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Measurement of adherence in a randomised controlled trial of a complex intervention: supported self-management for adults with learning disability and type 2 diabetes

Overview of attention for article published in BMC Medical Research Methodology, October 2016
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  • Above-average Attention Score compared to outputs of the same age (51st percentile)
  • Above-average Attention Score compared to outputs of the same age and source (57th percentile)

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Title
Measurement of adherence in a randomised controlled trial of a complex intervention: supported self-management for adults with learning disability and type 2 diabetes
Published in
BMC Medical Research Methodology, October 2016
DOI 10.1186/s12874-016-0236-x
Pubmed ID
Authors

Liz Graham, Judy Wright, Rebecca Walwyn, Amy M. Russell, Louise Bryant, Amanda Farrin, Allan House

Abstract

Reporting adherence to intervention delivery and uptake is a detailed way of describing what was actually delivered and received, in comparison to what was intended. Measuring and reporting adherence is not routinely done well in complex interventions. The OK Diabetes trial (ISRCTN41897033) aimed to develop and subsequently test the feasibility of implementing a supported self-management intervention in adults with a learning disability and type 2 diabetes. A key study objective was to develop a measure of adherence to the intervention. We conducted a systematic review of published literature, extracting data from included papers using a standardised proforma. We undertook a narrative synthesis of papers to determine the form and content of methods for adherence measurement for self-management interventions in this population that had already been developed. We used the framework and data extraction form developed for the review as the basis for an adherence measurement tool that we applied in the OK Diabetes trial. The literature review found variability in the quality and content of adherence measurement and reporting, with no standardised approach. We were able to develop an adherence measure based upon the review, and populate it with data collected during the OK Diabetes trial. The adherence tool proved satisfactory for recording and measuring adherence in the trial. There remains a need for a standardised approach to adherence measurement in the field of complex interventions. We have shown that it is possible to produce a simple, feasible measure for assessing adherence in the OK Diabetes trial.

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X Demographics

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 95 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United Kingdom 1 1%
Unknown 94 99%

Demographic breakdown

Readers by professional status Count As %
Student > Master 20 21%
Student > Ph. D. Student 14 15%
Student > Doctoral Student 8 8%
Lecturer 6 6%
Student > Bachelor 6 6%
Other 13 14%
Unknown 28 29%
Readers by discipline Count As %
Nursing and Health Professions 19 20%
Medicine and Dentistry 13 14%
Psychology 7 7%
Pharmacology, Toxicology and Pharmaceutical Science 4 4%
Mathematics 3 3%
Other 12 13%
Unknown 37 39%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 3. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 07 October 2017.
All research outputs
#7,755,034
of 23,573,233 outputs
Outputs from BMC Medical Research Methodology
#1,132
of 2,081 outputs
Outputs of similar age
#115,851
of 321,461 outputs
Outputs of similar age from BMC Medical Research Methodology
#20
of 45 outputs
Altmetric has tracked 23,573,233 research outputs across all sources so far. This one is in the 44th percentile – i.e., 44% of other outputs scored the same or lower than it.
So far Altmetric has tracked 2,081 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 10.5. This one is in the 43rd percentile – i.e., 43% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 321,461 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 51% of its contemporaries.
We're also able to compare this research output to 45 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 57% of its contemporaries.