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Guise JM, Chang C, Viswanathan M, et al. Systematic Reviews of Complex Multicomponent Health Care Interventions [Internet]. Rockville (MD): Agency for Healthcare Research and Quality (US); 2014 Mar.

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Systematic Reviews of Complex Multicomponent Health Care Interventions [Internet].

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Table 3Key informant recommendations for reporting elements in primary research of complex multicomponent interventions

Reporting CategoryDescription of Recommended ElementSimilarities With Existing Reporting Criteria
PopulationWho is targeted (intended recipient) by the intervention
 Individual
 Population
 Health systems
CONSORT targeted recipients
Characteristics of Participants
 Behaviors
 Skill level required to participate in intervention
 Ethnicity
 Language
 Gender
 Age
 Risk status
  High risk - describe medical and social complexity
CONSORT intervention recipient
SQUIRE-plan for intervention implementation, by whom (item 9c)
InterventionComponents
 Explicitly state active and optional components
  A priori and final components
 Number of components
 Degree to which components are independent vs. interact
 Variability within and between components
CONSORT elements
CReDECI-description of intervention components (item 2); rationale for selection of components (item 3); illustration of intended interactions between components (item 4); rationale for aim/essential function of components (item 5); description of unexpected interactions between components and environment (item 15)
SQUIRE-describe intervention and components (item 9a)
Fidelity and degree of adaptability and tailoring
 Describe what tailoring is done
CONSORT tailoring
CReDECI-description of any deviation from the study protocol (item 13)
InterventionTheoretical foundation for intervention
 Logic Model and/or Conceptual Flow Diagram
 How the intervention is thought to work
CReDECI description of underlying theoretical considerations (item 1)
CReDECI-illustration of any intended interactions between components (item 4)
SQUIRE-mechanism by which intervention components were expected to cause change (item 10b)
Replicability of intervention
 Theoretical basis
 Evidence of replicability
 Provide sufficient detail for others to replicate
CONSORT tailoring
CReDECI-description of materials used for implementation to allow a replication (item 11)
IncentivesCONSORT intervention incentives
Governance issuesNot Addressed
Characteristics of agents delivering the intervention
 Skill set
 Behaviors
 Profession (lay people, MD, RN, etc.)
 Amount of training required to deliver intervention
  General content, frequency, intensity
CONSORT provider
Intensity of InterventionCONSORT intensity
Frequency of Intervention
Duration of InterventionCONSORT duration
Cost of interventionCould be covered by CReDECI-description of cost or required resources for the intervention's implementation (item 16)
SQUIRE-reviews issues of opportunity cost and actual financial cost (item17d).
ComparatorWhat “usual care is”CReDECI description of control or usual care (item 9)
Setting/ContextOrganizational features
 Readiness to change
 Rogers stages of adoption
 Leadership at organizational level
Not specifically addressed though perhaps CONSORT setting; CReDECI-consideration of contextual factors and determinants of the setting in the modeling of the intervention (item 6)
SQUIRE: elements of setting (item13ai)
Champions required
 Key attributes of champions, such as profession
CONSORT provider
Rival activitiesSQUIRE-reviews issues of opportunity cost and actual financial cost (item17d).
Key contextual factors responsible for effectCONSORT setting, CReDECI consideration of the contextual factors and determinants of the setting in the modeling of the intervention (item 6)
Setting/ContextGeographic locationNot specifically addressed though perhaps CONSORT setting, CReDECI consideration of the contextual factors and determinants of the setting in the modeling of the intervention (item 6)
Financial Setting
 Fee for service
 Capitation
 Medicare/Medicaid
 Uninsured
Not specifically addressed though perhaps CONSORT setting, CReDECI consideration of the contextual factors and determinants of the setting in the modeling of the intervention (item 6)
Clinical setting
 Private practice (solo or group)
 Public health
 Integrated health plan
CONSORT setting
Outcomes/Evaluation of EffectExpected effectsCReDECI rationale for the aim/essential functions of the intervention's components, including the evidence whether the components are appropriate for achieving this goal (item 5)
Negative findings need to be reported as wellMay be addressed by SQUIRE-considers benefits/harms/unexpected results/problems/failures (item 13biii)
Resource utilizationCReDECI-description of costs or required resources for implementation (item 16)
SQUIRE-reviews issues of opportunity cost and actual financial cost (item17d)
Evaluation criteria or evaluating effectiveness of interventionCReDECI-description of an evaluation of the implementation process (item 12)
Study Design UsedSQUIRE 10c

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