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Invited Article ResearchonSocialWorkPractice 23(6)595-602 Developing a Reporting Guideline for Social ªTheAuthor(s)2013 Reprintsandpermission: and Psychological Intervention Trials sagepub.com/journalsPermissions.nav DOI:10.1177/1049731513498118 rsw.sagepub.com Sean Grant1, Paul Montgomery1, Sally Hopewell2, Geraldine Macdonald3, David Moher4, and Evan Mayo-Wilson5 Abstract Socialandpsychologicalinterventionsareoftencomplex.Understandingrandomizedcontrolledtrials(RCTs)ofthesecomplex interventionsrequiresadetaileddescriptionoftheinterventionstestedandthemethodsusedtoevaluatethem;however,RCT reports often omit, or inadequately report, this information. Incomplete and inaccurate reporting hinders the optimal use of research,wastesresources,andfailstomeetethicalobligationstoresearchparticipantsandconsumers.Inthisarticle,weexplain how reporting guidelines have improved the quality of reports in medicine and describe the ongoing development of a new reportingguidelineforRCTs:ConsolidatedStandardsofReportingTrials-SPI(anextensionforsocialandpsychologicalinterven- tions). We invite readers to participate in the project by visiting our website, in order to help us reach the best-informed consensus on theseguidelines(http://tinyurl.com/CONSORT-study). Keywords randomized controlled trial, RCT, CONSORT-SPI, reporting guideline, reporting standards Introduction andcommunitysettings.Otherexamplesofsocialandpsycholo- gical interventions may be found in reviews by the Cochrane Socialandpsychologicalinterventionsaimtoimprovephysical Collaboration(2013;e.g.,theDevelopmental,Psychosocial,and health,mentalhealth,andassociatedsocialoutcomes.Theyare Learning Problems Group; the Cochrane Public Health Group) oftencomplexandtypicallyinvolvemultiple,interactinginter- andtheCampbellCollaboration(2013). ventioncomponents(e.g.,severalbehaviorchangetechniques) Tounderstandtheireffectsandtokeepservicesuptodate, that may act and target outcomes on several levels (e.g., indi- academics, policy makers, journalists, clinicians, and consu- vidual, family, and community; Medical Research Council mers rely on research reports of intervention studies in scien- [MRC], 2008). Moreover, these interventions may be contex- tific journals. Such reports should explain the methods, tually dependent upon the hard-to-control environments in includingthedesign,delivery,uptake,andcontextofinterven- whichtheyaredelivered(e.g.,healthcaresettingsandcorrec- tions, as well as subsequent results. Accurate, complete, and tionalfacilities;Bonell,2002;Pawson,Greenhalgh,Harvey,& transparent reporting is essential for readers to make best use Walshe,2004).Thefunctionsandprocessesoftheseinterven- of new evidence, to achieve returns on research investment, tions may be designed to accommodate particular individuals tomeet ethical obligationstoresearch participants andconsu- or contexts, taking on different forms while still aiming to mers of interventions, and to minimize waste in research. achievethesameobjective(Bonell,Fletcher,Morton,Lorenc, &Moore, 2012;Hawe, Shiell,&Riley, 2004). Complex interventions are common in public health, 1CentreforEvidence-BasedIntervention,UniversityofOxford,Oxford,UK psychology, education, social work, criminology, and related 2CentreforStatisticsinMedicine,UniversityofOxford,Oxford,UK disciplines. For example, multisystemic therapy (MST) is an 3InstituteofChildCareResearch,Queen’sUniversityBelfast,Belfast,UK intensive intervention for juvenile offenders. Based on social 4ClinicalEpidemiologyProgram,OttawaHospitalResearchInstitute,Centre forPractice-ChangingResearch(CPCR),TheOttawaHospital,Ottawa,ON, ecological and family system theories, MST providers target a Canada variety of individual, family, school, peer, neighborhood, and 5ResearchDepartmentofClinical,Educational&HealthPsychology,Centre communityinfluencesonpsychosocialandbehavioralproblems for Outcomes Research and Effectiveness, University College London, (Henggeler, Schoenwald, Rowland, & Cunningham, 2002). London,UK Treatment teams of professional therapists and caseworkers CorrespondingAuthor: work with individuals, their families, and their peer groups to Sean Grant, Centre for Evidence-Based Intervention, University of Oxford, provide tailored services (Littell, Campbell, Green, & Toews, BarnettHouse,32WellingtonSquare,OxfordOX12ER,UK. 2009). These services may be delivered in homes, social care, Email:[email protected] 596 Research on Social Work Practice 23(6) However, reports of randomized controlled trials (RCTs) are 2012). It has been endorsed by over 600 journals (Moher, often poorly reported within and across disciplines including Altman,Schulz,&Elbourne,2004),anditissupportedbythe criminology (Perry, Weisburd, & Hewitt, 2010), social work Institute of Educational Sciences (Torgerson et al., 2005). (Naleppa & Cagle, 2010), education (Torgerson, Torgerson, CONSORT is the only guideline for reporting RCTs that has Birks, & Porthouse, 2005), psychology (Michie et al., 2011; beendevelopedwithsuchrigor,andithasremainedmorepro- Stinson, McGrath, & Yamada, 2003), and public health minentthatany otherguideline for over 15 years; for greatest (Semaanetal.,2002).Biomedicalresearchershavedeveloped impact,anyfurtherreportingguidelinesrelatedtoRCTsshould guidelines to improve the reporting of RCTs of health-related bedevelopedincollaboration with theCONSORT Group. interventions (Schulz, Altman, & Moher, for the CONSORT Group,2010).However,manysocialandbehavioralscientists Limitations of Previous Reporting Guidelines for Social have not fully adopted these guidelines, which may not be and Psychological Interventions wholly adequate for social and psychological interventions in their current form (Bonell, Oakley, Hargreaves, Strange, & Researchers and journal editors in the social and behavioral Rees, 2006; Davidson et al., 2003; Perry et al., 2010; Stinson sciences are generally aware of CONSORT but often object etal.,2003).Becauseoftheuniquefeaturesoftheseinterven- thatitisnotfullyappropriateforsocialandpsychologicalinter- tions,updated reporting guidance is needed. ventions(Bonelletal.,2006;Davidsonetal.,2003;Perryetal., This articledescribes thedevelopment ofa reporting guide- 2010; Stinson et al., 2003). As a result, uptake of CONSORT linethataimstoimprovethequalityofreportsofRCTsofsocial guidelinesinthesedisciplinesislow.Whilesomecriticismsare and psychological interventions. We explain how reporting duetoinaccurateperceptionsaboutcommonfeaturesofRCTs guidelineshaveimprovedthequalityofreportsinmedicine,and acrossdisciplines,manyrelatetoreallimitationsforsocialand why guidelineshavenot yet improved the quality ofreports in psychological interventions (Mayo-Wilson, 2007). For exam- other disciplines. We then introduce a plan to develop a new ple, CONSORT is most relevant to RCTs in medical disci- reporting guideline for RCTs—Consolidated Standards of plines; it was developed by biostatisticians and medical Reporting Trials (CONSORT)-SPI(an extensionfor socialand researchers with minimal input from experts in other disci- psychological interventions)—which will be written using plines.Journaleditors,aswellassocialandbehavioralscience recommendtechniquesforguidelinedevelopmentanddissemi- researchers, believe there is a need to include appropriate sta- nation (Moher, Schulz, Simera, & Altman, 2010). Wide stake- keholders in developing a new, targeted guideline to improve holder involvement and consensus are needed to create a uptake in their disciplines (Gill, 2011; Torgerson et al., useful, acceptable, and evidence-based guideline, so we hope 2005). The CONSORT Group has produced extensions of the torecruitstakeholdersfrommultipledisciplinesandprofessions. originalCONSORTStatementrelevanttosocialandpsycholo- Randomized trials are not the only rigorous method for gical interventions, such as additional checklists for cluster evaluating interventions; many alternatives exist when RCTs (Campbell, Elbourne, & Altman, 2004), nonpharmacological arenotpossibleorappropriate duetoscientific,practical,and (Boutron et al., 2008a), pragmatic (Zwarenstein et al., 2008), ethical concerns (Bonell et al., 2011). Nonetheless, RCTs are and quality of life RCTs (Calvert, Blazeby, Revicki, Moher, important to policy makers, practitioners, scientists, and ser- & Brundage, 2011). These extensions provide important viceusers,astheyaregenerallyconsideredthemostvalidand insights, but complex social and psychological interventions, reliable research method for estimating the effectiveness of for example, include multiple, interacting components at sev- interventions(Chalmers,2003).Moreover,manyofthe issues eral levels, with various outcomes. These RCTs require use facedinreportingRCTsalsorelatetootherevaluationdesigns. of several extensions at once, creating a barrier to guideline Asaresult,thisprojectwillfocusonstandardsforRCTs,which uptake; increasing intervention complexity also gives rise to couldthenalsoinformthedevelopmentoffutureguidelinesfor newissuesthatarenotincludedinexistingguidelines.There- otherevaluation designs. fore,simplydisseminatingCONSORTguidelinesastheystand is insufficient, as this would not address the need for editors and authors to ‘‘buy-in’’ to this process. To improve uptake Impact of CONSORT Guidelines inthesedisciplines,CONSORTguidelinesneedtobeextended Reportingguidelineslist(intheformofachecklist)themini- to specifically address the important features of social and mum information required to understand the methods and psychological interventions. resultsofstudies.Theydonotprescriberesearch conduct,but Social and behavioral scientists have developed other facilitate the writing of transparent reports by authors and reportingguidelines,includingtheWorkgroupforIntervention appraisal of reports by research consumers. For example, the DevelopmentandEvaluationResearch(WIDER)Recommen- CONSORT Statement 2010 is an evidence-based guideline; dationsfor behavioral change interventions(Abraham, for the to identify items, the developers reviewed evidence of trial WIDER,2009;Michieetal.,2011),theAmericanEducational designandconductthatcouldcontributetobias.Usingconsen- ResearchAssociation’s(AERA,2006)StandardsforReporting susmethods,theydevelopedachecklistof25itemsandaflow Research, the REPOrting of Studies in Education (REPOSE) diagram (Schulz et al., 2010). CONSORT has improved the guidelines for primary research in education (Newman & reporting of thousands of medical experiments (Turner et al., Elbourne, 2004), and the Journal Article Reporting Standards Grant et al. 597 (JARS) of the American Psychological Association (APA) Some aspects of internal validity, although included in Publications and Communications Board Working Group on CONSORT, remain poorly reported—even in the least com- JARS (2008). While they address issues not covered by the plex social and psychological intervention studies. Reports CONSORT Statement and its extensions, these guidelines ofRCTsshoulddescribeproceduresforminimizingselection (except for JARS; APA Publications and Communications bias, but reports often omit information about random BoardWorkingGrouponJARS,2008)donotprovidespecific sequence generation and allocation concealment (Ladd, guidanceforRCTs.Moreover,comparedwiththeCONSORT McCrady, Manuel, & Campbell, 2010; Perry & Johnson, Statement and its official extensions, guidelines in the social 2008),andpsychologicaljournalsreportmethodsofsequence andbehavioralscienceshavenotconsistentlyfollowedoptimal generation less frequently than medical journals (Stinson techniques for guideline development and dissemination that etal.,2003).Areviewofeducationalreportsfoundnostudies arerecommendedbyinternationalleadersintheadvancement that adequately reported allocation concealment (Torgerson of reporting guidelines (Moher, Schulz, et al., 2010), such as et al., 2005), and reports in criminology often lack informa- the use of systematic literature reviews and formal consensus tion about randomization procedures (Gill, 2011; Perry methods to select reporting standards (Grant, Montgomery, & et al., 2010). RCTs of social and psychological interventions Mayo-Wilson, 2012). Researchers in public health, psychol- may also use nontraditional randomization techniques, such ogy, education, social work, and criminology have noted that as stepped wedge or natural allocation (MRC, 2011), which these guidelines could be more ‘‘user-friendly,’’ and dissemi- needtobethoroughlydescribed.Inaddition,reportsofsocial nation could benefit from up-to-date knowledge transfer tech- and psychological intervention trials often fail to include niques (Abraham, 2009; Armstrong et al., 2008; Davidson details about trial registration, protocols, and adverse events et al., 2003; Naleppa & Cagle, 2010; Perry & Johnson, 2008; (Ladd et al., 2010; Perry & Johnson, 2008), which may Stinson et al., 2003;Torgerson et al., 2005). includeimportantnegativeconsequencesatindividual,famil- For example, JARS—a notable and valuable guideline for ial, and community levels. empirical psychological research—is endorsed by few journals Other aspects of CONSORT may require greater emphasis outside of the APA, whereas CONSORT is endorsed by ormodificationforRCTsofsocialandpsychologicalinterven- hundreds of journals internationally. According to ISI Web of tions. In developing this CONSORT extension, we expect to KnowledgeandGoogleScholarcitations,JARSiscitedapprox- identifynewitemsandtoadaptexistingitemsthatrelatetothe imatelyadozentimesannually,whileCONSORTguidelinesare internalvalidity.Thesemayincludeitemsdiscussedduringthe cited hundredsoftimesper year. Moreover, the APA commis- development of previous CONSORT extensions or other sioned a select group of APA journal editors and reviewers to guidelines, as well as items suggested by participants in this developJARS,andthegroupbasedmostoftheirworkonexis- project. For example, it may not be possible to blind partici- tentCONSORTguidelines;bycomparison,officialCONSORT pants and providers of interventions, but blinding of outcome extensionshavebeendevelopedusingrigorousconsensusmeth- assessorsisoftenpossiblebutrarelyreported,andfewstudies ods, have involved various international stakeholders in guide- explainifblindingwasmaintainedorhowlackofblindingwas linedevelopmentanddissemination,andupdatecontentonthe handled (Davidson et al., 2003; Ladd et al., 2010; Perry & most recent scientific literature. Nonetheless, no current CON- Johnson,2008).Insocialandpsychologicalinterventionstud- SORT guideline adequately addresses the unique features of ies, outcome measures are often subjective, variables may social and psychological interventions. This new CONSORT relate to latent constructs, and information may come from extension will incorporate lessons from previous extensions, multiple sources (e.g., participants and providers). While an reportingguidelines,andtheresearchliteraturetoaidthecritical issue in other areas of research, the influence on RCT results appraisal,replication,anduptakeofthisresearch. of the quality of subjective outcome measures in social and psychologicalinterventionresearchhaslongbeenhighlighted, giventheirprevalenceinsocialandpsychologicalintervention Aspects of Internal Validity research (Marshall et al., 2000). Descriptions of the validity, Internal validity is the extent to which the results of a study reliability, and psychometric properties of such measures are maybeinfluencedbybias.Likeotherstudydesigns,thevalidity thereforeparticularlyusefulforsocialandpsychologicalinter- ofRCTsdependsonhigh-qualityexecution.Poorlyconducted ventiontrials,especiallywhentheyarenotwidelyavailableor RCTs can produce more biased results than well-conducted discussed in the research literature (Campbell et al., 2004; RCTs and well-conducted nonrandomized studies (Pildal Fraser,Galinsky,Richman,&Day,2009).Moreover,multiple etal.,2007;Prescottetal.,1999).Forexample,evidenceindi- measuresmaybeanalyzedinseveralways,soauthorsneedto catesthatRCTsthatdonotadequatelyconcealtherandomiza- transparently report which procedures were performed and to tion sequence can exaggerate effect estimates by up to 30% explaintheir rationale. (Schulz, Chalmers, Hayes, & Altman, 1995), while low- quality reports of these RCTs are associated with effect esti- Aspects of External Validity mates exaggerated by up to 35% (Moher et al., 1999). Social and psychological intervention RCTs are susceptible to these External validity is the extent to which a study’s results are risksofbias aswell. applicable in other settings or populations. Currently, given 598 Research on Social Work Practice 23(6) thatRCTsareprimarilydesignedtoincreasetheinternalvalid- Well-described RCT reports will include the characteristics ityofstudyfindings,theCONSORTStatementgivesrelatively of all participants (volunteers, those who enrolled, and those littleattentiontoexternalvalidity.Whilehighinternalvalidity who completed) in sufficient detail for readers to assess the is an important precondition for any discussion of an RCT’s comparabilityofthestudysampletopopulationsandinevery- externalvalidity,updatingtheCONSORTStatementtoinclude day services (AERA, 2006; APA Publications and Communi- moreinformationaboutexternalvalidityiscriticalfortherele- cations Board Working Group on JARS, 2008; Evans & vance and uptake of a CONSORT extension for social and Brown,2003) psychologicalinterventions.Theseinterventionsmaybeinflu- Finally, given that these interventions often occur in social enced by context, as different underlying social, institutional, environments,reportsshoulddescribefactorsoftheRCTcon- psychological, and physical structures may yield different textthatarebelievedtosupport,attenuate,orfrustrateobserved causal and probabilistic relations between interventions and effects (Moore, 2002). Interventions may differ across groups observed outcomes. Contextual information is necessary to of different social or socioeconomic positions, and equity compare the effectiveness of an intervention across time and considerations should be addressed explicitly (Tugwell et al., place (Cartwright & Munro, 2010). Lack of information rele- 2010;Welchetal.,2012).Severalaspectsofsettingandimple- vant to external validity may prevent practitioners or policy mentationmaybeimportanttoconsider,suchasadministrative makers from using evidence appropriately to inform decision support, staff training and supervision, organizational making;yet,existingguidelinesdonotadequatelyexplainhow resources, the wider service system, and concurrent political authors should describe (a) how interventions work, (b) for or social events (Bonell et al., 2012; Fixsen, Naoom, Blase, whom,and(c)underwhatconditions(Moore&Moore,2011). Friedman, & Wallace, 2005; Shepperd et al., 2009; Wang, First,itisusefulforauthorstoexplainthekeycomponents Moss,&Hiller,2006).Reportingprocessevaluationsmayhelp of interventions, how those components could be delivered, understand mechanisms andoutcomes. and how they relate to the outcomes selected. At present, authorscanfollowcurrentstandardsforreportinginterventions Developing a New CONSORT Extension without providing adequate details about complex interven- tions (Shepperd et al., 2009). Many reports neither contain ThisnewreportingguidelineforRCTsofsocialandpsycholo- sufficientinformationabouttheinterventionstestednorrefer- gical interventions will be an official extension of the encetreatmentmanuals(Glasziou,Meats,Heneghan,&Shep- CONSORT Statement. Optimally, it will help improve the perd,2008).Providinglogicmodels—asdescribedintheMRC reportingofthesestudies.LikeotherofficialCONSORTexten- FrameworkforComplexInterventions(Craigetal.,2008)—or sions (Boutron et al., 2008a; Campbell et al., 2004; Hopewell presentingtheoriesofchangecanhelpelucidatelinksincausal et al., 2008; Zwarenstein et al., 2008), this guideline will be chains that can be tested, identify important mediators and integratedwith theCONSORT Statement andpreviousexten- moderators, and facilitate syntheses in reviews (Ivers et al., sions, and updates of the CONSORT Statement may incorpo- 2012).Moreover,interventionsarerarelyimplementedexactly rate references tothisextension. asdesigned,andcomplexinterventionsmaybedesignedtobe Theprojectisbeingledbyaninternationalcollaborationof implemented with some flexibility, in order to accommodate researchers, methodologists, guideline developers, funders, differences across participants (Hawe et al., 2004), so it is service providers, journal editors, and consumer advocacy important to report how interventions were actually delivered groups.We willbe recruiting participants ina mannersimilar by providers and actually received by participants (Hardeman to other reporting guideline initiatives—identifying stake- etal.,2008).Particularlyforsocialandpsychologicalinterven- holders through literature reviews, the project’s International tions,theintegrityofimplementingtheintendedfunctionsand AdvisoryGroup,andstakeholder-initiatedinterestintheproj- processesoftheinterventionareessentialtounderstand(Hawe ect(Michieetal.,2011;Schulzetal.,2010).Wehopetorecruit etal.,2004).AsRCTsofaparticularinterventioncanyielddif- stakeholders with expertise from all related disciplines and ferent relative effects depending on the nature of the control regionsoftheworld,includinglow-andmiddle-incomecoun- groups, information about delivery and uptake should be pro- tries. Methodologists will identify items that relate to known videdforalltrialarms(McGrath,Stinson,&Davidson,2003). sourcesofbias,andtheywillidentifyitemsthatfacilitatesys- Second, reports should describe recruitment processes and tematic reviews and research synthesis. Funders will consider representativeness of samples. Participants in RCTs of social howtheguidelinecanaidtheassessmentofgrantapplications and psychological intervention are often recruited outside of forRCTsandmethodologicalinnovationsininterventioneva- routine practice settings via processes that differ from routine luation. Practitioners will identify information that can aid services (AERA, 2006). An intervention that works for one decision making. Journal editors will identify practical steps group of people may not work for people living in different toimplementthe guideline andtoensure uptake. culturesorphysicalspaces,oritmaynotworkforpeoplewith We will use consensus techniques to reduce bias in group slightly different problems and comorbidities. Enrolling in an decision making and to promote widespread guideline uptake RCT can be a complex process that affects the measured and and knowledge translation activities upon project completion unmeasured characteristics of participants, and recruitment (Murphy et al., 1998). Following rigorous reviews of existing may differ from how users normally access interventions. guidelines and current reporting quality, we will conduct an Grant et al. 599 online Delphiprocesstoidentifyaprioritizedlist ofreporting hopethisguidelinewillreducetheeffortandtimerequiredfor items to consider for the extension. That is, we will invite a authorstowrite reports ofRCTs. group of experts to electronically answer questions about RCTsarenottheonlyvalidmethodforevaluatinginterven- reportingitemsandtosuggestfurtherquestions.Wewillcircu- tions(Bonelletal.,2011)noraretheytheonlytypeofresearch latetheirfeedbacktothegroupandaskasecondroundofques- thatwouldbenefitfrombetterreporting(Goldbeck&Vitiello, tions.TheDelphiprocesswillcaptureavarietyofinternational 2011). Colleagues have identified the importance of reporting perspectives and allow participants to share their views anon- standards for other types of research, including observational ymously.FollowingtheDelphiprocess,wewillhostaconsen- (vonElmetal.,2007),quasi-experimental(DesJarlais,Lyles, sus meeting to review the findings and to generate a list of Crepaz, & the TREND Group, 2004), and qualitative studies minimalreportingstandards,mirroringthedevelopmentofpre- (Tong, Sainsbury, & Craig, 2007). This guideline is the first vious CONSORT guidelines (Boutron et al., 2008b; Schulz step toward improving reports of many designs for evaluating et al., 2010;Zwarenstein etal., 2008). social and psychological interventions, which we hope will Together,participantsinthisprocesswillcreateachecklist beaddressedbythisandfutureprojects.Weinvitestakeholders ofreportingitemsandaflowchartforreportingsocialandpsy- fromdisciplinesthatfrequentlyresearchtheseinterventionsto chologicalinterventionRCTs.Inaddition,wewilldevelopan jointhisimportanteffortandparticipateinguidelinedevelop- Explanation and Elaboration (E&E) document to explain the mentbyvisiting ourwebsite, where theycan find moreinfor- scientific rationale for each recommendation and to provide mation about the project, updates on its progress, and sign up examplesofclearreporting;asimilardocumentwasdeveloped tobeinvolved(http://tinyurl.com/CONSORT-study). by the CONSORT group to help disseminate a better under- standing for each included checklist item (Moher, Hopewell, Acknowledgments etal.,2010).Thisdocumentwillhelppersuadeeditors,authors, We thank the Centre for Evidence-Based Intervention (Oxford and funders of the importance of the guideline. It will be a University), the Centre for Outcomes Research and Effectiveness useful pedagogical tool, helping students and researchers (UniversityCollegeLondon),andtheNationalCollaboratingCentre understandthemethodsforconductingRCTsofsocialandpsy- forMentalHealth(NCCMH)fortheirsupport. chological interventions, and it will help authors meet the guideline requirements (Moher,Schulz, et al.,2010). Authors’ Note Thesuccessofthisprojectdependsonwidespreadinvolve- TheCONSORT-SPI(socialandpsychologicalinterventions)Interna- ment and agreement among key international stakeholders in tionalAdvisoryGroupincludesJ.LawrenceAber,distinguishedpro- research, policy, and practice. For example, previous develo- fessorofappliedpsychologyandpublicpolicy,SteinhardtSchoolof pers have obtained guideline endorsement by journal editors Culture,Education,andHumanDevelopment,NewYorkUniversity; who require authors and peer reviewers to use the guideline Chris Bonell, professor of sociology and social intervention, Centre duringarticlesubmissionandwhomustenforcejournalarticle for Evidence-Based Intervention, University of Oxford; David M. word limits (Michie, Fixsen, Grimshaw, & Eccles, 2009). Clark,chairofpsychology,DepartmentofExperimentalPsychology, Many journal editors have already agreed to participate, and UniversityofOxford;FrancesGardner,professorofchildandfamily wehopeotherresearchersandstakeholderswillvolunteertheir psychology, Centre for Evidence-Based Intervention, University of time andexpertise. Oxford;StevenHollon,AmericanPsychological AssociationGuide- linesCommittee(Chair),GertrudeConawayProfessorofPsychology, DepartmentofPsychology,VanderbiltUniversity;JimMcCambridge, Conclusion seniorlecturerinBehaviourChange,DepartmentofSocialandEnvi- ronmentalHealthResearch,LondonSchoolofHygieneandTropical Reporting guidelines help us use scarce resources efficiently Medicine;SusanMichie,professorofhealthpsychology,Department andethically.RCTsareexpensive,andthepublichavearight of Clinical, Educational & Health Psychology, University College to expect returns on their investments through transparent, London; Laurence Moore, professor of public health improvement, usablereports.WhenRCTreportscannotbeused(forwhatever CardiffSchoolofSocialSciences,CardiffUniversity;MarkPetticrew, reason),resourcesarewasted.Participantscontributetheirtime professorofpublichealthevaluation,DepartmentSocialandEnviron- and put themselves at risk of harm to generate evidence that mental Health Research, London School of Hygiene and Tropical willhelpothers,andresearchersshoulddisseminatethatinfor- Medicine; Lawrence Sherman, Wolfson Professor of Criminology, mationeffectively(Davidsonetal.,2003).Policymakersben- Cambridge Institute of Criminology, Cambridge University; Steve efit from research when developing effective, affordable Pilling, director, Centre for Outcomes Research and Effectiveness, UniversityCollegeLondon;JamesThomas,associatedirectorEPPI- standards of practice and choosing which programs and ser- Centre, reader in social policy, Institute of Education, University of vices to fund. Administrators and managers are required to London; Elizabeth Waters, Jack Brockhoff Chair of Child Public makecontextuallyappropriatedecisions.Transparentreporting Health, McCaughey VicHealth Centre for Community Wellbeing, ofprimarystudiesisessentialfortheirinclusioninsystematic MelbourneSchoolofPopulation&GlobalHealth,UniversityofMel- reviews that inform these activities. For example, there is the bourne,Australia;DavidWeisburd,directorandWalterE.MeyerPro- needtodetermine ifprimarystudiesarecomparable,examine fessorofLawandCriminalJustice,InstituteofCriminology,Hebrew biases within included studies, assess the generalizability of UniversityFacultyofLaw,Jerusalem;JoanneYaffe,associateprofes- results, and implement effective interventions. Finally, we sor,CollegeofSocialWork,UniversityofUtah.PM,EMW,andSG 600 Research on Social Work Practice 23(6) conceivedoftheideafortheproject.Allauthors helpedtodraftthe Boutron,I.,Moher,D.,Altman,D.G.,Schulz,K.,&Ravaud,P.,for article,andallhavereadandapprovedthefinalarticle. the CONSORT group. (2008b). Methods and processes of the CONSORT group: Example of an extension for trials assessing Declaration ofConflicting Interests nonpharmacologic treatments. Annals of Internal Medicine, 148, W60–W67. Theauthorsdeclarednopotentialconflictsofinterestwithrespectto Calvert, M., Blazeby, J., Revicki, D., Moher, D., & Brundage, M. theresearch,authorship,and/orpublicationofthisarticle. (2011). Reporting quality of life in clinical trials: A CONSORT extension.TheLancet,378,1684–1685. Funding Campbell Collaboration. (2013). 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