Evidence map›Paper›PMID 39961717›Full record

ArticleBMJ open2025

Mixed-methods study to develop extensions to the SPIRIT and CONSORT statements for factorial randomised trials: the Reporting Factorial Trials (RAFT) study.

Sophie S Hall, Edmund Juszczak, Megan Birchenall, Diana Elbourne, Elaine Beller, An-Wen Chan, Paul Little, Alan A Montgomery, Brennan C Kahan

Abstract read
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Sophie S HallNottingham Clinical Trials Unit, School of Medicine, University of Nottingham, Nottingham, UK sophie.hall@nottingham.ac.uk.ORCID http://orcid.org/0000-0002-9847-8269
Edmund JuszczakNottingham Clinical Trials Unit, School of Medicine, University of Nottingham, Nottingham, UK.ORCID http://orcid.org/0000-0001-5500-2247
Megan BirchenallNottingham Clinical Trials Unit, School of Medicine, University of Nottingham, Nottingham, UK.
Diana ElbourneFaculty of Epidemiology and Population Health, The London School of Hygiene & Tropical Medicine, London, UK.
Elaine BellerCentre for Research in Evidence Based Practice, Bond University, Gold Coast, Queensland, Australia.
An-Wen ChanWomen's College Research Institute, University of Toronto, Toronto, Ontario, Canada.
Paul LittlePrimary Care and Population Sciences, University of Southampton, Southampton, UK.
Alan A MontgomeryNottingham Clinical Trials Unit, School of Medicine, University of Nottingham, Nottingham, UK.
Brennan C KahanMRC Clinical Trials Unit at UCL, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundExtensions to Standard Protocol Items: Recommendations for Interventional Trials (SPIRIT) and Consolidated Standards of Reporting Trials (CONSORT) reporting recommendations specifically for factorial trials have been developed by the Reporting Factorial Trials (RAFT) study group. This article describes the processes and methods used to develop the extensions.

objectiveTo develop SPIRIT and CONSORT extensions for factorial trials. DESIGN AND

participantsA four-phase, consensus-based approach was used: phase 1: scoping review, phase 2: Delphi survey (n=104 respondents in round 1), phase 3: consensus meeting (n=15 members) and phase 4: checklist finalisation.

resultsIn phase 1, the scoping review identified 31 reporting recommendations, which formed a long list of 50 concepts (19 applied to the SPIRIT extension and 31 applied to the CONSORT extension) to include in the guideline development. In phase 2, a three-round Delphi survey resulted in two new concepts being added and ended with 49 concepts (19 applied to SPIRIT and 30 applied to CONSORT) reaching consensus to remain, with only three concepts meeting the exclusion criteria. In phase 3, the concepts were further refined and translated into specific extension item wording, through an extensive review process conducted by the core RAFT team and leading trial experts, who attended a 2-day hybrid meeting. The resulting 9 SPIRIT items and 17 CONSORT items were further evaluated and developed through an iterative process in phase 4, to promote user acceptance and uptake.

conclusionUptake of the CONSORT and SPIRIT extensions will improve the conduct of factorial trials, as well as understanding and interpretation of such trials. By reporting on how these extensions were developed, we promote transparency of this process and share learning experiences to develop best practice when developing reporting guidelines.

Indexed as

Guidelines as TopicRandomized Controlled Trials as TopicResearch DesignResearch ReportChecklistConsensusDelphi TechniqueHumansClinical TrialProtocols & guidelinesSTATISTICS & RESEARCH METHODS

Identifiers

PMID39961717
PMCPMC11836851

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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.