Lack Of Comprehension Research Articles

Measuring patient experiences of person-centred care: Translation, cultural adaption and qualitative evaluation of item candidates for use in England and Sweden.

To facilitate change for person-centred care, there is a need to invest in measures to assess if and how healthcare systems are delivering care based on the principles of person-centred care. This paper describes the first phase in developing an item bank to measure patients' experiences of person-centred care. The aim was to translate, culturally adapt and evaluate candidate items to measure person-centred care from the patient's perspective. The Centre for person-centred care at Gothenburg university and the UK Person-centred and coordinated care model informed our conceptual framework. The initial pool of item candidates originated from a previous systematic review where 855 items were identified. In this study, a mixed method design was used involving persons with experience as patients, caregivers, healthcare professionals and researchers in person-centred care or questionnaire design (n=84). The item analysis included two validation rounds using web questionnaires, a focus group and cognitive interviews. From the initial pool, 155 items covering core domains and subdomains of person-centred and coordinated care were selected for translation and qualitative item analysis. After translation, 44 items were excluded (duplicates). After the first validation round, 21 items were rephrased and 35 were excluded (due to low ratings, lack of comprehensibility, were duplicates or too specifically phrased). To reflect the ethical basis of person-centred care, rewordings were also made to encompass the patient as an active partner in care and where communication and information goes two-ways and care is co-created. After the second round, 11 items were rephrased and 25 items were excluded (for being redundant/repetitive). Six new items were added (covering access to care, patient capabilities, mental well-being and identifying goals). We have developed a first set of 57 items to proceed towards developing an item bank to measure the patient experiences of person-centred care.

Critical View on Islamic Neo-Modernism

The article deals with Islamic Neomodernism («Progressive Islam», «Liberal Islam»), a modern current of Islamic thought that combines the ideas of classical tradition and modern Islamic studies. The article notes that Neomodernism is gradually transforming from a living thought into an ideological construct with its dogmas and non-refl exive propositions. Its weak aspects include: 1) insuffi cient attention to the peculiarities of the situation of modernity; 2) lack of comprehension of the relation between the ethical and the legal; 3) lack of a theory of the ethical; 4) insuffi cient attention to the procedure of thematization of values; 5) lack of an institutionalization strategy. The purpose of this article is to provide a productive critique of neomodernism and to pave the way for its further development.

Public Sector Accounting in Europe: A Systematic Literature Review

There has been an increased interest in public sector accounting research due to the changing standards worldwide with harmonization on the horizon. Despite this trend, there is still a lack of comprehension of national and local governments’ role in adopting and improving the international standards to enhance accountability, transparency and developing a more consistent and evolved society. This article aims to systematically review the literature on public accounting in European countries by examining the research trends.The analysis is developed through a bibliometric study based on three keywords: “Public Sector”, “Accounting”, and “Europe”. We systematically analyze the articles in the Web of Science database.This work presents several articles through a bibliometric study based on defined keywords. To define the relationship between the articles and the most cited authors, we based the systematic analysis on the aggregation of articles by clusters.In the last twenty years, public accounting in Europe has undergone significant changes, adapting to needs and innovations, which the most prominent resides in new accounting standards.Adopting International Public Sector Accounting Standards can benefit countries that introduce them into their system, namely increasing the system’s responsibility and transparency.Research is inevitably limited by the impact of public accounting changes in Europe and governments’ responses to social, economic and fiscal environments.This systematic review shed light on the challenges that public management has faced recently.

Language Policy vrs Language Reality in the Ghanaian Classroom: A Study of Colleges of Education

This descriptive qualitative study attempted to understand, explore and report the occasions and reasons for which a tutor or a student would use the native language in the second language classroom in a national language policy context, like Ghana, where such practice is disallowed. To use the L1 in the L2 classroom or not has been an ongoing debate in Applied Linguistics and Teaching English as Second/Foreign Language (TESL/TESOL, TEFL), in that, while a group insists on a strict monolingual English-only ESL classroom, another group thinks a reasonable quantity of L1 and appropriate use of same in the ESL classroom could actually facilitate the teaching and learning of English. Data collection instruments were participant observation and semi-structured interviews. Participants were 13 language tutors and 53 second-year language specialism students, all from four Colleges of Education, and selected through purposive sampling. Results revealed that L1 is used as functional strategy in the L2 classroom, and serves various reasons; empathy, classroom management, identity, lack of comprehension, nurturing bilingualism. It is recommended, therefore, that, the national language policy of Ghana which limits the language of classroom instruction to English be made lax enough to allow for some appreciable amount of the L1 to aid ‘understanding’, which is the bedrock of education.

Curating a comprehensive set of enzymatic reaction rules for efficient novel biosynthetic pathway design

Enzyme substrate promiscuity has significant implications for metabolic engineering. The ability to predict the space of possible enzymatic side reactions is crucial for elucidating underground metabolic networks in microorganisms, as well as harnessing novel biosynthetic capabilities of enzymes to produce desired chemicals. Reaction rule-based cheminformatics platforms have been implemented to computationally enumerate possible promiscuous reactions, relying on existing knowledge of enzymatic transformations to inform novel reactions. However, past versions of curated reaction rules have been limited by a lack of comprehensiveness in representing all possible transformations, as well as the need to prune rules to enhance computational efficiency in pathway expansion. To this end, we curated a set of 1224 most generalized reaction rules, automatically abstracted from atom-mapped MetaCyc reactions and verified to uniquely cover all common enzymatic transformations. We developed a framework to systematically identify and correct redundancies and errors in the curation process, resulting in a minimal, yet comprehensive, rule set. These reaction rules were capable of reproducing more than 85% of all reactions in the KEGG and BRENDA databases, for which a large fraction of reactions is not present in MetaCyc. Our rules exceed all previously published rule sets for which reproduction was possible in this coverage analysis, which allows for the exploration of a larger space of known enzymatic transformations. By leveraging the entire knowledge of possible metabolic reactions through generalized enzymatic reaction rules, we are able to better utilize underground metabolic pathways and accelerate novel biosynthetic pathway design to enable bioproduction towards a wider range of new molecules.

A Case Study: Gap Competency Between Mechanical Engineering Graduates of Vocational High School and The Demand in Workplace

This study explores the workplace competencies, especially in the production machine operators, and finds the existing gap between the competency of mechanical engineering graduates of Vocational High School (Indonesian: Sekolah Menengah Kejuruan; abbreviated as VHS) and the demanded skills in the workplace. The research method employed in this research is the qualitative-explorative research method. In this research, it can be acknowledged that in a broader aspect, the competencies of the mechanical profession of motorcycles, cars, and operators of production machines can be clustered into three groups of skills: base, core, and supporting competencies. Based on the four competencies’ competency map, the vocational school graduates’ basic competencies are unfulfilled in the production workshop: (1) reading the technical drawing and (2) using the hand tools. Moreover, VHS graduates of the mechanical engineering department are still shortage of core competencies, hence still occupying at “lack of comprehension” level equal to more than 33%. On the other hand, the vocational school graduates’ supporting competency is in a minor percentage, according to the workshop’s head, chief engine operator, and senior operator in the workshop.

Barriers to completing colonoscopy after a positive fecal occult blood test

BackgroundColorectal cancer leads to significant morbidity and mortality. Early detection and treatment are essential. Screening using fecal occult blood tests has increased significantly, but adherence to colonoscopy follow-up is suboptimal, increasing CRC mortality risk.The aim of this study was to identify barriers to colonoscopy following a positive FOBT at the level of the patient, physician, organization and policymakers.MethodsThis mixed methods study was conducted at two health care organizations in Israel. The study included retrospective analyses of 45,281 50–74 year-old members with positive fecal immunochemical tests from 2010 to 2014, and a survey of 772 patients with a positive test during 2015, with and without follow-up. The qualitative part of the study included focus groups with primary physicians and gastroenterologists and in-depth interviews with opinion leaders in healthcare.ResultsPatient lack of comprehension regarding the test was the strongest predictor of non-adherence to follow-up. Older age, Arab ethnicity, and lower socio economic status significantly reduced adherence. We found no correlation with gender, marital status, patient activation, waiting time for appointments or distance from gastroenterology clinics. Primary care physicians underestimate non-adherence rates. They feel responsible for patient follow-up, but express lack of time and skills that will allow them to ensure adherence among their patients. Gastroenterologists do not consider fecal occult blood an effective tool for CRC detection, and believe that all patients should undergo colonoscopy. Opinion leaders in the healthcare field do not prioritize the issue of follow-up after a positive screening test for colorectal cancer, although they understand the importance.ConclusionsWe identified important barriers that need to be addressed to improve the effectiveness of the screening program. Targeted interventions for populations at risk for non-adherence, specifically for those with low literacy levels, and better explanation of the need for follow-up as a routine need to be set in place. Lack of agreement between screening recommendations and gastroenterologist opinion, and lack of awareness among healthcare authority figures negatively impact the screening program need to be addressed at the organizational and national level.Trial registrationThis study was approved by the IRB in both participating organizations (Meuhedet Health Care Institutional Review Board #02–2–5-15, Maccabi Healthcare Institutional Review Board BBI-0025-16). Participant consent was waived by both IRB’s.

The antecedents of boredom in L2 classroom learning

This classroom-based study investigated the antecedents of boredom among Thai university students enrolled in an English oral communication course. The primary data collection tool was a whole-class survey (n = 25) eliciting the learners’ boredom experiences in a particular class over the course of seven weeks. Concurrently, focus group interviews (n = 5) were conducted five times to gain in-depth views about boredom and its antecedents in the L2 learning context in general, as well as the learners’ boredom experiences in the class. A modified version of constant comparative analysis of the survey data yielded nine thematic factors as the antecedents of boredom, which were supported by the interview findings. Activity mismatch, lack of comprehension, insufficient L2 skills, task difficulty, input overload, and lack of ideas were shown to create conditions under which internal learner factors and external classroom factors were ill-balanced or mismatched, resulting in the emergence of boredom. Learners’ physical fatigue, unfavorable appraisals of classroom tasks, and negative behaviors of classmates were also identified as the antecedents of boredom. Adopting a situated approach to exploring L2 learners’ boredom, this study sheds light on the context-dependent view of how and why learners experience boredom through an emic perspective.

Evaluating nature-based solutions for climate mitigation and conservation requires comprehensive carbon accounting

Nature-based solutions (NbS) can address climate change, biodiversity loss, human well-being and their interactions in an integrated way. A major barrier to achieving this is the lack of comprehensiveness in current carbon accounting which has focused on flows rather than stocks of carbon and led to perverse outcomes. We propose a new comprehensive approach to carbon accounting based on the whole carbon cycle, covering both stocks and flows, and linking changes due to human activities with responses in the biosphere and atmosphere. We identify enhancements to accounting, namely; inclusion of all carbon reservoirs, changes in their condition and stability, disaggregated flows, and coverage of all land areas. This comprehensive approach recognises that both carbon stocks (as storage) and carbon flows (as sequestration) contribute to the ecosystem service of global climate regulation. In contrast, current ecosystem services measurement and accounting commonly use only carbon sequestration measured as net flows, while greenhouse gas inventories use flows from sources to sinks. This flow-based accounting has incentivised planting and maintaining young forests with high carbon uptake rates, resulting, perversely, in failing to reveal the greater mitigation benefit from protecting larger, more stable and resilient carbon stocks in natural forests. We demonstrate the benefits of carbon storage and sequestration for climate mitigation, in theory as ecosystem services within an ecosystem accounting framework, and in practice using field data that reveals differences in results between accounting for stocks or flows. Our proposed holistic and comprehensive carbon accounting makes transparent the benefits, trade-offs and shortcomings of NbS actions for climate mitigation and sustainability outcomes. Adopting this approach is imperative for revision of ecosystem accounting systems under the System of Environmental-Economic Accounting and contributing to evidence-based decision-making for international conventions on climate (UNFCCC), biodiversity (CBD) and sustainability (SDGs).

Improving Informed Consent for Novel Vaccine Research in a Pediatric Hospital Setting Using a Blended Research-Design Approach.

It is necessary to conduct Clinical Trials in children, including for novel vaccines. Children cannot legally provide valid consent, but can assent to research participation. Informed consent and assent communications are frequently criticized for their lack of comprehensibility and often, researchers do not involve patients in informed consent design. We tested a blended research-design approach to co-design multimedia informed consent prototypes for experimental vaccine studies targeted at the pediatric population. We report details on the methodology utilized, and the insights, ideas, and prototype solutions we generated using social media data analysis, a survey, and workshops. A survey of clinical trial researchers indicated that while the most did not use technology for informed consent, they considered its utilization favorable. Social media analysis enabled researchers to quickly understand where community perspectives were concordant and discordant and build their understanding of the types of topics that they may want to focus on during the design workshops. Participatory design workshops for children and their families reaped insights, ideas, and prototypes for a range of tools including apps and websites. Participants felt that the prototypes were better able to communicate necessary content than the original text document format. We propose using a participatory, mixed-methods approach to design informed consent so that it is better adapted to patients' needs. Such an approach would be helpful in better addressing the needs of different segments of the populations involved in clinical trials. Further evidence should be gained about the impact of this strategy in improving recruitment, decreasing withdrawals and litigations, and improving patient satisfaction during clinical trials.

Perceptions Regarding Climate Change and its Health Impact: Reflections from a Community-Based Study in India.

Background:In the climate change discourse, a body of scholarship focusing on how people perceive climate change and its impact is increasing. However, in the Indian context, such scholarship is limited.Objective:This paper aims to describe the perceptions of people on climate change and its health impacts, which were captured as part of a larger study.Methodology:A cross-sectional study was conducted in randomly selected 983 households in four districts spread across Madhya Pradesh and Jammu and Kashmir. A semi-structured questionnaire was used to collect the data.Results:For 72% of respondents, the perception was not related to climate change per se. Their perceptions were contextual and were based on the anomalies which are observed in the immediate weather conditions. The health impacts of climate change were also not understood at the first place, but with probing 64% of respondents were able to report seasonal diseases.Conclusion:Perceptions of the people regarding climate change are more linked to their own experiences with their local weather conditions rather than the overall concept. This also explains their lack of comprehension about the health impact of climate change, but a sound understanding of seasonal diseases.

Acercamiento a la subjetividad de profesores de matemáticas mediante un estudio narrativo-autobiográfico de corte hermenéutico

En este artículo se presentan los resultados de una investigación cuyo propósito fue develar las subjetividades de profesores de matemáticas a partir de un estudio narrativo-autobiográfico de corte hermenéutico. Las preguntas que orientaron esta investigación tienen que ver con los tipos de experiencias profesional y de formación reportadas en las tramas narrativas de los profesores y los sentidos que se develan acerca de sus subjetividades. Esta investigación se desarrolla mediante métodos cualitativos de tipo inductivo y se compromete con la comunión cognitiva entre los profesores e investigadora y la doble hermenéutica que ésta implica. Para su desarrollo se creó un ambiente de aprendizaje en el que nueve profesores de matemáticas experimentaron la creación e interpretación de tramas narrativas autobiográficas sobre su experiencia profesional y trayectoria de formación en tres fases: preconfiguración, configuración y reconfiguración. En la fase de reconfiguración, los profesores y la investigadora llevaron a cabo análisis paradigmáticos y narrativos de datos provenientes de sus tramas, con los cuales los profesores lograron tomar distancia de sus experiencias, vivieron procesos de identificación y entraron en modo subjuntivo. Como resultado se develan las capacidades de contar, decir y hacer de los profesores. Otros resultados fueron: la transición entre una postura moralmente neutra y una como sujeto responsable; el saber artesanal proveniente de la comunidad de profesores a la que pertenecen; las prácticas culturales que permitieron los primeros vínculos con prácticas matemáticas; la relevancia de otros en la configuración de su identidad profesional, en especial, el papel de sus pares académicos como expertos adaptativos o rutinarios y las interacciones con los estudiantes

Parent-adolescent relationships and their associations with adolescent suicidal behaviours: Secondary analysis of data from 52 countries using the Global School-based Health Survey.

BackgroundDespite the potential benefits of parents-adolescent relationships on suicidal behaviours among adolescents, research on these topics are importantly limited by lack of comprehensiveness, difficulties in cross-country comparisons, and limited generalisability, among others. We aimed to estimate the prevalence of various aspects of parents-adolescent relationships and suicidal behaviours by sex and region, and to investigate their associations.MethodsWe used data from the Global School-based Health Survey (GSHS) from 52 countries in 2009–2015 for 120 858 adolescents (53.9% girls) aged 12–15 years. Using meta-analysis with random effects, we estimated the prevalence of parents-adolescent relationships (i.e. understanding problems, monitoring academic and leisure time activities, and respecting privacy) and suicidal behaviours (i.e. suicidal ideation, suicide planning, and suicide attempt). Multi-level mixed-effect logistic regressions were used to investigate their associations.FindingsOverall, boys and girls reported similar levels of parental understanding of problems (35.8% vs. 36.8%), monitoring academic activities (41.8% vs. 41.1%), and respecting privacy (69.6% vs. 69.7%), whereas girls reported higher level of parental monitoring of leisure time activities than boys (44.9% vs. 40.0%). Adolescents in the Western Pacific region reported the lowest level of parental understanding of problems and monitoring activities, while those in South-East Asia region least reported that their parents respected their privacy. The overall prevalence of any suicidal behaviour was higher in girls than boys (26.2% vs. 23.0%). Suicidal behaviour was less likely in adolescents if their parents understood their problems (odds ratio, 95% confidence intervals: 0.70, 0.68–0.73), monitored their academic (0.81, 0.78–0.84) and leisure time activities (0.73, 0.71–0.75), and respected their privacy (0.83, 0.80–0.86). There was evidence of heterogeneity in those associations by sex and regions.InterpretationsAlthough the prevalence of parents-adolescent relationships and adolescent suicidal behaviours varied particularly by sex and region, there were strong and independent associations among them.

Digital solutions to improve the informed consent process for clinical trials

• Informed consent (IC) is the corner stone to protecting participants in human subject's research. • The current consent process doesn't ensure that potential participants have sufficient comprehension of the information given during the IC process. • This lack of comprehension has a negative effect on the process of clinical research as it may lengthen recruitment time or increase the rate of dropouts later. • Digital consent is a recent innovation aiming to improve understanding by presenting the consent in an interactive technology-based patient-engagement manner. • Digital consent is predicted to improve comprehension among potential research participants which will improve the overall quality of human subject research.

Coping Amongst Elite-Level Sports Coaches: A Systematic Review

The current study presents a systematic review of six empirical research studies that have explored coping amongst elite-level sport coaches. The study was carried out employing Fletcher et al.’s meta-model of stress, emotions, and performance as a basis for the review. The present results clearly revealed that, despite being an important aspect of coaches’ functioning, coping is almost never researched in its full complexity, and scarce attention is given to cognitive appraisals and long-term outcomes. To our knowledge, current research has so far been limited to the perceived stressors and employed coping strategies. Compared with problem-focused coping, emotion-focused coping is less frequently reported. Emotion-focused coping also has some limitations regarding occurrence and diversity in reported strategies. The reasons for this are not well-known due to the lack of comprehensiveness in the research. Hence, researchers are encouraged to further investigate coping amongst elite-level coaches and to do so by treating it as a concept affected by appraisals and personal and situational characteristics that exist in the context of a larger stress process.

Peningkatan Pengetahuan Kader Posyandu dalam Penggunaan Buku KIA

In an attempt to accelerate the decline of AKI and AKB, the health sector made a breakthrough using the Program Perencanaan Persalinan dan Pencegahan Komplikasi (P4K), midwifemedicaster relations, the utilization of MCH, and the practical revitalization of Pemantauan Wilayah Setempat Kesehatan Ibu Anak (PWS KIA). The role of health service workers in the practice of Integrated Service Posts are crucial. Alas, a huge number of health service workers have the lack of comprehension and skills in regards of doing their tasks. The purpose of social service is to identify the characteristics of the Integrated Health Service workers that take parts in social service (i.e. Age, Education Level, and their tenure as health services workers). Efforts regarding the development of the service workers’ comprehension of KIA books, and the effectiveness of MCH books towards society, particularly health service workers. The methods used are lectures and discussions. the results gained from the participants are as follows: Ages in the range of 27-63 years, Tenures in the range of 2-32 years, and Education Levels in the range of Junior high-university graduates. The numerical mean for pretest is 48.57 and for post test is 64.89. An increased number of mean had been achieved by 16.33. This result concludes that education may develop the comprehension of health service workers in the utilization of MCH book.

DNA Primase Subunit 1 Expression in Hepatocellular Carcinoma and Its Clinical Implication.

DNA Primase Subunit 1 (PRIM1) is crucial for cancer development and progression. However, there remains a lack of comprehension concerning the clinical implication of PRIM1 in HCC. Here, aberrant expression of PRIM1 was identified in HCC according to available databases. The prognostic value of PRIM1 in patients presenting with HCC was further assessed based on TCGA data. Gene set enrichment analysis (GSEA) was subsequently conducted to investigate the potential function of PRIM1. Additionally, the correlations between tumor-infiltrating immune cells (TIICs) and PRIM1 expression were evaluated. The data from TCGA, GEO, ONCOMINE, and HCCDB databases illustrated that PRIM1 was overexpressed in HCC tissues, compared to normal liver tissues (all p < 0.05). Kaplan-Meier analysis revealed that high PRIM1 expression in HCC was closely correlated with worse overall survival (p < 0.05). The univariate and multivariate analyses illustrated that PRIM1 expression was an independent novel prognostic indicator in HCC. Additionally, the area under the receiver operating characteristic (AUROC) curve for PRIM1 reached 0.8651, indicating the diagnostic significance of PRIM1 in patients with HCC. GSEA showed that PRIM1 overexpression was significantly enriched in several tumor-related signaling pathways. Besides, TIIC analysis clarified the association between PRIM1 expression and TIICs in HCC. The findings disclose that PRIM1 profoundly implicated in promoting tumorigenesis might work as a desirable biomarker for HCC.

National Law Development through Constitutional Awareness

Development of National Law in the Republic of Indonesia, in the post-reform era, experienced a pretty great struggle, due to the lack of strength and lack of comprehensiveness of the government's efforts to fight for smooth reform, characterized by various improper behaviors, which were not based on values contained in the precepts of the Pancasila. Based on this concern, an effort is needed to better understand the values that exist in the precepts of the Pancasila. These values actually exist in the life of Indonesian people which are divided into various ethnic cultures. The aim is to find out the various events that occur due to a lack of understanding of multiculturalism which causes justification for wrong behavior. Therefore, this multiculturalism understanding is positioned as a grand strategy in the realization of Pancasila, so that cultural understanding and interaction will support national law development. The research method uses a qualitative, descriptive analysis approach, which is carried out methodologically, sociologically, and historically. Data collection uses primary study in the form of literature and secondary studies in the form of various philosophers of state administration. Approaches from various aspects, such as philosophical aspects (philosophy approach), legislation (statute approach). Conclusions and implications of problems that occur in multicultural understanding and constitutional awareness.

Solo, Paired, Group: A Phenomenological Dimension on the Learning Situations of STEM Students in Pre-Calculus

Mathematics learning is one of the main goals of teaching Mathematics. Many researches have look on ways and different perspectives to improve mathematics’ achievement. Among these is considering how students learn inside the class which was categorized into grouped, paired, and solo learning. These variables will be extensively discussed and research will be exhausted to provide better understanding of the research problem. This study aimed to explore the phenomenological dimensions on the learning situations of Science Technology Engineering and Mathematics (STEM) students in Pre-Calculus. Qualitative design specifically a phenomenological study was utilized in the study. Purposive sampling methodology was used and the criteria of selecting participants are one mathematically inclined, average and low performing students per section. Moreover, audio recordings of the structured interview and focus group discussions were utilized as basis in thematic analysis of the study. Self, paired and group study revealed as the learning situations and strategies of grade 11 STEM students in Pre-Calculus. The practices of STEM students in learning Pre-Calculus are use of online resources, review lectures, study with friend, paired with intelligent student or low performing student, and listen, share and facilitate group study. The themes emerged on the experiences of STEM students in studying Pre-Calculus are lack of comprehension, clarified solutions and inability to raise queries for low performing students; learn alternative solutions, interchange ideas and raise questions for average students; and share ideas and facilitate teaching and learning for mathematically inclined students. The study is limited on the after-class learning extension activities of the participants of the study on three learning strategies in which it ensured diverse learning strategy that could possibly lead to different learning successes of students.

Outcome Reporting Patterns in Total Hip Arthroplasty: A Systematic Review of Randomized Clinical Trials.

There has been a shift toward using patient-reported outcome measures (PROMs) to capture functional improvement and patient satisfaction after total hip arthroplasty (THA). Because there is no standard measure or set of measures, variability in reporting patterns makes comparison across studies difficult. We performed a review of the literature using the keywords "total hip arthroplasty" and "total hip replacement" to electronically search PubMed, using the date range August 1, 2014, to August 1, 2019. Randomized clinical trials (RCTs) that were published in 12 high-impact journals were analyzed. One hundred and fifty-nine RCTs were included. The most common topic of investigation was hip implant design and materials, followed by the effect of different hip approaches on patient outcomes. The follow-up period was classified as short-term (<2 years), mid-term (2 to 10 years), or long-term (>10 years). Only 6% of the RCTs reported long-term outcomes. The comprehensiveness of studies was determined on the basis of how many of the 7 following outcome domains were assessed: subjective hip function (PROMs), objective outcome measures (examination findings, laboratory values, etc.), imaging analysis, survivorship, patient satisfaction, pain assessment, and postoperative complications. Subjective hip function and imaging findings were the most commonly reported outcome domains, while implant survivorship and patient satisfaction were the least frequently reported. There was substantial variation in outcome reporting, with 35 unique PROMs utilized to assess subjective hip function. Although the Harris hip score was the most commonly used joint-specific PROM, it was only reported in 42% of the studies. None of the RCTs reported results in all 7 outcome domains, and 13.8% of studies reported results in only 1 outcome domain. There is substantial variability and a lack of comprehensiveness in outcome measures used to report results in THA clinical trials, making it nearly impossible to perform cross-study comparisons. There is an immediate need for the establishment of a standardized set of measures to allow comparison of outcomes across studies.