Using the TIDieR Checklist to Standardize the Description of a Functional Strength Training Intervention for the Upper Limb After Stroke

Vliet, Paulette van; Hunter, Susan M.; Donaldson, Catherine; Pomeroy, Valerie M.

doi:10.1097/npt.0000000000000133

Cited by 28 publications

(22 citation statements)

References 40 publications

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“…Functional strength training for the upper limb after stroke combines strength training of weaker muscles with task-specific training through “repetitive, progressive, resistance exercise during goal-directed functional activity” ( 53 ). Research therapists provided external feedback and verbal prompting whilst only using hands-on contact for safety (“therapist-independent”).…”

Section: Methodsmentioning

confidence: 99%

Functional Strength Training and Movement Performance Therapy for Upper Limb Recovery Early Poststroke—Efficacy, Neural Correlates, Predictive Markers, and Cost-Effectiveness: FAST-INdiCATE Trial

et al. 2018

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BackgroundVariation in physiological deficits underlying upper limb paresis after stroke could influence how people recover and to which physical therapy they best respond.ObjectivesTo determine whether functional strength training (FST) improves upper limb recovery more than movement performance therapy (MPT). To identify: (a) neural correlates of response and (b) whether pre-intervention neural characteristics predict response.DesignExplanatory investigations within a randomised, controlled, observer-blind, and multicentre trial. Randomisation was computer-generated and concealed by an independent facility until baseline measures were completed. Primary time point was outcome, after the 6-week intervention phase. Follow-up was at 6 months after stroke.ParticipantsWith some voluntary muscle contraction in the paretic upper limb, not full dexterity, when recruited up to 60 days after an anterior cerebral circulation territory stroke.InterventionsConventional physical therapy (CPT) plus either MPT or FST for up to 90 min-a-day, 5 days-a-week for 6 weeks. FST was “hands-off” progressive resistive exercise cemented into functional task training. MPT was “hands-on” sensory/facilitation techniques for smooth and accurate movement.OutcomesThe primary efficacy measure was the Action Research Arm Test (ARAT). Neural measures: fractional anisotropy (FA) corpus callosum midline; asymmetry of corticospinal tracts FA; and resting motor threshold (RMT) of motor-evoked potentials.AnalysisCovariance models tested ARAT change from baseline. At outcome: correlation coefficients assessed relationship between change in ARAT and neural measures; an interaction term assessed whether baseline neural characteristics predicted response.Results288 Participants had: mean age of 72.2 (SD 12.5) years and mean ARAT 25.5 (18.2). For 240 participants with ARAT at baseline and outcome the mean change was 9.70 (11.72) for FST + CPT and 7.90 (9.18) for MPT + CPT, which did not differ statistically (p = 0.298). Correlations between ARAT change scores and baseline neural values were between 0.199, p = 0.320 for MPT + CPT RMT (n = 27) and −0.147, p = 0.385 for asymmetry of corticospinal tracts FA (n = 37). Interaction effects between neural values and ARAT change between baseline and outcome were not statistically significant.ConclusionsThere was no significant difference in upper limb improvement between FST and MPT. Baseline neural measures did not correlate with upper limb recovery or predict therapy response.Trial registrationCurrent Controlled Trials: ISRCT 19090862,

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Section: Methodsmentioning

confidence: 99%

Functional Strength Training and Movement Performance Therapy for Upper Limb Recovery Early Poststroke—Efficacy, Neural Correlates, Predictive Markers, and Cost-Effectiveness: FAST-INdiCATE Trial

et al. 2018

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“…The final core intervention content is described below in the following sections and has been designed equally acknowledging the importance of applying appropriate theoretical frameworks as well as user feedback. For further details on the intervention see Additional file 4 where the Template for Intervention Description and Replication (TIDieR) checklist is reported to ensure the completeness of reporting, and ultimately the replicability, of interventions [40]. For further details on validated tools/questionnaires used within the intervention please see the PATHway RCT protocol [41].…”

Section: Final Intervention Structure and Content Resulting From The mentioning

confidence: 99%

The development and codesign of the PATHway intervention: a theory-driven eHealth platform for the self-management of cardiovascular disease

Walsh

Moran

Cornelissen

et al. 2018

Translational Behavioral Medicine

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Cardiovascular diseases (CVDs) are a leading cause of premature death worldwide. International guidelines recommend routine delivery of all phases of cardiac rehabilitation (CR). Uptake of traditional CR remains suboptimal, as attendance at formal hospital-based CR programs is low, with community-based CR rates and individual long-term exercise maintenance even lower. Home-based CR programs have been shown to be equally effective in clinical and health-related quality of life outcomes and yet are not readily available. The aim of the current study was to develop the PATHway intervention (physical activity toward health) for the self-management of CVD. Increasing physical activity in individuals with CVD was the primary behavior. The PATHway intervention was theoretically informed by the behavior change wheel and social cognitive theory. All relevant intervention functions, behavior change techniques, and policy categories were identified and translated into intervention content. Furthermore, a person-centered approach was adopted involving an iterative codesign process and extensive user testing. Education, enablement, modeling, persuasion, training, and social restructuring were selected as appropriate intervention functions. Twenty-two behavior change techniques, linked to the six intervention functions and three policy categories, were identified for inclusion and translated into PATHway intervention content. This paper details the use of the behavior change wheel and social cognitive theory to develop an eHealth intervention for the self-management of CVD. The systematic and transparent development of the PATHway intervention will facilitate the evaluation of intervention effectiveness and future replication.

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“…The feasibility of the TIDieR checklist in systematically describing physical therapy interventions is only currently being explored. 22 van Vliet et al 22 identified few items in the TIDieR checklist as unclear and overlapping based on their recent study, which evaluated the TIDieR checklist to describe a therapy intervention used in the stroke rehabilitation trial.…”

Section: Methodsmentioning

confidence: 99%

Description of interventions is under-reported in physical therapy clinical trials

Hariohm¹,

Jeyanthi²,

Kumar³

et al. 2017

Brazilian Journal of Physical Therapy

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Highlights•A clear definition and description of the interventions in randomized controlled trials are pre-requisites for implementation in clinical practice.•There is a trend among investigators to describe control group interventions poorly compared to the experimental group.•The readers would not be able to apply the findings of the trial to their clinical practice if the interventions are poorly described.

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Using the TIDieR Checklist to Standardize the Description of a Functional Strength Training Intervention for the Upper Limb After Stroke

Abstract: Supplemental Digital Content is Available in the Text.

Cited by 28 publications

References 40 publications

Functional Strength Training and Movement Performance Therapy for Upper Limb Recovery Early Poststroke—Efficacy, Neural Correlates, Predictive Markers, and Cost-Effectiveness: FAST-INdiCATE Trial

Functional Strength Training and Movement Performance Therapy for Upper Limb Recovery Early Poststroke—Efficacy, Neural Correlates, Predictive Markers, and Cost-Effectiveness: FAST-INdiCATE Trial

The development and codesign of the PATHway intervention: a theory-driven eHealth platform for the self-management of cardiovascular disease

Description of interventions is under-reported in physical therapy clinical trials

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