CONSORT guideline for experiments of psychological, social, and environmental

Lead Research Organisation: University of Oxford
Department Name: Social Policy and Intervention

Abstract

Experiments are essential for assessing the benefits and harms of psychological, social, and environmental interventions. However, these interventions can be costly and difficult to evaluate because they are often complex, involving multiple interacting components. For experiments to be replicable and transferable into policy and practice, authors must report intervention and study design, conduct, and analysis clearly. Without this detail, results may be unusable, syntheses may be impossible, and scarce resources may be wasted.
Reporting guidelines have improved the quality of reports in medical experiments, and thus their real-world utility. However, no evidence-based guidelines have been developed for reporting the unique features of experiments in criminology, education, psychology, public health, and social work. Publications of these studies often fail to provide adequate information for critical appraisal, replication of the intervention, or research synthesis. To maximise the investment made in such research, a new reporting guideline is needed.

This project will develop and disseminate a guideline for reporting experiments of psychological, social, and environmental interventions. To coordinate and publicise the initiative, we have assembled a Steering Group of leading experts in core social science disciplines. With their guidance, we will first conduct an international Delphi process with researchers, journal editors, and other stakeholders to generate a list of important reporting standards to consider for inclusion in the guideline. The Delphi process will identify items that are required to allow replication, assess validity, and transfer scientific knowledge to real-world settings. We have conducted two reviews that identify areas of reporting to target, in order to maximise the quality, acceptability, and uptake of a guideline across disciplines. Results indicate that publications often omit information that would allow readers to assess internal validity (e.g. blinding and level of randomisation). Such reports may overestimate intervention effects by as much as 30%.[17] Secondly, reports should include more information relevant to the external validity of experiments (e.g. participant selection, intervention implementation). To be useful for experiments in criminology, education, psychology, public health, and social work, the CONSORT Statement should be modified and extended. The Delphi process will identify those items most important for understanding the unique features of these studies.

We will then host a consensus meeting with a select group of Delphi participants to finalise the list of minimal reporting standards for inclusion in the guideline. Next, we will codify these standards into a user-friendly checklist, draft the guideline document, and write a companion paper to explain the rationale for each item and provide examples of good reporting.

Our dissemination strategy begins with stakeholder involvement in the design and execution of this project, ensuring that the guideline will be acceptable and widely endorsed by users. Once completed, the guideline and explanatory paper will be published simultaneously in multiple, high-impact journals. To promote pervasive and habitual use, we will seek endorsement of the guideline by psychological and social science journals. The guideline will be disseminated online, at conferences in all appropriate fields and through policy briefs. We will target researchers, educators, students, funders, practitioners and other consumers.

The outputs from this project will help authors write clear reports, create a framework for reviewers to assess publications, expedite funding evaluations, provide a pedagogical tool for understanding these experiments, and help consumers evaluate study validity and applicability. In these ways, the guideline will facilitate efficient and effective transfer of research evidence into real-world use.

Planned Impact

Psychological, social, and environmental experiments often cost a significant amount of money. Poor reporting of experiments, like poor conduct of experiments, can render such studies practically useless. If this project succeeds in making just one large experiment usable for decision-making, its economic gain will already outweigh its cost.

This project has many societal and economic impacts. Academics and researchers will benefit as described in the 'Academic Beneficiaries' section. The public sector will benefit by having higher quality experimental evaluations and published reports of experiments to guide policy and practice decisions. For example, NICE guidelines for mental health care (and their corollaries in other countries), which systematically utilise the current research evidence to make recommendations, will have better reports with sufficient information to appraise the quality and validity of these experiments and determine their relevance for practice. Systematic review organisations, such as the Cochrane and Campbell Collaborations, will be better placed to synthesise research evidence regarding the effectiveness of psychological, social, and environmental interventions, and thereby provide better reviews for clinical guidelines, policy-making, and future research. Moreover, public sector departments, ministries, and funding agencies will have greater return on investment when financing psychological, social, and environmental intervention experiments.

Higher quality reports and trials could influence policy-makers and practitioners to utilise research evidence more consistently in their decision-making. Public services and policy would become more effective, as choices are more frequently informed by better evidence. Social welfare may improve as service providers and third sector organisations change their culture to offer programmes based on rigorous empirical evidence when possible. Service users will benefit indirectly as the interventions they receive will improve. In addition, as some consumers have begun to inform themselves about the treatments they receive, these guidelines may clarify the validity and applicability of psychological, social, and environmental interventions to consumers' conditions and situations. Increases in evidence-based practice and policy-making, both in the UK and internationally, could contribute significantly to increased health and quality of life for all populations served by these interventions.

Publications

10 25 50
 
Description Several significant discoveries and developments have resulted from this research grant.

First, we have created a new, extensive reporting guideline that consolidates reporting standards for social and psychological intervention trials into a user-friendly checklist. Accompanying the checklist of reporting standards is a users manual that provides examples of reporting according to checklist items and explicates the rationale for each item. Different versions of the users manual are tailored to specific disciplines in order to provide rationale and examples of good reporting that speak to the distinctive concepts, theories, and taxonomies that are characteristic of each of the research areas conducting social and psychological intervention trials (e.g., psychology, education, criminology, social work, public health). This reporting guideline will facilitate more clear, comprehensive, and accurate descriptions of the social and psychological intervention trials that are increasingly influencing future research, public policy, and social programs.

Second, we have identified a comprehensive and prioritized list of standards for reporting randomized trials of social and psychological interventions. These standards were rated by a large and diverse online panel of international stakeholders (over 380 participants from over 30 countries) as essential or highly desirable for reporting social and psychological intervention trials. This compilation of reporting standards-vetted by experts in this area-provides an invaluable resource for those seeking to develop future reporting guidelines in this area, for it provides a ranking of the importance of possible reporting standards to consider as well as stakeholders' views about the importance of each item.

Third, we have created important resources for the future development of reporting guidelines. Namely, we have written the first transparent report on the planning of and discussions during a consensus meeting to determine the content of a reporting guideline. As these consensus meetings are a recommended best practice for reporting guideline development, this manuscript will provide valuable insights for future reporting guideline teams on what has hitherto been an opaque component of developing reporting guidelines. In addition, we have created a systematic method for developing a theory-informed, coordinated strategy for implementing reporting guidelines. As simply creating reporting guidelines has not dramatically changed the quality of reporting in most areas of research, this method will help future reporting guideline developers target barriers and levers to guideline implementation in order to facilitate actual guideline use and thus ultimately improve research reporting.

Lastly, this project has led to particularly noteworthy new research collaborations and partnerships. For example, PI Paul Montgomery has helped create the International Behavioural Trials Network (IBTN) aiming to improve the quality and potential of behavioral clinical trials, has been invited to join the Cross-Whitehall Trial Advice Panel supporting the use of trials to improve government policies, and has started a collaboration to develop an extension of the GRADE approach (an international best practice for grading evidence for practice guidelines and policies) for social and public health interventions.
Exploitation Route We believe that our reporting guideline and related outputs will be taken forward by various stakeholders in several ways. First, researchers across the disciplines we targeted in the behavioral and social sciences will use and consult this guideline when designing and reporting social and psychological intervention trials. Editors and peer-reviewers of journals that publish manuscripts on these trials will use the checklist when reviewing submissions. Research organisations that fund these trials will use the guideline when assessing grant applications. Policy-makers and practitioners can employ our lay-friendly brief on this guideline to understand what information should be provided in reports on trials of interventions they plan to commission and employ in their work settings. Academic faculty will use this guideline as a pedagogical tool when instructing students about designing and reporting these trials. Future reporting guideline developers will use our guideline as a starting point for related guidelines in this area, and they will use our other outputs about the processes of developing and implementing our guideline in order to create and disseminate reporting guidelines more effectively moving forward.
Sectors Communities and Social Services/Policy,Education,Healthcare,Government, Democracy and Justice,Security and Diplomacy,Transport,Other

URL http://www.spi.ox.ac.uk/research/site/consort-spi/outputs.html
 
Description All phases of data collection are now complete, and the final guideline documents are published. Preliminary drafts of the checklists have been shared at numerous conferences to increase uptake of the guidelines when completed. Several journals have expressed interest in publishing special sections on the guideline in a journal issue, while other journals and funders have expressed interest in implementing the guideline once complete. The guideline documents will help authors write clear reports, create a framework for reviewers to assess publications, expedite funding evaluations, provide a pedagogical tool for understanding psychological and social experiments, and help consumers evaluate study validity and applicability. The public sector will benefit by having higher quality trial evaluations and trial reports to guide policy and practice decisions. For example, NICE guidelines for mental health care (and their corollaries in other countries), which systematically utilise the current research evidence to make recommendations, will have better reports with sufficient information to appraise the quality of the experiments and to determine their relevance for practice. Systematic review organisations, such as the Cochrane and Campbell Collaborations, will be better placed to synthesise research evidence regarding the effectiveness of psychological and social interventions, and thereby provide better reviews for clinical guidelines, policy-making, and future research. Moreover, public sector departments, ministries, and funding agencies will have greater return on investment when financing psychological and social intervention experiments. Higher quality reports and trials could influence policy-makers and practitioners to utilise research evidence more consistently in their decision-making. Public services and policy would become more effective, as choices are more frequently informed by better evidence. Social welfare may improve as service providers and third sector organisations change their culture to offer programmes based on rigorous empirical evidence when possible. Service users will benefit indirectly as the interventions they receive will improve. In addition, as some consumers have begun to inform themselves about the treatments they receive, these guidelines may clarify the validity and applicability of psychological and social interventions to consumers' conditions and situations. Increases in evidence-based practice and policy-making, both in the UK and internationally, could contribute significantly to increased health and quality of life for all populations served by these interventions. In these ways, the guideline will facilitate efficient and effective transfer of research evidence into real-world use, increasing the effectiveness of public services and policy based on social and psychological intervention.
First Year Of Impact 2018
Sector Communities and Social Services/Policy,Education,Healthcare,Government, Democracy and Justice,Culture, Heritage, Museums and Collections,Other
Impact Types Policy & public services

 
Description Cross Whitehall Trials Panel
Geographic Reach National 
Policy Influence Type Membership of a guideline committee
Impact Professor Paul Montgomery has been appointed to the Cross-Whitehall Trial Advice Panel, a group of top academics and government representatives, who will support the design and implementation of effective trials to improve the effectiveness of government policies. This is the first time the Government has brought these experts together with civil servants for such a purpose. The work cuts across many government departments and has a wide impact on the conduct of evidence based government.
URL https://www.gov.uk/government/publications/cross-government-trial-advice-panel-role-and-membership
 
Description Society for Prevention Research 2015 Standards of Evidence
Geographic Reach Multiple continents/international 
Policy Influence Type Citation in other policy documents
URL http://www.preventionresearch.org/advocacy/#standards
 
Description US IOM Report on Psychosocial Interventions for Mental and Substance Use Disorders
Geographic Reach National 
Policy Influence Type Citation in other policy documents
URL http://iom.nationalacademies.org/Reports/2015/Psychosocial-Interventions-Mental-Substance-Abuse-Diso...
 
Description GRADE extension for complex social interventions
Amount £586,424 (GBP)
Funding ID ES/N012267/1 
Organisation Economic and Social Research Council 
Sector Public
Country United Kingdom
Start 01/2016 
End 06/2018
 
Description Social Science Meta-Analysis and Research Transparency (SSMART) Grants
Amount $30,000 (USD)
Organisation Berkeley Initiative for Transparency in the Social Sciences 
Sector Academic/University
Country United States
Start 03/2016 
End 12/2016
 
Title CONSORT-SPI Project Data 
Description Methodological protocols, data collection materials, and data from the Delphi process and consensus meeting can be requested from ReShare, the UK Data Service's online data repository (doi: 10.5255/UKDA-SN- 851981). 
Type Of Material Database/Collection of data 
Provided To Others? No  
Impact Collection of reporting standards have been used by other groups to develop/adopt their own standards for reporting social intervention trials. 
URL http://reshare.ukdataservice.ac.uk/851981/
 
Description Berkeley Initiative for Transparency in the Social Sciences 
Organisation Berkeley Initiative for Transparency in the Social Sciences
Country United States 
Sector Academic/University 
PI Contribution Sean Grant has been asked to come a Catalyst for the Berkeley Initiative for Transparency in the Social Sciences. BITSS Catalysts are current graduate students, academic faculty, and other researchers in the social sciences who are committed to changing norms by educating the current and next generation of economists, psychologists, political scientists, and other social scientists on transparency tools and practices.
Collaborator Contribution BITSS has helped to spread the word about transparency in the social sciences generally and CONSORT-SPI specifically.
Impact Sean Grant will be teaching at the BITSS 2016 Summer Institute. Led by the Berkeley Initiative for Transparency in the Social Sciences (BITSS), this workshop provides participants with an overview of cutting-edge mechanisms for transparent and reproducible social science. The curriculum is taught by academic leaders in the transparency movement, and there will be space for collaborative work and hands-on skill building.
Start Year 2015
 
Description Cross-Whitehall Trial Advice Panel 
Organisation Cross-Government Trial Advice Panel
Country United Kingdom 
Sector Public 
PI Contribution Professor Paul Montgomery has been appointed to the Cross-Whitehall Trial Advice Panel, a group of top academics and government representatives, who will support the design and implementation of effective trials to improve the effectiveness of government policies. This is the first time the Government has brought these experts together with civil servants for such a purpose.
Collaborator Contribution Prof Montgomery will increase skills and awareness across the civil service, in understanding the value of experimental and quasi-experimental methods, and how to deliver high quality trials.
Impact https://www.gov.uk/government/publications/cross-government-trial-advice-panel-role-and-membership
Start Year 2015
 
Description International Behavioural Trials Network 
Organisation International Behavioural Trials Network (IBTN)
Country Global 
Sector Public 
PI Contribution Paul Montgomery has been asked to join the International Behavioural Trials Network
Collaborator Contribution Manuscript on An International Perspective on Improving the Quality and Potential of Behavioral Clinical Trials
Impact http://rd.springer.com/article/10.1007/s12170-014-0427-0/fulltext.html
Start Year 2014
 
Description Medical Research Council Guidance for Process Evaluations of Complex Public Health Interventions 
Organisation Medical Research Council (MRC)
Country United Kingdom 
Sector Public 
PI Contribution Sean Grant and Paul Montgomery were members of the advisory group for the Medical Research Council Guidance for Process Evaluations of Complex Public Health Interventions. We provided input on reporting process evaluations of social and psychological interventions.
Collaborator Contribution Disseminate information about CONSORT-SPI in the MRC Process Evaluation Guidance.
Impact Moore G, Audrey S, Barker M, Bond L, Bonell C, Hardeman W, Moore L, O'Cathain A, Tinati T, Wight D, Baird J. Process evaluation of complex interventions: a summary of Medical Research Council guidance. In: Richards D, Hallberg IR, editors Complex interventions in health: an overview of research methods. Abingdon: Routledge, 2015. http://www.bmj.com/content/350/bmj.h1258 Moore G, Audrey S, Barker M, Bond L, Bonell C, Hardeman W, Moore L, O'Cathain A, Tinati T, Wight D, Baird J. Process evaluation of complex interventions: Medical Research Council guidance. MRC Population Health Science Research Network, London, 2014 Moore G, Audrey S, Barker M, Bond L, Bonell C, Cooper C, Hardeman W, Moore L, O'Cathain A, Tinati T, Wight D, Baird J. Process evaluation in complex public health intervention studies: the need for guidance [editorial]. Journal of Epidemiology & Community Health 2013;68:101-102
Start Year 2013
 
Description RAND Center for Causal Inference 
Organisation Center for Causal Inference
Country United States 
Sector Charity/Non Profit 
PI Contribution Sean Grant is a member of the RAND CCI and provides input on transparency of causal inference methods in intervention research.
Collaborator Contribution Disseminate knowledge on transparency of causal inference methods in intervention research.
Impact Presentations on the importance of research transparency.
Start Year 2015
 
Description Transparency and Openness Promotion (TOP) Guidelines Committee 
Organisation Center for Open Science (COS)
Department Transparency and Openness Promotion Guidelines
Country United States 
Sector Private 
PI Contribution Evan Mayo-Wilson has been asked to join Transparency and Openness Promotion (TOP) Guidelines Committee, which is seeking to promote an open research culture across all sciences.
Collaborator Contribution Co-authored a Science paper covered in major media outlets (e.g., The New York Times).
Impact http://science.sciencemag.org/content/348/6242/1422 http://www.nytimes.com/2015/06/26/science/journal-science-releases-guidelines-for-publishing-scientific-studies.html?_r=0
Start Year 2014
 
Description A new reporting guideline for trials of social and psychological interventions: CONSORT-SPI (March 2016) 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Policymakers/politicians
Results and Impact Invited presentation for the Office of Planning, Research and Evaluation; Administration for Children and Families; U.S. Department of Health and Human Services; Washington, DC, USA.
Year(s) Of Engagement Activity 2016
 
Description Development of a CONSORT extension for complex social interventions, Oxford (2012) 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Other audiences
Results and Impact Oral presentation to the Oxford Global Health Policy Programme.

Profiling on the GHPP website; support to attend Cochrane Colloquium in New Zealand
Year(s) Of Engagement Activity 2012
 
Description Oral presentation at 142nd APHA Annual Meeting and Exposition, Miami (15-19 November 2014) 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Other audiences
Results and Impact Oral presentation at 142nd APHA Annual Meeting and Exposition: "Reporting Guideline for Trials of Social and Psychological Interventions: CONSORT-SPI".
Year(s) Of Engagement Activity 2014
URL https://apha.confex.com/apha/142am/webprogram/Session41942.html
 
Description Presentation, American Society for Criminology, USA (2014) 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Talk led to discussion and desire to utilize CONSORT-SPI guideline.

Desire in using CONSORT-SPI by UK College of Policing.
Year(s) Of Engagement Activity 2014
 
Description Presentation, BERA, London (September 2014) 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Montgomery, P., Grant, S., & Mayo-Wilson, E. (2014, September). Reporting guideline for trials of social and psychological interventions: CONSORT-SPI. Oral presentation at the British Educational Research Association Annual Conference 2014, London, UK.

Interest from researchers to use and disseminate CONSORT-SPI guidelines to education researchers.
Year(s) Of Engagement Activity 2014