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An evaluation of treatment integrity in a randomised controlled trial of memory rehabilitation for people with multiple sclerosis

Smale, Kathryn J.; Carr, Sara E.; Schwartz, Annette F.; das Nair, Roshan; Lincoln, Nadina B.

Authors

Kathryn J. Smale

Sara E. Carr

Annette F. Schwartz

ROSHAN NAIR Roshan.dasnair@nottingham.ac.uk
Professor of Clinical Psychology and Neuropsychology

Nadina B. Lincoln Nadina.Lincoln@nottingham.ac.uk



Abstract

Objective:
To assess the treatment integrity of a memory rehabilitation programme for people with multiple sclerosis.

SUBJECTS:
Data were drawn from the intervention group of a randomised controlled trial of memory rehabilitation. This comprised 24 participants with multiple sclerosis.

MEASURES:
Four core session components were identified from the treatment manual: recap, activities, take-home activity and other. One video-recording of each of ten intervention sessions was transcribed and amount of time spent on components recorded.

RESULTS:
There were no significant differences between early and late stages of the programme in time spent on the core components (recap Z= -0.87, P=0.49; activities Z = -0.29, P=0.89; take-home activity Z = -0.59, P=0.69; other Z = -0.58, P=0.69). Thus, adherence to the manual was good with no evidence of programme drift.

CONCLUSIONS:
Good adherence indicates the intervention was delivered as described in the manual and strengthens confidence in the findings of the randomised controlled trial.

Journal Article Type Article
Publication Date May 1, 2015
Journal Clinical Rehabilitation
Print ISSN 0269-2155
Electronic ISSN 1477-0873
Publisher SAGE Publications (UK and US)
Peer Reviewed Peer Reviewed
Volume 29
Issue 5
APA6 Citation Smale, K. J., Carr, S. E., Schwartz, A. F., das Nair, R., & Lincoln, N. B. (2015). An evaluation of treatment integrity in a randomised controlled trial of memory rehabilitation for people with multiple sclerosis. Clinical Rehabilitation, 29(5), doi:10.1177/0269215514548733
DOI https://doi.org/10.1177/0269215514548733
Keywords Memory rehabilitation, multiple sclerosis, process evaluation, treatment integrity
Publisher URL http://journals.sagepub.com/doi/10.1177/0269215514548733
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