Research Article  |   March 2013
Protocol Development, Treatment Fidelity, Adherence to Treatment, and Quality Control
Author Affiliations
  • Andrew C. Persch, MS, OTR/L, is Graduate Assistant, Division of Occupational Therapy, School of Health and Rehabilitation Sciences, Ohio State University Medical Center, 406G Atwell Hall, 453 West Tenth Avenue, Columbus, OH 43210, and Graduate Student, Doctor of Philosophy in Health and Rehabilitation Sciences Program, Ohio State University Medical Center, Columbus; andrew.persch@osumc.edu
  • Stephen J. Page, PhD, MS, MOT, OTR/L, FAHA, is Associate Professor and Director, Neuromotor Recovery and Rehabilitation Laboratory (the “Rehablab”®), Division of Occupational Therapy, Ohio State University Medical Center, Columbus
Article Information
Ethics / Evidence-Based Practice / Special Issue on the Accelerating Clinical Trials and Outcomes Research (ACTOR) Conference
Research Article   |   March 2013
Protocol Development, Treatment Fidelity, Adherence to Treatment, and Quality Control
American Journal of Occupational Therapy, March/April 2013, Vol. 67, 146-153. doi:10.5014/ajot.2013.006213
American Journal of Occupational Therapy, March/April 2013, Vol. 67, 146-153. doi:10.5014/ajot.2013.006213
Abstract

Occupational therapy leaders have emphasized the importance of intervention effectiveness research. The CONSORT and TREND checklists have been suggested as useful tools for reporting the results of randomized and nonrandomized studies, respectively. Despite such recommendations, research protocols and reports continue to underutilize the available tools, a situation reflecting limited resources for and experience with the conduct of effectiveness research. To address this issue, and using the CONSORT statement to structure the analysis, this article discusses strategies for optimization of protocol development, treatment fidelity, adherence to treatment, and quality control. We recommend several approaches to increase the quality of research throughout these various processes. Examples of implementation from our laboratory provide evidence of the utility of these strategies.