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Reporting of complex interventions in clinical trials : Development of a taxonomy to classify and describe fall-prevention interventions

Lamb, Sarah E.; Becker, Clemens; Gillespie, Lesley D.; Smith, Jessica L.; Finnegan, Susanne; Potter, Rachel; Pfeiffer, Klaus; , and Iwarsson, Susanne LU (2011) In Trials 12.
Abstract

Interventions for preventing falls in older people often involve several components, multidisciplinary teams, and implementation in a variety of settings. We have developed a classification system (taxonomy) to describe interventions used to prevent falls in older people, with the aim of improving the design and reporting of clinical trials of fall-prevention interventions, and synthesis of evidence from these trials.Methods: Thirty three international experts in falls prevention and health services research participated in a series of meetings to develop consensus. Robust techniques were used including literature reviews, expert presentations, and structured consensus workshops moderated by experienced facilitators. The taxonomy was... (More)

Interventions for preventing falls in older people often involve several components, multidisciplinary teams, and implementation in a variety of settings. We have developed a classification system (taxonomy) to describe interventions used to prevent falls in older people, with the aim of improving the design and reporting of clinical trials of fall-prevention interventions, and synthesis of evidence from these trials.Methods: Thirty three international experts in falls prevention and health services research participated in a series of meetings to develop consensus. Robust techniques were used including literature reviews, expert presentations, and structured consensus workshops moderated by experienced facilitators. The taxonomy was refined using an international test panel of five health care practitioners. We assessed the chance corrected agreement of the final version by comparing taxonomy completion for 10 randomly selected published papers describing a variety of fall-prevention interventions.Results: The taxonomy consists of four domains, summarized as the "Approach", "Base", "Components" and "Descriptors" of an intervention. Sub-domains include; where participants are identified; the theoretical approach of the intervention; clinical targeting criteria; details on assessments; descriptions of the nature and intensity of interventions. Chance corrected agreement of the final version of the taxonomy was good to excellent for all items. Further independent evaluation of the taxonomy is required.Conclusions: The taxonomy is a useful instrument for characterizing a broad range of interventions used in falls prevention. Investigators are encouraged to use the taxonomy to report their interventions.

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author
organization
publishing date
type
Contribution to journal
publication status
published
in
Trials
volume
12
publisher
BioMed Central
external identifiers
  • scopus:79955955582
ISSN
1745-6215
DOI
10.1186/1745-6215-12-125
language
English
LU publication?
yes
id
2f63bb31-57c1-4c95-bdba-7b754d070a5a
date added to LUP
2016-12-02 11:56:24
date last changed
2017-08-27 06:30:31
@article{2f63bb31-57c1-4c95-bdba-7b754d070a5a,
  abstract     = {<p>Interventions for preventing falls in older people often involve several components, multidisciplinary teams, and implementation in a variety of settings. We have developed a classification system (taxonomy) to describe interventions used to prevent falls in older people, with the aim of improving the design and reporting of clinical trials of fall-prevention interventions, and synthesis of evidence from these trials.Methods: Thirty three international experts in falls prevention and health services research participated in a series of meetings to develop consensus. Robust techniques were used including literature reviews, expert presentations, and structured consensus workshops moderated by experienced facilitators. The taxonomy was refined using an international test panel of five health care practitioners. We assessed the chance corrected agreement of the final version by comparing taxonomy completion for 10 randomly selected published papers describing a variety of fall-prevention interventions.Results: The taxonomy consists of four domains, summarized as the "Approach", "Base", "Components" and "Descriptors" of an intervention. Sub-domains include; where participants are identified; the theoretical approach of the intervention; clinical targeting criteria; details on assessments; descriptions of the nature and intensity of interventions. Chance corrected agreement of the final version of the taxonomy was good to excellent for all items. Further independent evaluation of the taxonomy is required.Conclusions: The taxonomy is a useful instrument for characterizing a broad range of interventions used in falls prevention. Investigators are encouraged to use the taxonomy to report their interventions.</p>},
  articleno    = {125},
  author       = {Lamb, Sarah E. and Becker, Clemens and Gillespie, Lesley D. and Smith, Jessica L. and Finnegan, Susanne and Potter, Rachel and Pfeiffer, Klaus and ,  and Iwarsson, Susanne},
  issn         = {1745-6215},
  language     = {eng},
  month        = {05},
  publisher    = {BioMed Central},
  series       = {Trials},
  title        = {Reporting of complex interventions in clinical trials : Development of a taxonomy to classify and describe fall-prevention interventions},
  url          = {http://dx.doi.org/10.1186/1745-6215-12-125},
  volume       = {12},
  year         = {2011},
}