ICU sedation, delirium & recovery

Treatment Fidelity in 94 Randomized Controlled Trials of Physical Rehabilitation in the ICU: A Scoping Review*

Crit Care MedPublished Scoping review of randomised controlled trials

Authors' conclusion

Only 19% of treatment fidelity components were reported across studies, with comparator groups more poorly reported.

Study context

Population
Randomized controlled trials (RCTs) of ICU-based physical rehabilitation in adults or children, ≥50% invasively mechanically ventilated >24 hoursRCTs, of 20,433 citations
Participants
94 rcts
Comparison
Treatment fidelity reporting in intervention vs comparator groups
Primary endpoint
Treatment fidelity score (proportion of NIH-BCC treatment fidelity components reported)
Methodological detailsduplicate independent screening and extraction, National Institutes of Health Behaviour Change Consortium (NIH-BCC) treatment fidelity tool
  • Duplicate independent screening and extraction
  • NIH-BCC treatment fidelity tool

Primary result

As reported in the abstract

Treatment fidelity components reported across studies

Median (first-third quartiles) treatment fidelity components reported across studies

19%

14–26%

Further findings

OutcomeInterventionComparatorP value
Treatment fidelity score by treatment group24% (IQR 19–33%)14% (IQR 5–24%)P < 0.01

Time trend in study treatment fidelity scores (linear regression)

Mean increase in study treatment fidelity scores per year
0.7% (0.3 points)

Original publication

Treatment Fidelity in 94 Randomized Controlled Trials of Physical Rehabilitation in the ICU: A Scoping Review*. Crit Care Med. Published 24 January 2024. doi:10.1097/ccm.0000000000006192

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