ICU sedation, delirium & recovery
Treatment Fidelity in 94 Randomized Controlled Trials of Physical Rehabilitation in the ICU: A Scoping Review*
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
| Outcome | Intervention | Comparator | P value |
|---|---|---|---|
| Treatment fidelity score by treatment group | 24% (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
Composed by AI from the published abstract and checked against it. How Briefs are made →