ArticleBMJ (Clinical research ed.)2013
Poor description of non-pharmacological interventions: analysis of consecutive sample of randomised trials.
Article in BMJ (Clinical research ed.), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 155 papers, 40 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
155 citing papers in PubMed, 40 syntheses or guidelines pooled it.
- Effect of Home-Based Exercise and Influence of Training Principles on Cardiorespiratory Fitness in Sedentary Healthy People and Patients With Cardiovascular Disease: A Systematic Review With Meta-Analysis.European journal of sport science · 2026Pooled it
- Upper limb robotic rehabilitation following stroke: a systematic review and meta-analysis investigating efficacy and the influence of device features and program parameters.Journal of neuroengineering and rehabilitation · 2025Pooled it
- A meta-analysis of the effect of visiting zoos and aquariums on visitors' conservation knowledge, beliefs, and behavior.Conservation biology : the journal of the Society for Conservation Biology · 2025Pooled it
- Systematically analyzing behavior change techniques used in 44 interventions to reduce unprofessional behavior between healthcare staff.Translational behavioral medicine · 2025Pooled it
- Systematic Review of Social Marketing as a Behavior Change Agent in Salt Reduction.Global heart · 2025Pooled it
- Most physical interventions for musculoskeletal pain in children and adolescents cannot be reproduced in clinical practice: a meta-research study of randomized clinical trials.BMC musculoskeletal disorders · 2024Pooled it
- Improving student diet and food security in higher education using participatory and co-creation approaches: a systematic review.The international journal of behavioral nutrition and physical activity · 2024Pooled it
- How completely are randomized controlled trials of non-pharmacological interventions following concussion reported? A systematic review.Journal of sport and health science · 2024Pooled it
- Patient education interventions for the management of inflammatory bowel disease.The Cochrane database of systematic reviews · 2023Pooled it
- Remote care through telehealth for people with inflammatory bowel disease.The Cochrane database of systematic reviews · 2023Pooled it
- Effectiveness of quality improvement collaboratives in UK surgical settings and barriers and facilitators influencing their implementation: a systematic review and evidence synthesis.BMJ open quality · 2023Pooled it
- Pre- and post-operative voice therapy (PaPOV): Development of an intervention for patients with benign vocal fold lesions.International journal of language & communication disorders · 2023Pooled it
- Using a Taxonomy to Systematically Identify and Describe Self-Management Interventions Components in Randomized Trials for COPD.International journal of environmental research and public health · 2022Pooled it
- Control interventions in randomised trials among people with mental health disorders.The Cochrane database of systematic reviews · 2022Pooled it
- Timely short-term specialized palliative care service intervention for older people with frailty and their family carers in primary care: Development and modelling of the frailty+ intervention using theory of change.Palliative medicine · 2021Pooled it
- Pooled it
- Prevention programmes for children of parents with a mood/anxiety disorder: Systematic review of existing programmes and meta-analysis of their efficacy.The British journal of clinical psychology · 2021Pooled it
- Head of bed elevation to relieve gastroesophageal reflux symptoms: a systematic review.BMC family practice · 2021Pooled it
- Factors affecting the delivery of complex rehabilitation interventions in research with neurologically impaired adults: a systematic review.Systematic reviews · 2020Pooled it
- A systematic review exploring the evidence reported to underpin exercise dose in clinical trials of rheumatoid arthritis.Rheumatology (Oxford, England) · 2020Pooled it
95 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo evaluate the completeness of descriptions of non-pharmacological interventions in randomised trials, identify which elements are most frequently missing, and assess whether authors can provide missing details.
designAnalysis of consecutive sample of randomised trials of non-pharmacological interventions. DATA SOURCES AND STUDY SELECTION: All reports of randomised trials of non-pharmacological interventions published in 2009 in six leading general medical journals; 133 trial reports, with 137 interventions, met the inclusion criteria. DATA COLLECTION: Using an eight item checklist, two raters assessed the primary full trial report, plus any reference materials, appendices, or websites. Questions about missing details were emailed to corresponding authors, and relevant items were then reassessed.
resultsOf 137 interventions, only 53 (39%) were adequately described; this was increased to 81 (59%) by using 63 responses from 88 contacted authors. The most frequently missing item was the "intervention materials" (47% complete), but it also improved the most after author response (92% complete). Whereas some authors (27/70) provided materials or further information, other authors (21/70) could not; their reasons included copyright or intellectual property concerns, not having the materials or intervention details, or being unaware of their importance. Although 46 (34%) trial interventions had further information or materials readily available on a website, many were not mentioned in the report, were not freely accessible, or the URL was no longer functioning.
conclusionsMissing essential information about interventions is a frequent, yet remediable, contributor to the worldwide waste in research funding. If trial reports do not have a sufficient description of interventions, other researchers cannot build on the findings, and clinicians and patients cannot reliably implement useful interventions. Improvement will require action by funders, researchers, and publishers, aided by long term repositories of materials linked to publications.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.