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      Activities in Daily Living: The development of a new client-centred ADL intervention for persons with stroke

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          Abstract

          An intervention that contains several interacting components can be defined as a complex intervention. This intervention was developed in accordance with the Medical Research Council (MRC) guidance for complex interventions.

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          Developing and evaluating complex interventions: the new Medical Research Council guidance

          Evaluating complex interventions is complicated. The Medical Research Council's evaluation framework (2000) brought welcome clarity to the task. Now the council has updated its guidance
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            Process evaluation of complex interventions: Medical Research Council guidance

            Process evaluation is an essential part of designing and testing complex interventions. New MRC guidance provides a framework for conducting and reporting process evaluation studies
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              Extending the CONSORT statement to randomized trials of nonpharmacologic treatment: explanation and elaboration.

              Adequate reporting of randomized, controlled trials (RCTs) is necessary to allow accurate critical appraisal of the validity and applicability of the results. The CONSORT (Consolidated Standards of Reporting Trials) Statement, a 22-item checklist and flow diagram, is intended to address this problem by improving the reporting of RCTs. However, some specific issues that apply to trials of nonpharmacologic treatments (for example, surgery, technical interventions, devices, rehabilitation, psychotherapy, and behavioral intervention) are not specifically addressed in the CONSORT Statement. Furthermore, considerable evidence suggests that the reporting of nonpharmacologic trials still needs improvement. Therefore, the CONSORT group developed an extension of the CONSORT Statement for trials assessing nonpharmacologic treatments. A consensus meeting of 33 experts was organized in Paris, France, in February 2006, to develop an extension of the CONSORT Statement for trials of nonpharmacologic treatments. The participants extended 11 items from the CONSORT Statement, added 1 item, and developed a modified flow diagram. To allow adequate understanding and implementation of the CONSORT extension, the CONSORT group developed this elaboration and explanation document from a review of the literature to provide examples of adequate reporting. This extension, in conjunction with the main CONSORT Statement and other CONSORT extensions, should help to improve the reporting of RCTs performed in this field.
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                Author and article information

                Contributors
                (View ORCID Profile)
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                Journal
                Scandinavian Journal of Occupational Therapy
                Scandinavian Journal of Occupational Therapy
                Informa UK Limited
                1103-8128
                1651-2014
                February 17 2022
                December 09 2020
                February 17 2022
                : 29
                : 2
                : 104-115
                Affiliations
                [1 ]Department of Neurobiology, Care Sciences and Society, Division of Occupational Therapy, Karolinska Institutet, Stockholm, Sweden
                [2 ]Department of Neuroscience, Rehabilitation Medicine, Uppsala University, Uppsala, Sweden
                [3 ]Department of Neurology, Karolinska University Hospital, Stockholm, Sweden
                [4 ]Centre for Clinical Research, Uppsala University/County Council of Gävleborg, Gävle, Sweden
                Article
                10.1080/11038128.2020.1849392
                33295237
                2d28cdd0-9205-46ad-9213-95f94edff6de
                © 2022

                http://creativecommons.org/licenses/by-nc-nd/4.0/

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