Abstract
BackgroundTo facilitate translation of evidence into clinical practice, it is critical that clear, specific, and detailed information about interventions is provided in publications to promote replication, appropriate aggregation in meta-analysis, and implementation. This study examined whether twenty elements of interventions deemed essential for such translational application were reported in sufficient detail in smoking cessation trials with pregnant women.MethodsSearches of electronic databases using MeSH terms and keywords identified peer-reviewed English language studies published between 2001 and 2012. Eligible studies reported a smoking cessation intervention targeted at pregnant women and met Cochrane’s Effective Practice and Organization of Care group study design criteria. Each intervention arm of eligible studies was assessed against the developed twenty criteria.ResultsThirty relevant studies reported the findings of 45 intervention arms. The mode of delivery of the intervention was reported in 100% of intervention arms. Other well-reported criteria included reporting of the provider who delivered the intervention (96%), sample characteristics (80%), and the intervention setting (80%). Criteria not reported adequately included care provided to women who relapse (96% not reported), details about training given to providers (77% not reported), and the method of quit advice advised (76% not reported). No studies reported 100% of relevant criteria.ConclusionsCurrent standards of reporting of intervention content and implementation are suboptimal. The use of smoking cessation specific checklists for reporting of trials, standard reporting using behaviour change taxonomies, and the publication of protocols as supplements should be considered as ways of improving the specificity of reporting.Electronic supplementary materialThe online version of this article (doi:10.1186/s13012-014-0094-z) contains supplementary material, which is available to authorized users.
Highlights
To facilitate translation of evidence into clinical practice, it is critical that clear, specific, and detailed information about interventions is provided in publications to promote replication, appropriate aggregation in meta-analysis, and implementation
Consolidated Standards of Reporting Trials (CONSORT) guidelines ask researchers to report the “precise details of the treatments intended for each group, and when and where they were administered”, more specific details including timing of treatment, content of intervention materials, and the intervals between delivery of intervention components that are needed to guide clinical practice are not captured by CONSORT or other methodological quality rating tools including those produced by Cochrane [17]
Inclusion and exclusion criteria Studies were include if they: evaluated a smoking cessation intervention targeted at pregnant women; had smoking cessation or abstinence as an outcome measure; used a design endorsed by the Effective Practice and Organisation of Care (EPOC) group [31]
Summary
To facilitate translation of evidence into clinical practice, it is critical that clear, specific, and detailed information about interventions is provided in publications to promote replication, appropriate aggregation in meta-analysis, and implementation. The importance of detailed and accurate reporting in randomised controlled trials Effective translation of evidence into clinical practice should follow a logical pathway. Evidence should be generated through the conduct of well-designed and care, and recommendations communicated and disseminated through training and accreditation processes [4] This process of evidence generation necessitates that randomised controlled trials, on which other information is based, provide detailed, specific, and interpretable information. CONSORT guidelines ask researchers to report the “precise details of the treatments intended for each group, and when and where they were administered”, more specific details including timing of treatment, content of intervention materials, and the intervals between delivery of intervention components that are needed to guide clinical practice are not captured by CONSORT or other methodological quality rating tools including those produced by Cochrane [17]
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