quality (philosophy) , intervention (counseling) , control (management) , randomized controlled trial , research design , medicine , process management , management science , computer science , risk analysis (engineering) , alternative medicine , nursing , engineering , pathology , artificial intelligence , telecommunications , epistemology , sociology , philosophy , social science
Occupational therapy leaders have emphasized the importance of intervention effectiveness research. The CONSORT and TREND checklists have been suggested as useful tools for reporting the results of randomized and nonrandomized studies, respectively. Despite such recommendations, research protocols and reports continue to underutilize the available tools, a situation reflecting limited resources for and experience with the conduct of effectiveness research. To address this issue, and using the CONSORT statement to structure the analysis, this article discusses strategies for optimization of protocol development, treatment fidelity, adherence to treatment, and quality control. We recommend several approaches to increase the quality of research throughout these various processes. Examples of implementation from our laboratory provide evidence of the utility of these strategies.
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