Beyond the RCT – understanding the relationship between interventions, individuals and outcome – the example of neurological rehabilitation

Kersten, Paula; Ellis‐Hill, Caroline; McPherson, Kathryn; Harrington, R.

doi:10.3109/09638281003775568

Cited by 35 publications

(36 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, it is difficult to determine whether treatment gains are maintained once post-acute rehabilitation has ceased, with limited longitudinal data available [20]. There is also an argument that the results highlighted by available RCTs do not accurately capture the complexities of ABI rehabilitation [21,22]. This includes the development of viable controls, with argument that it is unethical to randomize participants into no treatment or standard care conditions, particularly when no alternatives to specialist interventions exist [20].…”

Section: Introductionmentioning

confidence: 93%

Functional outcomes of community-based brain injury rehabilitation clients

et al. 2014

View full text Add to dashboard Cite

show abstract

Section: Introductionmentioning

confidence: 93%

Functional outcomes of community-based brain injury rehabilitation clients

et al. 2014

View full text Add to dashboard Cite

show abstract

“…Testing psychological interventions and conducting randomized controlled trials in rehabilitation settings remains challenging. 135 SE was the only psychological resource, which was enhanced in multi-content intervention studies conducted with persons with SCI living in the community. 42,47,[56][57][58] This is consistent with research in other chronic health conditions, where SE interventions that adopt various strategies such as the use different modes of learning or the involvement of significant others proved to be useful.…”

Section: Psychological Resources In Sci C Peter Et Almentioning

confidence: 99%

Psychological resources in spinal cord injury: a systematic literature review

et al. 2011

View full text Add to dashboard Cite

Study design: Systematic literature review. Objectives: The purpose of this study was to gain a systematic overview of the role of psychological resources in the adjustment to spinal cord injury (SCI). Methods: A systematic literature review was performed. The literature search was conducted in the databases Pubmed, PsycINFO, the Social Sciences Citation Index, the Education Resources Information Center, Embase and the Citation Index of Nursing and Allied Health Literature. The assessed variables, measurement instruments, results and the methodological quality of the studies were extracted, summarized and evaluated. Results: A total of 83 mainly cross-sectional studies were identified. Psychological resources were categorized into seven groups: self-efficacy (SE), self-esteem, sense of coherence (SOC), spirituality, optimism, intellect and other personality characteristics. SE and self-esteem were consistently associated with positive adjustment indicators such as high well-being and better mental health. Interrelations between psychological resources and key rehabilitation outcome variables such as participation were rarely studied. Only a few interventions, which were aimed at strengthening psychological resources were identified. Longitudinal studies suggested that SE, SOC, spirituality and purpose in life were potential determinants of adjustment outcomes in the long term. Conclusion: Research on psychological resources in SCI is broad, but fragmented. Associations of psychological resources with mental health and well-being were frequently shown, while associations with participation were rarely studied. Further development of resource-based interventions to strengthen persons with SCI is indicated. This review can serve as guide for clinical practice and can add to the design of future SCI research.

show abstract

“…does a specific intervention produce a specific outcome (or not). Qualitative research is ideally placed to tease out less tangible, but no less important, questions in rehabilitation, often related to the process of the intervention [14]. (p.1030) They also concluded that there are valid alternatives to RCTs, among these were studies that used practice-based evidence.…”

Section: Introductionmentioning

confidence: 98%

“…Tate et al [13], with regard to this difficulty, maintain that randomized studies should not represent the only means by which to produce clinical practice points and suggest more importance should be given to single case studies. Kersten et al [14] conducted a critical review of the studies that discussed the application of Randomized Controlled Trials in neurological rehabilitation. These authors observe that the RCT gives specific understanding, i.e.…”

Section: Introductionmentioning

confidence: 99%