1. Statistical and Methodological Considerations for Randomized Controlled Trial Design in Physical Medicine and Rehabilitation.
- Author
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Thakur, Bhaskar, Ayers, Gregory D., Atem, Folefac, DeClercq, Joshua J., and Jain, Nitin B.
- Subjects
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EXPERIMENTAL design , *PHYSICAL medicine , *FUNCTIONAL status , *CONTINUING education units , *EVIDENCE-based medicine , *HEALTH outcome assessment , *HEALTH status indicators , *RANDOMIZED controlled trials , *DRUGS , *QUALITY of life , *REHABILITATION , *PATIENT compliance - Abstract
Well-designed randomized controlled clinical trials assessing treatments in the field of physical medicine and rehabilitation are essential for evidence-based patient care. However, there are challenges unique to clinical trials in physical medicine and rehabilitation due to complex health interventions in this field. We highlight routinely encountered empirical challenges and provide evidence-based recommendations on statistical and methodological approaches for the design and conduct of randomized controlled trials. Some of the issues addressed include challenges with blinding treatment groups in a rehabilitation setting, heterogeneity in treatment therapy, heterogeneity of treatment effects, uniformity in patient-reported outcome measures, and effect on power with varying scales of information. Furthermore, we discuss challenges with estimation of sample size and power, adaption to poor compliance with treatment and missing outcomes, and preferred statistical approaches for longitudinal data analysis. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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