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The TIDieR Checklist (Template for Intervention Description and Replication)

I think we can all be justifiably proud of the clinical trial research we have seen conducted by our own research scientists and from those in related fields. That information has been critical in our growth as a profession and has contributed in some measure to our cultural credibility. But I think if I were to ask you to fully describe the clinical intervention in those trials- that is, the specific manipulation or adjustment used- I am not sure you could fully tell me what was done. This has some implication related to replicability. For example, if we have a highly successful trial but cannot fully understand how an adjustment was delivered, we will be hampered down the road with regard to effectively treating our patients.

And we know that our manipulative procedures are detailed and complex. Where we put our hands, the contacts we make, the amount and vector of force delivered, the patient positions, etc. all contribute to the procedure. In clinical research, the importance of the Methods section is that it be described in sufficient detail that an interested person could replicate the study exactly. But often, the interventional detail is missing.

The TIDieR checklist (1) is designed to address this problem. It is an outgrowth of the CONSORT document (2), which is a list of items that help contribute to the quality of reporting clinical trials. The information TIDieR collects relates to the name and rationale for the intervention, who and how it is delivered, details about the treatment frequency, modifications, and so on. I think this is a very important document, because it will make overt the specifics about the intervention used, and that has been missing from manual therapy interventional clinical research.

References

  1. Alvarez G, Cerritelli F, Urrutia G. Using the template for intervention description and replication (TIDieR) as a tool for improving the design and reporting of manual therapy interventions. Man Ther 2016;24:85-89
  2. Schulz KF, Altman DG, Moher D, Group C. CONSORT 2010 statement: updated guidelines for reporting parallel group randomized clinical trials. Br Med J 2010;340:c332

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