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Assessing the Quality of Traumatic Brain Injury Interventions Reporting Using the Template for Intervention Description and Replication Checklist

Elver S. Ho (State University of New York Health Sciences University College of Medicine, New York); Lon Yin Chan; Marc C. Ramos Emos, MD; Sonali Bhat; Sanjeev Agarwal

Meeting: AAPM&R Annual Assembly 2022

Categories: Neurological Rehabilitation (2022)

Session Information

Session Title: Research Hub - Live Theater Research Spotlight: Neurological Rehabilitation

Session Time: None. Available on demand.

Disclosures: Elver S. Ho: Bionano Genomics (Products/Services: No) (Stockholder/Ownership Interest (excluding diversified mutual funds))Senseonics (Products/Services: No) (Stockholder/Ownership Interest (excluding diversified mutual funds))

Background and/or Objectives: The Template for Intervention Description and Replication (TiDieR) checklist assesses reporting quality of interventions to improve results interpretation and scientific reproducibility. The TiDieR Checklist consists of 12 items: Name, Rationale, Materials, Procedure, Provider, Mode-of-Delivery, Setting, Dosage, Tailoring, Modifications, How-Well-Planned, and How-Well-Actual. Traumatic brain injury (TBI) is a form of acquired brain injury that can result in long-term functional impairment. To date, no study has assessed the reporting quality of rehabilitative interventions for TBI randomized controlled trials (RCT).

Design: A systematic review of the rehabilitation literature on TBI RCTs was performed using the TiDieR checklist. PubMed, Embase, and Cochrane were queried for peer-reviewed RCTs studying TBI interventions from years 2015 to 2021. After screening, control and experimental intervention groups of each article were scored (2=fully reported, 1=partially reported, 0=not reported) for adherence to the twelve TiDieR checklist items.

Setting: Systematic review.

Participants: 823 articles were identified. 120 RCTs were scored, yielding 120 control and 132 experimental interventions.

Interventions: Analysis of published research.

Main Outcome Measures: Level of adherence to TiDieR checklist items and effect of journal impact factor on adherence level to TiDieR checklist.

Results: Experimental intervention groups had higher rates of complete reporting for rationale (99.2% vs 95.0%, p=0.034), materials (92.4% vs 67.5%, p < 0.001), procedure (92.4% vs 80.0%, p < 0.001), provider (55.3% vs 44.2%, p < 0.001), mode-of-delivery (52.3% vs 41.7%, p < 0.001), setting (50.0% vs 43.3%, p=0.019), and dosage (90.2% vs 75.0%, p < 0.001). Composite TiDieR scores did not correlate with journal impact factor for control (r=0.052, p=0.611) or experimental interventions (r=0.043, p=0.671).

Conclusions: Peer-reviewed RCTs for TBI rehabilitation interventions were moderately adherent to the TiDieR checklist with control interventions having lower rates of full reporting in rationale, materials, procedure, provider, mode-of-delivery, setting and dosage items. Future TBI intervention studies should consider incorporating the TiDieR checklist for improved clinical reproducibility and potential impact on health outcomes of TBI patients.

Level of Evidence: Level II

To cite this abstract in AMA style:

Ho ES, Chan LY, Emos MCR, Bhat S, Agarwal S. Assessing the Quality of Traumatic Brain Injury Interventions Reporting Using the Template for Intervention Description and Replication Checklist [abstract]. PM R. 2022; 14(S1)(suppl 1). https://pmrjabstracts.org/abstract/assessing-the-quality-of-traumatic-brain-injury-interventions-reporting-using-the-template-for-intervention-description-and-replication-checklist/. Accessed May 18, 2025.
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