Intervention reporting and dissemination of information for the management of hand osteoarthritis

Jennifer O'Neil; Daniel McEwen; Bhavjot K Kang; Michelle Dorion; Lucie Brosseau; Aline Mizusaki Imoto; Inmaculada C Álvarez Gallardo; Marie Deanna Westby

doi:10.1016/j.jht.2020.03.020

Intervention reporting and dissemination of information for the management of hand osteoarthritis

J Hand Ther. 2021 Jul-Sep;34(3):362-368. doi: 10.1016/j.jht.2020.03.020. Epub 2020 Jun 18.

Authors

Jennifer O'Neil¹, Daniel McEwen², Bhavjot K Kang³, Michelle Dorion², Lucie Brosseau², Aline Mizusaki Imoto⁴, Inmaculada C Álvarez Gallardo⁵, Marie Deanna Westby⁶

Affiliations

¹ School of Rehabilitation, University of Ottawa, Ottawa, Ontario, Canada; Bruyère Research Institute, Ottawa, Ontario, Canada. Electronic address: joneil@uottawa.ca.
² School of Rehabilitation, University of Ottawa, Ottawa, Ontario, Canada.
³ Centre for Hip Health and Mobility Robert H.N. Ho Research Centre, School of Kinesiology, University of British Columbia, Vancouver, Canada.
⁴ Evidence-Based Health Department, Federal University of Sao Paulo, Sao Paulo, Brazil.
⁵ Department of Physical Education and Sport, University of Cadiz, Cadiz, Spain.
⁶ Centre for Hip Health and Mobility Robert H.N. Ho Research Centre, School of Kinesiology, University of British Columbia, Vancouver, Canada; Mary Pack Arthritis Program, Vancouver Coastal Health and Centre for Hip Health and Mobility and Department of Physical Therapy, University of British Columbia, Vancouver, British Columbia, Canada.

PMID: 32565101
DOI: 10.1016/j.jht.2020.03.020

Abstract

Introduction: A variety of exercise programs are recognized to be effective for the management of hand osteoarthritis (HOA). It is important to report the essential elements of these exercise programs for clinicians to replicate properly and facilitate their implementation with individuals who suffers from HOA, especially if they are found to be effective programs.

Purpose of the study: The objective of this article was to assess content reporting using three exercise reporting standardized assessment tools among exercise interventions randomized controlled trials (RCTs) involving individuals with HOA.

Study design: A descriptive study was used.

Methods: Two pairs of trained assessors independently identified, selected, and scored the reporting quality of the exercise programs of RCTs on the management of HOA using three standardized assessment tools: the Consensus on Exercise Reporting Template (CERT) checklist, Consensus on Therapeutic Exercise Training (CONTENT) scale, and Template for Intervention Description and Replication (TIDieR) checklist to review the quality of reporting of 11 RCTs included in a recent Ottawa Panel guideline.

Results: Based on consensus reached by two different pairs of reviewers and an arbitrator, the mean total scores for the 11 included exercise programs were reported as follows: the mean total score for the CERT, CONTENT, and TIDieR was 10.58/19 ± 4.34, 3.27/9 ± 1.90, and 5.92/12 ± 2.54, respectively. The overall Pearson's Correlation (r) between the methodological quality and intervention reporting was 0.86, 0.71, and 0.54 for moderate-to-high RCTs and 0.47, 0.79, and 0.42 for fair-to-poor methodological quality for the CERT checklist, CONTENT scale, and TIDieR checklist, respectively.

Conclusions: The intervention reporting in the management of HOA is poor among low-, moderate-, and high-quality clinical trials. The least reported information was intervention parameters related to behavior change. Improving reporting is recommended to ensure replication of effective exercise programs to enhance quality of life of individuals with HOA.

Keywords: Dissemination; Hand; Implementation; Osteoarthritis; Replication; Reporting.

MeSH terms

Consensus
Exercise
Exercise Therapy*
Humans
Osteoarthritis* / diagnosis
Osteoarthritis* / therapy